{"id":9275,"date":"2026-10-01T08:07:13","date_gmt":"2026-10-01T01:07:13","guid":{"rendered":"https:\/\/s45clinic.com\/?p=9275"},"modified":"2026-10-01T08:07:13","modified_gmt":"2026-10-01T01:07:13","slug":"rhinoplasty-semi-open-vs-open","status":"publish","type":"post","link":"https:\/\/s45clinic.com\/en\/rhinoplasty-semi-open-vs-open\/","title":{"rendered":"Semi-Open vs Open Rhinoplasty, What Is the Difference?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Key points<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Semi-open and open rhinoplasty differ in how the incisions are made and in their limitations for reshaping the nasal structure, which your surgeon assesses based on your individual anatomy.<\/li>\n\n\n\n<li>The semi-open rhinoplasty technique uses incisions inside both nostrils, which reduces tension and allows more reshaping of the nasal tip than standard closed surgery.<\/li>\n\n\n\n<li>Open rhinoplasty reshapes the structure, including with rib cartilage, and can manage complex nasal structures in detail.<\/li>\n\n\n\n<li>Seeing a surgeon for an individual assessment helps design a nose shape that suits your own face.<\/li>\n\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Choosing between semi-open and open rhinoplasty is often confusing for people who want to reshape their nose, because they are not sure which type of surgery suits their existing structure. Many people worry about external scars and about how long recovery might affect their daily life. Choosing a method that does not suit your existing bone structure can lead to a crooked or tilted nose, or a thin, translucent tip that needs another operation later, for example in a short, upturned nose that needs the tip lengthened by 3mm.<\/p>\n\n<p class=\"wp-block-paragraph\">In this article, S45 looks in depth at how both techniques differ in scarring, reshaping results and how long swelling and bruising last, to help you discuss your needs with your surgeon. The comparison focuses on how cartilage is managed to lower the chance of the nasal tip collapsing over the long term.<\/p>\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>In This Article<\/h2><nav><ul><li><a href=\"#\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01-semi-open-\u0e01\u0e31\u0e1a-\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04-open-\u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23\">What Are Semi-Open and Open Rhinoplasty?<\/a><\/li><li><a href=\"#\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01-semi-open-\u0e01\u0e31\u0e1a-\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04-open-\u0e15\u0e48\u0e32\u0e07\u0e01\u0e31\u0e19\u0e15\u0e23\u0e07\u0e44\u0e2b\u0e19\u0e1a\u0e49\u0e32\u0e07\">How Do Semi-Open and Open Rhinoplasty Differ?<\/a><\/li><li><a href=\"#\u0e42\u0e04\u0e23\u0e07\u0e2a\u0e23\u0e49\u0e32\u0e07\u0e08\u0e21\u0e39\u0e01\u0e02\u0e2d\u0e07\u0e04\u0e38\u0e13\u0e40\u0e2b\u0e21\u0e32\u0e30\u0e01\u0e31\u0e1a\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04\u0e41\u0e1a\u0e1a\u0e44\u0e2b\u0e19\">Which Technique Suits Your Nasal Structure<\/a><\/li><li><a href=\"#\u0e27\u0e31\u0e2a\u0e14\u0e38\u0e17\u0e35\u0e48\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e43\u0e0a\u0e49\u0e23\u0e48\u0e27\u0e21\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e1b\u0e23\u0e31\u0e1a\u0e17\u0e23\u0e07\u0e08\u0e21\u0e39\u0e01\">Materials Surgeons Use in Rhinoplasty<\/a><\/li><li><a href=\"#\u0e40\u0e15\u0e23\u0e35\u0e22\u0e21\u0e15\u0e31\u0e27\u0e41\u0e25\u0e30\u0e14\u0e39\u0e41\u0e25\u0e15\u0e31\u0e27\u0e40\u0e2d\u0e07\u0e2b\u0e25\u0e31\u0e07\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e44\u0e23\u0e43\u0e2b\u0e49\u0e41\u0e1c\u0e25\u0e2b\u0e32\u0e22\u0e44\u0e27\">How to Prepare and Look After Yourself so Your Wounds Heal Well<\/a><\/li><li><a href=\"#\u0e04\u0e33\u0e16\u0e32\u0e21\u0e22\u0e2d\u0e14\u0e2e\u0e34\u0e15\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a-\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01-semi-open-\u0e01\u0e31\u0e1a-\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04-open\">Frequently Asked Questions About Semi-Open vs Open Rhinoplasty<\/a><\/li><li><a href=\"#\u0e2a\u0e23\u0e38\u0e1b\">Summary<\/a><\/li><\/ul><\/nav><\/div>\n\n<h2 id=\"&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open-&#xE01;&#xE31;&#xE1A;-&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;-open-&#xE04;&#xE37;&#xE2D;&#xE2D;&#xE30;&#xE44;&#xE23;\" class=\"wp-block-heading\"><strong>What Are Semi-Open and Open Rhinoplasty?