The open rhinoplasty approach is widely accepted as the more beneficial approach, in comparison to closed, as it has been shown to have many advantages. Not only does it provide better visualization of nasal structures, but this also allows for better accuracy and any correction of possible deformities. One disadvantage that concerns patients is the external transcolumellar scar. However, studies have shown that most patients are not bothered by their scar or consider them to be barely perceptible.
So how does the scar become invisible? Although there are many different types of incisions that may be used during an open rhinoplasty (i.e. transverse, “w”, “z”, “v”)
The inverted V is the most popular. Many studies have compared the different approaches in incisions for open rhinoplasties, and have shown that the inverted V incision provided better scar formation as well as less notching (alar rim retraction). Some authors have also described that this pattern is less noticeable to the eye and helps reduce wound tension; therefore, showing less scarring.
In combination with good aftercare of nasal incisions as well as the usage of scar gel, open rhinoplasties scars are usually minimized and are barely noticeable.