Open vs. Closed Rhinoplasty

Over the years I've often been asked why I choose an open or closed approach to rhinoplasty. An "open" rhinoplasty involves making a small incision across the columella (little column) that separates the nostrils which is carried inward to allow the entire tip and dorsum or top of the nose to be exposed. A "closed" approach, on the other hand, is limited to incisions within the nostrils which naturally limits the visualization and opportunity to alter the structures of the nose.

I choose an open approach if the tip needs to be altered much or if the dorsum needs more than rudimentary reshaping. The closed approach is excellent when dealing with a dorsal hump when the tip needs only a small amount of refinement. The only advantage to the closed approach is the slightly quicker healing time and a decrease in the amount of swelling that is typically experienced.

I welcome any and all question you might have regarding rhinoplasty.

All the best,

Dr. Jabs