Open vs Closed Rhinoplasty: Which One is Right for You?
When it comes to reshaping the nose—whether for cosmetic reasons or to improve breathing—rhinoplasty is one of the most precise and transformative plastic surgery procedures available. One of the first decisions patients often face is whether to pursue open vs closed rhinoplasty. These two surgical techniques both aim to improve nasal appearance or function, but they differ in their approach, incision placement, and visibility during surgery.
At Yamasaki Facial Plastic Surgery in San Diego, board-certified facial plastic surgeon Dr. Alisa Yamasaki specializes in both open and closed rhinoplasty procedures. She takes a customized approach for every patient, helping you choose the method that aligns best with your goals, anatomy, and lifestyle. In this guide, we’ll break down everything you need to know about the differences between open and closed rhinoplasty—including the pros and cons of each approach—so you can feel confident scheduling your consultation.
Quick Facts to Know About Open vs Closed Rhinoplasty
- Open and closed rhinoplasty refers to how the surgeon accesses the nasal structures.
- Open rhinoplasty provides more visibility for complex reshaping.
- Closed rhinoplasty uses internal incisions and avoids external scarring.
- Recovery times and swelling differ between the two techniques.
- The best approach depends on your nose, goals, and surgical history.
What is Open Rhinoplasty?
Open rhinoplasty is a surgical technique that involves making a small incision on the underside of the nose, in the tissue between the nostrils called the columella. This allows the surgeon to lift the skin and gain a clear view of the entire nasal structure. The open approach is often used for more complex nose surgeries, revisions, or when detailed tip work is required. While it may leave a small scar, this incision is discreetly placed, usually heals very well and is often barely noticeable over time.
What is Closed Rhinoplasty?
Closed rhinoplasty, also known as endonasal rhinoplasty, is performed entirely through internal incisions inside the nostrils. No cuts are made on the outside of the nose, so there is no visible scarring. The closed approach is typically used for more straightforward cases where major tip reshaping or complex cartilage work isn’t necessary. This method often results in shorter recovery time and less swelling.
What are the differences between Open and Closed Rhinoplasty?
Both open and closed rhinoplasty techniques can reshape the nose effectively, but there are several key differences:
- Incision placement: Open rhinoplasty involves an external incision; closed rhinoplasty does not.
- Visibility: Open rhinoplasty gives the surgeon a better view of internal structures.
- Precision: Open is preferred for detailed work; closed for subtle adjustments.
- Recovery: Closed rhinoplasty may offer faster healing and less swelling.
Let’s explore these differences further by looking at the surgical goals, scarring, recovery, and who benefits most from each approach.
Surgical Goals
Every rhinoplasty procedure begins with a patient’s goals. Whether you’re seeking to refine a nasal hump, narrow the bridge, improve symmetry, or correct a deviated septum, the technique chosen depends largely on the level of access and precision required. Open rhinoplasty is often selected when the nasal tip needs reshaping, or when there’s a history of prior nose surgery. Closed rhinoplasty is ideal when adjustments are more moderate and do not require full exposure of the nasal structure.
Incisions and Scarring
In an open procedure, the surgeon makes a small incision across the columella, which connects to additional incisions inside the nostrils. These cuts allow the skin to be lifted, revealing the cartilage and bone underneath. In contrast, a closed procedure keeps all incisions inside the nostrils, which means no visible scars.
While scarring is a concern for many rhinoplasty patients, the external scar from open rhinoplasty is in a discreet location and typically fades over time. In skilled hands like Dr. Yamasaki’s, the incision is placed carefully and heals well.
Ideal Candidates
Not every patient is a candidate for both techniques. Here are some general guidelines:
Closed Rhinoplasty May Be Ideal If You:
- Need minor adjustments to the bridge or nostrils
- Have never had nose surgery before
- Want a quicker recovery and no external scar
Open Rhinoplasty May Be Best If You:
- Require significant reshaping of the nasal tip
- Have complex anatomy or breathing issues
- Are undergoing revision surgery
- Need precise adjustments for symmetry or support
Recovery Time
Recovery can vary depending on the type of rhinoplasty technique used. Closed rhinoplasty patients often experience:
- Less swelling
- Shorter initial recovery period
- No visible scars
Open rhinoplasty patients may need slightly longer for swelling to resolve, especially around the nasal tip. That said, Dr. Yamasaki uses advanced techniques to minimize trauma, support faster healing, and enhance comfort after surgery. Most patients can return to work or school in 7–10 days, with swelling continuing to improve over the next several weeks to months.
