+989222938678 info@ermateb.com
آیکون وبسایت ارماطب Ermateb

Open vs Closed Rhinoplasty: Which One Is Best Technique

2023-07-22 22:46:22

Dr. Fariba Azadikhah
Reviewed by:
Dr. Fariba Azadikhah

Rhinoplasty is a well-known plastic surgery procedure that involves altering the shape and structure of the nose to achieve a more harmonious appearance. This is a popular choice for many people seeking a nose job. During the procedure, the surgeon will make changes to the size of the nose, nostrils, cartilage, and bones in order to achieve the desired result.
Nose surgery, also known as rhinoplasty, can effectively improve various issues such as polyps and breathing problems. There are two methods for rhinoplasty: open and closed. In this article, we will review and compare both methods.

Facial Analyzing and Choosing Open or Closed Rhinoplasty

When considering open vs closed rhinoplasty, it's important to understand why your doctor may recommend one method over the other. What specific factors does the doctor take into consideration when determining which method is right for you?
Before selecting a technique, a comprehensive evaluation of the nose's structure should be conducted. Once the key factors have been measured, it can be determined whether an open or closed rhinoplasty is the most suitable choice.
In order to achieve more accurate results, a comprehensive examination of the basal, frontal, and lateral views of the nose is conducted. The nose is divided into upper, middle, and lower thirds, and then, each section is analyzed for width, symmetry, nasal bone width, tip location, tip shape, contour irregularities, columellar/alar relationships, shape, rotation, length, and the size and shape of the nostrils.
The surgeon needs to assess the thickness of the patient's nasal skin. Thicker skin may require more extensive changes to achieve the desired outcome, and recovery time may be longer with more complications.
It is important to assess the tip support, shape/size, and position of the nasal bones, as well as the integrity of the caudal septum by touching the nose.
To evaluate the inferior turbinates, septum, and nasal valves, it is important to examine the nostrils.
After analyzing all the factors, the surgeon recommends the appropriate course of action.

Open vs Closed Rhinoplasty

Open vs Closed Rhinoplasty
There are two methods for rhinoplasty. In both methods, the nose's skin is lifted, and the bones and cartilage are adjusted before the skin is put back. The goal of both open and closed rhinoplasty is to improve the appearance of the nose. Therefore, a nose job requires a combination of artistic and scientific skills.
Although there are similarities, these methods have significant differences. First, we will provide an overview of each method, and then we will delve into their individual pros and cons.

Shorter Recovery Time

Closed rhinoplasty involves making minor incisions, resulting in a shorter recovery time and earlier removal of scars. Patients also experience a more comfortable recovery compared to open rhinoplasty, which has a higher risk of complications. During the recovery period, patients who underwent open rhinoplasty typically experience more pain and swelling.

Technique Difficulty

Compared to open rhinoplasty, closed rhinoplasty has more limitations because the surgeon operates on the nose through the nostrils. This makes the surgery more difficult and delicate.

Nose job time

The process of open rhinoplasty requires more time because it involves making changes at a larger scale.

Improvement of stitches and scars

In closed rhinoplasty, the stitches are inside the nose and they are removed through absorption. Additionally, incisions made through the closed method become less visible over time.
During open rhinoplasty, the incisions made are more extensive and deeper, so internal stitches are absorbed while external stitches are removed during the recovery period. After the procedure, scars may be visible due to the mid-columellar inverted-V incision made between the nostrils.
However, with time, the scar will gradually improve until it becomes invisible. In some cases, the scar may persist, which can be bothersome to some patients. For those who are concerned about scarring, closed rhinoplasty may be a better option.

Read More: Functional Vs Cosmetic Rhinoplasty

Open Rhinoplasty

One way to perform this technique is through a mid-columellar inverted-V incision. It is important to select the incision site with care, choosing an area where the underlying cartilage is closest to the skin. This can help prevent scarring and contracture.
This method of rhinoplasty is called open rhinoplasty because the surgeon can access all parts of the nose, including the cartilage, septum, and external nostrils. The patient is placed under general anesthesia during the procedure. To begin, the surgeon makes an incision in order to lift the skin of the nose.
If a patient has excessive flesh on their nose or requires further surgery, the doctor may suggest open rhinoplasty. This procedure is also commonly performed in cases where the patient has nasal tumors, polyps, or congenital disabilities.

