So, what are the differences between open and closed rhinoplasty, and which method is preferable?

Open rhinoplasty is characterized by a small incision made on the columella, the thin strip of skin between the nostrils, which allows the skin to be lifted from the nasal structures. This approach provides surgeons with a direct view of the nose’s anatomy, allowing for precise changes.

Open rhinoplasty is suitable for complex cases, such as severe deformities, previous surgical corrections, or when intricate work on certain parts is required. The visibility and access provided by this method allow for meticulous sculpting and restructuring, ensuring that the changes will be symmetrical and harmonize with the patient’s overall facial features.

In contrast, closed rhinoplasty involves incisions entirely confined within the nostrils, leaving no visible external scars.

This method is generally less invasive than the open approach and can lead to shorter surgery times and reduced post-operative swelling.

Closed rhinoplasty may be ideal for patients requiring minor adjustments.

So, which method is preferable?

Both open and closed approaches are common in nose surgeries, but the open approach has several advantages:

• Visibility and Access – The direct exposure allows surgeons to assess and modify the nasal structures with a level of precision that is more challenging to achieve in the closed approach. This visibility is especially vital in complex cases.
• Open Rhinoplasty – Allows for extensive structural changes, such as refining the tip, correcting the septum, or using grafts for reconstruction. The ability to directly visualize and manipulate the nasal framework allows for more precise and stable changes.
• The Open Approach – Offers excellent opportunities for improving nasal function. The direct approach to the nasal structures allows for more efficient correction of deviations or internal obstructions, improving both the form and function of the nose.
• Precision in Complex Cases – For patients undergoing corrective surgery or those with challenging nasal anatomy, the open approach provides the precision needed for successful results. The direct visualization and access allow surgeons to navigate through scar tissue and make nuanced adjustments that may be less possible with the closed technique.
• Predictability and Symmetry – In open rhinoplasty, the outcome is more predictable, with a higher likelihood of achieving the desired symmetry and balance. This predictability is vital for both patient satisfaction and the success of the surgery.

Conclusion: The open approach is preferable While the choice between open and closed rhinoplasty ultimately depends on the specific needs and goals of the patient, the advantages of the open technique make it a preferred choice for many surgeons, especially in complex cases.

The visibility, access, and precision offered by the open approach allow surgeons to make detailed changes with greater confidence, leading to more aesthetically pleasing and functionally correct results