Closed Rhinoplasty – For minor reshaping, many surgeons make incisions within the nose. The skin of the nose is then separated from the bone and cartilage, which forms its supporting framework. Once exposed, bone and cartilage can be removed, reshaped, augmented, or rearranged to achieve the desired new shape. For example, to make the nose narrower, cartilage can be removed down the front spine of the nose. After the cartilage and bone have been changed, the nose tissues are re-draped over the newly shaped framework and the incisions are closed.
Open Rhinoplasty – For major nose reshaping, the incisions are not made inside the nose. Instead, incisions are made in the vertical strip of skin separating the nostrils. This is called the columella. This more complex procedure is referred to as “open” rhinoplasty. You will be required to stay at least one night in hospital.