If you’re considering rhinoplasty nose surgery, understanding the difference between using open or closed rhinoplasty techniques is crucial.
You’ll receive exceptional care from Melbourne ENT Surgeons Dr Stephen Kleid and Dr Simon Braham. With decades of experience, both surgeons offer personalised treatment plans to help you achieve your aesthetic and functional goals. Whether your concern is cosmetic or medical, our specialists provide expert advice and surgical solutions tailored specifically to your needs.
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Understanding Rhinoplasty
Rhinoplasty, commonly referred to as a nose job, is a surgical procedure designed to reshape the nose. Patients may seek rhinoplasty for various reasons, including enhancing nasal appearance, correcting breathing issues, addressing congenital abnormalities, or repairing trauma-related deformities. In many cases, the procedure can also improve self-esteem and confidence by harmonising the nose with the rest of the facial features.
The procedure can involve changes to bone, cartilage, skin, or all three. It can make the nose smaller or larger, alter the shape of the tip, bridge, or nostrils, and even adjust the angle between the nose and upper lip. At Melbourne ENT, we recognise that each patient’s motivations are unique. That’s why our specialists, Dr Stephen Kleid and Dr Simon Braham, approach every case with a tailored strategy, ensuring both the form and function of the nose are carefully considered. We take time to listen and understand your concerns to deliver results that are natural, balanced, and in line with your expectations.
The Two Main Approaches: Open and Closed Rhinoplasty
Rhinoplasty can be performed using one of two primary approaches – open or closed. Both techniques have their advantages and specific use cases. Choosing the right approach requires a detailed understanding of the patient’s nasal structure, skin type, previous surgeries, and overall treatment goals.
Each technique offers distinct advantages, and the choice is influenced by the complexity of the case and the changes required. The open approach allows full access and is suitable for more intricate surgeries, while the closed approach is less invasive and often preferred for simpler adjustments. Dr Kleid and Dr Braham leverage their combined knowledge and surgical expertise to recommend the most appropriate technique for each individual. By discussing your needs and desired results, Melbourne ENT ensures a collaborative and transparent process, fostering trust and clear communication at every step.
What is Open Rhinoplasty?
Open rhinoplasty involves a small, carefully placed incision on the columella, the narrow strip of tissue between the nostrils. This technique allows the surgeon to lift the nasal skin, providing complete visibility and access to the underlying cartilage and bone. It is especially useful for surgeons when detailed modifications are needed, such as correcting asymmetry, reshaping the nasal tip, or performing grafts.
This technique allows for meticulous precision when making structural adjustments. Open rhinoplasty is widely regarded as the preferred choice for revision surgeries and for patients requiring major changes, such as those with nasal trauma or congenital deformities. Dr Stephen Kleid, with his long-standing role at Peter MacCallum Cancer Centre and surgical experience at Royal Melbourne Hospital, excels in performing intricate procedures with high precision and care. His deep understanding of nasal anatomy and his refined surgical technique contribute to consistent, high-quality results.
What is Closed Rhinoplasty?
Closed rhinoplasty, also known as endonasal rhinoplasty, is performed through incisions made entirely inside the nostrils. This approach avoids any external scars and typically involves less post-operative swelling. It allows for a more conservative reshaping, ideal for patients seeking minor refinements rather than major structural alterations.
The limited incision access preserves nasal tissues, reduces trauma, and generally shortens recovery time. While the visibility is reduced for the surgeon, it is well-suited for straightforward cases and patients who prefer minimal downtime. Dr Simon Braham, who has trained extensively in facial plastic surgery in the U.S. and works publicly at the Royal Victorian Eye and Ear Hospital, frequently uses this technique for patients seeking subtle yet impactful improvements. His artistic approach ensures that even minor changes create a harmonious result that enhances the patient’s facial balance.
Which Approach is Right for You?
Selecting the appropriate rhinoplasty technique is a decision made jointly by the patient and surgeon during the consultation process. At Melbourne ENT, factors such as nasal anatomy, skin thickness, the complexity of desired changes, and the presence of any breathing issues are thoroughly evaluated.
Understanding your medical history, previous surgeries, and personal goals is central to our approach. The consultation will include a detailed examination and often imaging studies to visualise your nasal structure. Dr Kleid and Dr Braham take the time to listen to your concerns and goals. They use their clinical experience and diagnostic tools to determine whether an open or closed rhinoplasty approach will best achieve your desired outcomes – both cosmetically and functionally. This shared decision-making process empowers patients to take an active role in their treatment journey.
The Melbourne ENT Difference
Melbourne ENT sets itself apart through its patient-centred approach and the dual expertise of its specialists. Dr Kleid’s vast experience in ENT and head and neck tumour surgery, and Dr Braham’s international training in facial plastic surgery, ensure a comprehensive evaluation of every rhinoplasty candidate.
Our clinic places a strong emphasis on safety, precision, and continuity of care. Located in the heart of St Kilda East, Melbourne ENT serves patients from across Victoria. Dr Kleid’s affiliations with institutions such as the Royal Melbourne Hospital and Peter MacCallum Cancer Centre highlight his deep commitment to surgical excellence. Meanwhile, Dr Braham’s work at the Eye and Ear Hospital and Masada Private Hospital reinforces the clinic’s strong public and private healthcare presence.
