I feel that a patient should not concern themselves with open versus closed rhinoplasty when choosing a surgeon. Some surgeons are more comfortably with one technique than another. Some surgeons advertise a closed rhinoplasty as a “scarless rhinoplasty.” This is somewhat misleading. Even with closed rhinoplasty, there are scars within the nose similar to that of an open rhinoplasty. The only difference is that an open rhinoplasty has a small incision across a few millimeters of the columella (the base of the nose) that typically heals very well.