Open Rhinoplasty Vs Closed Tip-plasty for Subtle Nose Correction?

  I have performed both Open and Closed Rhinoplasty for over 20 years and each technique has it's strengths and weaknesses.  If your nasal tip is asymmetric and you're looking to make the nostrils more symmetric, an Open Rhinoplasty is more likely to accomplish both of these goals than a Closed Rhinoplasty IMO.   The nasal tip cartilages contribute to the shape and support of the nostrils.  An Open Rhinoplasty allows the plastic and cosmetic surgeon the... more

It is always advisable to have a closed rhinoplasty rather than an open rhinoplasty because of the healing and swelling. If the correction is only very subtle, it may be advisable not to perform any rhinoplasty whatsoever. Asymmetry in the nostrils can be quite difficult to correct.

First of all, you apparently have done your homework and had consultations with two of the "best" surgeons in your area. Now you have to decide who is the best . Most experienced surgeons use both the open and closed techniques. In the right hands you will get a good result regardless of the surgical approach. Pick the surgeon, not the technique.

I completely agree with the previous posting. Great surgeons have produced great results with both techniques so I would go with whichever surgeon you feel most comfortable with. Nostril asymmetry is a nonspecific term which can be applies to alar asymmetry as well as nasal tip asymmetry. Without SEEING what asymmetry you are referring to it is impossible to comment on what may be called for. What makes me somewhat uncomfortable is that you have two differing opinions on how your nose looks... more

More important than the route into the nose is the talent of the surgeon. The clues to the doctor's ability comes from how much experience he has, how specialized the practice is and how other similar cases turned out. You need to study a large number of the doctor's before and after photos. Ask how long the doctor has performing rhinoplasties and how many he does each year. What percentage of the practice is rhinoplasty? The answers will guide you to the superspecialist doctor with whom... more

Sasha123, Either surgical approach may achieve excellent results. Both rhinoplasty methods (open or endonasal/closed) may produce subtle & natural results. Rhinoplasty surgery is not one operation, but rather millions of operations. Results may be variable, even in the best of hands. Only after a comprehensive in-person evaluation can a rhinoplasty surgeon provide his/her best advice for you. Continue doing your research, and best of luck.