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Primary Rhinoplasty Techniques

Open vs. closed rhinoplasty — which is better for me?

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Outcomes and side effects vary from person to person. Bleeding, infection, swelling and asymmetry may occur. Please consult our medical team before making a decision.

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Both approaches access the same underlying structures — the difference is where the incisions are made. Closed rhinoplasty keeps all incisions inside the nostrils, while open rhinoplasty adds a small incision across the columella (the strip of skin between the nostrils), giving the surgeon a fully exposed, direct view of the cartilage framework.

Neither technique is universally "better" — the right choice depends on the complexity of your case. Straightforward primary cases can often be handled well through a closed approach, while more complex reshaping, revision surgery, or extensive rib cartilage work generally benefits from the direct visibility that an open approach provides. Dr. Kim will recommend the approach based on what your specific plan requires, not a fixed preference.

Consultation Tip

Ask Dr. Kim specifically why he's recommending open or closed for your case — the reasoning usually reveals a lot about the complexity of what's being planned.

Ready to talk to Dr. Kim? Reach out on WhatsApp to book your video consultation: Chat with us on WhatsApp (+82 10-4434-6234)

— Dr. Hyung-taek Kim, KOWON Plastic Surgery

What follows is general guidance. The actual cause and surgical approach are decided only after an internal examination, a CT scan and a review of your previous surgical history.

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