<\/strong><\/h2>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"675\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-what-is.webp\" alt=\"What are semi-open and open rhinoplasty\" class=\"wp-image-8341\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-what-is.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-what-is-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-what-is-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-what-is-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">Semi-open and open rhinoplasty are techniques for reshaping the nose that differ in how the incisions are made and how far the surgeon can reshape the inner nasal framework. The first uses incisions inside both nostrils and focuses on inserting a silicone implant with a tip graft, while the second uses an incision across the base of the nose to show all parts of the nose clearly. Understanding both methods, which takes only about 5 minutes of reading, helps you get clearer on what you want before seeing a surgeon at S45 Clinic.<\/p>\n\n<p class=\"wp-block-paragraph\">The main purpose of developing these 2 types of surgery is to address nasal base problems of varying difficulty in each person. Choosing a suitable method helps lower the chance of <a href=\"https:\/\/s45clinic.com\/en\/silicone-extrusion-symptoms\/\">silicone extrusion<\/a> or a tilted nose later. Cases with a very crooked nasal framework often need the whole central framework rebuilt, while cases that only need more height along the bridge can use incisions on both sides with a ready-made medical-grade silicone implant, with a recovery period of about 7 to 14 days depending on each person, under local anaesthetic or sedation, without a general anaesthetic.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Semi-Open Rhinoplasty for Basic Reshaping<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/s45clinic.com\/en\/semi-open-rhinoplasty\/\">Semi-open rhinoplasty<\/a> uses incisions inside both nostrils so the surgeon can see the inner nasal framework more clearly than with <a href=\"https:\/\/s45clinic.com\/en\/semi-open-vs-closed-rhinoplasty\/\">standard closed surgery<\/a>. This method allows the tip cartilages to be stitched together to make the tip slimmer, and makes it easier to place the silicone implant accurately without it twisting or tilting.<\/p>\n\n<p class=\"wp-block-paragraph\">This method reduces tension at the nasal tip by using ear cartilage as a tip graft, to help lower the chance of extrusion later. It suits people who already have a fairly good nasal base and want only a little more height and definition. The surgery takes about 1 to 2 hours on average, and there is often less swelling and bruising, so you may return to daily life sooner, after about 7 days (*results depend on each person).<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Open Rhinoplasty to Reshape the Entire Inner Nasal Structure<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/s45clinic.com\/en\/open-nose-surgery\/\">Open rhinoplasty<\/a> uses an incision across the columella (the strip of skin between the nostrils) at the base of the nose, so the skin of the nose can be lifted fully. This lets the surgeon see every part of the bone and cartilage inside the nose clearly.<\/p>\n\n<p class=\"wp-block-paragraph\">The surgeon can assess structural problems in detail and reshape the structure precisely, for example trimming the tip cartilages, nasal osteotomy (reshaping the nasal bones) to narrow the base, or straightening a bent septum.<\/p>\n\n<p class=\"wp-block-paragraph\">This kind of reshaping often uses cartilage from elsewhere in the body to support the nasal tip for stability, especially rib cartilage or ear cartilage, shaped and combined with interdomal suturing to support a more projected tip. The resulting tip is highly flexible and has a lower chance of silicone extrusion over the long term. This technique needs a <a href=\"https:\/\/s45clinic.com\/en\/rhinoplasty-requires-general-anesthesia\/\">general anaesthetic<\/a> given by an anaesthetist.<\/p>\n\n<h2 id=\"&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open-&#xE01;&#xE31;&#xE1A;-&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;-open-&#xE15;&#xE48;&#xE32;&#xE07;&#xE01;&#xE31;&#xE19;&#xE15;&#xE23;&#xE07;&#xE44;&#xE2B;&#xE19;&#xE1A;&#xE49;&#xE32;&#xE07;\" class=\"wp-block-heading\"><strong>How Do Semi-Open and Open Rhinoplasty Differ?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">The choice of rhinoplasty technique depends on your existing nasal base and how you want to change its shape. Semi-open rhinoplasty uses incisions inside both nostrils to insert a silicone implant with other materials, while open rhinoplasty also uses an incision across the columella to expose the whole nasal framework clearly.