{"id":9296,"date":"2026-10-01T08:07:19","date_gmt":"2026-10-01T01:07:19","guid":{"rendered":"https:\/\/s45clinic.com\/?p=9296"},"modified":"2026-10-01T08:07:19","modified_gmt":"2026-10-01T01:07:19","slug":"semi-open-rhinoplasty","status":"publish","type":"post","link":"https:\/\/s45clinic.com\/en\/semi-open-rhinoplasty\/","title":{"rendered":"What Is Semi-Open Rhinoplasty and Which Nose Shapes Does It Suit?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Key points<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Semi-open rhinoplasty helps reduce skin tension and lowers the chance of the implant tilting, because incisions inside both nostrils give the surgeon a wider view of the inside of the nose.<\/li>\n\n\n\n<li>Incisions made inside both nostrils keep the scars inside the nose and make it easier to suture and refine the nasal tip so it looks slimmer.<\/li>\n\n\n\n<li>This technique suits people with a good existing nasal base and a moderate amount of soft tissue, but it has limits for people with a severely deviated septum or a badly misshapen nasal base.<\/li>\n\n\n\n<li>Using a tip graft together with a silicone implant helps reduce tension on the skin at the nasal tip and lowers the chance of the skin at the tip thinning over time.<\/li>\n\n\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Concerns about a thin nasal tip, a nose shape you are not happy with, or wanting to change the structure of your nose without being ready for fully open surgery have led many people to ask about semi-open <a href=\"https:\/\/s45clinic.com\/en\/service\/nose-surgery\/\">rhinoplasty<\/a>. It reduces some of the limits of standard closed surgery by making incisions inside both nostrils, which makes it easier for the surgeon to shape the nose and carry out interdomal suturing (stitching the tip cartilages together).<\/p>\n\n<p class=\"wp-block-paragraph\">In this article, S45 brings together information about this technique, from its advantages and the limits you need to know, to how it compares with other techniques and how to prepare and care for your wounds correctly, so you have the full picture to plan with your surgeon before rhinoplasty.<\/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=\"#\u0e01\u0e32\u0e23\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01-semi-open-\u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23\">What Is Semi-Open Rhinoplasty?<\/a><\/li><li><a href=\"#\u0e17\u0e33\u0e44\u0e21\u0e2b\u0e25\u0e32\u0e22\u0e04\u0e19\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01-semi-open-\u0e41\u0e17\u0e19\u0e17\u0e35\u0e48\u0e08\u0e30\u0e17\u0e33\u0e41\u0e1a\u0e1a\u0e1b\u0e34\u0e14\">Why Many People Choose Semi-Open Rhinoplasty Instead of Closed Rhinoplasty<\/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\u0e14\u0e49\u0e27\u0e22\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04-semi-open\">Who Is Semi-Open Rhinoplasty Suitable For?<\/a><\/li><li><a href=\"#\u0e40\u0e1b\u0e23\u0e35\u0e22\u0e1a\u0e40\u0e17\u0e35\u0e22\u0e1a\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01-semi-open-\u0e01\u0e31\u0e1a\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04\u0e2d\u0e37\u0e48\u0e19\u0e15\u0e48\u0e32\u0e07\u0e01\u0e31\u0e19\u0e15\u0e23\u0e07\u0e44\u0e2b\u0e19\">How Does Semi-Open Rhinoplasty Compare With Other Techniques?<\/a><\/li><li><a href=\"#\u0e27\u0e31\u0e2a\u0e14\u0e38\u0e17\u0e35\u0e48\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e43\u0e0a\u0e49\u0e23\u0e48\u0e27\u0e21\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01-semi-open-\u0e21\u0e35\u0e2d\u0e30\u0e44\u0e23\u0e1a\u0e49\u0e32\u0e07\">What Materials Are Used With Semi-Open Rhinoplasty?