Surgical Approaches

Rhinoplasty is carried out under general anaesthetic and usually takes 2 to 3 hours to complete.

Rhinoplasty can be achieved through either the ‘closed/ internal’ or ‘open/ external’ approaches, depending on your needs. Mr Elmiyeh will discuss the right approach for you during your consultation.



Closed approach rhinoplasty

This approach is generally used for less complex operations on the nose. In this approach cuts are placed inside the nose where they cannot be seen.


Open approach rhinoplasty

This approach is considered for more complex surgery such as revision (secondary) surgery. In this approach, a small incision is also made across the skin bridge between the two nostrils, in order to gain greater exposure and access to the internal nose structures and hence improve precision in surgery.

The scar across the skin between the two nostrils usually fades away in one year. Here are two sets of photos before and after an open (external) rhinoplasty.


nasal base
nasal base
open rhinoplasty scar