During a closed rhinoplasty, all incisions are made inside the nose and no cut is done on the nose skin. After cutting, they separate the nose skin from underlying bony-cartilaginous structure of the nose by a special tool and raise and keep it up for a limited period of time, so that the surgeon can make the necessary changes.
The disadvantage of this procedure is that the scope of the surgeon’s vision over the nose is low and he cannot maneuver much to shave and shape the nose. But its advantages include: no incision is made on the nose skin, the surgery time is shorter, and the postoperative swelling is less. The closed rhinoplasty procedure is used for simple cases, such as removing the nose hump and narrowing the nasal tip.
Open Rhinoplasty Procedure:
During this procedure, an incision is made on the middle septum of the nose or in the columella area, then the skin is separated from the bone below it, and is raised up completely, so that the surgeon is able to access the nasal structure and existing defects much better and exert more complex changes. In open rhinoplasty, it is possible to correct the asymmetries, insert and fix the cartilage grafts, and use other techniques of modern rhinoplasty. On the whole, the open rhinoplasty procedure has more fans than the closed rhinoplasty procedure because it meets patients’ expectations more.