{"id":9293,"date":"2026-10-01T08:07:19","date_gmt":"2026-10-01T01:07:19","guid":{"rendered":"https:\/\/s45clinic.com\/?p=9293"},"modified":"2026-10-01T08:07:19","modified_gmt":"2026-10-01T01:07:19","slug":"does-semi-open-rhinoplasty-hurt","status":"publish","type":"post","link":"https:\/\/s45clinic.com\/en\/does-semi-open-rhinoplasty-hurt\/","title":{"rendered":"Does Semi Open Rhinoplasty Hurt? What It Feels Like During Surgery"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Key points<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>If you are asking &#8220;Does semi-open rhinoplasty hurt?&#8221;, the soreness is usually manageable, although how much you feel differs from person to person, because local anaesthetic is used to numb the area throughout the operation.<\/li>\n\n\n\n<li>Semi-open rhinoplasty uses incisions inside both nostrils, which reduces pulling on the skin and allows more reshaping of the nasal tip.<\/li>\n\n\n\n<li>Tightness, bruising and swelling are usually at their worst during the first 3 days after surgery. They can be eased with cold compresses and painkillers and gradually improve.<\/li>\n\n\n\n<li>An individual assessment of your existing nasal base before surgery helps design a nose shape that suits your facial proportions and lowers the chance of the silicone implant becoming crooked later.<\/li>\n\n\n<\/ul>\n\n<p class=\"wp-block-paragraph\">People often ask whether semi-open rhinoplasty hurts, because this technique needs incisions inside both nostrils, and many worry about how it feels during the procedure and how sore it is afterwards. In fact, the incisions are small, only 2mm to 3mm, and local anaesthetic is used to numb the area throughout the operation, so the discomfort is usually manageable.<\/p>\n\n<p class=\"wp-block-paragraph\">In this article, S45 explains what you may feel during the procedure, compares bruising and swelling with other techniques and gives advice on wound care after surgery. This information can help ease your worries and prepare you properly.<\/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-\u0e40\u0e08\u0e47\u0e1a\u0e44\u0e2b\u0e21\">Does Semi-Open Rhinoplasty Hurt?<\/a><\/li><li><a href=\"#\u0e01\u0e32\u0e23\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04-semi-open-\u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23-\u0e40\u0e1b\u0e34\u0e14\u0e41\u0e1c\u0e25\u0e15\u0e23\u0e07\u0e44\u0e2b\u0e19\u0e1a\u0e49\u0e32\u0e07\">What Is Semi-Open Rhinoplasty and Where Are the Incisions?<\/a><\/li><li><a href=\"#\u0e43\u0e04\u0e23\u0e1a\u0e49\u0e32\u0e07\u0e17\u0e35\u0e48\u0e40\u0e2b\u0e21\u0e32\u0e30\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e17\u0e33\u0e08\u0e21\u0e39\u0e01\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04-semi-open\">Who Is Semi-Open Rhinoplasty Suitable For?<\/a><\/li><li><a href=\"#\u0e27\u0e34\u0e18\u0e35\u0e23\u0e31\u0e1a\u0e21\u0e37\u0e2d\u0e01\u0e31\u0e1a\u0e04\u0e27\u0e32\u0e21\u0e40\u0e08\u0e47\u0e1a\u0e41\u0e25\u0e30\u0e27\u0e34\u0e18\u0e35\u0e14\u0e39\u0e41\u0e25\u0e15\u0e31\u0e27\u0e40\u0e2d\u0e07\u0e2b\u0e25\u0e31\u0e07\u0e1c\u0e48\u0e32\u0e15\u0e31\u0e14\">How to Cope With Pain and Look After Yourself After Surgery<\/a><\/li><li><a href=\"#\u0e17\u0e33\u0e44\u0e21\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01\u0e41\u0e1a\u0e1a-semi-open-\u0e01\u0e31\u0e1a-s45-clinic\">Why Choose S45 Clinic for Semi-Open Rhinoplasty<\/a><\/li><li><a href=\"#faq-\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48\u0e1e\u0e1a\u0e1a\u0e48\u0e2d\u0e22\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e17\u0e33\u0e08\u0e21\u0e39\u0e01-semi-open\">FAQ About Semi-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-&#xE40;&#xE08;&#xE47;&#xE1A;&#xE44;&#xE2B;&#xE21;\" class=\"wp-block-heading\"><strong>Does Semi-Open Rhinoplasty Hurt?<\/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\/does-semi-open-rhinoplasty-hurt-pain-level.webp\" alt=\"Does semi-open rhinoplasty hurt, what you feel during surgery\" class=\"wp-image-8215\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-pain-level.