Open vs Closed Rhinoplasty

• March 18, 2023
• Mr Mrinal Supriya

Last updated on July 14, 2025

Rhinoplasty is one of the most intricate forms of facial surgery, and for those considering it, one of the first questions that arises is: what’s the difference between open vs closed rhinoplasty? With so much conflicting information online, understanding your options can be challenging.

In this latest blog post, we explain how open and closed rhinoplasty differ, outline their advantages and limitations and clarify why the approach itself is only one part of achieving a successful result. By the end, you’ll be equipped with the knowledge needed to have a more informed and confident consultation.

Understanding the Basics

At its core, rhinoplasty is the reshaping of the nose for cosmetic or functional reasons. While the surgical goals may vary — from refining the nasal tip to correcting a deviated septum — the key difference between open vs closed rhinoplasty lies in how the surgeon accesses the underlying bone and cartilage.

• Open rhinoplasty involves a small external incision on the columella (the strip of tissue between the nostrils), allowing the skin to be lifted for full visibility.
• Closed rhinoplasty uses incisions hidden entirely within the nostrils, leaving no visible external scar.

Quick Comparison Table

Open Rhinoplasty Explained

Open rhinoplasty offers maximum access to the nasal framework, making it particularly useful in cases that require significant structural changes or revision surgery. With direct visibility, surgeons can make precise adjustments, especially when grafts or significant reshaping are involved.

Benefits:

• Enhanced view of nasal anatomy
• Greater control during complex procedures
• Useful for asymmetry correction or previous surgical revisions

Considerations:

• A small scar on the underside of the nose (usually barely visible once healed)
• Slightly longer open rhinoplasty recovery time, including more swelling in the initial weeks

Closed Rhinoplasty Explained

Closed rhinoplasty keeps all incisions inside the nostrils, avoiding any visible scarring. It is often used for patients seeking subtle changes to the nasal tip or bridge, such as refining the nose profile or removing a bump.

Benefits:

• No visible scars
• Potential for shorter surgical time
• Slightly quicker initial recovery period

Considerations:

• Limited access for the surgeon
• Technically more demanding in complex cases
• Not always suitable for significant reshaping

Which Approach Suits Different Goals?

There is no universally “better” choice in the open rhinoplasty vs closed rhinoplasty debate. Instead, suitability depends on your individual goals and anatomy.

Open rhinoplasty may be more appropriate if:

• You have thick skin or complex structural concerns
• Revision surgery is required
• Tip support or major grafting is needed

Closed rhinoplasty may be more appropriate if:

• You want minimal changes, such as small dorsal refinements
• You have no history of nasal trauma or surgery
• You’re seeking shorter operative and recovery times

The Surgeon Factor

While it’s tempting to focus on the technique — open vs closed rhinoplasty — the most important factor is the surgeon’s experience, aesthetic judgement and technical ability.

What truly determines the outcome of your rhinoplasty is:

• The precision and care with which the surgery is performed
• The ability to adapt the chosen approach to your unique anatomy
• A comprehensive consultation that aligns expectations with realistic outcomes

Remember, both techniques can deliver excellent results in the right hands. Focus on selecting a qualified, highly trained surgeon such as Mr Mrinal Supriya, who has a strong track record of patient outcomes. His experience in both open and closed rhinoplasty techniques ensures that the chosen approach will be tailored to your specific needs and aesthetic goals.

Final Thoughts

Both open and closed rhinoplasty techniques can achieve natural, balanced results, but they serve different purposes and are suited to different anatomical challenges. Rather than getting caught up in terminology, it’s best to concentrate on your goals and ensure they align with your surgeon’s recommendations.

By understanding the strengths and limitations of each approach and choosing an experienced professional, you’ll be better positioned for a successful procedure and a nose that fits harmoniously with your overall features.

Ready to Take the Next Step?

Ready to enhance your look and boost your confidence? Schedule a free initial phone consultation with one of our specialists. Discuss your goals, receive personalised advice and explore the best options to achieve natural, long-lasting results.

FAQs

Is open rhinoplasty better than closed rhinoplasty?

Not necessarily — both techniques have their place depending on the complexity of the case. The right approach is based on your individual anatomy and goals.

Will open rhinoplasty leave a visible scar?

Open rhinoplasty involves a small incision on the columella, which typically heals well and becomes barely noticeable over time. Proper aftercare further minimises scarring.

Is the recovery time different between open and closed rhinoplasty?

Closed rhinoplasty may have a slightly faster initial recovery, particularly in terms of visible swelling. However, long-term healing is similar for both techniques.

Can all types of nose reshaping be done with closed rhinoplasty?

Not always, complex reshaping or revision surgery often requires the visibility provided by open rhinoplasty. Closed techniques are generally used for more straightforward adjustments.

How do I know which rhinoplasty technique is right for me?

The best approach depends on your nasal structure, aesthetic goals and whether it’s your first procedure. A detailed consultation with a qualified surgeon will help determine the most suitable technique.