Dr. Levine is experienced in both open and closed rhinoplasty techniques. In “closed” rhinoplasty (endonasal rhinoplasty), all the incisions are made inside the nose. In “open” rhinoplasty (external rhinoplasty), most of the incisions are made inside the nose, except for one small external incision made across the skin between the nostrils at the base of the nose (the “columella”). The decision about whether to use the open or closed technique is based on many factors, including the extent of the rhinoplasty surgery and the patient’s unique anatomy. Dr. Levine will examine both the internal and external structures of your nose thoroughly, and will discuss with you the best technique to use for your nose surgery.