The terms “closed rhinoplasty” and “open rhinoplasty” are thrown around frequently by plastic surgeons. The difference between these two operations is actually quite small. In an open rhinoplasty, an incision is made across the columella (base of the nose) and extended into the nostrils. In a closed rhinoplasty, incisions are made just within the nostrils. This is sometimes also called an endonasal rhinoplasty. Thus, the only real difference between these operations is the presence of a very small scar across the base of the nose.
So, what are the implications for patients? First, with an open rhinoplasty, visibility of the cartilaginous and bony portions of the nose is much improved. This oftentimes allows surgeons to perform substantially more intricate work to the tip and base of the nose. Because there is such greater visualization, and the skin is lifted much more during this procedure, swelling tends to be worse after this procedure and it can take longer to achieve the final result
The scar at the base of the nose tends to be forgiving and, in most patients, tends to fade considerably over time, to the point of being virtually unnoticeable.
Should you have any other questions regarding rhinoplasty, please do not hesitate to contact Dr. Jejurikar at 214-827-2814.