Rhinoplasty surgery can be performed from 2 approaches. The external approach uses an incision along the undersurface of the nasal columella (between the nasal openings). This will lead to a small scar that usually goes unnoticeable. The internal approach is performed inside the nose with no nasal external incision. In general, there is less swelling when the internal approach is performed as there is less dissection of cartilage from the underlying tissue.
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