Advantages of open rhinoplasty

Advantages of open rhinoplasty

When considering the differences between open and closed rhinoplasty, it's important to weigh the advantages and disadvantages of each. In this article, we will provide a detailed overview of both options.

Access to the Entire of the Nose

During an open rhinoplasty procedure, the surgeon makes an incision to lift the skin of the nose and gain access to all parts of it. This method enables the surgeon to correct any asymmetry, defects, or abnormalities that may not have been detected during the examination beforehand.
To achieve a satisfactory result, open rhinoplasty of the nose can be a viable option if your surgeon is experienced, skilled, and knowledgeable about the anatomy's variations.
In fact, the surgeon is able to perform the nose job with greater precision and accuracy during an open rhinoplasty procedure.

The Proper Method for Damaged Noses

For patients with issues such as crooked or deformed noses, as well as those who have undergone unsuccessful primary surgeries, an open rhinoplasty is the recommended course of action. This method allows the surgeon to effectively address any previous defects and significant problems.

Read More: Pollybeak Deformity

Using of grafts and prostheses

Surgeons may use grafts and prostheses to reshape the bridge and tip of the nose, provide additional support to its structure, and increase the length of the septum.
During open rhinoplasty, the placement of grafts and prostheses is more precise and easier for the surgeon. This is because they have access to all parts of the nose, which often results in more satisfactory outcomes.

The Disadvantages of Open Rhinoplasty

Although open rhinoplasty has its advantages, it also has some disadvantages. In certain cases, it may not be the preferred method for a nose job.

Complication Problems

It is normal to experience low bleeding, bruising, swelling, and temporary loss of sense of smell after undergoing open rhinoplasty. These complications typically go away within 10 to 14 days. However, some patients may experience more serious issues such as high bleeding, asymmetry of the nostrils, or failure to remove a nasal hump. These problems can arise if the surgeon is inexperienced. Therefore, it is important to carefully consider the doctor and clinic you choose for your procedure.

Recovery Time

The recovery time after open rhinoplasty is crucial for patients. This surgery is challenging and delicate, so recovery requires special care. Patients hope to recover quickly, but unfortunately, it typically takes four to seven days.
It can be bothersome that tampons are placed inside the nose and bandages cover part of the face during recovery. During this time, patients may experience swelling, nasal congestion, headaches, pressure in the nose, and nausea. These symptoms are common and should be expected. It's important to understand that complete healing can take up to two to three weeks.

Time of the Nose Job

The duration of an open rhinoplasty is typically between 1.5 to 3 hours. Occasionally, patients may experience a delayed awakening from anesthesia, which can take a few hours.

Scar After Open Rhinoplasty

Undergoing open rhinoplasty can result in more visible scars that may take longer to fade away.

Read More: Natural Rhinoplasty

Closed Rhinoplasty

Closed rhinoplasty is a less invasive option compared to open rhinoplasty, especially when only minor changes are needed. During closed rhinoplasty, the surgeon works through the nostrils instead of making external incisions, which limits their access to certain areas of the nose. Patients should not expect drastic changes after the procedure as the surgeon mainly focuses on making small alterations by lifting the skin through a small incision.
The incisions will be closed with absorbable stitches, so the patient need not worry about visible scars or stitches.

Advantages of Closed Rhinoplasty

Advantages of Closed Rhinoplasty

Closed rhinoplasty is a technique that is sometimes preferred over open rhinoplasty because of its advantages. Although surgeons often prefer the open method, closed rhinoplasty can still make tiny changes. Below, we have listed some of these changes.

Less Swelling and Bruising in Closed Rhinoplasty

Some cases opt for closed rhinoplasty to minimize swelling and bruising.

Making Fewer Incisions

As previously mentioned, closed rhinoplasty involves making small incisions inside the nose.

Operation Time for Closed Rhinoplasty

The nose job procedure will typically last between 30 and 90 minutes.

