Open Rhinoplasty: An Assessment

The senior author (J.R.A.), having taught endonasal rhinoplasty for more than 25 years, felt obligated to evaluate so-called open rhinoplasty. His experience, and that of his coauthors, indicates that, on balance, this technique offers more advantages than disadvantages; in fact, there is no reason why it should not be used routinely if the surgeon desires. However, while open rhinoplasty permits the surgeon to approach the correction with more confidence, visualization of the structures of the nose does not, of itself, guarantee a good result.