Open rhinoplasty.

Excellent exposure of the nose is possible using the open rhinoplasty technique. This technique improves surgical control of the maneuvers employed, leading to better surgical results. However, thorough understanding and skill in application of rhinoplasty technique are necessary to acquire these better results. The stigma of the columellar incision is slowly being put to rest, as surgeons, employing the technique relate their satisfaction and their patients' lack of dissatisfaction with the scar. Increasingly, surgeons are utilizing this technique, thereby learning more about rhinoplasty and enhancing the teaching and performance of this art. Acceptance is increasing, even to the point of popularity. Open rhinoplasty has survived its infancy and is enjoying a vigorous growth in North America.