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

  • No external scar 
  • Slightly shorter recovery time (a few days)
  • Reduced swelling and bruising

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

  • Better access for complex reshaping, including nasal tip work
  • Greater surgical precision
  • More predictable outcomes for difficult cases
  • Can be used for any nose for any problem
  • Ideal for revision 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:

  • Your aesthetic goals
  • The complexity of the changes desired
  • Your unique nasal anatomy
  • Surgeon preference and experience
  • Whether this is a primary or revision surgery

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:

  • Facial plastic surgery expertise
  • Customized treatment plans
  • Natural-looking outcomes
  • Exceptional patient care

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!

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Thomas J. Walker, MD, FACS is a double board-certified Facial Plastic Surgeon, who dedicates his cosmetic and reconstructive procedures exclusively to the nose, face and neck. His meticulous approach to facial cosmetic procedures and ability to successfully take on highly complex rhinoplasty cases has made him among one of the most sought after surgeons in the Southeastern United States. Dr. Walker specializes in Rhinoplasty, Revision Rhinoplasty, Ethnic Rhinoplasty, Asian Rhinoplasty, and other nasal surgeries, as well as Facelift, Neck Lift, Eyelid/Eyebrow Surgery, Buccal Fat Removal and numerous other popular facial cosmetic surgeries.