Rhinoplasty Realities: Unpacking the Pros and Cons of the Open Approach

Open rhinoplasty offers precision, better visibility, and can be done under general or local anesthesia with sedation. Recovery time is typically two weeks.

Open rhinoplasty is a surgical procedure that has been used to improve the appearance and function of a person’s nose since the late 19th century. It is a popular choice for those who want to alter the shape or size of their nose, as well as those with medical conditions such as chronic sinusitis or nasal obstruction. The open rhinoplasty technique involves making an incision on the columella, which is the small strip of tissue between the nostrils. Through this incision, the surgeon can access and manipulate all parts of the nose, including cartilage and bone. This allows for more precision in reshaping and contouring than closed rhinoplasty techniques. Open rhinoplasty also offers better visibility for surgeons, allowing them to make more accurate adjustments during surgery.

The procedure can be done under general anesthesia or local anesthesia with sedation, depending on the patient’s preference and needs. Recovery time may vary from patient to patient, but generally speaking it takes around two weeks before any swelling has subsided enough for patients to see their final results. In some cases, open rhinoplasty may require additional surgeries down the line if further adjustments are needed.

What is Open Rhinoplasty?

Open rhinoplasty is a type of cosmetic surgery that is used to reshape the nose. During this procedure, the surgeon makes incisions on the outside of the nose and then lifts up the skin to gain access to the underlying structures of the nose. This allows for more precise changes to be made to the shape and size of the nose. The most common reasons why someone might choose open rhinoplasty include correcting a deviated septum, reducing a hump or bump on the bridge of the nose, changing the shape of a wide or bulbous tip, and narrowing flared nostrils.


One of the main benefits of open rhinoplasty is that it provides a greater degree of control for surgeons when making changes to the shape and size of the nose. Because they have direct access to all parts of the nasal structure, they can make more precise adjustments that would otherwise not be possible with closed rhinoplasty. Furthermore, because open rhinoplasty involves lifting up rather than cutting away tissue, there is less chance for scarring and post-operative complications.


As with any surgical procedure, there are potential risks associated with open rhinoplasty including infection, bleeding, and scarring. Additionally, since an incision is made on the outside of the nose, there may be some visible scarring after surgery. It is important to discuss these risks with your surgeon before proceeding with any type of cosmetic surgery.

Pros of Open Rhinoplasty

Open rhinoplasty is a type of surgical procedure that is used to improve the appearance and/or function of the nose. The procedure involves making an incision on the columella, which is the strip of skin between the nostrils, in order to gain access to the underlying bone and cartilage. This type of surgery has several advantages over closed rhinoplasty, which does not involve any external incisions.

More Accessible

One of the main advantages of open rhinoplasty is that it provides more accessibility to the underlying structure of the nose. This makes it easier for surgeons to make precise changes to the nasal shape and structure. It also allows them to get a better view of what they are doing and make sure that they are making changes in a way that will be aesthetically pleasing.

More Precise Changes

Another advantage of open rhinoplasty is that it allows for more precise changes than closed rhinoplasty. Because surgeons have better visibility into the internal structures, they can make more precise adjustments without having to rely on guesswork or trial-and-error techniques. This can lead to better results overall as well as fewer risks associated with surgery.

Reduced Risk Of Complications

Open rhinoplasty also reduces the risk of complications associated with surgery because it allows for more control over how much tissue is removed during surgery. With closed rhinoplasty, there is always a risk that too much tissue may be removed, leading to scarring or other cosmetic issues. With open rhinoplasty, surgeons can ensure that only necessary tissue is removed, reducing these risks significantly.

Shorter Recovery Time

Finally, open rhinoplasty typically requires a shorter recovery time than closed rhinoplasty. Because less tissue needs to be manipulated during surgery, there is less trauma to the surrounding area and therefore less healing time needed following surgery. This can help patients recover faster and get back to their normal activities sooner than if they had chosen closed rhinoplasty instead.

Overall, open rhinoplasty offers a number of benefits compared to closed rhinoplasty including better accessibility, more precise changes, reduced risk of complications and shorter recovery times. For those looking for a way to improve their facial appearance without having to undergo extensive surgery or long recovery times, open rhinoplasty may be an ideal option.

Cons of Open Rhinoplasty

Open rhinoplasty is a surgical procedure that can provide excellent results in the right patient. However, there are some potential drawbacks to consider before undergoing this type of surgery.


One of the primary disadvantages of open rhinoplasty is the risk of scarring. The incision used to access the nose is made along the columella (the strip of tissue separating the nostrils). This means that any scarring from the surgery will be visible. While most surgeons make every effort to minimize scarring, it can still be an issue for some patients.


Open rhinoplasty also carries a higher risk of complications than closed rhinoplasty. These include bleeding, infection, and poor healing. In addition, some patients may experience numbness or tingling in their nose due to nerve damage caused by the surgery.

Longer Recovery Time

Open rhinoplasty typically requires a longer recovery time than closed rhinoplasty. This is because the incision used to access the nose must heal properly before normal activity can resume. In addition, swelling and bruising may take several weeks to resolve completely.


Finally, open rhinoplasty tends to be more expensive than closed rhinoplasty due to the complexity of the procedure and additional time required for recovery. In addition, patients may need to pay for additional medications or treatments if they experience complications during their recovery period.

Overall, open rhinoplasty can provide excellent results when performed correctly by an experienced surgeon. However, it is important for potential patients to understand and weigh all potential risks and benefits before making a decision about this type of surgery.

Open Rhinoplasty is a safe, effective surgery with potential risks, allowing for greater control and precision of nasal shape.


Open Rhinoplasty is a popular form of surgery for reshaping the nose, and can be beneficial for many patients. It allows the surgeon to have greater control over the shape of the nose, allowing for more precise results. The open approach also allows for better visualization of the nasal anatomy, which can help to reduce complications during surgery. However, there are some potential risks associated with this type of surgery, such as scarring and infection.

Overall, Open Rhinoplasty is a safe and effective procedure that can provide excellent results in many cases. Patients should discuss their individual needs with their surgeon to determine whether this type of surgery is right for them. With proper care and follow-up, most patients will experience successful outcomes with Open Rhinoplasty.