Open vs Closed Rhinoplasty: What's the Difference?

Your nose takes center stage on your face. But what if you feel like this star act isn’t blending well with the rest of your face? The good news is that there’s much we can accomplish with a rhinoplasty. In fact, this type of surgery is so successful that nose reshaping is the number one cosmetic procedure in the United States, with more than 350,000 procedures performed each year.

Here at Desired Beauty in Bakersfield, California, and the Beverly Hills neighborhood of Los Angeles, Farzin Kerendian, DO, FACOS, FAACS, and the team at Desired Beauty are helping people achieve the noses of their dreams through a rhinoplasty.

If you want to undergo a rhinoplasty, there are two approaches that we use — open and closed. Here’s a look at the difference so you know what to expect.

What a rhinoplasty can accomplish

Before we get into the open versus closed techniques, we want to discuss what we can accomplish through a rhinoplasty. Our clients turn to us to perform this procedure for a wide variety of reasons, including:

In addition to these cosmetic concerns, we can correct a deviated septum during a rhinoplasty.

Open versus closed rhinoplasty

When we perform a closed rhinoplasty, we do the work from inside your nostrils using an endoscope and specialized tools designed to work in small spaces. This technique keeps all incisions on the inside of your nose and helps reduce postoperative swelling.

An open rhinoplasty is one in which we make an incision along your columella — the strip of skin between your nostrils. That allows us to gently lift the skin over your nose so we can reshape the nasal structures according to your wishes. 

The decision between whether we perform an open or closed rhinoplasty really depends upon the extent of the work we need to do. If we’re reshaping the tip of your nose, shortening your nose, or removing a bump on your nose, we may opt for the closed approach.

If, however, we need to perform more extensive work in reshaping your nose or working on symmetry, an open rhinoplasty serves us better as we’re able to more easily access the structures in your nose.

The best way to figure out whether we take an open or closed approach to your nose reshaping is to come to see us for an evaluation. During this visit, we review your goals and the shape of your current nose to figure out the best path forward to the nose of your dreams.

To get started, contact our team by phoning the office nearest you or booking an appointment online.

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