Open Rhinoplasty: A Preferred Method for Aesthetic and Functional Perfection

Open rhinoplasty is a surgical procedure performed to improve both the aesthetic appearance and functional structure of the nose. In open rhinoplasty, the skin on the nasal tip is lifted to directly visualize the bone and cartilage structure. This allows the surgeon to perform more detailed and precise interventions. It is especially preferred for nasal tip deformities, post-traumatic shape disorders and revision surgeries. When performed by experienced surgeons, open rhinoplasty provides a natural and balanced appearance. It has the potential to address aesthetic concerns and breathing problems at the same time.

How Is Open Rhinoplasty Performed?

Open rhinoplasty is performed under general anesthesia. The surgeon makes a small incision in the columella, which is the area between the nostrils. Through this incision, the nasal skin is lifted, and the inner structures of the nose become fully visible. The nasal bones, cartilage and other tissues are then reshaped as needed. After the procedure, the incision is carefully closed, usually leaving a very minimal scar. Depending on the scope of the intervention, the surgery typically takes around 2 to 3 hours.

Who Can Have Open Rhinoplasty?

Open rhinoplasty is generally suitable for:

  • Individuals who are not satisfied with the shape of their nose

  • Those with nasal tip drooping, asymmetry or width problems

  • People who had previous nose surgery and were unhappy with the result

  • Individuals experiencing breathing difficulties

  • Those who experienced nasal trauma and developed structural deformities

Candidates should be in good overall health and should not have chronic conditions that could negatively affect the healing process.

Differences Between Open and Closed Rhinoplasty

Open and closed rhinoplasty are two techniques that differ surgically. In the open technique, an incision is made between the nostrils and the nasal structures are fully exposed. In the closed technique, all incisions are inside the nostrils, so there is no visible scar.

The open technique is preferred for more complex nasal deformities, while the closed technique is usually suitable for simpler aesthetic corrections. Since the surgeon can clearly see the nasal structure in open rhinoplasty, detailed adjustments can be performed. However, the recovery period is usually shorter with the closed method.

Advantages of Open Rhinoplasty

Open rhinoplasty offers many advantages thanks to a wide surgical field:

  • More precision in detailed procedures such as nasal tip aesthetics

  • Easier correction of asymmetries

  • More suitable for revision surgeries

  • Allows full access to all nasal structures

  • More predictable postoperative outcomes

Thanks to these advantages, the open technique ensures successful aesthetic and functional results.

Preoperative Considerations

There are several important considerations before open rhinoplasty. Blood-thinning medications and herbal supplements should be discontinued at least one week before surgery. Smoking negatively affects healing, so it should be stopped before and after the operation. Patients must come fasting, and nothing should be consumed in the last 6 to 8 hours. A detailed evaluation must be done before the procedure and expectations should be clearly discussed with the surgeon.

Recovery Process After Open Rhinoplasty

During the first week, swelling, bruising and mild pain are normal. These symptoms decrease over time. Stitches are usually removed on the 7th day and the nasal splint is taken off. The nasal structure remains sensitive for the first few weeks, so trauma should be avoided and heavy exercise should be limited.

Recovery varies from person to person. Most swelling resolves within 1 to 2 months. Full nasal shape may take 6 to 12 months. Regular follow-up visits should not be skipped.

Risks and Side Effects of Open Rhinoplasty

As with any surgical procedure, open rhinoplasty has some risks. Although rare, possible risks include infection, bleeding, anesthesia-related reactions and unsatisfactory results. Temporary numbness or hardness in the nasal tip or, in very rare cases, a visible scar may occur. These risks are significantly reduced when performed by experienced surgeons.

How Long Does Open Rhinoplasty Take?

The duration of open rhinoplasty varies depending on the required correction. It generally takes 2 to 3 hours. In patients with complex nasal structures or during revision surgeries, this period may be slightly longer. Most patients can go home the same day, although short clinical observation may be recommended.

When Are the Results of Open Rhinoplasty Visible?

Initial results become visible within a few weeks as swelling decreases. However, the final shape of the nose is usually seen between 6 months and 1 year. During this period, it is important to protect the nose and attend regular check-ups.

Reviews of Patients Who Had Open Rhinoplasty

Patients who undergo open rhinoplasty often report noticeable improvement in nasal shape and breathing. Satisfaction rates are especially high in nasal tip refinement. Initial swelling and bruising decrease over time, leading to a more natural appearance. Achieving a natural-looking nose in the long term is one of the most appreciated outcomes of this technique.

Open Rhinoplasty Prices 2025

In 2025, open rhinoplasty prices vary depending on the procedure details, techniques used and the surgeon’s experience. The clinic’s location and service quality also play an important role. Contact us to learn the current open rhinoplasty prices.

Frequently Asked Questions

Will there be a scar after open rhinoplasty?

The incision under the nose is usually very thin and becomes barely noticeable over time. With proper stitching techniques, the scar is not aesthetically disturbing.

When can I return to work after the surgery?

Most patients can return to work about a week after the surgery. However, heavy physical activities should be avoided for 3 to 4 weeks.

Is open rhinoplasty permanent?

Yes, the results are permanent. However, aging, trauma or skin-related changes can cause small alterations over time.

Can breathing problems be treated with this surgery?

If there is an internal nasal problem, functional corrections can be performed during the aesthetic surgery. In this way, both appearance and breathing improve.

Is the open or closed technique better?

The choice of technique depends on the patient’s nasal structure and needs. For more detailed corrections, the open technique may offer more advantages.