Types of Rhinoplasty: Open vs Closed vs Structural Which Is Best?

Current rhinoplasty techniques each have their own advantages, limitations, and levels of effectiveness, helping to improve the shape of the nose in a harmonious and natural way. Depending on the original nasal structure and individual aesthetic goals, each method offers distinct benefits, meeting the diverse expectations of international clients who choose rhinoplasty in Vietnam.

I/ What is rhinoplasty?

Rhinoplasty is a surgical procedure that improves the shape and proportions of the nose by adjusting the nasal bridge, nasal tip, or internal nasal structures. Depending on each case, the surgeon may perform partial adjustments or a comprehensive reconstruction to change the height, curvature, and contours of the nose, creating a more balanced and harmonious overall facial appearance.

Rhinoplasty is commonly indicated for various cases, including:

• Low nasal bridge, flat nose, or wide nasal wings
• High nasal bridge with a hump, deviation, or crooked shape
• Congenital nasal deformities or deformities caused by accidents or trauma

Nose augmentation corrects the problem of a wide, coarse nose.

II/ Open, Closed, and Structural Rhinoplasty Methods

Open, closed, and structural rhinoplasty are all common nasal aesthetic techniques, selected based on the level of intervention required and the individual nasal condition of each client.

1/ What is open rhinoplasty?

In open rhinoplasty, the surgeon creates incisions inside the nasal mucosa on both sides combined with an incision across the columella. This approach allows easier dissection and deeper access to the nasal framework, enabling comprehensive correction of the nose, especially in complex cases.

The nasal columella is typically reconstructed using autologous cartilage such as septal cartilage, rib cartilage, or auricular (ear) cartilage, which helps keep the nasal tip soft and reduces the risk of redness or shine-through. The nasal bridge is then elevated using appropriate synthetic implants tailored to each patient.

Key advantages of open rhinoplasty:

• Excellent control of nasal structures with high precision
• Effective correction of complex deformities
• Long-term, stable results

Open rhinoplasty helps to comprehensively reshape the nose.

2/ What is closed rhinoplasty?

Closed rhinoplasty is performed through incisions inside the nasal cavity, leaving no external scars. The surgeon inserts the implant through the nasal mucosa to elevate the nasal bridge, minimizing soft-tissue trauma.

• This method is commonly indicated for:
• Noses with minimal imperfections
• Low nasal bridges with relatively well-defined nasal tips
• Clients who desire a subtle, natural enhancement of the nasal bridge

Advantages of closed rhinoplasty:

• No visible external scarring
• Shorter operative time
• Less swelling and pain, faster recovery
• Suitable for clients with limited time for extended stays

However, due to limited visibility and restricted ability to modify nasal structures, closed rhinoplasty is not suitable for complex cases or those requiring comprehensive correction. Therefore, thorough examination and consultation with a specialized surgeon are essential to ensure safety and optimal aesthetic outcomes.

3/ Structural rhinoplasty

Structural rhinoplasty is currently the most advanced and comprehensive rhinoplasty technique. This method not only elevates the nasal bridge but also reconstructs the entire nasal framework, including the columella, nasal tip, and nasal wings.

In structural rhinoplasty, surgeons combine:

• Autologous cartilage to build the columella and protect the nasal tip
• High-grade synthetic implants to elevate the nasal bridge
• This approach effectively addresses challenging nasal conditions such as:
• Short or upturned congenital noses
• Noses with multiple structural defects
• Asian noses with thin nasal skin
• Noses that have undergone previous surgery with unsatisfactory results

Outstanding advantages of structural rhinoplasty:

• Harmonious, natural-looking results tailored to each face
• Reduced risk of redness, implant visibility, or extrusion
• High durability with long-term stability
• Highly personalized treatment for each client

Thanks to its comprehensive and safe approach, structural rhinoplasty has become the top choice for many international clients seeking aesthetic enhancement in Vietnam.

Complete nose reshaping

III. Which rhinoplasty method is the most effective and best?

The most effective and suitable rhinoplasty method should be evaluated based on multiple factors, including the original nasal structure, nasal skin condition, aesthetic goals, surgical history, and the desired recovery time of each individual client.

• Closed rhinoplasty is suitable for clients with a relatively well-shaped nose who only need a gentle enhancement of the nasal bridge, with minimal invasiveness and quick recovery.
• Open rhinoplasty is an optimal choice for noses with multiple imperfections or for revision cases, allowing the surgeon to intervene precisely and maintain better control over the internal nasal structures.
• Structural rhinoplasty is considered the most modern and comprehensive approach, enabling full reconstruction of the nasal framework and delivering harmonious, natural-looking, and long-lasting results.

