Plastic Surgeons can choose between an Open or Closed Rhinoplasty approach. An Open (External) Rhinoplasty involves 3 incisions and allows Surgeons to gain direct access to the internal structure of the nose. It is best used on clients who’ve had previous nasal surgeries. Closed (Internal/Endonasal) Rhinoplasties involve 2 incisions and are best suited to clients requiring less significant change.