Open rhinoplasty is a detailed surgical technique used to correct cosmetic and functional concerns of the nose. It offers excellent visibility of the nasal framework, allowing precise reshaping of cartilage and bone. 
 

At Symmetry Clinic, the procedure is performed by Consultant Nasal and Facial Plastic Surgeon Mr Santdeep Paun, an internationally recognised specialist with extensive experience in complex and revision cases. Our experienced team prioritises anatomical accuracy, precision and clear communication throughout treatment.

Open rhinoplasty offers many advantages that make it the preferred approach for many patients and surgeons:
 

• Improved visibility of the nasal framework, allowing precise adjustment of cartilage and bone
• Enhanced accuracy for tip refinement, graft placement and structural support
• Reliable results for revision surgery or complex nasal reshaping
• Better control over symmetry, projection and alignment
• Predictable healing when the nasal structure is reinforced and balanced

These benefits are especially important when the goal is natural refinement rather than noticeable alteration. Open rhinoplasty supports long-term stability by improving both shape and functional support within the nasal structure.

The ideal candidate for open rhinoplasty is someone who:
 

• Wants cosmetic improvement to the shape, size, or symmetry of the nose
• Experiences breathing difficulties due to structural issues
• Requires detailed tip refinement or significant reshaping
• Has previously undergone nasal trauma or a failed rhinoplasty
• Is in good overall health with realistic expectations
• Understands the recovery process and expected timeline

Patients with complex nasal anatomy or those seeking revision work often benefit most from the enhanced visibility of the open approach. During your consultation, Mr Paun will perform a detailed nasal assessment and explain whether open rhinoplasty is the most appropriate technique for your goals.

An initial consultation with Mr Paun is £275 and includes state-of-the-art 3D imaging to give you a realistic preview of your results. The cost of open rhinoplasty varies depending on the complexity of the procedure (cosmetic vs functional vs revision) and any additional corrections needed (such as septoplasty).
 

Payment plans are available through our admitting hospitals, and concierge services are offered for patients travelling to London for surgery.

Undergoing open rhinoplasty at Symmetry Clinic is a structured, supportive process designed to keep you informed and comfortable at each stage.

Consultation

Your journey begins at our Harley Street or Shard clinic, where Mr Paun will assess your nasal structure, breathing function and aesthetic goals. You will discuss your concerns, medical history and previous treatments if applicable. 

Procedure

The open rhinoplasty procedure is performed under general anaesthesia and usually takes two to three hours. A small incision is made across the columella, and the skin is lifted to access the cartilage and bone. Mr Paun then reshapes or reinforces the nasal framework as needed, sometimes using cartilage grafts for added support or symmetry. The incision is closed with fine sutures, and a small external splint is applied to support healing.

Recovery

Most patients return home the same day. Swelling and bruising are most noticeable in the first week and improve steadily afterwards. Stitches are removed after several days, and the nasal splint is taken off after about a week. The small incision heals quickly and usually fades well over time. Light activities can resume within one to two weeks, while strenuous exercise should be avoided for several weeks.

Results

Initial results appear once the splint is removed, but the nose continues to refine over several months. Final results typically take nine to twelve months as swelling settles and the structure stabilises. Patients can expect improved balance, better airflow when functional work is included and natural refinement of the nasal shape. The aim is a result that enhances your features without appearing overdone.

Open rhinoplasty offers the detail and control needed to create meaningful, long-lasting improvements to nasal structure and function. At Symmetry Clinic, you receive expert guidance, thoughtful planning and meticulous surgical care tailored to your unique anatomy.
 

If you are considering open rhinoplasty, we invite you to book a consultation at our Harley Street or Shard clinic. Your assessment will include a detailed nasal examination and a personalised treatment plan designed to achieve balanced and natural results.