Rhinoplasty can be done in two ways
There are two types of nose reshaping surgeries: open (external) rhinoplasty and closed (internal) rhinoplasty.
In a nutshell, open rhinoplasty refers to a surgical procedure in which an exterior incision is created between the two nostrils. All incisions in a closed rhinoplasty are made within the nasal structure.
Which technique a surgeon uses for a given patient is a question of personal preference and expertise.
The horizontal incision used in an open rhinoplasty allows the skin to be elevated to better examine and access the nose tip cartilage. The advantage of open (external) rhinoplasty is that some nasal components can be accessed more easily. On the negative side, there is a minor exterior incision and the possibility of light scarring.
A closed rhinoplasty involves no exterior incisions and is performed totally within the nose. This treatment necessitates a higher level of technical expertise and physical dexterity than the open procedure.

Plastic surgeons have utilized both open and closed treatments for decades.
An open rhinoplasty allows the surgeon to see the cartilage and other structures within the nose more clearly than a closed rhinoplasty. He or she can also make modifications with greater precision and control. Some alterations are only possible with an open rhinoplasty operation.
Open rhinoplasty is typically used for more challenging surgeries such as cleft-lip rhinoplasty and significantly deviated nasal structures.
Treatment of a bulbous tip, droopy, pinched, or projecting tip are some of the most common treatments for which cosmetic surgeons may opt for open rhinoplasty.
Closed rhinoplasty is typically used for minor alterations that do not require the direct access and visibility offered by an incision on the outside of the nose.
All incisions in a closed rhinoplasty, also known as an endonasal rhinoplasty, are made within the nose. The entire procedure is carried out through small holes in the nose. Because of the limited surgical access, the plastic surgeon faces significant hurdles as well as certain technical limits. This is especially true for rhinoplasty operations that are more complicated.
Closed rhinoplasty has the advantages of taking less time in the operating room, having less swelling, and healing faster. On the outside of the nose, there is also no scar. The open rhinoplasty approach’s downsides include a lack of access to structure and reduced direct visibility.
If your surgeon chooses an open rhinoplasty treatment and you’re worried about scars, get before and after photos.
The surgeon’s comfort and experience are the most significant factors to consider when determining whether to perform an open or closed rhinoplasty. As a patient, you must select a plastic surgeon that you respect and have faith in. The surgeon will next determine the best course of action for your specific scenario. If you follow their advice, the results of your rhinoplasty treatment will almost certainly be satisfactory.
