By Gary Motykie, MD

When considering rhinoplasty, it is important to understand the difference between closed rhinoplasty and open rhinoplasty. Closed rhinoplasty is a technique that involves making incisions inside the nostrils, allowing for a limited view of the nasal structures. Open rhinoplasty is a technique in which an incision is made across the columella, the strip of tissue between the nostrils, giving the surgeon a wider view of the nasal structures. In this blog post, we will discuss the differences between open and closed rhinoplasty to help you decide which is the right option for you. Board certified plastic surgeon Dr. Gary Motykie performs rhinoplasty surgery to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

What is the Difference Between Closed and Open Rhinoplasty?

Rhinoplasty, commonly referred to as a “nose job”, is a plastic surgery procedure that reshapes the nose. The main difference between open and closed rhinoplasty is the way in which the plastic surgeon accesses the interior structures of the nose. 

In open rhinoplasty, an incision is made across the columella, the area of skin between the nostrils. Through this incision, the surgeon has direct access to the nasal structure, allowing them to make more precise changes. Open rhinoplasty also provides better visualization of the nasal anatomy, enabling your plastic surgeon to create a more aesthetically pleasing outcome.

Closed rhinoplasty is a minimally invasive technique which does not require any external incisions. Instead, your plastic surgeon will make all of the necessary changes through small incisions made inside the nostrils. This method is less invasive and allows for a faster recovery time compared to open rhinoplasty. Closed rhinoplasty is typically used for minor alterations to the tip of the nose, such as refining its shape or size. 

Overall, both open and closed rhinoplasty procedures can be used to improve the appearance of the nose and enhance facial harmony. Your plastic surgeon will discuss the pros and cons of each technique with you during your consultation and advise which one is best suited to achieve your desired outcome.

How is the Surgery Performed?

Rhinoplasty, commonly referred to as a nose job, is a form of plastic surgery that can be performed using either the closed or open technique. During a closed rhinoplasty, the incisions are made inside the nostrils, allowing the surgeon to access and reshape the underlying nasal cartilage and bone. An open rhinoplasty involves making an incision along the columella, which is the area between the nostrils. This allows the surgeon to have greater visibility and access to the entire structure of the nose.

For both types of rhinoplasty, a local anesthetic is used to numb the area and make the procedure as comfortable as possible. The surgeon will then make precise incisions or use other instruments to reshape the nose, modify the bone and cartilage, and alter the angle of the nose tip. After the desired outcome is achieved, the incisions will be closed with dissolvable sutures. Finally, a bandage or splint may be placed over the nose for protection and support. The results of nose job are not immediately apparent. It typically takes up to six weeks for the nose to heal and for swelling and bruising to subside before the final results can be seen. 

It’s important to remember that plastic surgery is a medical process with potential risks and complications. Before having any kind of nose job, it’s essential to consult with your doctor about any potential risks and benefits associated with it. It’s also important to keep in mind that everyone’s nose is unique and there’s no guarantee you’ll get exactly what you’re expecting from your nose job. To get the best results possible, it’s important to find an experienced surgeon who specializes in plastic surgery who you trust and feel comfortable with. With proper care and maintenance, you should be able to enjoy your new nose job results for years to come!

What are the Benefits of Each Type of Surgery?

Closed rhinoplasty offers a number of advantages over open rhinoplasty, including:

1. Minimal Scarring: Because the incisions are made inside the nostrils, there is less scarring with closed rhinoplasty than with open rhinoplasty.
2. Less Complexity: Closed rhinoplasty is usually less complex than open rhinoplasty and therefore requires less surgery time.
3. Lower Risk of Infection: The nasal passages are left untouched during closed rhinoplasty, so the risk of infection is significantly lower.
4. Improved Results: Because the surgeon has more control over the size, shape and position of the nose, closed rhinoplasty often yields more consistent and improved results.

On the other hand, open rhinoplasty offers its own set of advantages, including:

1. Greater Precision: With an open rhinoplasty, the surgeon has greater access to the nose’s internal structures, allowing for more precise reshaping and sculpting.
2. Increased Visibility: The larger incision gives the surgeon a better view of the underlying anatomy and enables them to address any concerns more thoroughly.
3. Improved Symmetry: Open rhinoplasty can help create a more symmetrical nose.

At the end of the day, the best technique for your situation will depend on your individual needs and goals. Your doctor should be able to help you determine which method would be most beneficial for achieving your desired outcomes.

Which Technique is Right for Me?

Deciding between a closed or open rhinoplasty can be a difficult choice to make. Ultimately, the best technique for you will depend on your individual needs and goals. Your plastic surgeon should provide you with an honest assessment of which type of procedure would give you the best results.

When considering a rhinoplasty procedure, there are many things to consider before making your decision. Factors such as your desired outcome, medical history, and budget can all play a role in deciding what is best for you. 

Open rhinoplasty is typically the preferred choice for people who want more extensive reshaping of their nose. It allows your plastic surgeon to have greater visibility and access to the underlying structures of the nose and to make detailed adjustments. The procedure is slightly more invasive, but it may also produce better long-term results.

Closed rhinoplasty is often recommended for patients who want minor corrections and subtle changes in shape and size. This technique requires fewer incisions and typically involves less post-operative discomfort. As the scarring is minimal, this type of procedure is ideal for people with fair skin who are concerned about visible scarring.

When deciding between a closed or open rhinoplasty, it’s important to speak to your plastic surgeon about your aesthetic goals and medical history. Your doctor will be able to advise you on which technique is most appropriate for you and provide you with more detailed information about the risks and benefits associated with each approach. With their help, you can make an informed decision that will give you the results you desire.

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To see more services and treatments provided by Board Certified Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles | West Hollywood, CA and his team please visit:

• drmotykie.com
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