<\/p>\n\n<figure class=\"wp-block-table\"><table><thead><tr><th>Comparison<\/th><th>Semi-open rhinoplasty technique<\/th><th>Open rhinoplasty technique<\/th><\/tr><\/thead><tbody><tr><td>Reshaping<\/td><td>Focuses on reshaping with a silicone implant<\/td><td>Reshapes the inner nasal structure, with rib cartilage or ear cartilage<\/td><\/tr><tr><td>Incision position<\/td><td>Hidden inside both nostrils<\/td><td>External incision across the columella<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<p class=\"wp-block-paragraph\">Your surgeon considers your skin thickness together with your bone structure when choosing a suitable method. Measuring the thickness of the fatty layer at the nasal tip helps determine the thickness of the tip graft material needed, 1mm to 2mm, to avoid long-term tension on the skin.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>How the Incisions Are Made and Where the Scars Are<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">The incisions for semi-open and open rhinoplasty differ clearly in where the cuts are made and where the scars are after surgery.<\/p>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty uses incisions inside both nostrils, on the left and right sides. All the scars are hidden inside the nostrils, so they are usually not visible from the outside. Each incision is small.<\/p>\n\n<p class=\"wp-block-paragraph\">Open rhinoplasty uses an incision across the columella on the outside of the nose, joined to incisions inside both nostrils. This allows the skin at the nasal tip to be lifted so the inner framework can be seen clearly. The external scar across the columella usually fades gradually and blends with the surrounding skin within 3 to 6 months, depending on each person.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>How Much Each Technique Can Reshape the Nose<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open and open rhinoplasty differ in how much they can reshape the nose, depending on how complex the existing bone structure is. Semi-open rhinoplasty suits reshaping noses without severe structural problems, such as adding height with a silicone implant and <a href=\"https:\/\/s45clinic.com\/en\/interdome-technique\/\">interdomal suturing<\/a> to make the tip slimmer.<\/p>\n\n<p class=\"wp-block-paragraph\">For cases with complex structural problems, such as a <a href=\"https:\/\/s45clinic.com\/en\/short-nose-rhinoplasty\/\">short, upturned nose<\/a> or a prominent dorsal hump, open rhinoplasty can reshape the whole bony framework and septum. The surgeon can rearrange the cartilage base or extend the septum with rib cartilage (septal extension) to build a strong new base, so the nasal tip can be lengthened and projected further without putting too much tension on the skin.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Operating Time and Recovery After Surgery<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty takes about 1 to 2 hours, while open rhinoplasty takes about 6 to 8 hours, because reshaping the inner bone structure involves more complex steps.<\/p>\n\n<p class=\"wp-block-paragraph\">Recovery time differs between the 2 methods according to how much the tissue inside the nose is injured. With semi-open rhinoplasty, swelling usually goes down within 3 to 7 days, while open rhinoplasty, which reshapes the entire nasal framework, takes about 7 to 14 days for <a href=\"https:\/\/s45clinic.com\/en\/nose-still-swollen-after-rhinoplasty\/\">swelling and bruising<\/a> to settle, depending on each person. The comparison below helps you prepare:<\/p>\n\n<figure class=\"wp-block-table\"><table><thead><tr><th>Details<\/th><th>Semi-open rhinoplasty technique<\/th><th>Open rhinoplasty technique<\/th><\/tr><\/thead><tbody><tr><td>Operating time<\/td><td>1 to 2 hours<\/td><td>6 to 8 hours<\/td><\/tr><tr><td>Time for swelling and bruising to settle<\/td><td>3 to 7 days<\/td><td>7 to 14 days<\/td><\/tr><tr><td>Stitch removal<\/td><td>7 to 10 days<\/td><td>10 to 14 days<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<h2 id=\"&#xE42;&#xE04;&#xE23;&#xE07;&#xE2A;&#xE23;&#xE49;&#xE32;&#xE07;&#xE08;&#xE21;&#xE39;&#xE01;&#xE02;&#xE2D;&#xE07;&#xE04;&#xE38;&#xE13;&#xE40;&#xE2B;&#xE21;&#xE32;&#xE30;&#xE01;&#xE31;&#xE1A;&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;&#xE41;&#xE1A;&#xE1A;&#xE44;&#xE2B;&#xE19;\" class=\"wp-block-heading\"><strong>Which Technique Suits Your Nasal Structure<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">The choice between semi-open and open rhinoplasty depends mainly on your existing bone structure and the thickness of the skin at your nasal tip, because each person&#8217;s anatomy differs in skin thickness and cartilage angles. People are grouped by how they want to adjust the nasolabial angle, the angle between the base of the nose and the upper lip, at 95 degrees.