Rhinoplasty Q&A

80%

WORTH IT RATING

1,002 Reviews

Ask a Question

View Before and Afters

Average Rhinoplasty Cost: $5,975

Learn about Rhinoplasty

5,047 people and 803 doctors are talking about Rhinoplasty

Get Free Email Updates

Can Closed Rhinoplasty Be Used to Lower and Narrow the Nose's Bridge?

asked 1 year ago by 9941anon in San Francisco, CA
Latest answer by William Portuese, MD
Question viewed 602 times
Tags: female, closed, Virtual consultation

I've heard that closed rhinoplasty causes much less swelling and bruising and requires less recovery time. I can't take much time off of work for recovery, so I'm very interested in this approach. However, besides tip work, I would like to lower the bridge of my nose and possibly make it a bit narrower. Can this be done with closed rhinoplasty?

13 answers to Can Closed Rhinoplasty Be Used to Lower and Narrow the Nose's Bridge?

Closed vs Open Rhinoplasty

The nasal changes you want can be acomplished with an open or closed approach. Pick the "best" surgeon, not the technique.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Closed rhinoplasty can lower and narrow nose bridge

Closed rhinoplasty can be used to perform nearly all rhinoplasty techniques including lowering and narrowing the bridge, tip, and mid third of the vault placing spreader grafts, tip grafts, and sewing the tip cartilage together to refine the bridge.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Closed rhinoplasty

As a general rule, this can be completed through a closed rhinoplasty. For me to make the choice between an open and closed rhinoplasty, I have to complete a physical exam and discussion with patients regarding their desires and own personal thoughts about the operation. Most people can return to work in one week after either procedure although bruising and swelling is not 100 percent predictable with either approach.

Deason Dunagan, MD
Huntsville Plastic Surgeon

The experience of your surgeon is more important than the approach with Rhinoplasty Surgery.

There are many excellent rhinoplasty surgeons that predominantly use a closed approach for Rhinoplasty Surgery. I prefer an open approach for Rhinoplasty Surgery when tip work is involved. In my hands, downtime is less than 2 weeks with an open approach for the majority of my patients. I see excessive lobule-show on your frontal photo. This is the part of your nose between your tip and columella. This may be improved by dividing your tip cartilages, and straightening your entire... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Closed versus Open Rhinoplasty

All the changes you describe can be accomplished with both approaches. I do agree that closed has less swelling, but that usually has to do with the tip region. Bruising will be the same in both cases, as it is the result of bone work. This work is done the same way in both closed and open approaches. There are a lot of things you can do to minimize bruising and swelling. I give patients Arnica and Bromelain capsules to help with swelling. I also work with a nutritionist (I... more

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon

Rhinoplasty-open or closed.

The difference of the two ways is based on what is needed and how experienced the surgeon is. My practice is 50% revisions noses done somewhere else. Of these 1/2 were done open and the other 1/2 done closed. Therefore, it is not the type of procedure your should concern yourself with, since the swelling and bruising are the same. We pioneered "open rhinoplasty" in the USA more than 35 years age and there are still many noses I do closed. Pick a surgeon who does "natural"... more

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Closed rhinoplasty

Yes all the issues you are concerned with can be addressed via a "closed Rhinoplasty" approach. It is better to see a few consultants doctors in person to discuss these issues. Best of luck from MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Closed rhinoplasty good choice to lower and narrow nasal bridge.

Hi. Hard to be sure from one picture, but you look like good candidate. We usually do closed rhinoplasty.

George J. Beraka, MD
Manhattan Plastic Surgeon

Closed versus open rhinoplasty for reduction of a large nose

The choice of the approach is often dependent upon the surgeon's preference in conjunction with the wishes of the patient. You are right in that swelling especially of the tip area is much longer for an open versus a closed approach. Most noses can be successfully treated either way. I usually reserve open approaches for revision nose surgery or where a lot of grafting is required or if the nose is crooked and if it needs to be signficantly lengthened. In your case, it can certainly... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Closed rhinoplasty for nasal hump and bump

Yes, a closed rhinoplasty can be used to lower the height of the nasal bridge as well as to narrow the nose in addition to tip rhinoplasty. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Closed VS Open Rhinoplasty

The Closed VS Open Rhinoplasty debate has been over for years and does not need to be restarted. The vast majority of nose operations can be done with a closed rhinoplasty. An open rhinoplasty is unrivalled in visibility and versatility. Discuss your desires with your Plastic surgeon and let him guide you Dr Peter AAldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Rhinoplasty

While open techniques in rhinoplasty will cause more swelling, I prefer and I think most rhinoplasty surgeons prefer to perform rhinoplasty open to have the most control with the anatomical structures.

Steven Wallach, MD
Manhattan Plastic Surgeon

No difference between open & closed rhinoplasty

Both closed and open rhinoplasty techniques can be used to accomplish most rhinoplasty procedures. You could go back to your routine non-exertional activities fairly quickly with both techniques. Depending of the skill of the surgeon and the manuevers they use, you could have very similar amount of swelling and bruising, regardless of the approach used (open or closed). The bridge of the nose can be lowered and narrowed, and tip work can be done with both open and closed... more