Nose augmentation is one of the most popular cosmetic surgeries today, whether to raise the bridge, create a teardrop shape, or correct the structure to better suit the face. But before deciding to undergo surgery, it is important to understand the different techniques in order to choose the method that best suits your needs and limitations.
This article will take you through the differences of the three main nose augmentation techniques: Close, Open, and Semi-Open, along with their advantages, disadvantages, and considerations.
1. Close Rhinoplasty (Single Nostril Incision)
Close rhinoplasty, also known as “closed rhinoplasty,” is a technique that has long been popular and remains an option for those seeking only minor changes.
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Procedure: The surgeon makes a small incision inside one nostril and inserts the implant to reshape the nose.
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Advantages:
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No visible external scars: Incision is hidden inside the nostril.
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Less swelling and bruising: Minimal tissue trauma.
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Shorter surgery time: Usually about 1–2 hours.
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Lower cost: Less complex procedure.
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Disadvantages:
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Suitable only for minor corrections: Mainly to increase nasal height.
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Limited reshaping ability: Restricted visibility and access, not suitable for complex issues such as wide base, drooping tip, or crooked nose.
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Risk of implant shifting: If the surgeon lacks expertise.
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Best for: Patients who want slight augmentation with an already good nasal structure.
2. Open Rhinoplasty (Full Columella Incision)
Open rhinoplasty, or “open technique,” allows the surgeon to clearly and fully visualize the nasal structure.
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Procedure: The surgeon makes an incision on the columella (between the nostrils) and lifts the skin to expose the bone and cartilage.
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Advantages:
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Precise structural modification: Full visibility allows accurate reshaping, including tip refinement, size reduction, teardrop shaping, and correction of crooked noses.
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Reduced risk of implant protrusion, deviation, or shifting.
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Natural, balanced results: Better structural alignment with the face.
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Suitable for complex cases: Short nose, crooked nose, bulbous tip, drooping tip, or revision surgery.
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Disadvantages:
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Higher cost: More complex and detailed procedure.
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Longer recovery: More swelling and bruising than the closed technique.
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Small scar: On the columella, but usually fades over time.
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Best for: Patients with complex nasal issues or those seeking precise and natural results.

3. Semi-Open Rhinoplasty (Incisions in Both Nostrils)
The semi-open technique is a middle ground between Close and Open, involving incisions inside both nostrils.
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Procedure: The surgeon makes small incisions inside both nostrils and uses instruments to perform the surgery.
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Advantages:
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Can refine nasal bridge and tip better than the closed technique.
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Lower cost than the open technique.
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Reduced risk of implant shifting compared to closed technique.
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No external scars: Incisions hidden inside nostrils.
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Disadvantages:
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Limited structural modification: Cannot address complex issues as effectively as open technique.
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Not suitable for scar tissue removal or cases with previous fillers: Limited visibility.
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Restrictions on using autologous cartilage: Limited surgical access.
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Best for: Patients who want to raise the bridge and slightly refine the tip without undergoing full open surgery, and who do not have complex nasal structures.

Additional Recommendations:
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Consult a specialist: A board-certified, experienced surgeon should evaluate your nasal structure, goals, and limitations to recommend the best technique.
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Provide full health information: Allergies, medical conditions, or prior surgeries must be disclosed.
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Do thorough research: Understand the procedure, recovery, and expected outcomes.
Deciding to undergo rhinoplasty is an investment in your beauty and self-image. Choosing the right technique and the right surgeon ensures satisfying and safe results.
Contact Us
If you are interested in safe and effective nose augmentation:
📞 Contact HYC Inter Clinic
@hycclinic
Receive consultation from our team of expert doctors who provide attentive care.
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