Research Article| Volume 66, ISSUE 10, P1356-1359, October 2013

Reflections on the open and closed rhinoplasty


      The open rhinoplasty has been espoused by many of the young plastic surgeons of this generation. The Dallas School of Rhinoplasty Surgery has elegantly demonstrated its use.
      The open rhinoplasty is far from new, but was particularly used for more complex repairs of the nasal tip as, for example, in cleft lip and palate surgery. Whereas there is nothing intrinsically wrong with an open rhinoplasty it is apt to be slower, often requiring cartilage grafts, and has a wider exposure.
      Patients considering rhinoplasty commonly ask whether the surgery is open or closed. This presentation examines some of the features which the author has found useful and also demonstrated to a number of trainees to make the closed rhinoplasty more reliable and enhance the results, particularly in regard to infracture and tip refinement.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Gillies H.D.
        Plastic surgery of the face.
        Oxford University Press, London1920
        • Rethi A.
        Plastiche neubildum der nase.
        Chir. 1929(a); 1: 695
        • Rethi A.
        Uber die korrectiven operationen der nasen de formitäten.
        Chir. 1929(b); 1: 1103
        • May H.
        The Rethi incision in rhinoplasty.
        Plast Reconstr Surg. 1951; 8: 123
        • Gunter J.P.
        • Rohrich R.J.
        External approach for secondary rhinoplasty.
        Plast Reconstr Surg. 1987; 80: 161-174
        • Gunter J.P.
        The merits of the open approach in rhinoplasty.
        Plast Reconstr Surg. 1997; 99: 863-867
        • Gunter J.P.
        • Rohrich R.J.
        • Adams L.P.J.
        Dallas rhinoplasty: nasal surgery by the masters.
        Quality Medical, St. Louis2007
        • Rohrich R.J.
        • Janis J.E.
        • Adams W.P.
        • Krueger J.K.
        An update on the lateral nasal osteotomy in rhinoplasty: an anatomic endoscopic comparison of the external versus internal approach.
        Plast Reconstr Surg. 2003; 111: 2461-2462
        • Wexler M.R.
        Reconstructive surgery of the injured nose.
        Otolaryngol Clin North America. 1975; 8: 549
        • Ortiz-Monasterio F.
        Rhinoplasty on the Mestizo nose.
        Clin Plast Surg. 1977; 4: 89
        • Straatma C.R.
        Use of dermal graft in the repair of small saddle defects of the nose.
        Arch Otolaryngol. 1932; 16: 506
        • Meyer R.
        Secondary and functional rhinoplasty – the difficult nose.
        Grune & Stratton 95, 1988
        • Rees T.D.
        The osteocartilaginous vault.
        Aesthet Plast Surg. 1980; I (Ch. 8): 154-155