Open vs Closed Rhinoplasty By Dr. Robert Singer on October 15, 2020

Illustration depicting open vs closed rhinoplastyWhen it comes to cosmetic surgery procedures, rhinoplasty is among the most common. This treatment can alter the size and shape of the nose to improve contours and proportions, achieving a more balanced and symmetrical appearance.

At Prime Plastic Surgery, serving residents of La Jolla, CA, and San Diego, CA, Dr. Robert Singer performs both open and closed rhinoplasty. The type of technique used depends on a few different factors, including the type of condition being treated and the personal preferences of the patient. Here, our team explores open vs closed rhinoplasty and discusses the pros and cons of each.

Open Rhinoplasty

This rhinoplasty technique involves creating an incision in the tissue between the nostrils (the columella). Next, your plastic surgeon lifts the skin away from the nose so the cartilage can be expertly shaped. When the procedure is complete, the incisions are closed with sutures.

Pros and Cons of Open Rhinoplasty

Open rhinoplasty allows for better access to the underlying structures. Any irregularities that were not readily apparent externally can be fully visualized. As a result, precision is optimized. Furthermore, if cartilage grafting is a necessary aspect of treatment, your surgeon is able to place them more accurately. Additionally, this is the most common form of rhinoplasty so many surgeons are experienced in this type of treatment.

The primary drawback to open rhinoplasty is that it is more invasive than closed surgery. Therefore, patients who undergo this procedure may experience more bleeding and swelling during recovery. Another disadvantage to open rhinoplasty is that a tiny scar may remain on the columella. However, it will only be slightly visible if you tilt your head back. Many patients note that the appearance of their scars diminish completely.

Candidates for Open Rhinoplasty

Dr. Singer typically recommends open rhinoplasty for moderate to severe cases. If the patient desires significant changes in the appearance of their nose, an open approach may be the more viable option.

Closed Rhinoplasty

When closed rhinoplasty is performed, the incisions are completely hidden inside the nostrils.

Pros and Cons of Closed Rhinoplasty

Due to the nature of closed rhinoplasty, the procedure typically takes less time than open rhinoplasty. In addition, the possibility of a scar across the columella is eliminated. Because this approach is less invasive, most patients experience less bleeding, swelling, and discomfort following the procedure.

Candidates for Closed Rhinoplasty

If a minimal amount of work is necessary to achieve the desired results, then Dr. Singer will likely recommend closed rhinoplasty. However, this is determined on a case-by-case basis, so the best way to learn about your options is to schedule a consultation at our practice.

Learn More about Rhinoplasty

If you are dissatisfied with the appearance of your nose, then rhinoplasty could be an optimal solution for you. With over 40 years of experience, Dr. Singer has the skill and expertise to help you achieve your cosmetic goals. To learn more, or to schedule a consultation at our La Jolla, CA, practice, contact us online or call us at (858) 455-0290.

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Dr. Robert Singer

Robert Singer, M.D.

Dr. Robert Singer is a board-certified plastic surgeon and former President and Chair of the Board of Trustees of The Aesthetic Society who gives his patients life-changing results. His technical mastery and artistic sensibilities have helped hundreds of patients achieve natural-looking rejuvenation through facelifts and other complex procedures. Dr. Singer is a member of several prestigious organizations, including:

  • Aesthetic Surgery Education and Research Foundation
  • International Society of Aesthetic Plastic Surgeons
  • American College of Surgeons 

To discover what Dr. Singer can do for you, request your consultation online or call his plastic surgery practice at (858) 455-0290.

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9834 Genesee Avenue
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La Jolla, CA 92037

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