There are two major types of nose job surgery, known as open rhinoplasty and closed rhinoplasty. They vary based on the extent of incisions, not on how they are able to reshape the nose. Both open and closed nose jobs can correct many common complaints about nose size and shape.
Both types of nose jobs require an incision inside the nostrils. In closed nose job procedures, the surgeon performs the entire procedure through these incisions, using specialized surgical tools. An open nose job requires an additional incision in the skin between the nostrils, known as the columella. Then, the skin is peeled back to fully expose the underlying bone and cartilage of the nose.
Both types of nose jobs are performed in much the same manner. After the incisions are made, the natural tissues of the nose are trimmed, sculpted, or augmented to achieve the desired results. The only difference in the surgeries is whether the skin between the nostrils is cut.
Differences Between Nose Job Types
There are both benefits and drawbacks to each technique. With the closed technique, the chance of scarring and infection are lower. However, the surgeon's work must be done with tiny surgical instruments, and the tissues being reshaped cannot be seen directly. Some complex nose jobs require an open technique. The open nose job allows the surgeon to look directly at the underlying tissues being reshaped, leading to more precise results. However, it often leads to a longer surgical procedure, increased risk of infection, and a scar where the external incision was made.