By Dr. Edward Buckingham
If you're considering a nose job or rhinoplasty surgery, one of the first decisions your surgeon will make is whether to use an open or closed rhinoplasty approach. While these terms are commonly used in cosmetic surgery, they can be a bit misleading—both techniques provide access to the internal structures of the nose. A more accurate distinction is between endonasal rhinoplasty (closed) and open rhinoplasty.
What Is Endonasal (Closed) Rhinoplasty?
In closed rhinoplasty, also known as endonasal rhinoplasty, all incisions are made inside the nostrils. This technique avoids any visible external scars and is often used in patients with less complex nasal anatomy. While it offers a quicker recovery and less swelling, the limited visibility can make certain surgical adjustments more challenging.
What Is Open Rhinoplasty?
Open rhinoplasty involves the same internal incisions as the closed approach, with the addition of a small external incision across the columella—the strip of tissue between the nostrils. This allows the nasal skin to be lifted, giving the surgeon full visibility and access to the underlying nasal structures. As a result, open rhinoplasty is often preferred for complex nose reshaping procedures, revision rhinoplasty, or when greater precision is needed.
Which Rhinoplasty Technique Is Right for You?
The choice between open and closed rhinoplasty depends on several factors, including your nasal anatomy, the complexity of the procedure, and your cosmetic goals. This decision is best made during a personalized consultation with a board-certified facial plastic surgeon.
