More Closed Rhinoplasty Successes Attributable to Doctor's Experience?

I am choosing a plastic surgeon. By seeing the before and after pictures, I have noticed, that doctors who performed more closed rhinoplasty surgeries have offen also better results. Is it because they have normally more experience?

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21 Doctor Answers | Asked by Anna Paula in Vienna

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Open versus closed Rhinoplasty

The argument over open versus closed rhinoplasty has been going on for several years. One of the best observation one of my colleagues has made is that no matter what level of experience you have, since the open rhinoplasty approach was introduced, surgeons who perform both procedures will tend to favor the open approach when the case is more complex. These cases include nasal valve repair, revision rhinoplasty, and when a great deal of tip work may be necessary. The closed rhinoplasty... more

Rhinoplasty Results and Approach

The aesthetic results after rhinoplasty have very litte to do with approach (open vs. closed) but with the exact planning and execution of the procedure. Excellent results can be obtained in almost every nose with either technique. Exceptions to this rule are complex revision rhinoplasty where extensive grafting (often with the use of rib cartilage) are necessary. But, you will see that certain rhinoplasty surgeons have preferences for one or the other approaches which is a reflection of... more

Open Rhinoplasty is a nasal tip decision

Closed rhinoplasty was the dominant rhinoplasty approach prior to the late 1980's. Therefore, surgeons trained prior to this time are generally more comfortable with endonasal rhinoplasty. The open rhinoplasty approach is used much more commonly these days. That having been said, there aren't many disadvantages to an open rhinoplasty approach (in the hands of a skilled surgeon) except for a very small scar in the columella (skin bridge between nostrils). The advantages include better... more

Rhinoplasty results may be related to results

Closed rhinoplasty is typically reserved for less complex cases. It is logical that you would get better results in these instances. However open techniques are more commonly employed in more difficult situations where a higher rate of less favorable outcomes is more likely.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Open vs. Closed (Endonasal) Rhinoplasty Results

Closed (endonasal) or open rhinoplasty surgery have their advantages and disadvantages. There isn't a better method or approach that is applicable to all patients. The plastic surgeon can modify or alter any part of the nose, including the tip and hump with either technique. The exact method of rhinoplasty is based on the plastic surgeon's prior training and expertise, and the requirements of your specific rhinoplasty. Some outstanding rhinoplasty surgeons may utilize one approach, either... more

Rhinoplasty, Beverly Hills Rhinoplasty, Nasal Refinement, Nose Job, Closed

I have performed both open and closed Rhinoplasty for over 20 years and it's the training and experience of the plastic and cosmetic surgeon that's the most important, not whether they do an open or closed. Find a Rhinoplasty Surgeon that you feel comfortable in their aesthetic vision and experience and let them decide whether they want to do your Rhinoplasty open or closed.

Results of open rhinoplasty vs closed rhinoplasty

It is important to choose a facial plastic surgeon that has done thousands of rhinoplasties. Look at many of the surgeon’s before-and-after photos. An experienced surgeon who has done thousands of rhinoplasties can obtain excellent results. Whether the procedure is done as an open rhinoplasty or a closed rhinoplasty is the surgeon and patient’s choice and really should not have any bearing or effect on the eventual outcome. The only difference is that on the open rhinoplasty... more

Results aren't determined by an open or closed approach

When choosing a rhinoplasty surgeon, the MOST important thing is their experience and results. I've seen both fantastic and terrible results from doctors using either open or closed techniques so that does not matter. Doctors are trained a certain way, and that becomes what they are comfortable with, whether open or closed. You should look at the doctors operative experience (doing a rhinoplasty at least every week) and results (a lot of pictures) to decide who will give you a great result.... more

Open Versus Closed Rhinoplasty -- Surgeon's Experience is More Important

One of the most important factors in the success of your rhinoplasty is your surgeon's experience level. The surgical approach is much less important. How do you know which approach is "best" for you? While you may have a preference for one or the other, your surgeon will recommend the approach that he or she feels is most appropriate, and the surgical technique employed depends primarily on the goals established by you and your surgeon. Some surgeons perform exclusively closed... more

Surgeons who preform closed rhinoplasty often have more experience

Yes, it is true that surgeons who perform closed rhinoplasty often have more experience than those who don't. This is an older technique and is more difficult to teach to new surgeons during their training. For this reason, at many teaching institutions, residents are taught the "open" technique, where the resident can actually see what is being done by the senior surgeon. As a result, many younger plastic surgeons have never learned the "closed" technique, or simply... more