Open Vs Closed Rhinoplasty

Are you aware of the differences between a closed and an open rhinoplasty? Dr. Brennan uses both of these types since they each have advantages. Due to his experience with closed and open nose procedures, Dr. Brennan can provide a competent and objective opinion on the benefits and drawbacks of each type. We will explain the differences between open and closed rhinoplasty and how they may affect your nose job procedure.

What Is Rhinoplasty?

Rhinoplasty, sometimes called a “nose job,” is a surgical treatment to improve the nose’s look and functionality. It’s also among the most popular cosmetic procedures carried out globally.

The process entails expertly reshaping your nasal structures to improve facial balance, correcting the proportions of your nose, and solving cosmetic concerns.

Beyond the outward changes, rhinoplasty may also take care of functional problems like:

  • Deviated septum: This is the slight displacement or misalignment of the wall that separates the nostrils. Rhinoplasty can enhance airflow and lessen breathing problems brought on by this condition.
  • Nasal obstruction: Nasal obstructions brought on by enlarged turbinates (bone structures in the nose), nasal valve collapse (the narrowest portion of the nasal airway), or other structural anomalies obstructing appropriate airflow can all be treated with rhinoplasty.
  • Chronic sinusitis: When treating chronic sinusitis, a condition marked by ongoing sinus infection and inflammation, rhinoplasty may be combined with sinus surgery.
  • Congenital deformities: Congenital disabilities (such as cleft lip and palate) can be corrected with rhinoplasty, which enhances the nose’s appearance and functionality.
  • Nasal trauma: Rhinoplasty is a procedure that can help heal and restore the nose’s appearance or function following trauma or damage, such as nasal fractures or accident-related abnormalities.

Open and closed rhinoplasty are the two main methods. Every technique has unique goals, benefits, and things to think about.

We’ll go into more detail about each method in the following parts, examining its variations, advantages, and possible disadvantages so you can decide which course of action best suits your goals.

Reasons For A Closed Or Open Rhinoplasty

These are a few of the most common reasons patients give for a nose job despite the technique used. Many people who seek rhinoplasty are dissatisfied with the nose that they were born with, while others want to fix nose changes brought on by trauma like a vehicle accident or sports injury. Patients frequently report to us feeling their noses:

  • Is not the appropriate shape or size for your face (either an excessively huge or small nose).
  • Has a bump on the nose bridge
  • Looks excessively large for their face
  • Has a problem with the nose’s tip, such as a bulbous, projecting, drooping, or oversized nasal tip
  • Has either pinched or flaring nostrils
  • Is asymmetrical or crooked 

Rhinoplasty procedure can address these problems.

Changes made during a closed or open rhinoplasty

Any rhinoplasty procedure involves the surgeon raising the nose’s skin, adjusting the cartilage and bone, and then lowering the skin again. The surgeon’s meticulous decision-making on the exact change of bone and cartilage to accomplish the patient’s goals constitutes the science and art of crafting a unique rhinoplasty.

Differences Between Open VS Closed Rhinoplasty

Understanding the differences between open and closed rhinoplasty is crucial. There are just two ways to reach the nose’s anatomy so that Dr. Brennan may make any required changes during a rhinoplasty: open and closed. Rhinoplasty involves altering the bone or cartilage. Two internal nose incisions are made when using the closed rhinoplasty method. All changes will be made using these incisions.

The same two incisions are made with an open rhinoplasty, but a third incision is made across the columella to join the first two. The last connecting incision, a trans-columellar incision, enables Dr. Brennan to expose the nose by opening the nasal skin. Each strategy offers benefits and drawbacks, depending on the surgeon’s goals.

Rhinoplasty Orange County

What Is Open Rhinoplasty?

Open rhinoplasty enables a thorough and meticulous method for nasal reconstruction.

The procedure involves making a little incision in the columella, the thin tissue strip that divides your nostrils. Thanks to this incision, your surgeon will have better visibility and entry to the underlying nasal structures.

Dr. Brennan may skillfully shape and modify the nose using this systematic approach, taking great care and accuracy to address practical and aesthetic concerns.

What kind of candidate is more suited for the open approach regarding determining whether a closed or open rhinoplasty is right?


When patients want considerable changes to their noses, need extensive reshaping, or want to treat complex deformities, Dr. Brennan usually suggests open rhinoplasty.

Furthermore, the improved visibility provided by an open operation might benefit patients with prior nose surgery or who have particular structural issues.

