Open rhinoplasty technique is the ideal approach in patients with formal disorders or asymmetry at the nasal tip, previous nasal surgery or who need to be operated with septal deviation at the same session.  Currently, open rhinoplasty is the most preferred aesthetic nose surgery because most of the patients need to be operated at the nasal tip at the same time.

In the technique, a horizontal incision is made from middle part of the region between the two nostrils, nasal skin is opened, and the operation is performed under direct visualization. In that way, besides providing complete symmetry, the cartilage supports can be fixed with sutures. After the operation the risk of nasal tip shape changes, tip drop, or nasal septal deviation are minimized.

In open rhinoplasty technique operations, the incision made at the tip of the nose is fully healed in about 1.5-2 months after closure with appropriate techniques and materials.