<\/a><\/li><li><a href=\"#\u0e17\u0e23\u0e07\u0e08\u0e21\u0e39\u0e01\u0e17\u0e35\u0e48\u0e1b\u0e23\u0e31\u0e1a\u0e44\u0e14\u0e49\u0e14\u0e49\u0e27\u0e22\u0e40\u0e17\u0e04\u0e19\u0e34\u0e04-semi-open\">Nose Shapes That Can Be Created With the Semi-Open Technique<\/a><\/li><li><a href=\"#\u0e27\u0e34\u0e18\u0e35\u0e40\u0e15\u0e23\u0e35\u0e22\u0e21\u0e15\u0e31\u0e27\u0e41\u0e25\u0e30\u0e14\u0e39\u0e41\u0e25\u0e15\u0e31\u0e27\u0e40\u0e2d\u0e07\u0e2a\u0e33\u0e2b\u0e23\u0e31\u0e1a\u0e04\u0e19\u0e17\u0e33\u0e08\u0e21\u0e39\u0e01-semi-open\">How to Prepare and Look After Yourself for Semi-Open Rhinoplasty<\/a><\/li><li><a href=\"#\u0e17\u0e33\u0e44\u0e21\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01-semi-open-\u0e17\u0e35\u0e48-s45-clinic\">Why Choose Semi-Open Rhinoplasty at S45 Clinic<\/a><\/li><li><a href=\"#faq-\u0e17\u0e35\u0e48\u0e1e\u0e1a\u0e1a\u0e48\u0e2d\u0e22\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a\u0e01\u0e32\u0e23\u0e40\u0e2a\u0e23\u0e34\u0e21\u0e08\u0e21\u0e39\u0e01-semi-open\">Frequently Asked Questions About Semi-Open Rhinoplasty<\/a><\/li><li><a href=\"#\u0e2a\u0e23\u0e38\u0e1b\">Summary<\/a><\/li><\/ul><\/nav><\/div>\n\n<h2 id=\"&#xE01;&#xE32;&#xE23;&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open-&#xE04;&#xE37;&#xE2D;&#xE2D;&#xE30;&#xE44;&#xE23;\" class=\"wp-block-heading\"><strong>What Is Semi-Open Rhinoplasty?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty is surgery that uses incisions inside both nostrils to make it easier to place a silicone implant. This technique helps reduce tension on the skin at the nasal tip while the implant is inserted, which helps lower the chance of the implant tilting.<\/p>\n\n<p class=\"wp-block-paragraph\">This approach suits people with a droopy nasal tip or a small to moderate amount of soft tissue in the nose. Incisions on both sides help the surgeon place the silicone implant level with the nasal bone base, and other materials such as ear cartilage can also be added to give the tip more projection.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>How Incisions on Both Sides Help Reshape the Nose<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty uses incisions along the inner rim of both the left and right nostrils, which gives the surgeon easier access to the nasal tip. Opening both sides gives a more balanced view for checking the inner structure of the nose, so the silicone implant and tip graft can be placed with less deviation than with an incision on one side only.<\/p>\n\n<p class=\"wp-block-paragraph\">This approach helps reduce pulling on the skin around the nostrils when the wounds are closed, so both nostrils are less likely to be crooked after recovery. The paired incisions also make interdomal suturing easier, to refine the tip cartilage so the tip looks slimmer. All the scars are hidden inside the nose, and the wounds are closed with size 6\/0 dissolvable sutures, which helps lower the chance of visible external scarring.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>What Makes This Technique Different From Traditional Rhinoplasty<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty differs from traditional rhinoplasty by using incisions inside both nostrils, which reduces tension on the skin at the nasal tip. This gives the surgeon a wider view of the inner structures than the traditional single incision, so the shape can be refined and the silicone implant placed more precisely, lowering the chance of the implant tilting. The surgery takes about 45 to 60 minutes.<\/p>\n\n<figure class=\"wp-block-table\"><table><thead><tr><th>Point of comparison<\/th><th>Traditional rhinoplasty (closed)<\/th><th>Semi-open rhinoplasty<\/th><\/tr><\/thead><tbody><tr><td>Incision site<\/td><td>Incision inside one nostril only<\/td><td>Incisions inside both nostrils<\/td><\/tr><tr><td>Cartilage reshaping<\/td><td>Difficult because space is limited<\/td><td>Tip cartilage is easier to reshape<\/td><\/tr><tr><td>External scar<\/td><td>Scars hidden inside the nostrils<\/td><td>Scars hidden inside the nostrils<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<p class=\"wp-block-paragraph\">Interdomal suturing through incisions on both sides brings the tip cartilages closer together, so the tip looks slimmer without a long incision on the outside of the nasal base. This lowers the chance of the scar being visible from outside, and suits people with a large nasal tip or a <a href=\"https:\/\/s45clinic.com\/en\/bulbous-nose-open-rhinoplasty\/\">bulbous nose<\/a> who want a slimmer shape.