Rhinoplasty, or nasal surgery, is a detailed procedure performed for both functional and aesthetic purposes.

It involves reshaping or restructuring the nose to improve function or proportion. One of the most common questions patients have before surgery is about scarring — where it occurs, what it looks like, and how it may heal over time.

This article explains:

• The difference between closed and open rhinoplasty
• Where incisions are usually placed
• General guidance on wound care and sun protection
• Factors that may influence scar visibility after surgery

Closed vs Open Rhinoplasty: Understanding Incisions

Rhinoplasty can be performed using either a closed or an open approach. The difference lies in the incision placement.

Closed Rhinoplasty

In a closed approach, all incisions are made inside the nostrils. As there are no external incisions, there are typically no visible scars. This approach may be suitable for selected cases, depending on the surgical objectives and anatomy.

Open Rhinoplasty

In an open approach, a small incision is made on the narrow strip of skin between the nostrils (the columella).

This allows the surgeon a clearer view of the underlying structures when complex adjustments are needed.

After healing, a faint line may remain under the nose, though this area is generally less visible in normal conversation or lighting.

Your surgeon will discuss which method is most appropriate based on your nasal structure, skin thickness, and the goals of your procedure.

Post-Surgical Care and Scar Management

Following your surgeon’s instructions is essential for optimal healing.

General care measures often include:

• Keeping the incision area clean: Use any prescribed ointments or saline rinses as directed to reduce infection risk.
• Avoiding unnecessary pressure: Refrain from touching, blowing your nose, or wearing glasses that rest on the nasal bridge until cleared by your surgeon.
• Protecting the skin from sunlight: Ultraviolet exposure can cause scar pigmentation. Using sunscreen and wearing a hat for a few months is generally advised.
• Avoiding smoking: Nicotine affects circulation and can delay wound healing.
• Monitoring for signs of infection: Such as redness, discharge or pain. If these occur, contact your surgeon promptly.

Over time, most rhinoplasty incisions fade gradually. The final appearance depends on factors such as skin type, healing response, scar care, and surgical technique.

Factors That May Influence Scar Visibility

While most rhinoplasty incisions heal well, several individual factors may influence how visible a scar becomes:

• Skin thickness and pigmentation
• Personal healing characteristics
• Sun exposure during the healing period
• Adherence to post-operative care instructions

Scarring outcomes vary between individuals, and no surgical procedure can guarantee a specific cosmetic result.

Choosing a Qualified Surgeon

Rhinoplasty should be performed by a specialist surgeon with accredited training and registration.

In Australia, only doctors who have completed specialist surgical training and achieved the Fellowship of the Royal Australasian College of Surgeons (FRACS) may use the protected title surgeon.

Patients can verify a practitioner’s registration and qualifications through the AHPRA public register.

During your consultation, your surgeon will assess your nasal anatomy, discuss incision options, and explain how scars are managed as part of the healing process.

Consultation with Dr Shahidi

Dr Shahram Shahidi

BSC(MED)(HON I) MB BS(SYD) FRACS FAAFPS

MED0001167352

Specialist Otolaryngologist (Ear, Nose and Throat) – Head and Neck Surgeon

Member, Australasian Academy of Facial Plastic Surgery

Dr Shahidi has more than 20 years of experience in nasal surgery, including both open and closed rhinoplasty approaches.

During consultation, he will provide an individual assessment, explain procedural details, outline potential risks, and offer guidance on preparation and post-operative care.

Disclaimer:

All surgical and invasive procedures carry risks. Individual results and healing vary. Before proceeding, patients are encouraged to seek a second opinion from an appropriately qualified health practitioner.