Rhinoplasty is Miami’s favorite facial transformation surgery. Men and women can alter their noses in numerous ways, and for various reasons. In fact, this complex surgery is considered a specialty all it’s own because of its complexity and diverse outcomes.

As you might guess, there are multiple surgical techniques, and even some non-surgical ones used to reshape and refine the nose.

Rhinoplasty surgery is usually classified as either “open” or “closed.” These are the techniques surgeons use to access structures under the skin and create the desired contour changes.

If you’re planning a nose job and not sure which technique you will have, the following explanation could help you understand the pros and cons of each.

Depending on the particular anatomy, goals, and surgeon you have, closed or open may be right for you.

The method Dr. Kallman uses for his Miami Rhinoplasty patients is usually “open.” It allows him a high level of precision and visibility for incredibly detailed work.

Let’s take a closer look at why a rhinoplasty surgeon might prefer either option.

Closed Rhinoplasty in Miami

Also called endonasal rhinoplasty, this approach is less invasive but less common too. The surgeon makes small incisions inside the patient’s nostrils, where they are entirely hidden.

With endoscopic tools, visibility inside the nose is possible and tissue can be altered or removed. Once tissue reshaping is done, the incisions are closed with dissolvable sutures. A septoplasty or septum repair can be done via this method, and the procedures may take anywhere between 1-3 hours.

Closed rhinoplasty does take less time in most cases and can mean less bruising or swelling to content with post-operatively. Any scars will be entirely hidden.

However, there are some significant limitations to the closed approach.

When working through extremely tiny openings and using endoscopic cameras and tools, precision adjustments, and complex repairs aren’t possible.

The Open Rhinoplasty Approach

Also known as external rhinoplasty, there are good reasons that 99% of Dr. Kallman’s Miami Rhinoplasty patients have this method. Open rhinoplasty allows clear visualization and access to the entire nasal structure and tissues, including skin, muscle, cartilage, and bone.

The procedure begins with making a small incision under the centre of the nose where it meets the upper lip. This spot is called the columella.

Next, the surgeon lifts nasal skin to reach the nasal framework and make changes underneath. Though it is pulled up during surgery, the skin retracts beautifully, and the incision will become just a small line across the columella. The remaining scar is remarkably faint and usually undetectable under the nose.

Alarplasty (nostril surgery) can also be done simultaneously, and the scars will be situated in the nostril crease, so they blend well once healed also. Open rhinoplasty may take between 2-5 hours in the OR, depending on the specifics of the case.

Benefits Of The Open Approach

  • Open rhinoplasty allows the greatest freedom to work inside the nose
  • The chances of nasal cartilage distortion are limited
  • It’s possible to perform complex correction with this method
  • Rhinoplasty surgeons can make extremely precise changes for natural-looking results
  • The open approach makes the operation more manageable for the surgeon, though it is technically demanding
  • Significant changes in shape, size and nose function are possible through the open method
  • The tiny scar is usually faint and may even be impossible to see after a couple of months!

Recovery After Your Rhinoplasty In Miami

Most people who wonder if rhinoplasty is painful are delighted to find out recovery can be a breeze. Dr. Kallman uses local anesthetic in the nasal tissue during the procedure. That means his patients experience long-lasting numbing effects and comfort after surgery. He also uses atraumatic techniques, so swelling and discomfort are dramatically reduced.

You won’t have nasal packing to contend with after your rhinoplasty, either. Dr. Kallman advises patients to apply icepacks every 20 minutes for the first couple of days once home. Plus, keeping your head elevated will be critical because bending over, lifting, and any strenuous activity can increase blood pressure to the face.

We’ll see you back at our Miami office one week after surgery, and again at two weeks. After that, you can resume many of your everyday activities and keep in touch with us via email or phone. Any additional follow up visits will be up to you!

Schedule Your Consultation For Rhinoplasty In Miami

Because rhinoplasty is a special area of focus for Dr. Kallman, he sees patients from all backgrounds and from across the globe to perform nose jobs regularly. Whether a first-time primary rhinoplasty or challenging revision work, his experience and artistry ensure results patients love.

At his Miami surgical center, each patient is assessed, and a surgical plan is created to cater to unique needs. Reconstruction rhinoplasty and subtle tweaks share a common aim; for each person’s results to harmonize with the rest of their features and look naturally attractive.

Covid-19 Rhinoplasty Consultation Accommodations

Dr. Kallman has utilized advanced digital imaging technology during surgical planning for years. Now, in these changing times, his digital skills mean a transition to virtual consultations for cosmetic surgery has bee a seamless one. You can count on your online discussion and assessment being just as informative and accurate as consultation in person!

If you would like to opt for a consultation online, please give us a call, and we’ll walk you through the process.

We provide an easy-to-follow video outlining photo instructions, and we use the Mirror digital morphing simulation to showcase all the personalized possibilities for your new look!

Please call or write to us and arrange your consultation for rhinoplasty in Miami today.


Face Miami’s Dr. Brandon Kallman, MD. brings over 27 years of experience as an Aesthetic, Cosmetic, and Board-Certified Plastic Surgeon to his prestigious practice. Miami men and women trust his extensive expertise in a diverse range of facial cosmetic procedures, and he’s renowned as a rhinoplasty specialist.