Open structure rhinoplasty (OSR) uses the open or external approach vi
a a mid-columellar and bilateral marginal incision. In combination wit
h grafting procedures, such as columellar struts, dorsal grafts and ti
p grafts, rhinoplasty has developed from a merely reductive procedure
to a more graduated approach to the nose. Emphasis is now placed on re
positioning, augmentation and restructuring the nasal anatomy to creat
e as natural and functional a nose as possible. This retrospective stu
dy analyses our experience with 130 rhinoplasties over a 3-year-period
. The study reveals OSR to be a safe and reliable technique which prod
uces predictable results.