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-pain-level-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-pain-level-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-pain-level-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">&#8220;Does semi-open rhinoplasty hurt?&#8221; The answer is that the pain is usually manageable. The surgeon uses local anaesthetic to numb the area throughout the operation, which temporarily blocks the nerves in the area, so this can ease much of the worry about pain and soreness during the procedure.<\/p>\n\n<p class=\"wp-block-paragraph\">Incisions inside both nostrils also help reduce skin tension while the nose is being reshaped. You may get a dull ache after the anaesthetic wears off, which can be eased with cold compresses around the nose and 500mg paracetamol as advised by your doctor.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>How Much It Hurts During Surgery and Straight Afterwards<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">During semi-open rhinoplasty, discomfort is usually limited because local anaesthetic is used to numb the area. When the surgeon injects the anaesthetic around the nose, you may feel a tight, stinging sensation like an ant bite for only the first 2 to 3 seconds. After that, the skin around the nose becomes numb, so you can lie still throughout the procedure, which takes about 1 and a half hours.<\/p>\n\n<p class=\"wp-block-paragraph\">After the procedure, as the anaesthetic starts to wear off, tightness and soreness gradually begin. The skin over the bridge of the nose may feel full, swollen and tight.<\/p>\n\n<p class=\"wp-block-paragraph\">The surgeon provides painkillers to take every 4 to 6 hours to control the soreness. Gently applying a cold gel pack to both cheeks during the first 2 days helps ease tightness in the skin.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Soreness Compared With Closed and Open Techniques<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">The soreness, bruising and swelling of semi-open rhinoplasty are between those of the <a href=\"https:\/\/s45clinic.com\/en\/open-rhinoplasty-vs-close-rhinoplasty\/\">closed technique<\/a> and the open technique, because incisions are made inside both nostrils. This type of surgery lifts a moderate amount of skin over the bridge of the nose, unlike the closed technique, which uses a single incision and causes less soreness.<\/p>\n\n<p class=\"wp-block-paragraph\">At the same time, it causes less soreness and bruising than <a href=\"https:\/\/s45clinic.com\/en\/semi-open-vs-open-rhinoplasty\/\">the open technique<\/a>, which needs an incision through the skin across the central column of the nose on the outside. The table below compares soreness, bruising and swelling and the recovery time of each technique.<\/p>\n\n<figure class=\"wp-block-table\"><table><thead><tr><th>Surgical technique<\/th><th>Soreness and bruising after surgery<\/th><th>Peak bruising and swelling<\/th><\/tr><\/thead><tbody><tr><td>Closed (incision inside 1 nostril)<\/td><td>Low<\/td><td>3 to 5 days<\/td><\/tr><tr><td>Semi-open (incisions inside 2 nostrils)<\/td><td>Moderate<\/td><td>5 to 7 days<\/td><\/tr><tr><td>Open (incision across the outer nasal base)<\/td><td>High<\/td><td>7 to 14 days<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<p class=\"wp-block-paragraph\">If you are worried about recovery time, with incisions on both sides the bruising around the eyes usually fades enough to be covered with make-up within 7 to 10 days. Applying cold compresses regularly during the first 72 hours after surgery helps reduce the widening of small blood vessels around the cheeks and under the eyes.<\/p>\n\n<h2 id=\"&#xE01;&#xE32;&#xE23;&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;-semi-open-&#xE04;&#xE37;&#xE2D;&#xE2D;&#xE30;&#xE44;&#xE23;-&#xE40;&#xE1B;&#xE34;&#xE14;&#xE41;&#xE1C;&#xE25;&#xE15;&#xE23;&#xE07;&#xE44;&#xE2B;&#xE19;&#xE1A;&#xE49;&#xE32;&#xE07;\" class=\"wp-block-heading\"><strong>What Is Semi-Open Rhinoplasty and Where Are the Incisions?