IV. Why should international clients choose rhinoplasty at Kangnam Aesthetic Hospital?

Kangnam Aesthetic Hospital is recognized as one of the leading rhinoplasty centers in Vietnam, thanks to its advanced technology, a team of surgeons with over 10 years of experience, and a track record of more than 10,000 successful rhinoplasty procedures.

Its outstanding advantages include:

1. Advanced Idol Rhinoplasty technology with personalized design

Kangnam Aesthetic Hospital is a pioneer in applying Idol Rhinoplasty technology—a modern rhinoplasty technique transferred from South Korea.

• This technology provides comprehensive nasal reconstruction, harmoniously balancing the nasal bridge, tip, and columella to create a refined yet natural-looking nose tailored to each facial structure.
• With a high level of personalization, Idol Rhinoplasty delivers stable aesthetic results while minimizing common complications.
• Kangnam utilizes next-generation biocompatible implants such as Nanoform and Surgiform (100% ePTFE), known for their light weight, durability, high compatibility, and reduced risk of rejection.

2. Application of AI Face Design simulation before surgery

Kangnam applies AI Face Design simulation technology during the rhinoplasty consultation process.
Through 3D facial analysis, the AI system helps surgeons predict post-operative nasal outcomes and adjust proportions to suit each facial feature, allowing clients to clearly visualize the expected results.

3. A team of highly experienced rhinoplasty specialists

• Kangnam brings together facial plastic surgeons with over 10 years of experience, specializing in rhinoplasty and complex revision cases, such as Dr. Harvey Nguyen, Dr. Henry Nguyen, Dr. Louis Truong, and others.
• These surgeons not only possess strong professional expertise but also an international aesthetic mindset, regularly updating techniques and trends from South Korea and the United States.
• Each rhinoplasty procedure is directly examined, planned, and performed by the surgeon, ensuring high precision and maximum safety.

Kangnam has a team of highly skilled rhinoplasty surgeons.

4. Standardized medical procedures ensuring maximum safety

• All rhinoplasty procedures at Kangnam Aesthetic Hospital follow strict medical standards, from consultation and medical testing to surgery and post-operative care.
• The hospital’s one-way sterile operating rooms, modern equipment, and rigorous control protocols help minimize the risk of infection and complications.
• International clients also receive close post-operative monitoring and detailed aftercare guidance to ensure fast recovery and long-lasting results.

V. Rhinoplasty procedure in Vietnam

The rhinoplasty procedure in Vietnam—especially at internationally accredited aesthetic hospitals such as Kangnam Aesthetic Hospital—is developed in accordance with strict medical standards to ensure both safety and optimal results.

Step 1: In-depth consultation and examination

• Clients are directly examined by the surgeon, who evaluates the nasal structure, skin condition, and existing imperfections.
• Using AI Face simulation technology, the surgeon advises on the most suitable rhinoplasty method and designs a nasal shape that is harmonious with the overall facial features.

Step 2: Comprehensive health check

• Before surgery, clients undergo necessary medical tests to ensure they are medically fit for the procedure.

Step 3: Rhinoplasty surgery

• The procedure is performed in a sterile operating room under close supervision by the surgical and anesthesia teams. The surgeon uses high-quality cartilage materials combined with advanced rhinoplasty techniques to create a precise, natural-looking, and safe nasal result.

Step 4: Post-operative care and recovery monitoring

• After surgery, clients are closely monitored during recovery, receive detailed nasal care instructions, and return for scheduled follow-up visits. For international clients, the hospital also provides online consultations after they return home to ensure long-term stability and results.

Nose augmentation procedure according to medical standards.

VI. Frequently Asked Questions

1. Does open rhinoplasty leave visible scars?

Open rhinoplasty may leave a small scar on the columella; however, after healing, the scar gradually fades and is almost invisible to the naked eye. When performed by an experienced surgeon and followed by proper aftercare, open rhinoplasty remains highly aesthetic and safe in the long term.

2. How long do the results of structural rhinoplasty last?

Structural rhinoplasty typically lasts 10–20 years or longer, thanks to full nasal framework reconstruction and the combined use of autologous cartilage and high-grade implants. When performed with proper technique and good aftercare, the results can remain stable for many years.

3. How soon can I fly home after surgery?

In most cases, international clients can fly home 7–10 days after rhinoplasty, once swelling has significantly subsided and the nose has reached initial stability. During this period, clients attend follow-up visits, suture removal, and receive detailed aftercare instructions. After returning home, online consultations remain available for continued recovery monitoring.

With advanced technology, a highly experienced medical team, and standardized medical procedures, Kangnam Aesthetic Hospital is a trusted destination for international clients seeking a naturally beautiful nose in Vietnam. Contact Kangnam today for in-depth consultation and a personalized nasal design tailored specifically for you.