Patients interested in improving the appearance of their nose have often heard of “open” and “closed” rhinoplasties, and are curious as to the difference. The basic difference is that a closed rhinoplasty is performed with incisions just inside the nose, while an open rhinoplasty uses incisions both inside the nose as well as one on the skin of the nose that connects the tip of the nose with the top part of the upper lip (a bridge of skin known as the columella). What is more important than the incisions is the vision of the surgeon as to what can be achieved through surgery and how to combine this with your specific goals for the procedure. I personally perform a closed rhinoplasty, but I think that you can get a great result with either approach.
