The debate has actually gone on for centuries- which is better, the open or the closed rhinoplasty? Surgeons of earlier times vacillated between the two options, being proponents of either one or the other.
Today, it is considered best if a surgeon has an open mind about both rhinoplasty techniques. A comparison of the two types helps identify the unique advantages of each.
Open rhinoplasty involves an external incision in the nose itself, usually in the columella which is located between the nostrils. The nose can then be “opened” allowing the surgeon to get a direct visual view of the inside of the nose.
Open rhinoplasty is often preferred for plastic surgery because it allows more control over changing the shape of the nose. Patients who want the length of the nose reduced or increased will likely be recommended to an open rhinoplasty.
The closed rhinoplasty reduces operation time and thus the amount of time the patient is under anesthesia. Swelling is definitely lesser with the closed rhinoplasty, as much of the swelling is internal and not visible to the naked eye.
While the patient may heal faster with a closed rhinoplasty, and have a slightly smaller risk of scarring, most patients seeking rhinoplasty for changing the appearance of the nose will likely be more concerned about the end results.