Open vs Closed Rhinoplasty: What’s the Difference or Which Is Better?

Rhinoplasty is one of the most popular facial procedures for both cosmetic or functional purposes. Whether you are looking to refine the shape of your nose or correct breathing issues, understanding the difference between open or closed rhinoplasty is an important part of your journey.

Each method offers unique advantages depending on your goals, nose structure or the complexity of the surgery. In this guide, we will explore both approaches to help you make an informed decision when speaking with a rhinoplasty surgeon in London.

What Is Open Rhinoplasty?

Open rhinoplasty involves making a small incision across the columella, the strip of skin between the nostrils. This allows the surgeon to lift the nasal skin, providing full access to the underlying structures.

This method is ideal for:

  • More complex reshaping
  • Significant asymmetry
  • Revision procedures
  • Detailed work on the nasal tip

By fully exposing the framework of the nose, the best nose job surgeon in London can make precise adjustments with clear visibility. Open rhinoplasty often results in slightly more swelling or a longer recovery time, but it gives the surgeon greater control.

What Is Closed Rhinoplasty?

Closed rhinoplasty is a technique where all incisions are made inside the nostrils. There are no external cuts, which means no visible scarring. This approach is often used for patients needing minor reshaping or adjustments to the nasal bridge.

Closed rhinoplasty may be recommended for:

  • Less complex cases
  • Small adjustments to the bone or cartilage
  • Patients prioritising faster recovery

Since there is no need to lift the skin, swelling is typically reduced, or healing is quicker. However, visibility is limited, so it may not be suitable for every patient.

Choosing the Right Surgeon

Regardless of the method, choosing a highly experienced nose surgeon in London is key. A qualified specialist understands how to balance aesthetics with function, ensuring that your results not only look natural but also support proper breathing.

If you are also experiencing issues related to airflow or chronic sinus problems, a consultation may include discussions about sinus surgery in London. In some cases, functional improvements can be combined with cosmetic adjustments in a single procedure.

Working with the best nose plastic surgeon in London provides peace of mind that you are receiving expert care tailored to your needs.

Which Option Is Better?

There is no one-size-fits-all answer. Both open or closed rhinoplasty offer excellent results when performed by the right surgeon. The better option depends on factors like:

  • The changes you want to make
  • The structure of your nose
  • Whether you have had previous nose surgery
  • How visible scarring factors into your decision

During your consultation, your rhinoplasty surgeon in London will assess your goals or recommend the best approach to meet them safely or effectively.

Final Thoughts

Understanding the difference between open or closed rhinoplasty gives you the confidence to ask the right questions or choose the right path forward. Each technique has its place in nasal surgery or both can deliver life-changing results when done properly.

Whether you are looking for subtle refinement or major structural correction, your outcome depends on the skill of your provider. A trusted nose surgeon in London will guide you with honesty or care from consultation to recovery.

Considering rhinoplasty or ready to take the next step? Book an appointment today.

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My Nose London

Mr Unadkat is a consultant ENT surgeon focused on nasal and facial plastic surgery. Within the NHS he works at the Royal National ENT & University College London Hospital– the UK’s national centre for complex sinonasal and facial plastic disorders.

Consulting hours: 9am – 6pm (Mon – Fri)

Telephone hours: 9am – 6pm (Mon – Fri)