Reconstruction of the nasal septum is essential to achieve a good aesthetic appearance and to restore nasal function.
 The most difficult aspect of closed septoplasty technique is conceptualizing a three-dimensional form and operating on that form while it is displaced from its normal location. Especially, open approach to the septum provides significantly better exposure to anterior septal angle and caudal end of septum and, dorsal portion, which were difficult to exposure by closed approach.
 Our open rhinoplasty technique is applied through columella inverted 'v' incision. This open technique allows visualization of the nasal skeleton and effect relationship between manipulation of those internal structures and the external appearance.
 The major advantages of the open rhinoplasty technique are:
  1. The improved visualization of entire cartilaginous and/or bony vaults.
  2. When a severe septal deviation cause a twisted tip, we can be identified deformity       of dorsal potion, caudal end, and anterior septal angle
  3. Bleeding control is improved.

 We experienced 9 cases of septoplasty through open rhinoplasty technique and recognized that this technique can provide  many distinct advantages than conventional closed technique.