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Who Semi-Open Rhinoplasty May Suit<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty suits people who already have a fairly good nasal base and want only a little more height.<\/p>\n\n<p class=\"wp-block-paragraph\">Grouping needs in this way helps you choose a method that avoids severe tissue trauma. The technique may suit these groups of people:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>people with a nasal tip of suitable thickness and an existing gently rounded slope<\/li>\n\n\n\n<li>people who want to raise the nasal bridge with a silicone implant together with an ear cartilage tip graft, to reduce pressure on the skin<\/li>\n\n\n\n<li>people with limited time who want to return to work within about 5 to 7 days<\/li>\n\n<\/ul>\n\n<p class=\"wp-block-paragraph\">This type of rhinoplasty lowers the chance of an external scar across the columella, so there is usually little to see once the first week after surgery has passed. This suits working people today who want to return to their routine sooner.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Who Needs Open Rhinoplasty for Long-Term Structural Support<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">People with a very short nose, a prominent dorsal hump or a droopy nasal tip need open rhinoplasty to reshape the inner nasal base so it stays stable over the long term.<\/p>\n\n<p class=\"wp-block-paragraph\">Open rhinoplasty lets the surgeon see the whole central nasal framework clearly, so crooked tip cartilages can be reshaped, or a very short septum can be securely <a href=\"https:\/\/s45clinic.com\/en\/septum-extension-graft\/\">lengthened with a septal extension graft<\/a>. This reshaping reduces tension on the skin at the nasal tip, to lower the chance of the silicone implant pushing through later.<\/p>\n\n<p class=\"wp-block-paragraph\">For people who have had non-absorbable filler injections or have <a href=\"https:\/\/s45clinic.com\/en\/nose-contracture-tip-smaller\/\">dense scar tissue<\/a> from earlier surgery, removing the scar tissue with this technique makes reshaping easier, especially for those who want to lengthen and project the nasal tip, which other techniques are more limited in achieving than open rhinoplasty.<\/p>\n\n<h2 id=\"&#xE27;&#xE31;&#xE2A;&#xE14;&#xE38;&#xE17;&#xE35;&#xE48;&#xE41;&#xE1E;&#xE17;&#xE22;&#xE4C;&#xE40;&#xE25;&#xE37;&#xE2D;&#xE01;&#xE43;&#xE0A;&#xE49;&#xE23;&#xE48;&#xE27;&#xE21;&#xE01;&#xE31;&#xE1A;&#xE01;&#xE32;&#xE23;&#xE1C;&#xE48;&#xE32;&#xE15;&#xE31;&#xE14;&#xE1B;&#xE23;&#xE31;&#xE1A;&#xE17;&#xE23;&#xE07;&#xE08;&#xE21;&#xE39;&#xE01;\" class=\"wp-block-heading\"><strong>Materials Surgeons Use in Rhinoplasty<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">The choice of materials to support the shape and refine the nasal tip depends mainly on the surgical technique. Semi-open and open rhinoplasty use different materials according to how difficult the reshaping is. Your surgeon considers using synthetic materials together with tissue from your own body to reduce tension on the skin at the nasal tip, for example pairing your own tissue with a medical-grade silicone implant to create a suitable height.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Using a Silicone Implant With Ear Cartilage and Your Own Tissue<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Rhinoplasty using a silicone implant together with tissue from your own body is a commonly used way to shape the nose while lowering the chance of tip extrusion. Surgeons often use a medical-grade silicone implant to raise the nasal bridge from the level of the inner eye corners down to the upper edge of the nasal tip, to create definition and a slope that suits your forehead.<\/p>\n\n<p class=\"wp-block-paragraph\">The nasal tip is highly flexible and takes the most skin tension, so surgeons often avoid running the silicone implant all the way to the tip. Instead, they use <a href=\"https:\/\/s45clinic.com\/en\/why-postauricular-cartilage\/\">ear cartilage<\/a> together with your own tissue, such as tissue from behind the ear or fatty tissue under the skin, shaped into a rounded teardrop shape to support the nasal tip.