Board Certifications: American Board of Facial Plastic and
Reconstructive Surgery American Board of Otolaryngology - ABO
Open vs. Closed Rhinoplasty FAQs
What do the terms open and closed mean in regards to rhinoplasty?
If you are considering a nose job procedure, then you’ve likely come across the terms open rhinoplasty and closed rhinoplasty. These terms refer to the surgical approach used by the plastic surgeon to access the underlying skeletal framework of the nose. In an open rhinoplasty procedure, a tiny incision is made across the columella (the strip of skin that separates the two nostrils) so that the nasal skin can be folded upwards, providing the surgeon with full visibility and access to the underlying nasal structures. During a closed rhinoplasty, no external incision is made and the entire procedure is performed through the nostrils.
What are the advantages of an open rhinoplasty procedure?
An open rhinoplasty provides the plastic surgeon with unobstructed visibility and direct access to almost the entire nasal framework. During a closed rhinoplasty, the nasal skin must be stretched to allow the surgeon to access and view the nose, which can cause distortion of the underlying nasal cartilages. When performing an open rhinoplasty, the surgeon will be able view all of the components of the nose in their natural state. An undistorted view of the nasal bones and cartilages allows the surgeon to perform a more precise and accurate surgery, and prevents unnecessary stretching of the skin and cartilage.
I’m worried that I’ll have a visible scar if I undergo an open nose job procedure? Should I undergo a closed rhinoplasty?
When an experienced and skilled surgeon performs rhinoplasty, the risk of scarring from the transcolumellar incision is minimal. In fact, most people find that their scars are barely detectable by the naked eye, so it is extremely unlikely that anyone would notice your scar. Dr. Rizk does not believe that patients in New York should be concerned about scarring during an open rhinoplasty.
Is any special care required to avoid scarring after an open rhinoplasty?
When performed by a skilled surgeon, such as Dr. Rizk in NY, no special care is required on the patient’s part. An experienced surgeon will make the incision carefully and then ensure adequate alignment when closing the wound. This allows the body to heal naturally and results in a scar that is barely visible. If the surgery is performed during the summer months, sunscreen could be used to avoid any redness, but since this area is fairly well concealed it is unlikely to receive a large amount of sun exposure.
How will my plastic surgeon decide which approach to use?
The best nose job surgeon will carefully consider your structural anatomy and the changes you desire before determining which approach to use. Some plastic surgeons are more skilled at performing closed rhinoplasty, while others excel at open rhinoplasty. Some surgeons find open rhinoplasty to be more challenging to perform. Dr. Rizk, however, is equally skilled at both approaches and will use the approach that will provide the best results to his patients. When you undergo a NYC rhinoplasty with one of the best rhinoplasty surgeons in New York, he will use the approach that is most likely to provide you with the outcome you desire.