<\/p>\n\n<h2 id=\"&#xE17;&#xE33;&#xE44;&#xE21;&#xE2B;&#xE25;&#xE32;&#xE22;&#xE04;&#xE19;&#xE40;&#xE25;&#xE37;&#xE2D;&#xE01;&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open-&#xE41;&#xE17;&#xE19;&#xE17;&#xE35;&#xE48;&#xE08;&#xE30;&#xE17;&#xE33;&#xE41;&#xE1A;&#xE1A;&#xE1B;&#xE34;&#xE14;\" class=\"wp-block-heading\"><strong>Why Many People Choose Semi-Open Rhinoplasty Instead of Closed Rhinoplasty<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Many people choose semi-open rhinoplasty because they want the inner shape refined in more detail than closed surgery, which focuses on inserting a silicone implant only. Incisions inside both nostrils give a wider view of the inside of the nose, so the surgeon can place the implant closely against the bone base and lower the chance of it tilting in the long term.<\/p>\n\n<p class=\"wp-block-paragraph\">This approach suits people with a crooked nasal axis or little soft tissue at the tip. Viewing from both incisions lets the surgeon check the balance of the nostrils during surgery, so the overall shape is closer to symmetrical on the left and right after the wounds have fully healed in the first 1 to 3 months, depending on each person.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Advantages of Incisions Inside Both Nostrils<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Incisions inside both nostrils give the surgeon a more symmetrical view of the inner structure than a single incision. This reduces pulling on the skin when the wounds are closed, so there is less tension on the wounds and a lower chance of the nasal axis becoming crooked after surgery. The surgeon can place the silicone implant accurately, helping the shape after semi-open rhinoplasty stay balanced on the left and right.<\/p>\n\n<p class=\"wp-block-paragraph\">Incisions on both sides also mean less trauma to the skin of the nose, because the nostril does not need to be pulled too far to one side. This may mean less swelling and bruising after surgery and a shorter recovery, depending on each person. The wounds inside the nostrils are closed with small sutures that usually dissolve on their own in about 14 days, depending on each person.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Limits to Know Before You Decide<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty cannot reshape the upper nasal bones when there is a large dorsal hump or a severely crooked nasal axis. This technique does not use an incision on the outside of the nasal base, so the surgeon cannot see the whole structure and cannot easily perform a nasal osteotomy (reshaping the nasal bones) on a very wide bone base. If it is attempted anyway, the silicone implant may become loose and mobile 6 months after surgery.<\/p>\n\n<p class=\"wp-block-paragraph\">This technique is also not suitable for people with a very short, upturned nasal tip, because it cannot provide septal extension to lengthen the tip. Caring for the wounds inside both nostrils also needs care, using a cotton bud dipped in saline to wipe gently every day to prevent dried blood and scabs building up in the first 7 days.<\/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;&#xE14;&#xE49;&#xE27;&#xE22;&#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\/semi-open-rhinoplasty-who-suitable.webp\" alt=\"People who are suitable for semi-open rhinoplasty\" class=\"wp-image-8209\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-who-suitable.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-who-suitable-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-who-suitable-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-who-suitable-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty suits people who already have a fairly good nasal base but want a higher, more defined bridge and a slightly more upturned tip. Incisions inside both nostrils make it easier for the surgeon to adjust the balance than a single incision, which lowers the chance of the silicone implant tilting. The existing nasal bases that tend to suit this technique are:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>people with a moderate amount of soft tissue in the nose, neither too thick nor too thin, that can stretch by about 2mm or more<\/li>\n\n\n\n<li>people with a small dorsal hump or bony bump on the bridge that can be removed by rasping through the incisions on both sides without a nasal osteotomy<\/li>\n\n\n\n<li>people with a slightly droopy nasal tip who want more tip projection and about 1mm to 2mm