What Are the Different Types of Rhinoplasty?

What Are the Different Types of Rhinoplasty?

Not all nose surgeries are the same. Here is a breakdown of the different rhinoplasty approaches.

Rhinoplasty can be classified by technique, purpose, and scope. Here are the main types:

By surgical approach:

• 1. Open rhinoplasty:
• A small external incision across the columella (the skin between nostrils)
• The skin is lifted to expose the underlying structures
• Better visualization for complex cases
• Leaves a tiny scar that typically fades to near-invisible
• Preferred for revision rhinoplasty and tip work

• 2. Closed rhinoplasty:
• All incisions are inside the nostrils — no external scars
• Less swelling and faster recovery
• Best for straightforward cases (nasal bump, minor tip work)
• Limited visibility for complex changes

By purpose:

• 3. Cosmetic rhinoplasty:
• Performed to improve the appearance of the nose
• Can address bumps, width, tip shape, nostril size, asymmetry

• 4. Functional rhinoplasty:
• Performed to improve breathing
• Often includes septoplasty (straightening the nasal septum) and nasal valve repair

• 5. Combination rhinoplasty:
• Both cosmetic and functional improvements in the same surgery
• Very common — many patients want both

• 6. Revision rhinoplasty:
• Secondary surgery after a previous rhinoplasty
• More complex due to scar tissue and altered anatomy

Non-Surgical Options

• 7. Non-surgical rhinoplasty (liquid rhinoplasty):
• Uses dermal fillers (like Juvederm or Restylane) to reshape the nose
• Temporary (6–12 months)
• Can smooth bumps and improve symmetry
• Cannot reduce size or improve breathing

Clinical Guidance

The main types of rhinoplasty are open (external scar) and closed (all incisions inside). Surgery can be cosmetic, functional, or both. Revision rhinoplasty is for secondary corrections, and non-surgical rhinoplasty offers a temporary option for minor concerns.