Aim: to study the advantages of application of external technique in the different rhinoplasty procedures. 
Methods: 200 Patients were subjected to open rhinoplasty technique. The indications were; combined nasal and septal 
deformity, broad nasal tip, low nasal tip, saddle nose deformity, bifid nasal tip and cleft lip nose deformity. The different 
procedures performed in this study were; septorhinoplasty, narrowing of the nasal tip, augmentation rhinoplasty, lengthening of the columella &insertion of columellar strut. 
Results: the good exposure allowed in open approach made the surgical procedures performed under direct vision. None of the patients developed wound dehiscence or tip necrosis. No patient developed hypertrophic scar or need scar revision. There were no considerable reported complications related to this external approach and the results were satisfactory. 
Conclusion: The open rhinoplasty technique is a versatile approach for variety of rhino plastic procedures as: severely 
deformed nasal bones, severe septal deviation saddle nose deformity, deformed nasal tip and congenital nasal tip deformity. Also, it is a simple, reliable and rapid technique for gaining access to both nasal architecture and soft tissue of the nose without significant cosmetic or surgical risk.