There are two basic approaches to rhinoplasty: an open rhinoplasty and a closed rhinoplasty. Open rhinoplasty involves making incisions outside the nose, while a closed rhinoplasty uses an incision inside the nostrils. Many surgeons prefer the open rhinoplasty because it allows for greater control, predictability, and precision. Creating outstanding rhinoplasty results relies on predictability, which is why the open rhinoplasty technique is favored by surgeons (and patients) around the world.
In an open rhinoplasty, an incision will be made in the skin covering the columella, the part of the bottom of the nose that divides the opening of your nostrils. This allows your surgeon to separate the skin from your nasal structures so that they can gain access to those nasal structures and other tissues. Performing an open rhinoplasty allows your surgeon a better view of your nasal structures and makes it easier for them to reshape it. Once the nose has been reshaped, Dr. Berkowitz and Dr. Zeidler will put the skin back in its place and close the incision.