<\/p>\n\n<p class=\"wp-block-paragraph\">This method reduces pressure from the silicone implant on the skin at the nasal tip, making the skin there thicker and lowering the chance of redness or silicone extrusion over the long term. It also keeps the nasal tip flexible, so it can move or bend slightly and feels soft to the touch.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Using Rib Cartilage for Septal Extension<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Using <a href=\"https:\/\/s45clinic.com\/en\/rib-cartilage-rhinoplasty\/\">rib cartilage<\/a> to extend the septum is a key technique in open rhinoplasty for reshaping a nose that is very short or has collapsed. The difference between semi-open and open rhinoplasty here is that this method cannot be used with the semi-open technique. Cartilage from the 6th or 7th rib is strong and plentiful enough to be carved to lengthen the nasal framework securely. The resulting nose shape is more projected and is intended to resist shortening over the long term.<\/p>\n\n<p class=\"wp-block-paragraph\">Because this is your own cartilage, it has a low chance of rejection and a lower chance of infection than other synthetic materials. Surgeons usually make an incision of about 1.5cm to 3cm below the breast fold to take this cartilage, for use with open reshaping of the whole structure.<\/p>\n\n<h2 id=\"&#xE40;&#xE15;&#xE23;&#xE35;&#xE22;&#xE21;&#xE15;&#xE31;&#xE27;&#xE41;&#xE25;&#xE30;&#xE14;&#xE39;&#xE41;&#xE25;&#xE15;&#xE31;&#xE27;&#xE40;&#xE2D;&#xE07;&#xE2B;&#xE25;&#xE31;&#xE07;&#xE1C;&#xE48;&#xE32;&#xE15;&#xE31;&#xE14;&#xE2D;&#xE22;&#xE48;&#xE32;&#xE07;&#xE44;&#xE23;&#xE43;&#xE2B;&#xE49;&#xE41;&#xE1C;&#xE25;&#xE2B;&#xE32;&#xE22;&#xE44;&#xE27;\" class=\"wp-block-heading\"><strong>How to Prepare and Look After Yourself so Your Wounds Heal Well<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">How quickly your wounds heal and your nose settles depends on following the instructions strictly before your surgery and after it. Correct care helps lower the chance of wound inflammation or ongoing swelling and bruising. The guidelines to follow are specific and clearly divided by time over the first 14 days.<\/p>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"675\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-preparation-aftercare.webp\" alt=\"How to prepare for and look after yourself after rhinoplasty\" class=\"wp-image-8342\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-preparation-aftercare.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-preparation-aftercare-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-preparation-aftercare-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-preparation-aftercare-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<h3 class=\"wp-block-heading\"><strong>Steps to Prepare Before Surgery to Lower the Chance of Complications<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/s45clinic.com\/en\/prepare-for-rhinoplasty\/\">Preparing for rhinoplasty<\/a> starts with stopping medicines and supplements that affect blood clotting at least 14 days in advance, to lower the chance of abnormal bleeding during surgery.<\/p>\n\n<p class=\"wp-block-paragraph\">Preparing your body carefully helps lower the chance of complications that nobody wants. Follow these steps in order:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>stop aspirin-type painkillers, ibuprofen, and supplements such as vitamin E, fish oil and ginseng extract for 14 days before your appointment<\/li>\n\n\n\n<li>stop smoking and drinking any kind of alcohol for at least 2 weeks, to prevent your blood vessels narrowing, which slows wound healing<\/li>\n\n\n\n<li>stop eating and drinking at least 6 to 8 hours beforehand if you are having a general anaesthetic, to avoid inhaling food into your airway<\/li>\n\n\n\n<li>do not wear make-up on the day of surgery, and remove nail polish from all your fingernails so it does not block the device that measures oxygen levels at your fingertip<\/li>\n\n<\/ul>\n\n<h3 class=\"wp-block-heading\"><strong>Tips for Wound Care to Reduce Swelling and Bruising After Surgery<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Applying cold compresses around the nose and eye sockets in the first 3 days helps reduce swelling and bruising after surgery. <a href=\"https:\/\/s45clinic.com\/en\/how-to-take-care-yourself-after-rhinoplasty\/\">Caring for your wounds correctly<\/a> supports your recovery, whether you choose semi-open or open rhinoplasty. When using a cold compress, do not let the gel pack press directly on the nasal bridge, to prevent the silicone implant from moving.