more nasal length<\/li>\n\n\n<\/ul>\n\n<h3 class=\"wp-block-heading\"><strong>Structural Problems That Are Hard to Correct and Need Open Rhinoplasty Instead<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">A nose with a <a href=\"https:\/\/s45clinic.com\/en\/uneven-nostrils-open-rib-rhinoplasty\/\">severely deviated and misshapen septum<\/a>, a very short upturned tip, or an unusually wide and thick bone base is beyond the limits of semi-open rhinoplasty. Reshaping these noses requires access to the deeper cartilage framework to rebuild the whole shape. Cases that are difficult to manage through incisions on both sides include:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>cleft lip and palate noses with severely crooked alae and base cartilage<\/li>\n\n\n\n<li>cases with a past injection of a non-dissolving foreign substance that has spread and become firmly attached to scar tissue and cartilage<\/li>\n\n\n\n<li>cases where the nasal axis is so deviated that it blocks the airway, which also needs septal extension<\/li>\n\n\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Forcing the semi-open technique on these cases may cause the silicone implant to tilt, or cause tension that thins the skin in the future. A 3D computed tomography (CT) scan before surgery helps show the thickness of the bone so you and your surgeon can plan the operation.<\/p>\n\n<h2 id=\"&#xE40;&#xE1B;&#xE23;&#xE35;&#xE22;&#xE1A;&#xE40;&#xE17;&#xE35;&#xE22;&#xE1A;&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open-&#xE01;&#xE31;&#xE1A;&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;&#xE2D;&#xE37;&#xE48;&#xE19;&#xE15;&#xE48;&#xE32;&#xE07;&#xE01;&#xE31;&#xE19;&#xE15;&#xE23;&#xE07;&#xE44;&#xE2B;&#xE19;\" class=\"wp-block-heading\"><strong>How Does Semi-Open Rhinoplasty Compare With Other Techniques?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty differs from other techniques by using incisions inside both nostrils, which reduces skin tension and gives a clearer view of the nasal axis.<\/p>\n\n<p class=\"wp-block-paragraph\">Choosing a technique that suits your existing structure is an important part of reshaping your nose. We divide the differences into 2 main groups to compare the advantages and limits of incisions on both sides with traditional techniques.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Compared With Closed Rhinoplasty Through One Nostril<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty differs from <a href=\"https:\/\/s45clinic.com\/en\/open-rhinoplasty-vs-close-rhinoplasty\/\">closed rhinoplasty<\/a> in how much the surgeon can see during surgery and in reducing skin tension at the nasal tip.<\/p>\n\n<p class=\"wp-block-paragraph\">Suturing through incisions on both sides gives the surgeon a better view of the inner nasal axis than a single closed incision. A single incision causes uneven pulling on the skin on each side, so incisions on both sides help reduce this problem and make it easier to place the silicone implant in a suitable position.<\/p>\n\n<figure class=\"wp-block-table\"><table><thead><tr><th>Point of comparison<\/th><th>Semi-open rhinoplasty<\/th><th>Closed rhinoplasty<\/th><\/tr><\/thead><tbody><tr><td>Incision site<\/td><td>Inside both nostrils<\/td><td>Inside one nostril only<\/td><\/tr><tr><td>View of the inside<\/td><td>Wider and clearer view<\/td><td>View limited to the side with the incision<\/td><\/tr><tr><td>Skin tension<\/td><td>Balanced on both sides, lower chance of tilting<\/td><td>More tension on one side<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<p class=\"wp-block-paragraph\">For people with narrow nostrils or thick alae, incisions on both sides give more room to place graft materials. The surgeon can use a tip graft to help lower the chance of the implant pushing through the skin (implant extrusion), and the surgical wounds take about 7 to 14 days to heal.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Compared With Open Rhinoplasty for Full Structural Reshaping<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty differs from <a href=\"https:\/\/s45clinic.com\/en\/semi-open-vs-open-rhinoplasty\/\">open rhinoplasty<\/a> because it does not need an incision across the outside of the columella, which lowers the chance of a visible external scar. Open rhinoplasty uses an incision across the outside of the nasal base to lift the skin fully so the inner nasal framework can be reshaped in detail, while semi-open rhinoplasty uses incisions inside both nostrils to reduce skin tension and reshape the nasal tip.