<\/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\/does-semi-open-rhinoplasty-hurt-what-is.webp\" alt=\"What semi-open rhinoplasty is and where the incisions are made\" class=\"wp-image-8216\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-what-is.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-what-is-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-what-is-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-what-is-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">Semi-open <a href=\"https:\/\/s45clinic.com\/en\/service\/nose-surgery\/\">rhinoplasty<\/a> is surgery with incisions inside both nostrils to give a wider view for reshaping the nose. This method lets the surgeon see the nasal framework inside and place the silicone implant in the right position, which lowers the chance of the nose becoming crooked or tilted. The incisions are very small, only 2mm to 3mm, and hidden along the inner edge of the nostrils, so they are hard to see from the outside.<\/p>\n\n<p class=\"wp-block-paragraph\">Stitching incisions on both sides helps reduce skin tension at the nasal tip while the material is inserted, which lowers the chance of bruising and swelling afterwards. This technique combines the convenience of single-incision surgery with the precision of a fully open approach, and the procedure takes only about 45 to 60 minutes on average.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>What Do Incisions on Both Sides Help With?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Surgery with incisions on both sides helps correct a crooked nasal tip structure and reduce pulling on the skin at the tip. It also gives the surgeon a clear view inside, so the nose can be reshaped evenly on both sides:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>bringing wide-set tip cartilages closer together for a slimmer nasal tip<\/li>\n\n\n\n<li>lowering the chance of implant extrusion by making space for a dermofat graft from the tailbone area or an ear cartilage tip graft<\/li>\n\n\n\n<li>interdomal suturing to draw the left and right cartilages together and lift the nasal tip by 2mm to 3mm<\/li>\n\n\n<\/ul>\n\n<h3 class=\"wp-block-heading\"><strong>Rhinoplasty Materials Used With the 2-Incision Technique<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty can combine several types of material to achieve a result that suits your existing nasal base. Choosing suitable materials helps reduce skin tension and lower the chance of implant extrusion in the long term:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>medical-grade silicone implant, used to raise the nasal bridge for a slim slope<\/li>\n\n\n\n<li>ear cartilage, used as a tip graft to add projection and prevent a thin tip<\/li>\n\n\n\n<li>acellular dermal matrix (a processed tissue graft), used as a tip graft to add thickness to the skin layer, suitable for people with very thin skin at the nasal tip<\/li>\n\n\n<\/ul>\n\n<p class=\"wp-block-paragraph\">How these materials are combined depends on the thickness of your skin. The surgeon often shapes a piece of ear cartilage about 1cm in size before stitching it to the silicone implant, to add flexibility and reduce pressure on the skin at the tip.<\/p>\n\n<h2 id=\"&#xE43;&#xE04;&#xE23;&#xE1A;&#xE49;&#xE32;&#xE07;&#xE17;&#xE35;&#xE48;&#xE40;&#xE2B;&#xE21;&#xE32;&#xE30;&#xE01;&#xE31;&#xE1A;&#xE01;&#xE32;&#xE23;&#xE17;&#xE33;&#xE08;&#xE21;&#xE39;&#xE01;&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;-semi-open\" class=\"wp-block-heading\"><strong>Who Is Semi-Open Rhinoplasty Suitable For?<\/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\/does-semi-open-rhinoplasty-hurt-suitable-structure.webp\" alt=\"Nasal structures that suit semi-open rhinoplasty\" class=\"wp-image-8217\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-suitable-structure.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-suitable-structure-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-suitable-structure-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/does-semi-open-rhinoplasty-hurt-suitable-structure-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty suits people who want a <a href=\"https:\/\/s45clinic.com\/en\/sloped-pointed-teardrop-nose\/\">sloped bridge with a projecting tip<\/a> but do not want major surgery. It also suits people who are worried about visible scars, because all the incisions are hidden inside both nostrils, which lowers the chance of the scars being noticed from the outside. The wounds usually heal in about 14 days, depending on each person.