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!