<\/p>\n\n<figure class=\"wp-block-table\"><table><thead><tr><th>Point of comparison<\/th><th>Semi-open rhinoplasty<\/th><th>Open rhinoplasty<\/th><\/tr><\/thead><tbody><tr><td>Incision site<\/td><td>Inside both nostrils<\/td><td>Outside the columella and inside the nostrils<\/td><\/tr><tr><td>Nasal framework adjustment<\/td><td>Reshapes the nasal tip and reduces skin tension<\/td><td>Reshapes all the bone and the septum<\/td><\/tr><tr><td>Swelling and bruising period<\/td><td>About 5 to 7 days<\/td><td>About 14 days or more<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<p class=\"wp-block-paragraph\">Fully open rhinoplasty is often needed for a severely crooked nose or cases that also need rib cartilage. For general reshaping where you want to avoid an external scar, the semi-open technique may mean a shorter aftercare period, with the wounds usually healing in about 14 days, depending on each person.<\/p>\n\n<h2 id=\"&#xE27;&#xE31;&#xE2A;&#xE14;&#xE38;&#xE17;&#xE35;&#xE48;&#xE40;&#xE25;&#xE37;&#xE2D;&#xE01;&#xE43;&#xE0A;&#xE49;&#xE23;&#xE48;&#xE27;&#xE21;&#xE01;&#xE31;&#xE1A;&#xE01;&#xE32;&#xE23;&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open-&#xE21;&#xE35;&#xE2D;&#xE30;&#xE44;&#xE23;&#xE1A;&#xE49;&#xE32;&#xE07;\" class=\"wp-block-heading\"><strong>What Materials Are Used With Semi-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\/semi-open-rhinoplasty-materials.webp\" alt=\"Materials used with semi-open rhinoplasty\" class=\"wp-image-8210\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-materials.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-materials-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-materials-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-materials-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">The materials for this rhinoplasty technique combine a synthetic shaping material with tissue from your own body to reduce tension on the skin at the nasal tip, as follows:<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Using a Silicone Implant to Build the Bridge<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">The silicone implant&#8217;s main role is to add height and definition to the bridge, from between the eyes down to almost the nasal tip. In the semi-open technique, medical-grade silicone lets the surgeon carve and adjust the shape to fit your existing bone base more easily. Incisions inside both nostrils give a clear view of the bridge line, so the implant can be placed neatly under the periosteum (the membrane covering the bone), lowering the chance of it tilting in the future.<\/p>\n\n<p class=\"wp-block-paragraph\">Ready-made silicone implants come in several levels of flexibility and softness to suit the thickness of your skin. The surgeon carves the implant case by case to get a sloped shape that fits your forehead and the corners of your mouth, keeping the implant on the bridge no thicker than 3mm to 4mm to keep a suitable distance and prevent too much skin tension.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Using Synthetic Materials and Ear Cartilage as a Tip Graft<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Using your own tissue or a synthetic material to shape the nasal tip helps reduce pressure and skin tension. Semi-open rhinoplasty with a tip graft helps prevent the silicone implant from touching the skin of the tip directly.<\/p>\n\n<p class=\"wp-block-paragraph\">Your own <a href=\"https:\/\/s45clinic.com\/en\/retroauricular-fascia\/\">ear cartilage<\/a> has a low chance of rejection, and helps add thickness and shape to the nasal tip. The surgeon often sutures it into shape to cover the end of the silicone implant, which lowers the chance of the skin becoming thin.