Rhinoplasty is a versatile procedure that can address both aesthetic and functional aspects of the nose. Depending on the needs of each patient and the changes they want to make, surgeons at IMAGN Institute may opt for two different approaches: open or closed rhinoplasty. Although both methods share the same goal of improving nasal appearance or function, they have key differences in their technique and results.
The main difference between an open and closed rhinoplasty lies in the type of access the surgeon has to the nasal structures. In closed rhinoplasty, all incisions are made inside the nostrils, so there are no visible scars. In contrast, open rhinoplasty requires a small incision in the columella, which is the tissue that separates the nostrils. This incision leaves a tiny scar, which in most cases becomes virtually invisible over time, fading completely in a matter of weeks or months.
Both approaches have their advantages, and the choice between one or the other depends on the specific needs of the patient, the complexity of the case, and the surgeon’s preference.
Closed rhinoplasty is an excellent option for patients who need minor corrections to the nasal structure. In this type of intervention, the surgeon performs all maneuvers from inside the nose, guided primarily by tactile sensations. This means that there are no visible external scars, which is a great attraction for those seeking a result without visible marks.
However, this technique has some limitations. Without direct visual access to all nasal structures, it can be more difficult for the surgeon to perform complex corrections or changes that involve significant reshaping of the nose. At IMAGN Institute, we opt for this technique in cases where the modifications are simpler and do not require direct visualization of the internal structures.
On the other hand, open rhinoplasty is considered the “gold standard” when more significant or complex changes to the nasal structure are required. In this approach, the surgeon has full and direct access to the structures of the nose, allowing him to work with greater precision and perform fine maneuvers with complete visual control.
Although the idea of a small scar on the columella may be a cause for concern for some patients, at IMAGN Institute we guarantee that this scar is practically imperceptible over time. In addition, the benefit of greater control and precision in the intervention more than compensates for any concerns about a visible mark.
Open rhinoplasty is especially recommended for patients who need corrections to the tip of the nose, significant asymmetries, or who have a history of previous nose surgeries. It is also the most suitable option for those cases where grafts or major restructuring are necessary to improve nasal functionality.
For both open and closed rhinoplasty, recovery is quite similar. Patients can expect swelling and bruising in the first few days, which gradually decreases over the course of weeks. In both cases, patients wear an external nasal splint for about a week, and certain postoperative guidelines must be followed to ensure optimal recovery.
In general, most patients can return to their daily activities after one to two weeks, although the final result may take several months to be fully appreciated. At IMAGN Institute, we provide our patients with personalized follow-up throughout the recovery process, regardless of the type of rhinoplasty they have chosen.
The decision between open or closed rhinoplasty should be made in conjunction with your surgeon, after a detailed evaluation of your aesthetic and functional needs. At IMAGN Institute, our team takes the time to discuss the options with each patient and determine the best approach to achieve natural and harmonious results.
If you are considering rhinoplasty and are unsure which technique is best for you, we invite you to book a consultation at IMAGN Institute. Our team is here to guide you through every step of the process, ensuring you receive the most appropriate and personalized treatment for you.
Diplomate, American Board of Plastic Surgery
Asst. Prof. of Plastic Surgery – University of California, San Diego