Home » External Approach Septorhinoplasty vs. Internal Approach Rhinoplasty

External Approach Septorhinoplasty vs. Internal Approach Rhinoplasty


Rhinoplasty is always performed using one of two basic techniques: an external (open) approach or an internal (closed) approach. With the external approach, a small incision is made on the columella, or the column of skin between the nostrils on the underside of the nose. With the internal approach, all incisions are confined to the inside of the nose.

One significant disadvantage of the internal approach is the decreased visibility of and access to the inside of the nose, whereas the external approach allows the infrastructure of the nose to be completely exposed and accessed. This greater exposure often allows for a more precise and meticulous surgery and is generally preferred when performing tip work, complicated revision procedures or septorhinoplasty. The small, well-concealed scar on the columella is a small sacrifice when compared to the advantages, and this scar generally heals to a small, fine-line scar that is barely visible. There are still cases where the internal approach can be appropriate, for instance when addressing a hump on the nose.

External rhinoplasty is performed with general anesthesia. Depending on the work that is being performed, the surgery can take one to three hours to complete. The recovery is not significantly different from the internal approach and lasts about one week. Patients may experience some swelling, bruising and discomfort. Stitches are removed after 3 to 7 days and patients are able to return to work and other normal activities after one week. Strenuous activities and exercise should be postponed for 2 weeks or more.

Contact Us

Dr. Mounsey performs facial plastic surgery procedures with a focus on achieving natural-looking results. To schedule a consultation to discuss rhinoplasty, lip rebalancing, cheek augmentation, chin reduction, or any other facial plastic surgery procedure, please contact our practice near Toronto, North York, Richmond Hill, Pickering, Markham, Oshawa, and Brampton today.

Call (416.438.2499) or Email Dr Mounsey

Contact Us

Fill out my online form.
Talk to Dr. Mounsey 416.438.2499
2013 Proctor Oral & Written Examination of the American Board of Facial Plastic and Reconstructive Surgery
Doctor Spotlight
Dr. Robert Mounsey is listed as a Top Doctor on RealSelf.com.
Learn More
Facial Rejuvenation Specialist
Dr. Robert Mounsey featured as a Facial Rejuvenation specialist at facialplasticsurgery.net.
Learn More
Face to Face
With Dr. Mounsey
About Facial Cosmetic Surgery

My specialty is facial plastic surgery with a focus on enhancing your natural features, character...

Learn more...