Fewer Scars and Stitches

This method is less invasive, as it requires fewer internal incisions. Stitches can be easily absorbed without the need for special care after the operation.

Shorter Recovery Time

The closed rhinoplasty procedure results in a quicker recovery time and fewer complications due to the minor intensity and level of changes made to the patient.

The Disadvantages of Closed Rhinoplasty

One of the biggest concerns with the closed method is how it can affect the final outcome. Reviewing the disadvantages can help to provide a better understanding of this issue.
During a closed rhinoplasty, the surgeon may not have complete access to all parts of the nose, which can result in unsuccessful changes or even damage to the nose structure. Open rhinoplasty is often preferred for patients with a damaged nose or those needing revision rhinoplasty due to its wider range of possibilities. However, it's important to note that the closed method does have its limitations.
It can be difficult to find a skilled surgeon who can perform a closed rhinoplasty with precision, as many surgeons tend to opt for the open approach.
After undergoing closed rhinoplasty, the patient may experience respiratory problems for a few days.
Don't worry about recovery time in closed rhinoplasty. You may experience congestion, low bleeding, slight swelling, and bruising, but these are normal complications.
Most patients will typically recover within a short period of time, allowing them to resume their daily activities and return to work.
Recovery time for rhinoplasty can vary, with some patients needing up to two weeks. It's crucial for these patients to carefully follow post-operative care instructions and guidelines to ensure proper healing

Which One Do I Choose: Open or Closed Rhinoplasty?

The surgeon will analyze the defects, shape, and structure of your nose to determine the most appropriate method for your needs. The chosen method will depend on the shape of your nose and your expectations.
When it comes to choosing a surgical procedure, the most important factor is choosing the best and most experienced surgeon. So, instead of focusing on the method, prioritize finding a top-notch doctor. Ultimately, the decision is in your hands.

The Result of Open vs Closed Rhinoplasty

The Result of Open vs Closed Rhinoplasty

If an experienced surgeon performs the surgery, both open and closed rhinoplasty techniques can result in satisfaction. However, it's important to note that open rhinoplasty allows the surgeon to access all sections of the nose, providing greater accuracy during surgery. In contrast, closed rhinoplasty is limited in practicality as the surgeon faces limited access, potentially leading to less optimal results.

The Effect of Color’s Skin on Open vs Closed Rhinoplasty

If you're worried about scars after a rhinoplasty, you may wonder if the color of your skin will affect how visible they are. However, it's important to note that skin color actually has no impact on the appearance of scars.

Aftercare Open vs Closed Rhinoplasty

Proper recovery time and aftercare are crucial for achieving the desired outcome of a nose job. Whether it's an open or closed rhinoplasty, both techniques require careful aftercare. Here are some important tips to keep in mind:
•    Avoid blowing your nose
•    Refrain from bending your head, especially while sleeping
•    Use a cold compress three times a day to reduce swelling
•    Do not smoke or drink alcohol
•    Consume soft foods like soup
•    Drink plenty of water and juice
•    Use saline spray and ointments as directed
•    Avoid strenuous activity for at least two weeks
•    Keep your nostrils open when sneezing
•    Do not clean your nose with your fingernail or any other object
•    If there is any bleeding, gently clean the area with sterile gauze
•    Do not wash your face for at least seven days after rhinoplasty, and only resume your skincare routine as directed by your doctor.

In this article, we have provided a detailed comparison between open and closed rhinoplasty techniques. It's important to consider the pros and cons of each technique based on factors such as the shape of your nose, any defects present, and your expectations for the surgery.
When considering a nose job, it's important to thoroughly research and find an experienced and skilled surgeon. The surgeon you choose is the main factor that can affect the outcome of the procedure. If your surgeon is highly skilled, they can handle any challenges that may arise, such as defects, complications in anatomy and structure, or the method of surgery (open or closed rhinoplasty).