<\/p>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"675\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-wound-care.webp\" alt=\"Wound care to reduce swelling and bruising after rhinoplasty\" class=\"wp-image-8343\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-wound-care.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-wound-care-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-wound-care-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-wound-care-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">You can also support your recovery with these steps:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>sleep on a high pillow so your head stays raised above chest level, to help blood flow and reduce fluid build-up in the face<\/li>\n\n\n\n<li>avoid spicy, pickled or fermented food and any kind of alcohol for 14 days to 1 month, to lower the chance of wound inflammation<\/li>\n\n\n\n<li>gently clean dried blood from your nostrils with cotton wool soaked in saline every morning and evening until your stitches are removed<\/li>\n\n<\/ul>\n\n<h2 id=\"&#xE04;&#xE33;&#xE16;&#xE32;&#xE21;&#xE22;&#xE2D;&#xE14;&#xE2E;&#xE34;&#xE15;&#xE40;&#xE01;&#xE35;&#xE48;&#xE22;&#xE27;&#xE01;&#xE31;&#xE1A;-&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open-&#xE01;&#xE31;&#xE1A;-&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;-open\" class=\"wp-block-heading\"><strong>Frequently Asked Questions About Semi-Open vs Open Rhinoplasty<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">The difference between semi-open and open rhinoplasty often leaves people who want to reshape their nose unsure. We have gathered common questions about both types of surgery to help you prepare before booking an appointment to have your nose shape assessed at the clinic through LINE (@s45clinic.official).<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Can Semi-Open Rhinoplasty Really Correct a Crooked or Tilted Nose?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty can only partly correct a crooked or tilted nose, especially in cases caused by a previously misplaced silicone implant or an implant that has moved.<\/p>\n\n<p class=\"wp-block-paragraph\">Stitching the nasal tip through both nostrils lets the surgeon realign the silicone implant more centrally. The surgeon can remove scar tissue that is pulling and place a new silicone implant in a balanced position, reducing tilting caused by the pull of the inner skin.<\/p>\n\n<p class=\"wp-block-paragraph\">If the nose is crooked because of a septum that has been bent since birth, semi-open rhinoplasty cannot reshape the deeper structure. These cases usually need open rhinoplasty to straighten the septum with ear cartilage or rib cartilage instead.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Which Technique Suits Revision Cases With Many Problems?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/s45clinic.com\/en\/revision-rhinoplasty-s45-clinic\/\">Revision cases<\/a> with accumulated damage or several previous operations generally need open rib rhinoplasty, because it lets the surgeon see the entire central framework. The incision at the base of the nose allows scar tissue that is pulling to be removed, and a central framework that is crooked, tilted or collapsed from the old silicone implant to be rebuilt thoroughly.<\/p>\n\n<p class=\"wp-block-paragraph\">Reshaping in these cases often uses cartilage from other parts of the body, such as ear cartilage or your own rib cartilage, to replace the damaged central framework. This kind of reshaping helps lower the rate of silicone extrusion over the long term.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Why Consider Structural Rhinoplasty With the Surgeons at S45 Clinic?<\/strong><\/h3>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"675\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-why-s45-clinic.webp\" alt=\"Structural rhinoplasty with the surgeons at S45 Clinic\" class=\"wp-image-8344\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-why-s45-clinic.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-why-s45-clinic-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-why-s45-clinic-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-why-s45-clinic-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">At S45 Clinic, each nose shape for structural rhinoplasty is designed individually to suit the proportions of each person&#8217;s face. Our surgeons focus on reshaping with open rib rhinoplasty, mainly using your own rib cartilage. This method helps lower the chance of tip extrusion and reshapes the nasal tip to be slimmer and more projected as planned, without relying on a foreign material at the nasal tip.