Open Rhinoplasty vs closed tip-plasty for subtle nose correction?

I need Rhinoplasty to fix the asymmetry in my nostrils. I went to the two "best" surgeons in the area.

The first said I would need Open Rhinoplasty. He also said it was over-projected and the crookedness was not noticeable. He seemed more thorough.

The second surgeon said it was minor and he could fix it with closed tip plasty. He said it had good projection and would need a small graft. The computer imagery looked good and I liked what the second surgeon said but how do I know which surgeon is correct? I want it to be very subtle and natural.

5 answers to “Open Rhinoplasty vs closed...”

A: Closed rhinoplasty is always preferred

By William Portuese, MD - Seattle Facial Plastic Surgeon

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.

A: Open vs Cloced Tip-plasty

By Richard W. Fleming, MD - Beverly Hills Facial Plastic Surgeon

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... more

A: Open Rhinoplasty vs closed tip-plasty for subtle nose correction?

By Peter A. Aldea, MD - Memphis Plastic Surgeon

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... more

A: Open or Closed Rhinoplasty

By Robert Kotler, MD - Beverly Hills Facial Plastic Surgeon

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... more

A: Open Rhinoplasty or closed tip-plasty for nose correction

By Houtan Chaboki, MD - Washington DC Facial Plastic Surgeon

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... more