Which Technique is Right for You?

Rhinoplasty is one of the most popular cosmetic procedures for enhancing facial harmony,
improving nasal structure, and boosting confidence.

Whether you are looking to refine your nose shape, correct asymmetry, or revise a previous
surgery, choosing the right technique is essential to achieving natural, long-lasting results.

At Siamese Hospital, rhinoplasty procedures are carefully designed based on each patient’s
anatomy, goals, and safety considerations.

Open Rhinoplasty

• Precision Structural Surgery for Natural, Long-Lasting Results

Open Rhinoplasty is an advanced surgical technique that allows the surgeon to fully visualize
the internal nasal structure.

A small incision is made at the columella (the tissue between the nostrils), enabling the skin
to be gently lifted for detailed access to the bone and cartilage.

This approach allows for:

• Precise structural correction
• Accurate placement of graft materials
• Better outcomes in complex or revision cases

Natural Materials: Autologous Cartilage

To achieve safe and natural results, Dr. Thiti Tantitham uses the patient’s own cartilage
(autologous tissue), reducing the risk of complications and ensuring better tissue compatibility.

Ear Cartilage (Auricular Cartilage)

• Harvested from behind the ear (hidden scar)
• Soft and flexible
• Ideal for refining the nasal tip

Best for: mild to moderate adjustments

Rib Cartilage (Costal Cartilage)

• Harvested from the chest
• Strong and durable
• Suitable for full nasal reconstruction

Best for: Complex or revision rhinoplasty

  Severe deformities or structural deficiencies

Although it involves a chest incision and slightly longer recovery, it provides highly stable and
customizable results.

Who is Open Rhinoplasty Suitable For?

• Patients with previous unsatisfactory rhinoplasty results
• Crooked, twisted, or asymmetrical nose
• Short, flat, or structurally weak nose
• Individuals seeking natural, long-term outcomes
• Patients who prefer using their own tissue instead of synthetic implants

Recovery & Aftercare

• Swelling and bruising improve within 1–2 weeks
• Rib cartilage cases may involve temporary chest discomfort
• Avoid pressure or impact on the nose during healing
• Final results typically become more defined within 3–6 months

Why Choose Dr. Thiti Tantitham?

• Experienced plastic surgeon specializing in rhinoplasty
• Expertise in both primary and complex revision cases
• Focus on safety, natural results, and personalized design

Closed Rhinoplasty

• Minimally Invasive Technique with No External Scars

Closed Rhinoplasty (endonasal approach) is performed through incisions inside the nostrils,
with no visible external scars.

This technique is suitable for patients who require minor to moderate adjustments without
major structural reconstruction.

Benefits of Closed Rhinoplasty

• No visible external scar
• Less swelling and bruising in many cases
• Shorter recovery time
• Shorter operation time in selected cases

Limitations to Consider

• Limited visibility for complex corrections
• Not ideal for revision or major structural changes
• Requires high surgical expertise

Who is a Good Candidate?

Suitable for:

• Minor nasal reshaping
• Patients with simple nasal structure
• Individuals who prefer no external scars

Not suitable for:

• Complex deformities (e.g., severe asymmetry, large nasal tip)
• Revision rhinoplasty
• Cases requiring major structural reconstruction

Procedure Overview (Closed Rhinoplasty)

1. Anesthesia (local or general, depending on the case)
2. Internal incisions inside the nostrils
3. Reshaping bone and cartilage
4. Optional graft placement if needed
5. Closure and recovery

How to Choose the Right Technique?

The choice between Open vs Closed Rhinoplasty depends on:

• Your current nasal structure
• Complexity of the case
• Desired outcome

Open rhinoplasty is generally recommended for complex or revision cases

Closed rhinoplasty is ideal for simpler refinements.

A detailed consultation with an experienced surgeon is essential to determine the most suitable approach.

Pre-Surgery Preparation

Before surgery, patients should:

• Discuss goals and expectations with the surgeon
• Provide full medical history and current medications
• Avoid smoking and alcohol before surgery
• Follow all pre-operative instructions carefully

Both Open Rhinoplasty and Closed Rhinoplasty offer unique advantages. 

The best results come from choosing the right technique tailored to your individual needs.

With expert surgical planning and proper aftercare, rhinoplasty can deliver natural, balanced,
and long-lasting results.