<\/p>\n\n<h2 id=\"&#xE17;&#xE23;&#xE07;&#xE08;&#xE21;&#xE39;&#xE01;&#xE17;&#xE35;&#xE48;&#xE1B;&#xE23;&#xE31;&#xE1A;&#xE44;&#xE14;&#xE49;&#xE14;&#xE49;&#xE27;&#xE22;&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;-semi-open\" class=\"wp-block-heading\"><strong>Nose Shapes That Can Be Created With the Semi-Open Technique<\/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\/semi-open-rhinoplasty-nose-shapes.webp\" alt=\"Nose shapes that can be created with the semi-open technique\" class=\"wp-image-8211\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-nose-shapes.webp 1200w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-nose-shapes-450x253.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-nose-shapes-1080x608.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/08\/semi-open-rhinoplasty-nose-shapes-768x432.webp 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty can shape the nose with soft curves in a range of styles to suit your face, as follows:<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Sloped Nose With a Projected Tip to Add Facial Dimension<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">A <a href=\"https:\/\/s45clinic.com\/en\/sloped-pointed-teardrop-nose\/\">sloped nose with a projected tip<\/a> adds definition to the face, with a bridge that curves gently from between the eyes down to an upturned, projected tip. This shape helps reduce flatness in the middle of the face, so the face looks longer and slimmer with more balanced dimension.<\/p>\n\n<p class=\"wp-block-paragraph\">Choosing the semi-open technique for a sloped nose with a projected tip lets the surgeon refine the tip cartilage, known as interdomal suturing, more easily. This helps turn the tip up and forward as planned and reduces skin tension at the tip. After surgery, the skin starts to heal and the swelling goes down so the shape becomes clearer, usually in about 14 days, depending on each person.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Teardrop Tip<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty for a teardrop tip adds dimension by letting the tip drop down slightly like a drop of water, which softens the face. This technique makes the tip look longer by adjusting both nostrils through small incisions. Shaping the tip this way can make the <a href=\"https:\/\/s45clinic.com\/en\/how-to-fix-flared-nose\/\">alae look narrower<\/a> without alar base reduction.<\/p>\n\n<p class=\"wp-block-paragraph\">This teardrop tip suits people with a fairly long existing nasal base and enough soft tissue at the tip to prevent tension. Interdomal suturing together with a tip graft helps the teardrop tip hold its shape. If your nose is short, the flexibility of your nasal tissue should be measured before surgery to set a suitable tip length of 1mm to 2mm beyond your existing base.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Rounded Tip<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">A rounded tip is a nose shape with a gently sloping bridge that curves softly down to the tip without a sharp angle. Semi-open rhinoplasty adjusts the angle between the eyes and the nasal tip so it curves in line with the forehead. This shape is not too sharp or pointed, and focuses on soft, blended curves that reduce hardness in the face.<\/p>\n\n<p class=\"wp-block-paragraph\">This shape is created by suturing the tip cartilage through incisions inside both nostrils, together with a tip graft to help prevent the skin thinning in the long term. It can smooth a nasal base with a moderately high bony bump. The scars are hidden inside the nostrils, and swelling and bruising usually start to settle within 14 days after surgery, depending on each person.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Sloped Bridge With a Slightly Lifted Tip<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">A sloped bridge with a slightly lifted tip gives the bridge a gentle curve that fits the forehead, with a tip that turns up slightly. Using semi-open rhinoplasty for this shape allows more flexible tip refinement, because incisions on both sides allow the tip cartilage to be shaped evenly. The height of the bridge starts sloping from between the eyes down to a tip lifted by about 1mm to 2mm, giving the middle of the face more dimension.