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Nasal Structures That Suit This Technique<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty suits people who already have a fairly good nose shape but want to reshape the tip or add a little height. This technique gives access to the nasal framework from both nostrils, which reduces tension and helps position the silicone implant to fit your existing nasal bone.<\/p>\n\n<p class=\"wp-block-paragraph\">Nasal bases that suit this technique include:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>a fairly long nose with a reasonable amount of nasal tissue<\/li>\n\n\n\n<li>a nasal framework that is not too crooked or tilted<\/li>\n\n\n\n<li>a nasal tip that is not too short and upturned, with tip tissue that is not too thin<\/li>\n\n\n<\/ul>\n\n<p class=\"wp-block-paragraph\">A nasal structure like this makes it easier to use interdomal suturing to shape a slimmer nasal tip. If you have a flat nasal bridge but nasal tissue at least 2mm thick, this technique can add height and a sloped profile, with the scars hidden inside the nostrils, which lowers the chance of them being noticed from the outside.<\/p>\n\n<h2 id=\"&#xE27;&#xE34;&#xE18;&#xE35;&#xE23;&#xE31;&#xE1A;&#xE21;&#xE37;&#xE2D;&#xE01;&#xE31;&#xE1A;&#xE04;&#xE27;&#xE32;&#xE21;&#xE40;&#xE08;&#xE47;&#xE1A;&#xE41;&#xE25;&#xE30;&#xE27;&#xE34;&#xE18;&#xE35;&#xE14;&#xE39;&#xE41;&#xE25;&#xE15;&#xE31;&#xE27;&#xE40;&#xE2D;&#xE07;&#xE2B;&#xE25;&#xE31;&#xE07;&#xE1C;&#xE48;&#xE32;&#xE15;&#xE31;&#xE14;\" class=\"wp-block-heading\"><strong>How to Cope With Pain and Look After Yourself After Surgery<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Managing soreness correctly after rhinoplasty can support your recovery. In the early stage, apply <a href=\"https:\/\/s45clinic.com\/en\/how-to-take-care-yourself-after-rhinoplasty\/\">cold compresses around the nose<\/a> and cheeks. This basic method narrows the blood vessels, which reduces soreness and skin tightness.<\/p>\n\n<p class=\"wp-block-paragraph\">Adjusting your daily routine to reduce pressure on your face is just as important, especially during the first 3 days after surgery. Sleep with your head raised on a high pillow so it is above the level of your heart, to reduce fluid collecting around the wounds and stop bruising and swelling from spreading further.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Caring for the Wounds to Lower the Chance of Infection<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Keeping the wounds inside both nostrils clean after surgery helps lower the risk of bacteria building up. Follow these steps:<\/p>\n\n<ol class=\"wp-block-list\">\n<li>Gently wipe away blood and fluid around the wounds inside the nostrils with cotton wool dipped in sterile saline and squeezed until damp, to prevent blockage and reduce the build-up of dirt.<\/li>\n\n\n\n<li>Apply a thin layer of the antibacterial ointment prescribed by your doctor to the stitches every morning and evening, using a clean cotton bud each time to avoid contamination.<\/li>\n\n\n\n<li>Do not let the wounds get wet during the first 7 days after surgery, until your stitch removal appointment, because damp wounds are a main cause of inflammation.<\/li>\n\n\n<\/ol>\n\n<p class=\"wp-block-paragraph\">Following these steps regularly supports tissue healing and helps lower the risk of infection.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>When Will Bruising and Swelling Go Down After Rhinoplasty?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Bruising and swelling after semi-open rhinoplasty gradually go down over 7 to 14 days. The first 3 days are when bruising and swelling are worst, which is the body&#8217;s normal response to the incisions and the reshaping of the nasal bridge.