Table of Contents
Understanding Open Rhinoplasty
Many people considering nose surgery ask me what an open rhinoplasty involves and whether it is better than a closed approach.
In essence, open rhinoplasty provides me with direct visual and surgical access to the nasal framework, allowing precise reshaping of the bone, cartilage, and septum.
As both a reconstructive and aesthetic surgeon, I use this technique when I need the highest degree of control and symmetry. It allows me to refine the nose’s structure with exceptional accuracy, achieving balance, proportion, and natural definition.
At Sculpt Sublime Clinic, Mumbai, I perform open rhinoplasty for both cosmetic enhancement and functional correction, ensuring the result complements your facial harmony and improves breathing where necessary.
What Makes Open Rhinoplasty Different
Surgeons perform rhinoplasty through two main approaches: open and closed.
In a closed rhinoplasty, all incisions are made inside the nostrils, resulting in a faster recovery but limited visibility.
In an open rhinoplasty, I make a tiny incision along the columella, the narrow strip of tissue between the nostrils, and gently lift the nasal skin. This step exposes the nasal structure, allowing me to sculpt it with precision.
The open method is ideal for:
- Correcting crooked or asymmetrical noses
- Refining wide or drooping nasal tips
- Smoothing nasal humps or depressions
- Repairing post-traumatic deformities
- Performing revision rhinoplasty
The incision heals as a fine line beneath the nose, almost invisible once the swelling settles.
How I Perform Open Rhinoplasty Surgery
Each rhinoplasty is unique, designed around your anatomy and aesthetic goals.
The process typically includes:
- Anaesthesia: I perform the surgery under general anaesthesia or sedation to ensure comfort.
- Incision: A small cut is made across the columella, connecting to hidden incisions within the nostrils.
- Exposure: I lift the skin gently to expose the underlying bone and cartilage.
- Reshaping: Using delicate instruments, I refine cartilage, adjust the nasal bridge, and realign structures as needed.
- Correction: I straighten any septal deviation to improve function and symmetry.
- Closure: I reposition the skin and close the incisions with fine, absorbable sutures.
The procedure usually lasts between two and three hours, depending on its complexity and the desired correction.
Learn more about nasal correction procedures here:
Fixing Uneven Nostrils with Rhinoplasty: What You Need to Know
What to Expect During Recovery
Recovery from open rhinoplasty varies slightly among patients, but the overall process remains predictable.
- First week: Expect mild swelling, bruising, and nasal congestion. I apply a protective splint to support your new shape.
- Two weeks: Most bruising subsides, and you can resume light activities.
- One month: The majority of swelling resolves, and breathing improves.
- Three to six months: The nasal contour refines further as residual swelling fades.
- One year: The final result becomes fully visible — balanced, natural, and well-defined.
Following post-surgical advice, such as keeping your head elevated, avoiding wearing glasses temporarily, and using prescribed saline sprays, helps ensure optimal healing.
Why I Recommend the Open Technique
Open rhinoplasty offers unmatched visibility of the nasal framework. This direct view allows me to correct asymmetry, support weak cartilage, and refine the nasal tip with precision.
It also enables accurate placement of cartilage grafts, which strengthen the nose and maintain long-term stability. I often use cartilage from the septum, ear, or rib to enhance structure and airflow.
Because I can see every structural element clearly, this approach provides consistent and predictable outcomes, especially valuable in complex or revision cases.
For patients exploring secondary corrections, I discuss recovery timelines here:
How Long Should You Wait Before Getting a Revision Rhinoplasty?
Schedule a Private Consultation
Will Open Rhinoplasty Leave a Scar?
This is one of the most common questions patients ask. The incision sits on the underside of the nose, in a naturally shaded area. I close it using ultra-fine sutures, ensuring minimal tension is applied.
Once healed, the line blends seamlessly with the surrounding skin. With good aftercare and sun protection, the scar becomes nearly invisible within a few weeks.
Who Benefits Most from Open Rhinoplasty
You may be an ideal candidate for open rhinoplasty surgery if you:
- Require detailed tip refinement
- Have a complex nasal asymmetry
- Need structural support for breathing improvement
- Seek revision after previous rhinoplasty
- Desire long-lasting, natural results
For subtle aesthetic adjustments, a closed rhinoplasty may suffice. I discuss both options during the consultation to determine which one best suits your goals.
Risks and How I Minimise Them
As with any surgery, minor risks exist, such as temporary swelling, mild bleeding, or short-term numbness. I minimise these through careful planning, gentle surgical handling, and close post-operative monitoring.
Before surgery, I perform a detailed assessment of your medical history and facial anatomy. After surgery, my team and I guide you through recovery with structured follow-up and support.
If you have any concerns, you can reach me directly through our contact page.
Why Patients Choose Sculpt Sublime Clinic
At Sculpt Sublime Clinic in Mumbai, my approach combines surgical expertise with a profound understanding of facial balance. I plan every rhinoplasty to complement your overall features, not just your nose, ensuring results that appear effortless and natural.
We prioritise privacy, safety, and ethical practice at every stage. From consultation to recovery, you receive continuous care from a team committed to your comfort and confidence.
Learn more about my rhinoplasty approach here:
Final Thoughts on Open Rhinoplasty Surgery
Open rhinoplasty enables the meticulous correction of nasal form and function with precise refinement. When executed with skill, the result looks natural, maintains long-term stability, and enhances overall facial harmony.
My aim is not to change how you look, but to bring balance to your existing features so your appearance feels authentic and confident.
If you’re considering rhinoplasty in Mumbai, I would be delighted to meet with you and create a personalised treatment plan tailored to your specific needs and expectations.
Frequently Asked Questions
1. How does open rhinoplasty differ from closed rhinoplasty?
Open rhinoplasty offers greater visibility and precision, making it ideal for complex or revision cases. In contrast, closed rhinoplasty involves internal incisions, which are suited for simpler corrections.
2. Will open rhinoplasty leave a visible scar?
No. The tiny incision under the nose fades quickly and blends with natural skin creases.
3. How long does swelling last after open rhinoplasty?
Most swelling subsides within two to three weeks, although subtle refinement continues for several months.
4. Does the surgery improve breathing?
Yes. By correcting internal deviations and reinforcing nasal support, open rhinoplasty often enhances airflow.
5. How soon can I undergo revision rhinoplasty if needed?
I recommend waiting at least 9–12 months before revision, to allow tissues to stabilise.