The different rhinoplasty techniques

Commonly referred to as a ‘nose job’ a rhinoplasty procedure is one of the most popular cosmetic procedures in the world and is designed to help people who are unhappy with the size and shape of their nose.

Rhinoplasty can reshape, restructure and redefine the nose and can also address any unsightly ridges or bumps. Our expert facial and ENT consultants will talk you through whichever aspects of your nose you are concerned about, whether that’s the tip, bridge, alar base or dorsal hump and discuss what can be achieved.

When it comes to rhinoplasty there’s a range of different techniques that can be used.

Closed rhinoplasty

Closed rhinoplasty includes incisions, also referred to as marginal incisions, which are made inside the nostrils. It is through these marginal incisions that alterations to the shape and contour of the nose are made. Closed rhinoplasty is associated with reduced swelling and recovery time and is most suitable for patients who require less significant nose reshaping.

Open rhinoplasty

When it comes to open rhinoplasty, the marginal incisions made in the closed approach are repeated. In addition, an incision is made across the bridge of tissue that connects the two nostrils at the bottom of the nose, also known as the columella. This incision joins the incisions made inside the nostrils. The open approach forms an envelope of tissue that can be folded upwards to expose the nasal cartilage and bone. The surgeon is then able to examine the anatomy of the nose and perform the precise reshaping process.

Although open rhinoplasty involves making an incision on the external visible portion of the nose and scarring is possible, with excellent surgery and postoperative care these incisions often heal well. Any scarring from open rhinoplasty would not be easily noticeable since it would be located on the underside of the nose.


Septorhinolpasty is the most common procedure used to correct septal deviation which can cause problems with airflow through the nose. The septum is the structure that divides the nose internally into the left and right half. During this procedure incisions are made in the internal lining of the nose to expose the underlying cartilage and bone. 

Any corrections that need to be made to the shape of the septum can then be completed. Septorhinoplasty also involves correcting structural problems in other parts of the nose and is not reserved exclusively for septal defects.

Rhinoplasty tip surgery

The tip of your nose is a complex structure and alterations to it can change the overall appearance of the nose. Tip surgery is most suitable for individuals who feel that the tip of their nose is too broad, narrow, bulbous or asymmetrical, or if the nostrils are too large. During this procedure your surgeon will remove or reshape the cartilage to ensure that the nasal tip is in proportion with the other parts of the nose. 

Your nose is one of your most defining features, and how it looks can have a huge impact on your confidence. If you’re unhappy and are looking to have rhinoplasty surgery you can book a free consultation directly with one of our expert facial and ENT surgeons.

To book a free consultation call us on 0161 394 0045 or use our online enquiry form.

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