<\/p>\n\n<p class=\"wp-block-paragraph\">From day 4 onwards, the body gradually clears the fluid and blood that have collected under the skin, so the bruising around the eyes and the inner corners of the eyes starts to fade to a light yellow, and the tightness in the skin gradually eases.<\/p>\n\n<p class=\"wp-block-paragraph\">By weeks 3 to 4, swelling starts to go down so the profile of the bridge becomes clearer. Any swelling left at the nasal tip gradually settles until you can see the final nose shape, usually after about 3 to 6 months, depending on each person.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Medicines and Foods That Support Wound Healing<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Taking paracetamol or anti-inflammatory medicines strictly as prescribed by your doctor helps control soreness during the first 1 to 3 days after surgery.<\/p>\n\n<p class=\"wp-block-paragraph\">For food that supports wound repair, choose <a href=\"https:\/\/s45clinic.com\/en\/good-food-after-surgery\/\">high-protein foods<\/a> such as chicken breast, fish, boiled eggs and grains, because protein is the main nutrient for making collagen and repairing tissue damaged during surgery.<\/p>\n\n<p class=\"wp-block-paragraph\">As well as protein, some foods are traditionally eaten in Thailand to help with swelling and bruising, such as:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>gotu kola (Centella asiatica), which contains asiaticoside and is traditionally used in Thailand to help with bruising and tissue repair and to &#8216;cool&#8217; the body<\/li>\n\n\n\n<li>pumpkin, which is rich in vitamin A and minerals that play a part in the body&#8217;s recovery after surgery<\/li>\n\n\n\n<li>coconut water, which contains minerals that help with blood circulation during recovery<\/li>\n\n\n<\/ul>\n\n<h2 id=\"&#xE17;&#xE33;&#xE44;&#xE21;&#xE40;&#xE25;&#xE37;&#xE2D;&#xE01;&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;&#xE41;&#xE1A;&#xE1A;-semi-open-&#xE01;&#xE31;&#xE1A;-s45-clinic\" class=\"wp-block-heading\"><strong>Why Choose S45 Clinic for Semi-Open Rhinoplasty<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Designing a nose shape that suits your individual face is the main goal of plastic surgery at S45 Clinic. We pay attention to the details of your nose shape case by case. The surgeon carefully shapes the silicone implant to reduce the gap between the implant and your existing nasal bone, which lowers the chance of it tilting after surgery.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Techniques to Reduce Trauma to the Tissue Under the Skin<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Careful suturing and small instruments help reduce trauma to the skin inside the nose during semi-open rhinoplasty. Incisions on both sides inside the nostrils give the surgeon a wider view of the nasal bridge without lifting all the skin on top, which reduces tearing of small blood vessels at the nasal tip, so less fluid and blood collect after surgery.<\/p>\n\n<p class=\"wp-block-paragraph\">Applying cold compresses correctly during the first 48 hours, together with sleeping with your head raised, helps control the widening of blood vessels. This helps bruising fade, usually in about 7 to 10 days, depending on each person, and you can return to your daily routine as advised by your surgeon.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Individual Assessment of Your Nasal Structure to Lower Risks<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Assessing your nasal base individually before surgery helps lower the chance of implant extrusion and of the nose tilting, because the thickness and flexibility of the skin and the strength of the cartilage at the tip have different limits in each person. <a href=\"https:\/\/s45clinic.com\/en\/specialist-doctor\/\">The surgeon therefore analyses your facial proportions in detail<\/a> to set a height and tip projection that suit the limits of these tissues.