<\/p>\n\n<p class=\"wp-block-paragraph\">We carefully assess the nose shape before surgery. For cases that have had closed rhinoplasty before and have a short, upturned tip, our surgeons remove old scar tissue and extend the septum with open rib rhinoplasty, to straighten and lengthen the nasal framework. The only external scar is a small incision at the base of the nose, which usually fades to blend with the skin after the first 3 months, depending on each person.<\/p>\n\n<h2 id=\"&#xE2A;&#xE23;&#xE38;&#xE1B;\" class=\"wp-block-heading\"><strong>Summary<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">The choice between semi-open and open rhinoplasty depends on your existing nose shape. Semi-open rhinoplasty suits people who want to reshape the nasal bridge and tip with a silicone implant and ear cartilage, while open rhinoplasty uses an incision across the columella to reshape a crooked or tilted nasal framework, or to lengthen a very short nose and add height.<\/p>\n\n<p class=\"wp-block-paragraph\">If you want to reshape your nose, prepare by stopping vitamins and supplements for at least 14 days before your appointment with a surgeon, who will measure the flexibility of your nasal skin and work with you to design a shape that suits your forehead and chin before you decide on surgery.<\/p>\n\n<div class=\"wp-block-group s45-cta\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n<h3 class=\"wp-block-heading\">Because every nose structure&#8230;<br\/>is different<\/h3>\n\n\n\n<p class=\"s45-cta-lead wp-block-paragraph\">An otolaryngologist with subspecialty training in facial plastic and reconstructive surgery <strong>assesses every case before treatment<\/strong> and gives advice based on your actual concerns.<\/p>\n\n\n\n<p class=\"s45-cta-slogan wp-block-paragraph\">\u201cReveal the beauty within you\u201d<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n\n<div class=\"wp-block-button s45-cta-line\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/page.line.me\/s45clinic.official\" target=\"_blank\" rel=\"noreferrer noopener\">Chat with us on LINE<\/a><\/div>\n\n<\/div>\n\n\n\n<p class=\"s45-cta-free wp-block-paragraph\">Message us online<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a class=\"s45-cta-tel\" href=\"tel:+6621252543\">Call us +66 2 125 2543<\/a><\/p>\n\n\n\n<div class=\"s45-cta-clinic\"><a class=\"s45-cta-map\" href=\"https:\/\/maps.app.goo.gl\/7cTTtDAiE7NVN4yZA\" target=\"_blank\" rel=\"noreferrer noopener\"><span><strong>S45 Clinic (Sukhumvit 33)<\/strong><em>Open daily 8:30am to 11:30pm. View map and directions<\/em><\/span><\/a><\/div>\n\n<\/div><\/div>\n\n<p class=\"s45-cta-warn wp-block-paragraph\">Surgery and medical procedures carry risks. Find out about them and consult a doctor before you decide. Results depend on each person.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Semi-open and open rhinoplasty differ in how the incisions are made and in their limitations for reshaping the nasal structure, which your surgeon assesses based on your individual anatomy.<\/p>\n","protected":false},"author":3,"featured_media":9276,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[523],"tags":[],"class_list":["post-9275","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rhinoplasty"],"taxonomy_info":{"category":[{"value":523,"label":"Rhinoplasty"}]},"featured_image_src_large":["https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/rhinoplasty-semi-open-vs-open-cover-1080x608.webp",1080,608,true],"author_info":{"display_name":"S45 Clinic","author_link":"https:\/\/s45clinic.com\/en\/about-us\/"},"comment_info":0,"category_info":[{"term_id":523,"name":"Rhinoplasty","slug":"rhinoplasty","term_group":0,"term_taxonomy_id":523,"taxonomy":"category","description":"","parent":0,"count":144,"filter":"raw","cat_ID":523,"category_count":144,"category_description":"","cat_name":"Rhinoplasty","category_nicename":"rhinoplasty","category_parent":0}],"tag_info":false,"_links":{"self":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9275","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/comments?post=9275"}],"version-history":[{"count":3,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9275\/revisions"}],"predecessor-version":[{"id":11139,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9275\/revisions\/11139"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media\/9276"}],"wp:attachment":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media?parent=9275"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/categories?post=9275"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/tags?post=9275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}