["Open approach"--"progress" back the beginnings of septorhinoplasty]

[Rhinoplasty: open or closed technique?]

The present article gives a short historical overview of rhinoplasty. Frequency as well as advantages and disadvantages of the open and closed techniques are discussed. The choice of the surgical access depends on the current flow and the surgeon's experience. Regional differences do exist. It is essential to have sufficient knowledge of both techniques, in order that the surgeon can choose the appropriate technique according to the wishes of the patient. Primarily, an endonasal approach should be aimed for.