What do a subtle nose bump, a droopy tip, and a crooked bridge all have in common? They might all be corrected with rhinoplasty, but not every nose needs the same approach. In Manhattan, Dr. Bassiri offers both open and closed rhinoplasty, customizing each procedure based on structure, goals, and complexity. Before choosing a path, it helps to understand what sets these two techniques apart.
What Can Rhinoplasty Do?
A nose that pulls too much attention—or not quite the right kind—can throw off your entire look or even make breathing more difficult than it needs to be. That’s where rhinoplasty comes in. With the right approach, subtle changes to your nose can bring out the best in your other features or make daily breathing feel less like a chore. Dr. Bassiri considers your structure, symmetry, and goals to create a plan that works for you.
Here’s what rhinoplasty can help refine:
- Smooth out a hump along the bridge
- Narrow a broad base or reshape flared nostrils
- Bring better definition to a rounded or drooping tip
- Straighten asymmetry from injury or genetics
- Improve airflow by correcting internal blockages
- Adjust proportions for a more seamless facial profile
Some procedures focus on aesthetics alone, while others include functional improvements like septoplasty or nasal valve repair. Either way, it starts with choosing the right surgical approach, which brings us to the next big decision: open or closed rhinoplasty.
Open Rhinoplasty: More Visibility, More Control
When precision matters most, especially around the nasal tip, open rhinoplasty is often the method of choice. This approach involves the same internal incisions used in closed rhinoplasty, with the addition of a small incision across the columella (the tissue between the nostrils). That minor addition gives Dr. Bassiri a full view of the internal nasal structures, making it easier to reshape cartilage, correct asymmetry, and make fine adjustments that wouldn’t be possible otherwise.
Open rhinoplasty is typically recommended for:
- Tip refinement or reshaping
- Correcting complex deviations
- Revision surgeries
- Functional improvements involving the midvault or nasal valves
The external incision heals remarkably well and becomes barely noticeable with time. While this method may come with a bit more swelling during recovery, the added control can make a big difference in achieving refined, balanced results.
Let’s look at how the closed technique compares—and why it may be the better fit in some instances.
Closed Rhinoplasty: Sleek, Subtle, and Scar-Free
Imagine reshaping your nose without a single visible incision. That’s the appeal of closed rhinoplasty. In this approach, all the work happens through internal incisions made inside the nostrils, meaning there are no external scars and less disruption to the surrounding tissue.
Dr. Bassiri often recommends closed rhinoplasty for patients who:
- Want to smooth out a hump along the bridge
- Are looking for modest refinements without tip reshaping
- Have symmetrical features and good structural support
- Are undergoing their first rhinoplasty rather than a revision
Because there’s less exposure during surgery, recovery tends to be a bit quicker, with less swelling overall. It’s a streamlined option—but it’s not right for every nose. Open rhinoplasty still has the upper hand when more detailed reshaping is needed.
To make things clearer, let’s compare both techniques side by side.
Comparing Open and Closed Rhinoplasty
Choosing between open and closed rhinoplasty takes into account where the incisions go, the approach that fits your anatomy, your goals, and the changes you’re hoping to see. While both techniques are effective, the right one depends on the procedure’s complexity and what’s happening beneath the surface. Here’s how the two options compare:
Incisions and Scarring
Open rhinoplasty uses internal incisions plus a small one across the base of the nose, which heals well and becomes barely noticeable over time. Closed rhinoplasty keeps all incisions hidden inside the nostrils, leaving no external scar at all.
Visibility and Surgical Access
With open rhinoplasty, Dr. Bassiri has full visibility of the underlying nasal structures, making it ideal for more complex adjustments. Closed rhinoplasty provides limited access, which works well for straightforward refinements to the bridge or nasal shape.
Best Uses
Open rhinoplasty is often the better choice for revision surgeries, significant asymmetries, or detailed tip reshaping. Closed rhinoplasty works well for first-time procedures that don’t require tip work or extensive internal reconstruction.
Swelling and Recovery
There tends to be more swelling with the open technique, especially around the nasal tip. Closed procedures usually come with a bit less swelling and a shorter recovery window.
Now that you have a sense of how these techniques differ, let’s explore what your consultation with Dr. Bassiri might look like.
What to Expect From Your Consultation
Every nose tells a different story—and your consultation is where that story starts to take shape. During your visit with Dr. Bassiri in Manhattan, you’ll discuss what’s bothering you, what you hope to change, and how your anatomy might influence the best surgical path forward. This isn’t a rushed conversation—it’s an in-depth look at both your aesthetic goals and your functional concerns.
Dr. Bassiri will:
- Review your medical history and any previous nasal procedures
- Examine your facial structure and nasal anatomy
- Take photos to evaluate proportions and symmetry
- Use digital imaging to help visualize potential outcomes
This process helps set expectations while creating a clear, personalized surgical plan. Dr. Bassiri takes the time to map out what’s realistic, what’s possible, and how to get there with care. By the time you leave your consultation, you’ll know your nose a little better—and feel a lot more confident about what’s next.
The Nose Knows
Open or closed, subtle or more sculpted—your nose deserves thoughtful hands and a personalized approach. Dr. Bassiri blends experience with artistry to create results that look like you, only more balanced. If you’re ready to stop second-guessing your profile, it’s time to schedule a free consultation at his Manhattan office today! One conversation with Dr. Bassiri could be the start of seeing your nose—and your reflection—in a whole new way.