Should I get a closed or open rhinoplasty? (photo)
Doctor Answers (20)
Closed rhinoplasty techniques can accomplish the goals you are looking for by reducing the small hump, reducing the projection of the nose, and trimming back the prominent columellar show with a columellar-plasty. Minimal if any tip work is needed. For many examples of noses similar to your own, please see the link below to our closed rhinoplasty photo gallery
Open or Closed Rhinoplasty
The bump, the septum, and the projection can be addressed with a closed rhinoplasty.
But the real answer to your question is it is not the technique, it is the surgeon. Consult a Board Certified Plastic Surgeon with rhinoplasty experience.
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Open vs Closed Rhinoplasty
Closed v.s open rhinoplasty for nasal reshaping
Based on your facial analysis and nasal profile, you have slight dorsal hump and over projected tip with poorly defined supratip. I would recommend an open septorhinoplasty to achieve and excellent aesthetic and function for your nose. The end result would be a smaller and harmonious nasal features with better breathing. Good luck.
Open versus closed rhinoplasty options
It also depends a bit on your surgeon's preferences. I do get a sense of some prominence to your columella in your photos. This can be addressed with rhinoplasty along with smoothing your bridge.
Since you are also having trouble breathing out of one side of your nose you would want to make sure that your surgeon addresses that aspect of things as well.
You can check out my web reference below to read more about open versus closed rhinoplasty.
Closed or open rhinoplasty?
The areas that concern you can be improved with either an open or closed rhinoplasty.
Excellent cosmetic results can be achieved with both techniques. There is not a best way to perform the procedure. Individual surgeons have their own preferences of how to produce the best results in their hands. What is more important than whether a closed or open approach is utilized is the experience and artistry of the plastic surgeon and your comfort level and confidence in that individual.
Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
CLOSED VERSUS OPEN RHINOPLASTY
There is no reason why you can't have a nose that both looks good and functions well. Make sure to consult with an experienced rhinoplasty surgeon. Good luck!