How Much Work Could Be Done with Closed Rhinoplasty?

It appears that your nose could be managed using a closed approach. Both the tip and the hump could be managed in this fashion. Open rhinoplasty is generally better for complex nasal surgery or for secondary rhinoplasty.

Hi! 1) From your pictures, closed rhinoplasty is all you need. It has no scar and quicker recovery, and open rhinoplasty would not give you a better result. 2) I have noticed that younger or less experienced surgeons only do open rhinoplasty, because you can see the cartilages and it is easier if you are not totally at home with the anatomy. But most people don't need it.

After your Rhinoplasty surgery, you'll be on house rest for one week. Your dressing is removed around 7 days after surgery, and your nose will look a bit swollen, and you may have bruising under your eyes. I advise against strenuous activity till 3 weeks after surgery, and then there are no restrictions. I've attached a link to my Rhinoplasty photos for your perusal. I show several early photos at 3 weeks following surgery, and you'll see that there is no obvious evidence of surgery at that... more

I would not be concerned with techniques of open vs. closed as much as the skill of your surgeon. In your case, whether I did closed or open, I would address your mid nasal vault by putting cartilage batten grafts to prevent future collapse (an inverted V deformity) after hump removal. We can show you pictures of both open and closed rhinoplasties a week to ten days later that looked fantastic.

While many patient's may have a preference for one approach versus the other, your surgeon will recommend the approach that he or she feels is most appropriate, and the surgical technique employed depends primarily on the goals established by you and your surgeon. Some surgeons perform exclusively closed rhinoplasty while others prefer open rhinoplasty. There are surgeons who perform both types of rhinoplasty depending on the patient's needs. In the end, the most important factor that... more

The same techniques can be performed with both an open or closed rhinoplasty. The only exception is in a closed rhinoplasty the incision is not made across the columella. Tip cartilage grafting techniques, refinement of the entire nasal tip, hump removal of bridge, and narrowing of the sidewalls is easily accomplished through a closed rhinoplasty technique. There is less swelling and edema and a lack of the incision across the columella with a closed rhinoplasty.

If you are planning to have tip work done, you are probably better off having an open rhinoplasty. Yes, the swelling persists longer than a closed rhinoplasty.  Remember that a rhinoplasty will last a lifetime, so don't you want it done with the most precision that you can get?

Your concerns can definitely be addressed with a closed rhinoplasty. Major tip work and significant reductions in the dorsal hump area of the nose usually require the open approach. Nontheless, if your surgeon does need to convert to an open rhinoplasty the added incisions heal remarkably well. Good luck!

Almost any technique that can be performed with an open rhinoplasty can also be performed closed. There are excellent surgeons around the globe who essentially never use the open approach. The approach choosen is frequently more related to the surgeon's training, experience, and preferences than the nasal anatomy. That being said a well done open rhinoplasty will usually heal rapidly and look acceptable in a few weeks. Certainly removing a small hump and making some minor tip refinements... more

Go to a surgeon who is board certified and does a lot of noses. Some surgeons are experts in closed and some in open. Choose a doctor who is a nose expert. Good luck.

This will be debated over and over again and a lot depends on what we are trying to address. There are certain things that can be done in the open where the closed falls short. The one major thing to remember is that the open can fix the anatomy and realign the structures where the closed mainly depends on camouflage. Having said that, there are surgeons out there that do tip suturing and so forth thru the closed technique but to be honest with your it is all on your surgeons hands not... more

Hi, Dont think of a closed rhinoplasty as a weaker or less adequate procedure to the open rhinoplasty. Almost everything than can be corrected with an open approach can be corrected with a closed approach. There are some surgeons like Bobby Simon in Miami who almost never open a nose and there are others like Dean Toriumi in Chicago who open almost every nose. Its just a matter of preference and training bias. The fact is that a great closed nose job is much better than a lousy open nose... more