There is much confusion relating to the choice of “open” vs. “closed” rhinoplasty.

The main difference is an incision between the nostrils which allows for skin elevation off the underlying bony-cartilaginous framework. It is the technique most often employed when access through the top of the nose, as well as through the nostrils, is desirable. By providing this greater degree of visualization, asymmetries are more easily evaluated and graft placement and fixation are more exact. Finally, dissection through intensely scarred areas within the nose from prior surgery or trauma is  made easier.