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Open vs. Closed Rhinoplasty

There is not one plastic surgery technique for every rhinoplasty or nose job surgery, nor is there just one approach. Cosmetic changes may often be performed with all the incisions made internally (closed), but at times, an external approach with a small, well-placed, hidden incision at the base of the nose may be preferable.   Although neither cosmetic surgery procedure results in an obvious scar, there are reasons why Dr. Yagoda might prefer to use one or the other.

Dr. Yagoda might choose a closed rhinoplasty approach if:

  1. Your skin is not especially thick.
  2. You have a bump (called a dorsal hump) at the bridge of your nose.
  3. You have a bulbous tip or a mildly drooping tip
  4. You have nasal valve collapse

Dr. Yagoda might choose an open rhinoplasty method if:

  1. You have thick skin. This is a special consideration for some ethnicities, including Hispanic/Latino, African-American/Black, Asian and Mediterranean/Middle Eastern
  2. You have a low bridge that needs augmentation by a nasal implants or grafts
  3. You have had a prior rhinoplasty surgery that left you with weakened nasal structures and diminished function
  4. You have weakness or significant asymmetries in the tip.

During your rhinoplasty consultation in her New York City office, Dr. Yagoda will review your aesthetic goals and examine your nasal structures to create a cosmetic surgery plan that’s right for you.

The Procedure

Rhinoplasty or nose job surgery can be performed in  Dr. Yagoda’s New York City office-based surgical facility or in a NYC hospital, under local anesthetic with IV sedation or under general anesthesia. This plastic surgery procedure takes between 45 minutes and two hours. The exact surgical technique is uniquely tailored by the plastic surgeon for each patient but most of the time, all incisions are made internally and there are no visible scars. Sometimes, an incision is made at the base of the nostrils and the incision is carefully hidden.


You can return to work in about a week after your plastic surgery and you’ll be able to use a stationary bike or treadmill by the second week. By the third week, you can return to full activities. Although you’ll see immediate improvement, your nose’s shape and your profile will continue to refine over the next 12 to 18 months.


Like all surgery, rhinoplasty has certain risks including infection, bleeding, and reaction to anesthesia. Other risks include structural damage to the nose. Dr. Yagoda will discuss these potential risks as well as the benefits of this plastic surgery procedure  in full during your consultation in her New York City office.

To determine if you might benefit from open or closed rhinoplasty or nose job surgery, call Dr. Yagoda today to schedule your personal comprehensive plastic surgery consultation in her New York, NY office.

Read about Dr. Yagoda’s Integrative Post Operative Care Program.

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From Quebec to Qatar, Dr. Yagoda’s patients come to New York City from all over the world.  Find out how we can help you get here from abroad.

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Address: 1025 Fifth Avenue, Suite 3
(patient entrance: 5 East 83rd Street)
New York, NY 10028

Phone: 212.434.1210
Fax: 212.535.8155

General: info@dryagoda.com

ENT: ent@dryagoda.com

Facial Plastic Surgery: facialplastics@dryagoda.com

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