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By Thomas Walker, MD

Closed vs. Open Rhinoplasty: What’s the Difference?

If you’re considering rhinoplasty (commonly referred to as a “nose job”), one of two approaches can be used to gain access to your nasal framework: closed vs. open. While both methods aim to enhance the appearance or function of the nose, they differ in their approach and potential results.

In this blog, we’ll explore the key differences between closed and open rhinoplasty so you can better understand which option may be right for you.

What Is Closed Rhinoplasty?

Closed rhinoplasty, also known as endonasal rhinoplasty, is a surgical technique where all incisions are made inside the nostrils without the tiny incision between the nostrils at the bottom of the nose (columella). 

Benefits of Closed Rhinoplasty

Closed rhinoplasty is only for a few select individuals as nasal tip work cannot be performed nearly as well as in open techniques. Only minor reshaping can be done, primarily of the nasal bridge. Given the limited visibility and access to the internal structures of the nose, this technique may not be suitable for more complex corrections.

What Is Open Rhinoplasty?

Open rhinoplasty involves a small external incision made across the columella, the strip of skin between the nostrils. This allows the surgeon to lift the nasal skin and gain direct visibility and access to the nasal structure.

Benefits of Open Rhinoplasty

While open rhinoplasty offers more surgical control, it typically comes with a slightly longer recovery time, and patients may experience more noticeable swelling. The small scar on the columella heals extremely well and becomes essentially invisible over time if well-executed.

Which Rhinoplasty Technique Is Right for You?

The best technique for your rhinoplasty depends on several factors, including:

During your consultation, Dr. Thomas Walker will conduct a detailed evaluation and discuss your goals. As a double board-certified facial plastic surgeon, Dr. Walker has extensive experience performing both open and closed rhinoplasty procedures and will recommend the approach that aligns best with your needs.

Why Choose Dr. Thomas Walker for Your Rhinoplasty?

Rhinoplasty is a delicate, highly personalized procedure. Whether you’re seeking subtle refinement or a dramatic transformation, choosing a skilled and experienced surgeon is key. Dr. Walker’s practice focuses exclusively on the face and neck, giving him the specialized expertise needed to achieve natural, balanced results.

Patients from across the country choose WalkerMD in Atlanta for:

Schedule Your Rhinoplasty Consultation in Atlanta

Understanding the difference between open and closed rhinoplasty is just the beginning. If you’re ready to take the next step toward improved facial harmony and confidence, schedule a consultation with Dr. Thomas Walker today. He will walk you through your options and help you feel confident in your decision!

Natural Results
With a Refreshed
Appearance.

Thomas Walker, MD, FACS is a fellowship-trained and double board-certified facial plastic surgeon, and his clients’ results speak for themselves. Before you decide to move forward with a chosen procedure, review Dr. Walker’s gallery of before-and-after photos.

Schedule a Consultation

To discuss your facial plastic surgery options with Dr. Walker, please schedule a consultation. For your comfort and safety, if you are unable to meet in out Atlanta office, we are currently offering secure telehealth appointments.