After consultation with the patient Dr Satya Saraswat tailors each operation to the specific patient. This algorithm in certain cases derives the technique of open rhinoplasty.
Many surgeons prefer open rhinoplasty particularly for more complicated problems since it affords a clear view and greater access to the underlying structures.
Many doctors opine that this approach is much more predictable and precise in shaping the nose especially the tip since you can see the framework and set everything exactly where you want it to be, thus leaving much less to chance.
While gaining access to the various structures it aids in preserving the structural integrity of the nose upto the maximum. The tip of the nose ,one school of thought opines is best handled by open method, under direct supervision.
For secondary cases, especially if the procedure was performed elsewhere, one really needs to see what was done before, thus open technique is preferred.
Last but not the least, Dr Satya Saraswat will weigh the drawbacks and benefits of each method in your particular case and may also consider his personal preference for you.