<\/p>\n\n<p class=\"wp-block-paragraph\">The assessment focuses on checking the thickness of the skin over the bridge and the strength of the cartilage in the lower part of the nose. If the nasal tissue is thin, the surgeon plans to use <a href=\"https:\/\/s45clinic.com\/en\/retroauricular-fascia\/\">ear cartilage<\/a> as a tip graft to add thickness and prevent tightness in the long term, lowering the chance of needing another operation in future.<\/p>\n\n<h2 id=\"faq-&#xE04;&#xE33;&#xE16;&#xE32;&#xE21;&#xE17;&#xE35;&#xE48;&#xE1E;&#xE1A;&#xE1A;&#xE48;&#xE2D;&#xE22;&#xE40;&#xE01;&#xE35;&#xE48;&#xE22;&#xE27;&#xE01;&#xE31;&#xE1A;&#xE01;&#xE32;&#xE23;&#xE17;&#xE33;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open\" class=\"wp-block-heading\"><strong>FAQ About Semi-Open Rhinoplasty<\/strong><\/h2>\n\n<h3 class=\"wp-block-heading\"><strong>How Long Does Rhinoplasty With Incisions on Both Sides Last?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Rhinoplasty with incisions on both sides usually <a href=\"https:\/\/s45clinic.com\/en\/silicone-nose-lifespan\/\">lasts for many years<\/a> if the nose does not become crooked or tilted and there is no inflammation or infection after surgery. This depends on how well the size of the silicone implant suits your existing tissue, and on looking after yourself to avoid hard knocks to the nose.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Will the Incisions Inside the Nostrils Leave a Scar?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty leaves scars hidden inside the nostrils, which lowers the chance of them being noticed from the outside, because all the incisions are in the lining inside both nostrils. This skin heals on its own and the scars gradually fade to blend with the surrounding skin, usually over about 90 days depending on each person, and typically leave <a href=\"https:\/\/s45clinic.com\/en\/treat-keloid\/\">only a thin line<\/a> that is hard to see.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>If I Have Had Rhinoplasty Before, Can It Be Revised With This Technique?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">If you have had rhinoplasty before, your nose can be reshaped with semi-open rhinoplasty if there is no dense scar tissue and the existing base is not badly damaged. Incisions on both sides make it easier for the surgeon to reposition the silicone implant and reshape the tip with ear cartilage. It suits cases that need the height adjusted or a slight tilt corrected.<\/p>\n\n<h2 id=\"&#xE2A;&#xE23;&#xE38;&#xE1B;\" class=\"wp-block-heading\"><strong>Summary<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Does semi-open rhinoplasty hurt? The answer is that discomfort during surgery is usually limited because of the local anaesthetic, although how you respond to it depends on each person.<\/p>\n\n<p class=\"wp-block-paragraph\">After the procedure, as the anaesthetic wears off, your body starts to signal tightness and soreness around the wounds. This is normal after surgery, and the pain can usually be controlled by taking painkillers as prescribed by your doctor and applying cold compresses correctly.<\/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>Does semi open rhinoplasty hurt? What you may feel during and after surgery, how bruising compares with other techniques and how to care for the wounds.<\/p>\n","protected":false},"author":3,"featured_media":9294,"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-9293","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\/does-semi-open-rhinoplasty-hurt-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\/9293","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=9293"}],"version-history":[{"count":3,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9293\/revisions"}],"predecessor-version":[{"id":11133,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9293\/revisions\/11133"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media\/9294"}],"wp:attachment":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media?parent=9293"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/categories?post=9293"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/tags?post=9293"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}