What is a Closed Rhinoplasty?

Closed rhinoplasty, also called endonasal rhinoplasty, involves incisions placed inside the nose. There are no visible external incisions in this approach. Open rhinoplasty, sometimes called external rhinoplasty, involves a tiny, inverted-V shaped incision being created in the columella, between the nostrils. If performed carefully and with attention to detail, this incision heals beautifully and nearly invisibly for the vast majority of patients. This approach allows the surgeon to see the tip (lower lateral) cartilages directly, in their natural shape and location, while reshaping them. The overall recovery experience is quite similar for both types of surgery, with the exception being that in the open approach, a handful of very fine stitches are removed 6-7 days after surgery. 

In my San Francisco Bay Area practice, I perform both open and closed rhinoplasty and it is the patient's nose and aesthetic desires which steer my decision regarding which approach to use. If there is significant work to be done at the tip, an open approach is preferable, in my experience. If it is simply a matter of shaving down a hump along the bridge or straightening a curved nose, these can easily be achieved through a closed approach. Let your surgeon guide you regarding which approach they prefer, based on your unique anatomy, aesthetic sense, and the surgeon's training and experience. 

Regards,

Dr. Mehta

Closed rhinoplasty requires 2 incisions inside the nostril. Therefore modifications are performed inside the nose through these incisions. Open rhinoplasty includes the same two incisions but with one additional incision across the columella.
I personally prefer open rhinoplasty It allows us, surgeons, to measure and truly analyze the anatomy of the nose so we can achieve the best possible results. Also, there's less chance of nasal asymmetry in open rhinoplasty. I perform open rhinoplasty surgeries with a technique called piezo. It's performed using ultrasonic waves which results in a quicker and painless recovery period and less downtime. It's a highly accurate method of shaping the nose.

Hello,In an open rhinoplasty you make an incision at the base of the nose that can inflict a scar. Most surgeons are more comfortable with the “open” rhinoplasty approach because it is easier for them to personally see the nose. In a closed rhinoplasty approach they make all of the incision 100% on the inside of the nose so no scars are made. If you are a primary nose with no previous surgery, you should ONLY consider closed scarless rhinoplasty (preferred by actresses and celebrities) because there is no risk of external scarring and much less healing and recovery time.  The goal is to finesse and enhance the nose without drastic change.  Meaningful refinement is the key.   All the same surgical maneuvers your nose requires can be performed with a skilled closed scarless surgeon.  All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

The closed rhinoplasty involves performing the surgery entirely through incisions inside the nostril.  Open rhinoplasty involved an additional external incision across the columella, the strip of skin between the nostrils.  Each surgeon has his or her own preference.  I like the closed rhinoplasty but not all surgeons are experienced or trained in this technique.  The most important factor is not whether rhinoplasty is performed open or closed, but rather the skill and experience of the surgeon you choose.

Closed rhinoplasty is rhinoplasty which does not have an external incision on the nose.  In patients with the appropriate anatomy, closed rhinoplasty can offer quicker healing times and excellent aesthetic results.  Not all closed rhinoplasty(s) are the same, and there are a large amount of technique and surgeon dependent issues with closed rhinoplasty.  It is considered a lost art form amongst rhinoplasty and so be certain a surgeon has appropriate knowledge with closed rhinoplasty.

A closed rhinoplasty is when the surgeon uses hidden incisions inside the nostrils to correct the surgery, as opposed to external incisions in an open rhinoplasty.

Closed rhinoplasty refers to the nasal surgery techniques where all the incisions are placed inside the nose, thus invisible, while open rhinoplasty has some visible incisions, even though they usually heal quite nicely.  There is a debate among nasal surgeons as to the pro's and con's of each approach. 

In my hands I get  best results using a closed technique, as I believe you can get some finesse in the tip than with the open approach.  As you probably have learned by now rhinoplasty is one of the more difficult procedures for a surgeon to master.  Whatever the approach, make sure your surgeon is able to create a beautiful nose with nice proportions. In my practice we offer computer imaging to our prospective rhinoplasty patients, so that the goals and aspirations of the patients can be communicated. Of course not all surgeons that can created changes on the computer can produce those changes in the operating room. Pick you rhinoplasty surgeon carefully.

You might find it insightful to read my article "The Art of Sculpting the Nose" which can be found on my web site under "publications"
 

The “closed” or endonasal rhinoplasty is the classic way of performing this surgery, while the “open” or external rhinoplasty has been the technique of choice (including mine) for the past 20 or so years particularly amongst surgeons in practice less than 20 years and/or those who perform a lot of revision procedures. My personal reasons for preferring the external approach is the improved visualization and the fact it maintains more tip support mechanisms and attachments than the close technique. The only visible difference between these two procedures is the fine line incision that is made along the columella (bottom of the nose) with the external approach.

Endonasal rhinoplasty involves using incisions 'hidden' on the inside of the nose; however, if the flaring nostrils need to be addressed, external incisions are made.  There are some surgeons who only perform endonasal rhinoplasties and others who only perform open rhinoplasties.  For the right patient, one can use either technique to achieve an excellent result.  In general, you should not worry too much about what approach is used, rather you should feel extremely comfortable that the surgeon you have selected will achieve the result you desire.

A closed rhinoplasty is one where the incisions are all made inside the nostril. It is a good technique when minimal correction is needed. Simple crooked noses, isolated dorsal humps are examples where this approach can produce good results. Consult your surgeon to see if this may be a good option for you.