Open Vs. Closed Rhinoplasty: Exploring The Techniques

Rhinoplasty is one of the most sought-after cosmetic procedures for people who feel their nose does not match their features or who struggle with breathing issues. In Burbank, CA, many patients look for subtle, harmonious changes that help the nose blend with the face rather than draw attention. 

Los Angeles plastic surgery specialist Saul R. Berger, M.D., has more than 25 years of experience and is certified by the American Board of Plastic Surgery. Trained in both general and plastic surgery, he focuses on aesthetic facial procedures and offers rhinoplasty plans tailored to each patient. 

Choosing between open and closed rhinoplasty techniques begins with understanding what each option offers.

What Is Rhinoplasty?

Rhinoplasty, or nose reshaping surgery, can refine the shape, size, and proportions of the nose while also addressing certain functional problems. It is often chosen by people who want to smooth a bump on the bridge, refine a drooping or bulbous tip, narrow a wide bridge or nostrils, or improve breathing related to a deviated septum or prior injury.

A thoughtful approach looks at how the nose fits with the rest of the face while also focusing on comfortable, effective breathing in everyday life.

Open And Closed Rhinoplasty Techniques

Both open and closed rhinoplasty techniques can achieve excellent cosmetic and functional results. The main difference lies in where the incisions are made and how much visibility the surgeon has during surgery.

Open rhinoplasty involves a small incision across the columella, along with incisions hidden inside the nostrils. This approach can be especially useful for:

• Complex or revision rhinoplasty
• Significant tip reshaping
• Cases requiring detailed structural support

The external scar is typically very small and often becomes barely noticeable over time.

Closed rhinoplasty uses only internal incisions inside the nostrils, with no visible external incision. This technique may be appropriate for select patients needing more limited changes, such as:

• Reducing a dorsal hump
• Mild to moderate tip refinement
• Subtle adjustments to the nasal bridge

The choice between techniques depends on anatomy, goals, and the degree of change needed.

Choosing The Right Approach For Your Nose

There is no universal technique that suits every patient. The most appropriate rhinoplasty plan is based on factors such as:

• Nasal structure and skin thickness
• Desired aesthetic outcome
• Whether surgery is primary or revision
• Functional concerns, including airflow and breathing

A detailed consultation allows the surgeon to review the medical history, examine the face and nose, and recommend the technique that best aligns with the patient’s personal goals.

Nose Reshaping In Burbank, CA

Rhinoplasty can enhance facial harmony, boost confidence in photos, and help patients feel more at ease with their profile every day. 

To find out which rhinoplasty technique may be the right fit for specific needs, call 818-245-6101 to schedule a consultation at the Burbank practice and review options for surgery, recovery, and long-term results.