Rhinoplasty: Q&A
Ask a Question
Closed or Open Rhinoplasty - What Do I Need Done? (photo)
I have a lump on my nose that i would like removed. I do not want to change my nose drastically (only my profile really bothers me). However do i need narrowing of nose and projection of nasal tip, as some doctors have said? I am tempted to consult the doctor who suggested closed approach with rasping of bridge and nothing else, but worried about width of my nose mainly. What are your thoughts based on photos.
Tags:
14 Doctor Answers |
Asked by
smitzkoff
+1
Closed or open rhinoplasty
A closed rhinoplasty technique is usually all that is required for a primary rhinoplasty. Once the hump is removed osteotomies will be performed to straighten and slightly narrow the nasal pyramid. If not, a flat-topped or square-topped nose will result, which will be aesthetically unpleasing. A simple hump removal and osteotomies is all that is required and will not drastically change this type of nose. No added projection to the tip is needed.
+1
Rhinoplasty To Address A Nasal Bump
Dear Smitzkoff,
Based on the photos you have attached, the technique of how to remove your nasal bump will be determined after physical examination as it will not dictate the nature of your end results; the skillfulness and experience of your surgeon should be the main element for a winning equation. Nonetheless, it seems that you may need osteotomies after rasping the hump.
Your nasal dorsum is wide and making a narrower nose would enhance your facial beauty greatly. I...
more
+1
Rhinoplasty
It is not a matter of need it is a matter of want and addressing what you do not like. The hump on the bridge could be addressed open or closed but it is sufficiently large that I suspect you will need an infracture to close the open roof after its removal. I do not think rasping the bridge alone will give you an optimal result. That will change your profile dramatically whether or not you do anything to the tip.
My response to your question/post does not represent formal medical advice...
more
Los Angeles Plastic Surgeon
You might also like...
Real Stories
Rhinoplasty Surgery is Booked!!! - Paoli, PA
I've been following everyone's stories on here for about a month now so now that I have...
+1
Closed vs Open Rhinoplasty
I have done both open and closed rhiinoplasty for over 35 years. In fact my partner and I were two of the first four surgeons to do open rhinoplasty in the United States, but your nose could be done either way. As I have said many times, pick the experienced surgeon with results you like, not the technique.
+1
Deciding on What Should Be Done in a Rhinoplasty
The conversation so far has been insightful.
1. The approach (open vs. closed) is not the most important factor (both will work well).
2. If you have the dorsum rasped you will need to in-fracture the nasal bones in order to avoid an open roof deformity.
There are 2 other things to keep in mind. First, changing one part of the nose often changes the overall appearance of the rest of the nose. Second, since the nose balances the rest of the features on the face, changing the nose...
more
+1
Closed or Open Rhinoplasty - What Do I Need Done?
Thanks for the posted photos. Either option can work , BUT you need lateral osteotomies (fractures!) to close the open roof from just rasping. Seek in person additional opinions.
+1
Rhinoplasty
If you are only concerned about the profile view of the nasal hump and nothing else, you could probably undergo a closed rhinoplasty approach. However, rasping the hump will likely be insufficient (depending on how big the hump is) and you will likely need osteotomies to close an open roof defect from just rasping it down. Please consult with a board certified specialist who can best assist you in achieving the results you seek.
+1
Closed or Open Rhinoplasty - What Do I Need Done?
For what you are seeking, a Closed Rhinoplasty would be the best option IMHO. It would allow reduction of the dorsal hump with little change elsewhere on the nose. Hope this helps.
+1
Open vs closed rhinoplasty
The surgical approach is the last variable in rhinoplasty. There are excellent surgeons who only do noses open and others like myself that do most closed and the results are really not superior for either. However when large nasal humps are removed it is always necessary to do osteotomies to close what is called an open roof. Rasping alone will leave a flat-top
+1
Closed or open rhinoplasty?
There is no one right way to do a rhinoplasty. The desired result is what counts. I perform both and decide which based on what I think will give me the best chance to achieve what the patient is looking for. That's what you need to keep in mind when picking a surgeon. Not the tool he recommends but how comfortable you feel that he/she understands your goals and you have seen examples of his/her work that verify it. Good luck!
+1
Open vs. closed rhinoplasty
An experienced board certified surgeon should be highest on your list for a rhinoplasty. Your nose can be changed by either method. However, reducing your hump only will leave your nose too wide and your tip too large. Balance of all the nasal structures is more important than the method used.
+1
Open vs closed rhinoplasty
The issue is not the technique that the surgeon uses but rather the ability to remove and re-position the nasal structures to achieve the optimal result. Its a bit like getting a pallet of pigments and asking someone to paint a portrait.The concept is simple take the pigments and put them on the canvass so the end result looks like the person. The devil is in the details.You are concentrating on what brush the painter will use as opposed to how skilled the painter is.
more
+1
It's up to the surgeon
Young surgeons do open rhinoplasties from inexperience. Older surgeons do more closed. Talk to the doctors you go to see. Make sure they have experience doing rhinoplasties.
+1
Open Approach Advantages in Rhinoplasty
I would definitely recommend an open approach. Given how much contouring will be required to your bridge alone, you will likely benefit from spreader grafting to reestablish the structural integrity of the bridge. You can read more about this on my website in our rhinoplasty tutorial section. I think one of the most underestimated maneuvers in rhinoplasty is hump reduction. For example, why do you think many surgeons will only show the side view of a patient who had hump reduction?...
more
Comments (0)