<\/p>\n\n<p class=\"wp-block-paragraph\">This shape usually uses a ready-made silicone implant carved in detail, together with ear cartilage or another tip graft material, which adds thickness to the skin at the nasal tip. This reduces skin tension and helps prevent the skin thinning in the long term after the body&#8217;s healing process. Looking after your nose in the first 14 days after surgery is therefore important for keeping the lifted shape of the tip.<\/p>\n\n<h2 id=\"&#xE27;&#xE34;&#xE18;&#xE35;&#xE40;&#xE15;&#xE23;&#xE35;&#xE22;&#xE21;&#xE15;&#xE31;&#xE27;&#xE41;&#xE25;&#xE30;&#xE14;&#xE39;&#xE41;&#xE25;&#xE15;&#xE31;&#xE27;&#xE40;&#xE2D;&#xE07;&#xE2A;&#xE33;&#xE2B;&#xE23;&#xE31;&#xE1A;&#xE04;&#xE19;&#xE17;&#xE33;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open\" class=\"wp-block-heading\"><strong>How to Prepare and Look After Yourself for Semi-Open Rhinoplasty<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Preparing and looking after yourself correctly directly affects how well the wounds inside both nostrils heal. We divide the advice into 2 key stages so you can follow it correctly.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>What to Prepare Before the Day of Surgery<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Preparing before surgery helps lower the risks during the operation and supports your recovery. A body that is ready helps lower the chance of swelling and bruising after surgery.<\/p>\n\n<ol class=\"wp-block-list\">\n<li>Stop aspirin, ibuprofen and similar medicines, as well as all supplements and vitamins such as vitamin E, fish oil, ginseng extract or garlic, for at least 14 days before surgery, because they increase blood flow and make bleeding stop more slowly.<\/li>\n\n\n\n<li>Stop drinking alcohol and smoking for at least 14 days before surgery to lower the risk of infection and help the skin heal well after surgery.<\/li>\n\n\n\n<li>Shower, wash your hair and trim your nails before the day of surgery, because after surgery you will have wounds inside both nostrils that must not get wet in the first days.<\/li>\n\n\n<\/ol>\n\n<h3 class=\"wp-block-heading\"><strong>How to Care for the Wounds on Both Sides After Surgery<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">To help the wounds on both sides heal after semi-open rhinoplasty, focus mainly on keeping them clean and controlling pressure inside the nose. <a href=\"https:\/\/s45clinic.com\/en\/how-to-take-care-yourself-after-rhinoplasty\/\">Cold compresses around the nose<\/a> and forehead in the first 3 days help narrow the blood vessels. After that, switch to warm compresses to help clear any remaining pooled blood.<\/p>\n\n<p class=\"wp-block-paragraph\">Sleeping on your back with a neck pillow to keep your head higher than your chest in the first 5 days is very important. This reduces blood pressure to the face, so the wounds inside both nostrils are not under too much tension.<\/p>\n\n<p class=\"wp-block-paragraph\">Clean the wounds by gently dabbing away dried blood with a cotton bud dipped in saline twice a day, and avoid blowing your nose or sneezing hard for at least 14 days to prevent the stitches from coming apart.<\/p>\n\n<h2 id=\"&#xE17;&#xE33;&#xE44;&#xE21;&#xE40;&#xE25;&#xE37;&#xE2D;&#xE01;&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open-&#xE17;&#xE35;&#xE48;-s45-clinic\" class=\"wp-block-heading\"><strong>Why Choose Semi-Open Rhinoplasty at S45 Clinic<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty at S45 Clinic helps reduce concerns about external scars while shaping the nose to suit your facial proportions. We focus on care that responds to each person&#8217;s needs, so the result suits the dimensions of your face.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Care From Experienced Surgeons<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/s45clinic.com\/en\/specialist-doctor\/\">S45 Clinic surgeons<\/a> are experienced in analysing nasal structure in detail to plan the reshaping. Assessing the angles of the nose from the forehead and nasal tip down to the chin helps the silicone implant placement and the internal suturing suit each person&#8217;s face.