Septorhinoplasty: Open or Closed?

If you do not want any modification to your tip, and your nose is relatively straight from the frontal view, then a closed rhinoplasty may be an appropriate approach for you.  For more severe deviation or tip modification, an open approach may be more appropriate.  As a patient, it's far more important to choose the right surgeon and allow him/her to choose the right technique.  

The subject of open versus closed rhinoplasty was long hot bleed abated. Answer has really been determined to be completely surgeon-dependent. I performed both open and closed rhinoplasty. Some doctors feel strongly about performing only one type. In general there is no data to suggest that one technique is superior to another. However the #1 issue at hand is can your surgeon deliver the results you are looking for via the approach that they have described.The only way to know this is by looking at the pictures and seeing if the results match your desires.

This is a classic plastic surgery question! The answer has been clear that it can be done both ways. The surgeon will have a preference and this is another factor.I do it both ways. I believe the open approach is best for the delicate tip work of the cartilage. It sounds like you don't need this however. The septum and the hump usually don't need this open approach. The visualization thru the nostril with a closed approach (without an open approach) is excellent for these aspects that you need.Talk to your doctor in detail! Good luck with your surgery!Dr Chris Saunders

Hi and thanks for your question.  Your surgery can be completed open or closed.  I prefer the open approach as it gives me the ability to be much more precise and to do a more sophisticated rhinoplasty.  Septoplasty can be combined with the open or closed approach.  Good luck.  

Ultimately, the expertise of the surgeon outweighs the approach taken to perform rhinoplasty.  A skilled rhinoplasty surgeon who specializes in the procedure will help you to achieve the results you are looking for regardless of what approach they favor.  Find a board certified surgeon in your area and schedule a consultation.  I have provided a link below.  Good Luck!

If a rhinoplasty is done through a closed approach, the septoplasty portion of the procedure can be done through a closed approach as well.  

Closed rhinoplasty for hump removal without tip work will work for your nose. Make sure u see an experienced rhinoplasty surgeon who does natural noses. 

 In our practice, a septoplasty  is performed closed, since the procedure only involves a small half-inch incision on the inside of the nose. The rhinoplasty procedure can be performed  with either open or closed techniques.  Closed rhinoplasty involves making all the incisions on the inside of the nose. No external incisions are required. If tip surgery is not required, closed rhinoplasty can  easily accomplish your goals.  In our practice, we perform closed rhinoplasty to avoid the external incision.For many examples of closed rhinoplasty, please see the link and the video below

Hi Roc,There is much debate over which approach to rhinoplasty is more appropriate.  There are plusses and minuses to both, and every surgeon with have a certain preference.  Most primary( first time rhinoplasties) could be done either way with a few exceptions, of course.  Closed rhinoplasty disturbs less of the nasal anatomy and support, and usually will result in less swelling, while open rhinoplasty gives much better direct visualization and access to the nasal framework while adding an incision though the columella which generally heals pretty well.  I use both approaches in my practice.  I like to do the septoplasty intranasally ( closed) and then will decide on an open vs closed based on the patient's desires and anatomic needs.  You may very well be a candidate for a closed rhinoplasty if you do not want any tip work but would need consult and full exam to discuss further.  Hope this helps.

HiPretty much any part of Rhinoplasty or Septoplasty can be done either open or closed other than nostril reductions which are always open.You just need to find the right surgeon and preferably one who is well versed in both techniques because many times one approach is better than the other for the particular nose.