The collaboration between two highly specialised surgeons ensures that patients receive balanced perspectives and the most suitable approach to surgery. Our goal is not just to perform a procedure but to enhance your overall quality of life through tailored surgical care and ongoing support.
What to Expect During Your Consultation
Your rhinoplasty journey begins with a thorough consultation at Melbourne ENT. During this visit, you will meet with either Dr Stephen Kleid or Dr Simon Braham, who will take the time to understand your aesthetic concerns and breathing difficulties, if any.
This initial meeting is an opportunity for you to ask questions, express expectations, and learn about the possible outcomes of surgery. A physical examination and possibly imaging studies will be performed to assess internal nasal structures. You’ll receive a detailed explanation of the surgical plan, including the advantages of open versus closed techniques based on your individual profile. This discussion ensures you feel informed, confident, and supported in your surgical decision. You’ll also receive guidance on preparation, recovery, and the timeline for results, so you know exactly what to expect from start to finish.
Supporting Melbourne Patients Every Step of the Way
From initial consultation through to post-operative care, Melbourne ENT is dedicated to providing a seamless and reassuring experience. Our team prioritises safety, transparency, and excellence at every stage. Recovery plans are personalised to support healing, minimise discomfort, and promote the best surgical outcome.
After surgery, follow-up appointments are scheduled to monitor your progress and address any concerns promptly. Whether you are exploring rhinoplasty for functional reasons – such as correcting a deviated septum – or seeking aesthetic refinement, Dr Stephen Kleid and Dr Simon Braham deliver trusted, high-quality care tailored to your goals. Our commitment to ongoing patient care helps ensure lasting satisfaction and long-term results.
For expert advice on open or closed rhinoplasty techniques, contact us today or Call (03) 9038 1630
FAQs About Open or Closed Rhinoplasty Techniques
How does the choice between open and closed rhinoplasty affect the precision of nasal tip reshaping?
- Open rhinoplasty provides enhanced visibility of nasal structures, which allows for more precise reshaping of the nasal tip. This is particularly useful in complex or revision cases where structural adjustments are required.
Can the surgical technique influence my ability to breathe better after the procedure?
- Yes, especially if there are internal structural issues such as a deviated septum. Both open and closed techniques can be used to improve breathing, but the choice depends on the extent of the correction needed.
What role does skin thickness play in deciding between an open or closed approach?
- Skin thickness can affect how well changes to the underlying structures show through. Thicker skin may obscure subtle refinements, and in such cases, open rhinoplasty may provide more control and predictability.
If I’ve had a previous nose surgery, does that limit my options for open or closed techniques?
- Previous surgery can impact the internal anatomy and scar tissue. Open rhinoplasty is often recommended in revision cases to allow for greater access and visibility.
Are there differences in how each technique impacts swelling or bruising in the first few weeks?
- Closed rhinoplasty generally results in less initial swelling and bruising compared to the open technique. However, this can vary based on the extent of the surgery and individual healing factors.
Will I still have the same sense of smell after rhinoplasty, regardless of the technique?
- Most patients retain their sense of smell after rhinoplasty. Temporary changes can occur due to swelling, but permanent loss is rare with experienced surgeons like Dr Kleid and Dr Braham.
How do Dr Kleid and Dr Braham personalise technique selection for complex or revision cases?
- They conduct a detailed assessment of your nasal anatomy, history, and goals. Their extensive experience allows them to tailor the surgical plan, choosing the method that will best deliver a safe, functional, and aesthetically pleasing result.
Further Reading
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Medical References
- Outcomes of Closed versus Open Rhinoplasty: A Systematic Review
Thieme Medical Publishers (Peer-reviewed journal)
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0042-1756315 - Closed Preservation Rhinoplasty in the Mestizo Patient: Challenges and Techniques for Nasal Tip Support
Aesthetic Surgery Journal, Oxford Academic
https://academic.oup.com/asj/article-abstract/45/6/568/7985872 - An Updated Overview for Rhinoplasty Techniques
International Journal of Medical Science and Clinical Research Studies (Open access)
https://ijmscrs.com/index.php/ijmscrs/article/view/2132 - Outcomes and Complications of Closed vs Open Rhinoplasty: A Systematic Review
International Journal of Medicine in Developing Countries (IJMDC)
https://www.ijmdc.com/?mno=225248 - Open Rhinoplasty
StatPearls, National Center for Biotechnology Information (NCBI Bookshelf)
https://www.ncbi.nlm.nih.gov/books/NBK546628/ - Comparative Evaluation of Open Versus Closed Rhinoplasty Techniques: A Prospective Clinical Study of Functional and Aesthetic Outcomes
Cureus (Peer-reviewed medical journal)
https://www.cureus.com/articles/374132-comparative-evaluation-of-open-versus-closed-rhinoplasty-techniques-a-prospective-clinical-study-of-functional-and-aesthetic-outcomes - Evolution of Aesthetic Rhinoplasty: An Analysis of Surgical Techniques and Outcomes
Medical Science Journal Online
https://www.msjonline.org/index.php/ijrms/article/view/15440
