Within rhinoplasty procedures, there are two main strategies to consider- “Open” or “closed”. With open rhinoplasty, a small, irregular incision is made to the columella, the fleshy, exterior-end of the nasal septum. In closed rhinoplasty, every procedural incision is performed “endonasally”(exclusively within the nose), and does not cut the columella.

Both have pros and cons. Since closed procedures require fewer incisions, there is less scarring, potential for damage to the nose, and subsequently a shorter recovery period. Open rhinoplasty, however, offers much better access to the potential skin, cartilage or bone to be fixed and is a likely choice for more complicated rhinoplasty.

An experienced plastic surgeon such as Dr. Scott Brenman will be able to sit down with you in a consultation, listen to your goals as well as expectations and together you will come to the right choice to meet those needs.

Contact our office if you’d like to sit down and meet with Dr. Brenman at either of our offices in Philadelphia or Plymouth.