Conversely, you might not be the best fit if you:

  • Have simple or minimal nasal issues that can be resolved with closed rhinoplasty
  • Have a health issue that could make surgery more difficult
  • You don’t have realistic expectations for the outcome of your surgery.
  • Are unable to dedicate themselves to the necessary recovery and aftercare

What is the rhinoplasty recovery process like in terms of aftercare?


Following an open rhinoplasty, recovery calls for patience and careful attention, just like any operation.

You should anticipate bruising, swelling, and a temporary nasal splint during the first two to three weeks following your treatment.

To guarantee optimal recovery, your Newport Beach cosmetic surgeon will give you instructions on gently cleaning the area. Additionally, you’ll be instructed to refrain from physically demanding tasks and shield your nose from any potential harm.

Additionally, sleep is essential to your post-operative treatment.

Use a reclining chair or additional pillows to elevate your head as you sleep. It facilitates improved breathing during sleep following a rhinoplasty and helps lessen swelling.

You should heal completely in a few months if you follow your surgeon’s advice and schedule follow-up visits regularly.

Advantages of Open Rhinoplasty

The surgeon may see the anatomy beneath the skin in an open rhinoplasty since the nose can be opened up. Dr. Brennan thinks the open method is frequently a superior option because of three factors, especially with today’s sophisticated and thorough approaches that he enjoys using:

  • You can measure and thoroughly examine the nose’s anatomy with an open rhinoplasty. As a genuine rhinoplasty surgeon, Dr. Brennan takes the time to inspect and comprehend each patient’s nose thoroughly to provide the most precise and in-depth treatment. An external review may not have revealed any asymmetry or anomaly the surgeon could identify during an open rhinoplasty.
  • Open rhinoplasty improves the surgeon’s visibility of the nose’s structure and makes the procedure more accurate. The more accuracy in rhinoplasty, the better because the nose is a sensitive and conspicuous feature.
  • The last benefit of open rhinoplasty is that it uses sophisticated cartilage grafting procedures in most of Dr. Brennan’s procedures. He can more precisely and effectively implant the grafts that provide longer-lasting support and structure with an open rhinoplasty.

These factors make open rhinoplasty more advantageous in terms of accessibility and results.

Disadvantages Of Open Rhinoplasty

There are two main reasons given by those who dislike open rhinoplasty. First, the trans-columellar incision from an open rhinoplasty leaves a scar. Although this is the case, the scar usually heals so well that it is undetectable.

The second frequently mentioned disadvantage of open rhinoplasty is that, according to many, there is typically more swelling than a closed procedure. While it’s true that an open method typically results in some additional swelling, Dr. Brennan thinks the benefits—namely, increased accuracy and detail—far exceed the brief additional swelling.

What Is Closed Rhinoplasty?

A closed approach eliminates the need for exterior incisions, unlike open rhinoplasty. Instead, all cuts and changes are done inside the nose, so no obvious scars exist.

Dr. Brennan skillfully penetrates and reshapes your nasal structures using these covert incisions to accomplish your desired results.

Who is a good candidate for a closed-nose job, then?


The difficulty of the surgery is one of the main criteria influencing whether a closed or open rhinoplasty is appropriate.

Closed rhinoplasty is an excellent choice for those who want minor nose changes without requiring significant reshaping.

For those who would prefer a quicker recovery time, this procedure is also perfect for minor nasal issues such as mild asymmetry or hump.

Who isn’t the ideal match? Apart from general disqualifiers (such as unmet expectations or underlying medical issues), people who require extensive modifications or who have complicated nasal abnormalities are probably better candidates for open rhinoplasty.

Let’s discuss what to anticipate following a closed operation.


Due to its less invasive nature, closed rhinoplasty typically requires a shorter recovery period; bruises and swelling usually disappear in one to two weeks.

Like open rhinoplasty, Dr. Brennan would advise careful cleaning and following specific instructions for post-operative care to provide the best possible healing.

Similarly, you will be required to sleep with your head up. It helps in reducing swelling and improves breathing during sleep following a rhinoplasty.

You must keep your nose pressure-free, shield it from harm, and regularly see your surgeon for check-ups as you heal.

According to these guidelines, you should ensure a comfortable healing process and a speedy recovery.

Advantages Of Closed Rhinoplasty

In many cases, Dr. Brennan favors an open approach. He thinks closed rhinoplasty is also an excellent option. Having done numerous open and closed rhinoplasties, he adds that a closed rhinoplasty can be a good option in cases where only a limited amount of treatment is necessary.

