Rhinoplasty is a procedure that changes the shape and appearance of the nose, helps improve breathing, or both.

The benefit of undergoing rhinoplasty under the care of an ENT surgeon, is the combined focus on both the aesthetics but also the functionality of your nose. The procedure aimed at improving both of these aspects is called a septorhinoplasty. There are two main approaches to (septo)rhinoplasty – the closed or endonasal approach and the open or external approach.

In the closed (endonasal) approach, incisions are made on the inside of both nostrils, meaning no part of the incision can be seen externally and there is no visible scar. This minimally-invasive procedure has much of the benefits of other types of keyhole surgery, including reduction of both scarring and scar visibility. However, there are some technical limitations associated with the reduced access of this approach, which make it more suitable for smaller external and internal nasal deformities.

With an open or external approach (septo)rhinoplasty,  a small (5 mm) bridging incision is made on the outside skin between both nostrils to unite the right and left nostril incisions described above. This allows for upfolding of the nasal skin and thus direct visible access to the entire cartilaginous and bony support structure of the nose.

Although this approach involves a small amount of external skin incision, this is a small tradeoff in the case of larger or more significant internal and external nasal deviations, for the improved access which is necessary to resolve these problems.