Open vs. Closed Rhinoplasty: Understanding the Key Differences

Rhinoplasty is one of the most intricate and personalized forms of cosmetic surgery. Because each patient's nose is unique in form and function, the surgical approach for rhinoplasty must be carefully chosen to match their specific anatomy and desired outcome. Among the most important distinctions in types of rhinoplasty surgery is whether the procedure is performed using an open or closed technique.

While each procedure is tailored, an open rhinoplasty is characterized by incisions on the outside of the nose — typically at the base of the nose and/or between the nostrils. A closed rhinoplasty can be performed using incisions and other techniques contained within the internal structures of the nose. The nationwide board-certified plastic surgeon members of The Rhinoplasty Society are experienced in both open and closed rhinoplasty, along with many other advanced nasal procedures, and work closely with each patient to determine the technique for their goals. Keep reading more about open rhinoplasty vs. closed rhinoplasty.

What is the difference between open and closed rhinoplasty?

Both open and closed rhinoplasty involve reshaping or reconstructing the nasal structure to improve appearance, function, or both. The primary difference between closed vs. open rhinoplasty lies in how the surgeon accesses the internal structures of the nose. With open rhinoplasty, a small incision is often made across the tissue between the nostrils, allowing the skin to be lifted and the nasal framework to be visualized. This approach gives the surgeon more access and precision, which can be especially helpful for complex or revision rhinoplasty cases.

In closed rhinoplasty, incisions are made inside the nostrils, meaning there is no visible scar. This technique is often chosen for more straightforward cases and can result in shorter operating times and recovery periods. Still, even patients who require open rhinoplasty can enjoy efficient recoveries and minimal — if any — visible scarring when the procedure is performed by a highly experienced surgeon like the members of The Rhinoplasty Society.

Which type of rhinoplasty do I need?

There is no one-size-fits-all answer when it comes to rhinoplasty. Choosing between open and closed rhinoplasty depends on several factors, including the complexity of the changes desired, the patient's nasal structure, and whether this is a first-time or revision procedure. In general, open nose surgery may be recommended for patients who:

• Require significant structural changes
• Have a crooked or asymmetric nose
• Need nasal tip refinement
• Are undergoing revision rhinoplasty surgery

Closed rhinoplasty, on the other hand, can be a good option for those who:

• Have relatively minor aesthetic concerns
• Do not need major nasal tip work
• Prefer no external scarring

What are the different types of rhinoplasty?

The Rhinoplasty Society represents a network of board-certified surgeons who specialize in advanced nasal surgery, including these popular rhinoplasty options:

• Ethnic rhinoplasty
• Teen rhinoplasty
• Functional rhinoplasty or breathing-focused procedures
• Nasal reconstruction after trauma or skin cancer
• Revision rhinoplasty

Each technique is chosen and tailored with the patient's individual nasal anatomy, cultural background, gender (if relevant), and personal goals in mind. The priority is always to preserve — or improve — nasal function while achieving a natural, harmonious appearance.

Choose a qualified, board-certified rhinoplasty surgeon for optimal results

Whether you are considering rhinoplasty for cosmetic reasons, functional improvement, or both, the approach your surgeon takes matters. With open and closed techniques available, as well as a comprehensive suite of advanced rhinoplasty options, The Rhinoplasty Society connects patients with experienced surgeons who offer customized care. Visit our site to find a qualified nose surgeon in your area and start the process of rhinoplasty surgery with confidence.