Open vs. Closed Rhinoplasty: Which Technique Is Right for You?

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Rhinoplasty, often referred to casually as a "nose job," is one of the most popular cosmetic procedures performed today. Whether you're looking to correct functional issues like breathing problems or enhance the appearance of your nose, rhinoplasty can offer a life-changing opportunity to get the nose you've always wanted. When considering rhinoplasty, one of the most important decisions is choosing between an open or closed technique.

At Accent on Body Aesthetic Plastic Surgery & Medical Spa, board-certified plastic surgeon Dr. James Fernau offers both open and closed rhinoplasty to help you achieve your desired results and will work closely with you to help determine which type of rhinoplasty is most suitable for your needs.

Generally speaking, open rhinoplasty in Pittsburgh offers the surgeon more flexibility in making extensive changes to the nose, while closed rhinoplasty may be used to create subtle enhancements while avoiding visible scarring. Keep reading for a closer look at the difference between open and closed rhinoplasty, as well as helpful tips on how to know which kind of nose job may be right for you.

What is open rhinoplasty?

Open rhinoplasty is a surgical technique that provides the surgeon with greater visibility and access to the internal structures of the nose. This method is often chosen for patients who require more extensive reshaping or correction. During an open rhinoplasty, Dr. Fernau makes a small incision on the strip of tissue between the nostrils at the base of the nose. The skin is then lifted to expose the underlying bone and cartilage, allowing for precise adjustments. Once the surgery is complete, the skin is re-draped, and the incisions are closed with tiny sutures.

What are the benefits of an open rhinoplasty?

One of the primary benefits of open rhinoplasty is the ability to make complex structural changes to the nose. This approach is often used for more involved cases, such as when a patient needs significant reshaping, correction of a crooked nose, or revision rhinoplasty. While open rhinoplasty leaves a small scar on the columella, it is typically less than 5mm in size and becomes barely noticeable once healed.

What is closed rhinoplasty?

In contrast to open rhinoplasty, closed rhinoplasty involves incisions made inside the nostrils, leaving no visible external scars. This method is commonly used for patients seeking minor adjustments to the nose's shape and structure. During a closed rhinoplasty, Dr. Fernau works through the nostrils to access and reshape the bones and cartilage. Because the incisions are internal, there is no risk of external scarring.

Am I a candidate for closed rhinoplasty?

Closed rhinoplasty is typically considered ideal for patients who need less extensive nasal modifications, such as adjusting the tip of the nose or reducing a nasal hump. The recovery time for closed rhinoplasty is often shorter compared to the open technique, as there is less disruption to the nasal structure. However, because the visibility of the internal nasal structures is limited, this method may not be appropriate for more complex cases.

Should I get an open or closed rhinoplasty?

The decision between open and closed rhinoplasty depends on several factors, including the complexity of your case, the type of changes needed, and your personal preferences. During your initial consultation, Dr. Fernau will thoroughly evaluate your nose and discuss your goals. If you require more significant changes to your nasal structure, an open rhinoplasty may be the option. However, if you are looking for subtle refinements and prefer to avoid external scarring, closed rhinoplasty could be the right choice. Ultimately, both open and closed rhinoplasty can deliver beautiful, natural-looking results that can give you the confidence you deserve.

Rebalance your facial harmony with a customized rhinoplasty in Pittsburgh, PA

Rhinoplasty can dramatically improve both the function and appearance of your nose, helping you feel more confident and comfortable alike. Whether you need minor adjustments or a complete nasal reshaping, Pittsburgh, PA board-certified plastic surgeon Dr. James Fernau has the expertise to guide you through the process of choosing the right type of rhinoplasty to help achieve your desired outcome. Schedule your rhinoplasty consultation at Accent on Body Aesthetic Plastic Surgery & Medical Spa today to explore which technique — open or closed rhinoplasty — is appropriate for you.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.