Many rhinoplasty clients will ask me “is closed rhinoplasty cheaper than open?” The answer to “is closed rhinoplasty cheaper than open,” is that closed rhinoplasty is cheaper than open rhinoplasty since it can be performed in half the operative time. The reason for this discrepancy is twofold.
First, the open rhinoplasty involves maneuvers to correct the nasal tip whereas the closed rhinoplasty does not. The closed surgery alters the upper 2/3rds of the nose that involves the nasal dorsum and supra-tip region only.
In contrast, the open rhinoplasty may be used to alter all of the components of the nose. Tip alteration obviously takes longer to perform. Additionally, open rhinoplasty also requires additional steps to reinforce the tip structural support.
Tip support is required because the nasal skin is completely elevated and then replaced which places additional weight on the tip structures that do not occur during closed surgery.
As a result, if additional tip support is not provided during an open rhinoplasty, the tip will be pulled down creating a supratip deformity. Both alteration of the tip shape, as well as reinforcing steps, result in the open rhinoplasty taking twice as long as the closed rhinoplasty and as a result, is a more expensive procedure. Is closed rhinoplasty cheaper than open? Yes, it is!
Please see this 21 year old female following open rhinoplasty to improve nasal tip highlights and position and to remove a dorsal hump.