Home > Learn More About NoseComfort > 👃 NoseComfort Blog 👃 > The Difference Between Open And Closed Rhinoplasty
What's The Difference Between Open And Closed Rhinoplasty?

The Difference Between Open And Closed Rhinoplasty



Perhaps one of the most confusing dilemmas confronting the prospective rhinoplasty patient is the choice of open versus closed rhinoplasty. These terms, while puzzling, simply refer to the two possible surgical approaches — that is, the access method used to temporarily remove the nasal skin and facilitate exposure of the skeletal framework.




Open Rhinoplasty


Unlike the closed rhinoplasty, the open or external rhinoplasty approach employs a small bridging incision, called a trans-columellar incision, to connect the right and left nostril incisions. In exchange for this 4-5 mm visible segment, the nasal skin can be folded upward (similar to opening a car hood) and unimpeded visibility of the lower nasal skeleton can be achieved. In addition to direct visibility of almost the entire nasal framework, distortion of the nasal cartilage is minimized and individual components can be evaluated in their natural, undisturbed alignment. Thus, the hallmark of the open rhinoplasty is the vastly improved surgical access permitted by the trans-columellar incision.




Closed Rhinoplasty


In the closed rhinoplasty approach, also called endonasal rhinoplasty, all of the surgical incisions are positioned inside the nostrils. Although parallel incisions encircle nearly half of the nostril lining, no part of the incision can be seen externally and a visible scar is avoided. However, because the right and left nostril incisions remain disconnected, repositioning of the nasal skin is difficult and the entire operation must be conducted through narrow surgical openings with limited visibility. Because access to the nasal framework requires vigorous stretching of the nasal skin, distortion of the nasal cartilage is also inevitable. While a visible scar is prevented, considerable challenges and technical limitations are associated with the relative lack of surgical access. Hence, closed rhinoplasty merely refers to the relative lack of surgical exposure associated with the endonasal approach.



Wear Glasses? NoseComfort® Plus Is The Solution

Surgeons don't want any weight or pressure resting on the nose following nasal surgery, NoseComfort® Plus Eyeglass Support allows you to wear your eyewear comfortably without putting pressure on the healing nasal bones. Don't forget to mention NoseComfort® Plus Eyeglass Support to your surgeon.



Featured Articles

Blog Home

Common Steps For A Rhinoplasty Procedure
Common Steps For A Rhinoplasty Procedure

Most prominent Rhinoplasty (nose job) surgeons know that the simpler the procedure, the better the outcome for the patient. Rhinoplasty surgery is a very complicated procedure...

Rhinoplasty Recovery Timeline: From Beginning To End
Rhinoplasty Recovery Timeline: From Beginning To End

Recovery from mostly any surgery, rhinoplasty included, depends on the individual with everyone on their own timetable. To give you a basic idea of what you can expect...

14 Different Types Of Nasal Surgeries: Which One Is Right For You
14 Different Types Of Nasal Surgeries: Which One Is Right For You

Everyone’s body is unique, and therefore, all cosmetic surgeries—and all surgeries in general—will be slightly different. Let’s explore the different kinds of nose surgeries...