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Open Rhinoplasty

Most Philadelphia women and men have heard of rhinoplasty (nose surgery), but may not know the specifics of the procedure. Open rhinoplasty is a technique utilized due to the direct visualization of the nasal anatomy. The open approach offers the ability to shape the nose with more control and precision than the closed rhinoplasty technique. Open rhinoplasty is best for those who present with complicated deformities such as a crooked nose, a larger dorsal hump or an asymmetric tip.

Dr. Timothy Greco is a skilled facial plastic surgeon who performs rhinoplasty to help Philadelphia and New Jersey patients improve the appearance of their nose and overall facial balance and harmony. Specializing in nose surgery, Dr. Greco ensures that each patient receives an individualized treatment plan that will best suit his or her needs, providing an aesthetically pleasing nose that functions well (improved breathing).

Timothy M. Greco, MD, PC is limited solely to excellence in aesthetic surgery of the face. Dr. Greco treats patients from Philadelphia, Main Line, New Jersey, and Delaware. To schedule your appointment at Timothy M. Greco, MD, PC, request a consultation online, or call (610) 664-8830 today.


Unlike a closed rhinoplasty, patients may opt for the open approach, which utilizes a small bridging incision to connect the right and left nostrils. The nasal skin can be retracted upward and greater visibility of the nasal framework can be achieved. Additionally, one of the benefits of this nose surgery technique is the ability perform more complicated surgical maneuvers for better results. For patients who require significant tip alterations, repair of severe asymmetry or revision surgeries, open rhinoplasty is usually the preferred option.

Frequently Asked Questions

What is the main difference between the open and closed rhinoplasty approach?

The open approach is characterized by a small v-shaped incision that divides the skin between the two nostrils so it can be lifted up off the tip of the nose. This allows the surgeon to work on the nasal tip cartilage in its natural position, as well as asymmetries of the bony and cartilaginous bridge. It also allows better access to evaluate and correct a variety of nasal concerns.

With the closed rhinoplasty approach, there is no external skin incision. The closed technique can yield beautiful results, but may be better suited for those who need less complicated changes.

Dr. Timothy Greco

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Is one approach better than the other?

Depending on your specific nasal concerns you would like to address, Dr. Greco will help determine which procedure is best for you during your rhinoplasty consultation at our Philadelphia area practice.

The open approach allows for more complicated changes to be made to the nose, including the reconstruction of the tip cartilages or repair of severe bridge asymmetries. Depending on your specific needs, one technique may be preferred over the other.

Will scars be obvious from an open procedure?

Since the incision used for an open rhinoplasty (called the columellar incision) is shaped as an inverted v, when the incision heals it is almost imperceptible.

Will there be more nasal trauma due to having an open rhinoplasty rather than a closed rhinoplasty?

The underlying nasal structures are disrupted less with the open technique (as opposed to the closed technique where cartilages often need to be separated from one another to allow for the exposure of the nasal bridge). With the open approach, the nasal skin is elevated off the tip cartilages and nasal bridge allowing them to maintain their natural relationships. This allows greater access to perform more complicated and intricate rhinoplasty maneuvers.

Learn More About Rhinoplasty

Call Timothy M. Greco, MD, PC to schedule an appointment at (610) 664-8830 today.