Confused About Which Type of Rhinoplasty Doctor Answers, Tips
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Confused About Which Type of Rhinoplasty

I'm 22 and really considering having a nose job, but a plastic surgeon told me that my tip needed correction and that it would be easier to do an open nose job instead of a close one. I really don't want a scar on my skin, and I just want my bump reduced. What do you think I should do? Do you think I should get some correction on my tip? Thank you very much!

15 Doctor Answers | Asked by pennybrigitte in Baltimore
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Closed vs open rhinoplasty

The only difference between closed and open rhinoplasty is the incision itself. All the techniques described for rhinoplasty can be performed either through an open rhinoplasty or through a closed rhinoplasty. It is a surgeon’s preference as to how they go about getting into the nose to perform the rhinoplasty. The endo-nasal approach or closed approach is done with all the incisions on the inside of the nose and open rhinoplasty is done with the incision across the columella. In... more
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Open vs. Closed Rhinoplasty

The technique used for rhinoplasty either open or closed is not as important as the fact that you and your surgeon need to be on the same page regarding the aesthetic goals of the surgery. With an experienced surgeon the open incision on the columella should be undetectable, so this should not be a concern. Digital imaging is an ideal tool to have an idea of the proposed results during the consultative phase. This allows open discussion of your likes and dislikes and helps determine if you... more
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Types of rhinoplasty

The take home message when considering the open vs closed rhinoplasty is this:  Surgeons can do either approach badly.  In other words, if the columellar incision is closed poorly, it may leave a scar.  On the other hand, a surgeon not experienced with the closed technique may cause tip deformities, scarring inside the nose, deviation, etc.  External incisions on the nose, closed properly, should be virtually invisible.  Make sure your surgeon shows you before... more

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Choosing Rhinoplasty Type to Reduce Bump on Nose: Open or Closed

Hi pennybrigitte in Baltimore, Rhinoplasty is not one operation, but many potential operations. Every patient is unique. Reducing the hump from a nose is the most common request for cosmetic nasal surgery. Humps are usually made up of both cartilage and bone, and come in various sizes and shapes. Reducing small humps is a relatively easier procedure, as compared to more extensive rhinoplasty surgery. Large bumps will require bone reshaping/breaking after the hump is removed. A... more
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Closed rhinoplasty with hump reduction and subtle tip rotation

You are asking many artists how they would achieve their results and you will get many different opinions so I might as well offer my 2 cents worth. The tip of your nose points down slightly and forms slightly less than a right angle with your upper lip. Reducing the bump alone may create the appearance of an overly long nose with a mild "plungling tip" from the frontal view. I would likely advise a subtle rotation  of the tip upwards. This could all be... more
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A hump removal doesn't require an open incision

In my opinion, removing the dorsal hump or narrowing the nose can be done using the open or closed approach. I reserve the open technique for more complicated cases especially if they involve redefining the tip. You might want to get a second or even a third opinion if you don't feel comfortable with the plastic surgeon that your presently seeing
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Rhinoplasty Can Be Performed Without External Incsion

Hi Penny, It appears that your nose can be operated upon via a closed approach without an external incision.  Consult with a few other rhinoplasty surgeons, but make sure that your choose your rhinoplasty surgeon most carefully.  Good luck and be well. Dr. P
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Open or closed rhinoplasty

Whether to alter the tip or not is solely your decision. If you are happy with your tip then tell the surgeon you don't want to alter your tip. It is certainly very common to reduce the hump without having to open your nose. Find a surgeon who is very comfortable with that approach.  
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Type of Rhinoplasty

Each surgery is individualized, depending on the needs and desires of the patient. Your surgery can be done using the open or closed technique. Pick the surgeon, not the technique. Do not worry about the scar with the open technique - I' ve done a minor revision on two in 35 years. Evaluate your entire nose so you achieve the best possible result.
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Rhinoplasty options

My preference in greater than 90% is performing an open rhinoplasty. The small scar under the tip of the nose is barely perceptible even after as little as 6 weeks after surgery,b ut it provideds the best access and visualization to perform accurate surgery.
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