Semi Open Rhinoplasty First Time, Why Choose the Semi-Open Technique at S45 Clinic?
If you are looking into where to have rhinoplasty, especially if you are planning rhinoplasty for the first time, you may have several worries, such as how it will feel during the procedure, the scar after surgery, recovery, and whether the nose shape afterwards will suit your face.
This article explains the semi-open technique, or semi-open rhinoplasty, why you might choose this technique, and why assessment by surgeons at S45 Clinic is an important step in designing a nose shape that suits your face, with a result that is intended to last in the long term.
Common Worries About First-Time Rhinoplasty
First-time rhinoplasty is an important decision for many people, because they have never had nose surgery before, so they often have questions and worries about several things, such as scars, the position of the silicone implant and whether the nose shape will suit their face, as follows.

Worried about an external scar
Many people worry that after rhinoplasty there will be a clearly visible scar at the nasal base. The semi-open technique suits people who want the incisions hidden inside both nostrils, so the incisions are inside the nose rather than on the outside skin and are more discreet.
Worried the silicone implant will tilt or shift
Another worry for people having rhinoplasty is that the silicone implant may tilt, sit off-centre or push through the skin (implant extrusion), which could mean revision surgery in the future. The semi-open technique lets the surgeon see the internal structure clearly and stitch the implant in place, to help lower the chance of it shifting or tilting.
Worried the result will not match expectations
Choosing a nose shape should not be based only on review photos or references, because each person’s face shape, soft tissue flexibility, skin thickness and nasal base are different. If you choose a nose shape that pushes the soft tissue too far, the result may not suit your face.
At S45 Clinic, experienced surgeons therefore focus on assessing each person’s face based on the golden ratio, aiming for a soft, balanced look and planning with the long term in mind.
Why Does the Semi-Open Technique Suit People Having Rhinoplasty for the First Time?
Semi-open is a surgical technique with incisions inside both nostrils, so the surgeon can assess the nose structure and place the silicone implant more clearly. With the incisions hidden inside, it is another option for people having rhinoplasty for the first time, or for some cases that want to reshape the nose to suit their face in a way that still looks like their own.

Incisions hidden inside, less worry about external scars
The key feature of the semi-open technique is that the incisions are inside the nostrils, which helps reduce worry about a scar on the outside of the nasal base. It suits people who want rhinoplasty for the first time but worry about a visible scar afterwards.
Lower chance of a tilted or crooked nose
Incisions on both sides let the surgeon see the alar cartilages more clearly than with closed rhinoplasty, so the surgeon can arrange the structure, place the silicone implant and stitch it in 2 places to reduce tension on the tissue, which helps lower the chance of a tilted nose.
Facial assessment by surgeons at S45 Clinic
Designing a nose shape that suits each person should start with a detailed assessment of the facial structure. Surgeons at S45 Clinic plan the shape to fit your facial proportions based on the golden ratio (Golden Ratio 1:1:1), assessing your face shape and facial balance, such as the forehead, cheekbones, chin, the base of the nasal bone and the flexibility of the skin.
The focus is on individual design, case by case, so the nose shape looks soft, fits your existing soft tissue and stays in keeping with your own face. Results may vary depending on nose structure, existing tissue and the surgeon’s assessment.
Why Consider Semi-Open Rhinoplasty at S45 Clinic?
Choosing a clinic for rhinoplasty is an important step that means weighing up the surgical technique, the surgeon’s experience, facial assessment and aftercare. If you are looking for where to have rhinoplasty, S45 Clinic is one option for people who want to plan semi-open rhinoplasty under a surgeon’s assessment.
- Surgeons with more than 15 years of experience: experienced surgeons who have been trained in the technique, with a focus on assessing nose structure, planning a suitable technique and attention to detail in each surgical case.
- Individual assessment and design (case by case): the surgeon assesses your facial structure based on the golden ratio and adjusts the shape to fit, without pushing the soft tissue too far, aiming for a soft look that suits your face.
- Safety measures: medical-grade materials and silicone implants, with a clean, sterile, closed operating theatre and up-to-date equipment that meets standards.
- Close aftercare and follow-up care under the clinic’s terms: our team follows up on your symptoms after surgery, with follow-up care under the clinic’s terms for 1 year after rhinoplasty in cases of tilting, a crooked nose or infection (under the clinic’s conditions), to give you more peace of mind in the long term.
Frequently Asked Questions About Semi-Open Rhinoplasty
Note: Repeat nose surgery, which many people know as ‘nose reshaping’, is surgery for people who have had nose surgery before and need a further assessment by a surgeon. The approach to care depends on the original problem, the nose structure and the surgeon’s judgement in each case.