Share your comments and questions with us
If you need our experts to answer you, send us your WhatsApp number along with your country code
Your message has been registered successfully, and it will be displayed after confirmation
Related Articles
Why Rhinoplasty in Iran?
2021-04-11 13:03:17
Rhinoplasty in Iran has 3 reasons. Iran is the best place to choose a rhinoplasty. Iran has high statistics of rhinoplasty, it has made this country one of the first countries in the world in rhinoplasty.
What You Need To Know About Rhinoplasty
2021-04-11 14:32:46
Why Iran is the best place for a nose job? Iran is known as the world's capital of nose jobs and rhinoplasty
Rhinoplasty an overview
2021-04-12 10:33:40
Rhinoplasty is different from other plastic surgeries since the nose is the area of the body that takes a prolonged time to grow and retrieve after surgical intercession.
Different Types Of Rhinoplasty
2021-07-12 12:58:19
Different types of Rhinoplasty include:, Closed Rhinoplasty, Open Rhinoplasty, Septo-Rhinoplasty, Rhino-tip Surgery, Non-Surgical Rhinoplasty
Non-surgical nose job | Procedure, kind of filler, costs
2021-07-15 10:39:43
This procedure refers to injections of dermal filler that tries to change the shape of patient’s nose at least for six months.
Reasons which make Iran the capital of rhinoplasty in the world
2021-08-14 15:59:10
Reasons which make Iran the capital of rhinoplasty in the world
Sinusitis and ways to diagnose it, treatment, at risk people
2021-09-14 13:34:21
First of all your doctor will ask a series of questions to get a detailed medical history and finding out your symptoms which help diagnosis. Some physical examinations like the observation of your ears, nose, and throat are done in order to find out any swelling, draining, or blockage.
Maxillary Sinusitis | Symptoms, Treatments, Home remedies
2021-09-15 10:54:33
Sinuses are empty spaces that are filled with air and located inside of facial bones. These hollow spaces are connected with channels. Sinuses are covered with special tissues (mucous lining) that are similar to the nose cavity. This moist lining traps dust and dirt from entering the nasal cavity.
Everything about Closed Rhinoplasty
2021-09-28 13:30:14
during the closed nose job, little incisions are created inside the nostrils, and therefore the surgeon makes the required changes in the nose through the nostrils.
Nose packing after rhinoplasty
2021-11-06 10:34:36
Following rhinoplasty, surgeon will put special type of gas in nasal cavity which is dabed with different necessary medications like antibiotic ointments
How is rhinoplasty performed?
2022-04-24 18:54:12
Rhinoplasty is a kind of surgery witch reshapes the nose by modifying the bone or cartilage.
How to Sleep Safely After Rhinoplasty With Best Position
2023-04-09 16:04:03
Sleeping after rhinoplasty is the most important care after nose job. There are lots of tips you should do read this article to know more
Most Important Tips For Cleaning Nose After Nose Nob Surgery
2023-06-29 19:30:25
Cleaning nose after rhinoplasty is the most important after cares..In This article we tried to talk about it and show you best ways.
Snoring and Rhinoplasty: Is Rhinoplasty an Effective Solution to Stop Snoring?
2023-06-29 22:10:14
Rhinoplasty can solve snoring problem and also some one maybe have snoring immediately after nose job
Flying After Nose Job: Tips For A Comfortable Journey
2023-07-10 12:56:02
"Safe flying post-rhinoplasty: Tips for a smooth journey. Learn what to expect when traveling after nose surgery."
 When & How to Wear Make Up After Nose Job
2023-07-21 19:23:49
Its very im portant that you know how to make up after rhinoplasty and when can you start it to avoid dangerous side effects
Natural Nose job A new way of beauty
2023-07-24 22:26:38
Discover the art of natural rhinoplasty - subtle, refined enhancements for a harmonious and authentic look. Expert insights and safe procedures
Flat Nose Rhinoplasty
2023-07-25 16:23:38
Transform your look with flat nose rhinoplasty. Enhance symmetry and contours. Boost confidence with expert surgical precision. Book now!
Bruising after rhinoplasty; reasons and how to reduce the bruises
2023-07-30 15:15:52
Bruising after nose surgery is one of the common effects and to reduce the bruises, do the preoperative and postoperative instructions.
Skin Care Routine After Nose Job
2023-07-31 23:42:31
Discover the ultimate skin care routine after rhinoplasty! Heal, nourish, and enhance your skin for a flawless post-surgery glow. Expert tips inside