Open Or Closed Surgery?

The difference between an open or closed technique is the opening of the nose by external, visible incisions that allow the surgeon to literally see the cartilages and tissues of the nose. Closed is of course done "blindly" although it is my personal belief that both are fine and if you're good - you're good. My surgery was closed.

Although some may argue that for extensive reconstructive surgeries, open is better. I have seen some truly, almost miraculous surgeries performed with a closed technique but also have seen some great closed and the scar is practically non-existent.  I must also say that many newer surgeons are beginning to perform open techniques and this very well may be the wave of the future for rhinoplasty??  Your guess is as good as mine.  My best friend had her revision open and I can't see her scar, as well as her result is really symmetrical.  Not all surgeons do both so consult with several surgeons to find which suits you best. It is the end result and the longevity of the result that matters. The end justifies the means. 

The open technique usually takes longer and allows for scrutinizing and meticulous work although it truly depends upon the skill of the surgeon. There are highly skilled surgeons who perform and prefer either and less than average surgeons who do the same. Just choose your surgeon wisely and your odds of a better result are increased. However, sometimes the open technique will be better for one's needs. It truly depends.