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Individual Design and Assessment<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">The surgeon designs and analyses the nose shape for each person in detail to fit your existing facial dimensions. Our semi-open rhinoplasty does not use one ready-made silicone implant shape for everyone. The surgeon measures your individual proportions, including your forehead, chin and the corners of your mouth, to find a balanced midpoint before carving the silicone implant case by case.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>Operating Theatre and Infection Control<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty at S45 Clinic is carried out under infection control in a closed operating theatre system with controlled air pressure and temperature. Every surgical instrument is sterilised in a high-pressure autoclave in line with medical instrument sterilisation standards, to maintain hygiene at every step.<\/p>\n\n<h2 id=\"faq-&#xE17;&#xE35;&#xE48;&#xE1E;&#xE1A;&#xE1A;&#xE48;&#xE2D;&#xE22;&#xE40;&#xE01;&#xE35;&#xE48;&#xE22;&#xE27;&#xE01;&#xE31;&#xE1A;&#xE01;&#xE32;&#xE23;&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;-semi-open\" class=\"wp-block-heading\"><strong>Frequently Asked Questions About Semi-Open Rhinoplasty<\/strong><\/h2>\n\n<h3 class=\"wp-block-heading\"><strong>Can the Tip Push Through the Skin After Semi-Open Rhinoplasty?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Tip extrusion is possible after semi-open rhinoplasty if a silicone implant that is too long is forced in without a tip graft to reduce friction under the skin. Using ear cartilage to take the pressure, and limiting the tip height to no more than 3mm above your existing base, helps lower this risk.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>How Many Days of Recovery Until the Swelling Starts to Go Down?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Swelling and bruising after semi-open rhinoplasty usually start to go down in about 7 to 14 days, and you can usually return to work and daily activities after the first week. Bruising around the eyes and the inner corners of the eyes gradually fades, usually in about 21 days, depending on each person, when you follow the advice on cold compresses around the nose strictly in the first 72 hours after surgery.<\/p>\n\n<h3 class=\"wp-block-heading\"><strong>How Much Does Semi-Open Rhinoplasty Cost, and Is It Different From Other Techniques?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">The average <a href=\"https:\/\/s45clinic.com\/en\/nose-surgery-price\/\">rhinoplasty price<\/a> for this technique is about THB 15,000 to THB 40,000, depending on your existing nasal structure, the additional materials used and how complex the reshaping is in each case.<\/p>\n\n<h2 id=\"&#xE2A;&#xE23;&#xE38;&#xE1B;\" class=\"wp-block-heading\"><strong>Summary<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Semi-open rhinoplasty is an option that helps reshape the nasal tip with less skin tension than a single-incision approach. All the scars are hidden inside both nostrils, which lowers the chance of a visible external scar.<\/p>\n\n<p class=\"wp-block-paragraph\">This technique suits people who already have a reasonably good nasal base and want a slimmer nasal tip, with a lower chance of the nasal axis becoming crooked after 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 rhinoplasty uses incisions inside both nostrils to reshape the nasal tip and lower the chance of the implant tilting. Know its limits before you decide with your surgeon.<\/p>\n","protected":false},"author":3,"featured_media":9297,"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-9296","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\/semi-open-rhinoplasty-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\/9296","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=9296"}],"version-history":[{"count":3,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9296\/revisions"}],"predecessor-version":[{"id":11132,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9296\/revisions\/11132"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media\/9297"}],"wp:attachment":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media?parent=9296"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/categories?post=9296"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/tags?post=9296"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}