Complications
Both open and closed rhinoplasty are generally safe when performed by an experienced rhinoplasty surgeon. However, all surgical procedures carry potential risks. These can include:
- Bleeding
- Infection
- Scarring
- Nasal asymmetry
- Prolonged swelling
- Breathing issues
According to recent data, both approaches have high success rates when performed by a board-certified surgeon. Choosing a qualified provider like Dr. Yamasaki significantly reduces the risk of complications and ensures your results are both functional and natural-looking.
Every nose is unique and your surgery should be too
Get expert advice customized to you from Dr. Alisa Yamasaki. Schedule your consultation now.
How to Choose the Right Nose Surgery Technique for You
Choosing between open vs closed rhinoplasty depends on several important factors:
- Your goals: Do you want to refine the nasal tip, narrow the bridge, or correct functional issues?
- Your anatomy: Some nasal shapes require more access than others.
- Previous surgeries: Revision rhinoplasty often requires an open technique.
- Functionality: If breathing is a concern, the open method may allow better correction.
Dr. Yamasaki will review your goals, assess your anatomy, and explain your best options during your consultation. Each patient receives a customized plan designed to meet their unique needs.
Why Choose Dr. Alisa Yamasaki
Dr. Alisa Yamasaki is a Harvard-trained, board-certified facial plastic and reconstructive surgeon who specializes in both cosmetic and functional procedures of the face and neck—including rhinoplasty. With a background in otolaryngology–head and neck surgery and fellowship training in facial plastic surgery at the University of Michigan, she brings exceptional precision and aesthetic expertise to every case.
At her Princeton, New Jersey practice, Dr. Yamasaki focuses exclusively on the face, offering a tailored approach that balances form and function. Patients trust her for her thoughtful, collaborative style, surgical skill, and commitment to natural-looking results. From consultation through recovery, Dr. Yamasaki provides attentive care that helps each patient feel informed, supported, and confident in their outcome.
What to Expect in Your Consultation
During your consultation with Dr. Yamasaki, you’ll discuss:
- What you like and dislike about your nose
- Your breathing and functional concerns
- Your medical and surgical history
- Realistic outcomes based on your anatomy
She’ll examine your nose inside and out, take photos, and use advanced imaging to simulate possible results. You’ll also have the opportunity to ask questions about the rhinoplasty procedure, recovery process, cost, and more.
Final Thoughts: Trust a Facial Plastic Surgery Expert to Guide You
Whether you’re pursuing a subtle change or a full transformation, rhinoplasty is a highly personal journey. Choosing the right surgical technique—open vs closed rhinoplasty—is just one part of the decision. The most important choice is selecting a surgeon you trust.
Dr. Alisa Yamasaki is here to help you every step of the way. If you’re considering nose surgery, now is the perfect time to schedule your consultation and explore what’s possible.
Contact Yamasaki Facial Plastic Surgery today to book your appointment and start your transformation with confidence.
FAQs about Open and Closed Rhinoplasty
Not necessarily. Most patients report similar levels of discomfort with both open and closed rhinoplasty. Pain is usually well controlled with medication during the first few days after surgery. Swelling and congestion can feel uncomfortable, but major pain is uncommon when the procedure is performed properly.
Rhinoplasty surgery can be performed year-round, but many patients choose cooler months for comfort during recovery. Fall and winter can be ideal since there’s less sun exposure and fewer social commitments. Ultimately, the best time is when it works with your schedule and lifestyle. To get the most benefits from your rhinoplasty surgery, it’s best to schedule during a time when you can rest and follow recovery instructions closely.
If you have an open rhinoplasty, Dr. Yamasaki will place small stitches in the columella that are removed within a week. Closed rhinoplasty usually involves dissolvable stitches inside the nose that do not need to be removed. Your surgeon will guide you on aftercare and follow-up visits to ensure proper healing.
Each type of procedure has its advantages and drawbacks. The open method offers better visibility for complex changes but may involve more swelling and a small scar on the nasal columella. The closed method avoids external scars and typically has a quicker recovery but may not be ideal for detailed tip work. When choosing your rhinoplasty method, consider your goals, anatomy, and whether this is your first nose job.