Incision Decision: Weighing Your Rhinoplasty Incision Option

Rhinoplasty patient of Dr. Barrera

At the center of our face lies its focal point – our nose. A well-proportioned nose gives refinement and balance to the entire face. However, a nose that is not in unison with other facial features is often a cause of self-consciousness and poor self-image.

Rhinoplasty is the perfect procedure to address any issues patients may have with their nose. Still, it is essential to choose the correct rhinoplasty method to achieve maximum results.

Rhinoplasty should be a collaboration between surgeon and patient – with mutual understanding the basis of a successful nose transformation. Here, Dr. Jose Barrera of the Texas Center of Facial Plastic and Laser Surgery offers his expert advice on the different types of rhinoplasty, and the benefits each procedure brings to his different patients.

Open Rhinoplasty

For some patients, extensive work is required for them to achieve the results they desire. Patients who wish to have their nose strengthened with grafting techniques, want to change the tip of their nose, or who are getting revision rhinoplasty typically require open rhinoplasty.

Plastic surgeons perform open rhinoplasty through an incision in the narrow column of skin and cartilage that separates the nostrils, referred to as the columella.

Through this incision, Dr. Barrera can part the skin and manipulate the underlying bone and cartilage to the desired position and shape. He will then seal the incision, the complete the operation, and the patient begins recovery.

Closed Rhinoplasty 

A quicker, less invasive surgery, closed rhinoplasty involves Dr. Barrera making minute incisions inside the nostrils. We typically reserve this method for patients who don’t require extensive work and only need minor changes made to their nose.

Because we’ll make incisions internally, closed rhinoplasty doesn’t offer the level of visualization and control that open rhinoplasty does. That said, there is a shorter recovery period associated with closed rhinoplasty as it is a less invasive procedure.

Rhinoplasty patient of Dr. Barrera

Variable Incisions

In many cases, patients seeking rhinoplasty are concerned about nostril flaring or the width of their nose. In these cases, Dr. Barrera can make incisions along the natural contours of your nose and cheeks, which discreetly conceals any scarring caused by the procedure.

Some patients may also benefit from non-surgical rhinoplasty or a combination of rhinoplasty and lip lift.


As with any operation, there is scarring associated with all rhinoplasty techniques. What differs, however, is the location, size, and visibility of each scar.

Variable and closed rhinoplasty surgeries are almost impossible to detect after healing, due to the masterful precision of Dr. Barrera’s incision placement. He’ll look to make incisions in natural folds and inside the nose, respectively.

Open rhinoplasty will result in a small scar on the base of the columella. However, this is only visible if someone is staring directly up at you.

The best way to reduce scarring and guarantee satisfaction with your rhinoplasty procedure is by choosing an experienced, reputable, successful surgeon who puts his patients first. This is precisely how Dr. Barrera approaches all of his operations. If you are considering rhinoplasty in the San Antonio, Texas region, do not hesitate to contact Dr. Barrera on 210 468 5426 or book your virtual consultation now.