A rhinoplasty, or nose job, is one of the most transformative cosmetic procedures available today. Whether your goal is to refine the nasal tip, smooth a bump, or improve breathing, understanding open vs closed rhinoplasty is essential before choosing your path.
At iQonic Aesthetics London, we believe education leads to confidence. This guide explains how both rhinoplasty techniques work, what recovery involves, and how your surgeon will decide which is right for you.
Rhinoplasty is performed under general anaesthesia in most cases and typically lasts one to three hours. The procedure involves reshaping the nasal bone and cartilage to improve balance and function.
The main difference lies in how your surgeon accesses those internal structures:
Both methods can achieve natural, lasting results when performed by an experienced facial plastic surgeon.
In open rhinoplasty, the surgeon lifts the nasal skin to gain full visibility of the bone and cartilage framework. This direct access allows meticulous refinement — particularly valuable when:
Because the incision is on the underside of the nose, the resulting line is usually faint and fades within a few months. Modern surgical techniques and careful scar management make long-term visibility minimal.
Open rhinoplasty often involves slightly more initial swelling than the closed method, but it offers superior precision for complex cases and long-term stability of results.
In a closed (endonasal) rhinoplasty, the incisions are hidden entirely inside the nostrils. This method avoids any external scar and is ideal for patients seeking moderate adjustments rather than major structural change.
Because less tissue is lifted, recovery tends to be faster, with reduced swelling and bruising. Closed rhinoplasty may be chosen when:
However, since visibility is limited, this approach may not be suitable for complex corrections or reconstructive work.
Both approaches share the same goal: a harmonious, functional nose that suits your face. The difference lies in access and visibility, which influence how your surgeon can work.
If your main concern is whether scars from open rhinoplasty will be visible, rest assured: in skilled hands and with proper aftercare, the scar is typically undetectable once healed.
Every patient heals differently, but most experience a predictable recovery timeline.
Expect swelling, mild bruising under the eyes, and nasal congestion. You’ll wear a protective splint for around seven days.
Bruising fades, and most people feel confident returning to social activities or work.
Gentle exercise can resume. You’ll notice gradual refinement as swelling decreases.
The final definition appears. Subtle swelling at the nasal tip continues to settle, revealing your permanent result.
To minimise swelling, keep your head elevated, avoid strenuous activities, and follow your surgeon’s aftercare plan precisely.
At iQonic, you’ll have 24/7 access to your care team through the Adoreal app, ensuring personalised guidance throughout recovery.
Your surgeon will assess:
A detailed consultation and 3D visualisation through Adoreal’s platform help predict your likely outcome and align it with your aesthetic goals.
There’s no single “best” rhinoplasty technique — only the one that best fits your anatomy and aspirations.
Many patients ask if open rhinoplasty leaves visible scars. The answer: yes, a small one — but it is placed discreetly, heals quickly, and is barely noticeable. Using medical-grade silicone treatments, sun protection, and proper wound care further enhances healing.
Both open and closed rhinoplasty are considered safe when performed by a qualified surgeon in an accredited facility. At iQonic, we prioritise safety with advanced monitoring, sterile techniques, and detailed follow-up care to protect your wellbeing long after surgery.
Your final results are long-lasting; while natural ageing or trauma may alter the nose slightly over time, the core improvements remain permanent.
Choosing between open and closed rhinoplasty is a decision best made with your surgeon’s guidance, not alone online. At iQonic Aesthetics London, we combine advanced technology, artistic precision, and compassionate care to create results that look natural, feel authentic, and function beautifully.
Our team ensures every stage — from consultation to recovery — is supported, transparent, and centred on your comfort.
Book your personalised rhinoplasty consultation today and take the first step towards a nose that feels balanced, confident, and uniquely you.
For many people, the decision to have rhinoplasty — or nose reshaping surgery — comes after years of feeling self-conscious about the size, shape, or symmetry of their nose. Others seek surgery to improve breathing or correct structural issues. But one question always arises: how old do you have to be to get rhinoplasty?In the UK, the general guideline is that rhinoplasty should only be performed once the nose has fully developed, typically from age 18 onwards. However, this is not a strict rule; rather, it depends on physical maturity, emotional readiness, and individual anatomy.At iQonic Aesthetics London, we believe every rhinoplasty — whether cosmetic or functional — should be approached with care, clarity, and responsi
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