The advantage of closed rhinoplasty is that there is no scar, even though the scar from an open rhinoplasty is nearly invisible in many cases. A closed rhinoplasty also provides the short-term benefit of less swelling throughout recovery. It is worth discussing whether a closed-nose job is the right choice for you if it is possible to have one.

Disadvantages Of Closed Rhinoplasty

A closed rhinoplasty could be a good option for patients requiring minimal work. Nevertheless, Dr. Brennan discovers that, after treating numerous patients, people frequently require more nose surgery than they realize. Patients frequently seek seemingly minor cosmetic changes only to find out later that they may require more extensive, meticulous treatment than anticipated.

Dr. Brennan is exceptionally dedicated to building a nose job foundation that will endure well into aging instead of making hasty cosmetic adjustments that temporarily improve one’s appearance. Many patients learn during a thorough private consultation that even the slight cosmetic alteration they seek will have a larger impact on the architecture and structure of their nose to achieve the desired outcomes. A closed rhinoplasty frequently lacks the view and access necessary for a surgeon to carry out the most precise and in-depth augmentations of bone and cartilage.

Reconstructive vs reductive rhinoplasty

When deciding between an open and closed rhinoplasty, assessing if you want a reductive or reconstructive nose operation is crucial. In a reductive rhinoplasty, the nose is made smaller. Patients who believe their nose is too big for their face are more likely to experience this.

Compared to a reconstructive rhinoplasty, a reductive rhinoplasty—which can be performed closed in some circumstances—has a slightly simpler method. Dr. Brennan’s most sophisticated procedures are frequently used during a reconstructive rhinoplasty, which is best done as an open procedure. Open rhinoplasty provides the view and access required to perform thorough work on every component of the nose’s structure, especially considering the work required for a major reconstructive procedure.


Here are some frequently asked questions.

How visible is a scar after an open rhinoplasty?

The trans-columellar incision leaves a scar after an open rhinoplasty. This little cut is situated in the space between the nostrils. After healing and proper closure of the incision, most patients find that the scar is essentially undetectable. Dr. Brennan always heals the trans-columellar incision and contributes to the excellent healing of this beneath-the-nose scar.

It is unlikely that anybody will notice the incision as long as it is well closed, as the space between the nostrils appears to be one of the face’s finest healing sites clinically.

Does skin color influence whether a closed or open rhinoplasty is the better course of action?

Patients occasionally ask us about the possibility of a noticeable scar following an open rhinoplasty from the trans-columellar incision. No, is the response. Patients with fair or dark skin types typically experience a nearly undetectable healing scar following an open rhinoplasty. What precisely will be altered in the nose is what ultimately determines whether something is open or closed.

What is the difference in recovery between closed and open rhinoplasty?

Although there is typically less swelling after a closed rhinoplasty, the recovery process is similar overall. No matter what kind of nose job you have, swelling, bruising, and a stuffy nose are common during the first week. Although most patients don’t consider their recovery to be unpleasant, pain is a typical part of the process.

After the first week, you should feel better, but you can anticipate having swelling for a few weeks. Despite whether a closed or open rhinoplasty is done, some patients experience more swelling and bruising than others. The extent of your nose job, your inherited tendency to heal fast, and the lifestyle decisions you make while recovering can all affect these side effects. For example, eating a healthy, low-sodium diet, sleeping with their head raised, and avoiding covering their heads with clothing can all help patients heal more quickly and with less swelling.

How are the results different in closed vs open rhinoplasty?

Results from a closed rhinoplasty shouldn’t be any worse than those from an open procedure if your aims can be met by a highly qualified and experienced Newport Beach rhinoplasty surgeon. On the other hand, remember that an open rhinoplasty permits far more effort and precision. Most patients would restrict their possible results if they stated they only wanted Dr. Brennan’s closed rhinoplasty. They wouldn’t have complete access to examine their anatomy and employ the sophisticated grafting methods many of his patients desire.

Meet With Dr. Brennan About Your Nose Surgery

Dr. Brennan will evaluate your needs at the first consultation and recommend the best course to give your other features a natural, balanced appearance. Depending on the extent and kind of work required, an open or closed rhinoplasty may be the procedure. For some patients, improving their look may only require a non-surgical rhinoplasty. You’re welcome to a confidential consultation that will only expose what is necessary!

One of the more intricate facial procedures is rhinoplasty, or nose job, and should only be done by a skilled plastic surgeon. With Dr. Brennan, you can anticipate stunning results, a natural appearance, and a quick and simple recovery. Dr. George Brennan – Cosmetic Surgeon Newport Beach is well-known for doing rhinoplasty procedures that look natural.