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Open vs Closed Rhinoplasty – Which Surgery Is Right for Me?

If you are considering a rhinoplasty, you may be wondering which surgery is right for you. There are two main types of rhinoplasty surgeries: open and closed.

Each surgery has its own benefits and drawbacks. Depending on the details of the changes you want to make to your nose, only one or both of these options might be available to you.

In this blog post, we will discuss the differences between open and closed rhinoplasty surgeries so you will be more informed when discussing your options with your nose surgeon.

What is open rhinoplasty surgery?

Open rhinoplasty surgery is performed when more substantial changes are needed to improve the appearance of the nose. (1)

The surgeon makes an incision in the columella, the strip of tissue that separates the nostrils, and then elevates the skin and soft tissues off of the nasal bones and cartilage. This provides the surgeon with direct access to the underlying structures of the nose, which can then be sculpted to create the desired shape.

Open rhinoplasty surgery is generally more complex than closed rhinoplasty surgery, but it also allows for greater precision and accuracy. As a result, it is often chosen for patients who are seeking significant changes to their nose shape.

Recovery from open rhinoplasty surgery typically takes longer than recovery from closed rhinoplasty surgery, but the results are often considered to be more natural-looking and long-lasting.

What is closed rhinoplasty surgery?

Closed rhinoplasty surgery is performed by making incisions inside the nostrils, which allows the surgeon to access the underlying bone and cartilage.

This type of surgery is often used to correct defects such as a deviated septum or a hump on the bridge of the nose.

It can also be used to improve the proportions of the nose, such as making it appear narrower or shorter. In some cases, closed rhinoplasty surgery can also be used to correct functional problems with the nose, such as difficulty breathing.

The surgeon will work closely with the patient to ensure that the final results meet their expectations.

patient during closed rhinoplasty

Open vs closed rhinoplasty: side-by-side comparison

The main deciding factor for your facial surgeon when choosing between an open vs a closed nose surgery procedure will be the exact changes that need to be made to your nasal structure.

Secondary rhinoplasty or more complex surgeries may often require open surgery, for example.

In many other cases, both options will be available and your surgeon will consider the advantages and drawbacks of each procedure before recommending one.

Here are some considerations:

The benefits of open rhinoplasty surgery

  • Greater precision and accuracy
  • The ability to make complex changes
  • Can be used to insert nasal grafts
  • Easier to perform

The drawbacks to open rhinoplasty

  • Longer procedure
  • More visible scarring
  • Longer recovery time

The benefits of closed rhinoplasty surgery

  • Shorter recovery time
  • Less visible scarring
  • Can be used to make most changes

The drawbacks to closed rhinoplasty

  • Less precision and accuracy
  • The ability to make complex changes is limited
  • Requires more experience from the surgeon

Open vs closed rhinoplasty: price

The price of open rhinoplasty surgery is often higher than the price of closed rhinoplasty surgery.

This is because open rhinoplasty surgery is more complex and requires more time to perform.

At Berkeley Square Medical, we offer a convenient package price for rhinoplasty surgery. This includes the procedure (whether it’s open or closed surgery), all pre-and post-operative assessments and preparations, all medications used during the surgery, and even a chauffeur drive home to your London home or hotel.

Open vs closed rhinoplasty: recovery time

Recovery from open rhinoplasty surgery typically takes longer than recovery from closed rhinoplasty surgery.

You can expect some swelling and bruising around the eyes and nose, which will usually resolve within a week or two.

Strenuous activity and nose-blowing should be avoided for at least four weeks.

Most patients feel ready to return to work and their normal activities within two to three weeks.

Recovery from closed rhinoplasty surgery is typically shorter, many patients feel ready to return to work and their normal activities within one week.

Sanjay Rai
Sanjay Rai

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