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Confused About Which Type of Rhinoplasty

asked 1 year ago by pennybrigitte in Baltimore
Latest answer by Michael Elam, MD
Question viewed 456 times
Tags: age 18-24, female, closed, open, type

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 answers to Confused About Which Type of Rhinoplasty

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.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

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

Michael Elam, MD
Orange County Facial Plastic Surgeon

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

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

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

Matthew Bridges, MD
Richmond Facial Plastic Surgeon

www.matthewbridgesmd.com

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

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

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

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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

Joseph M. Perlman, MD
Houston Plastic Surgeon

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

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

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.

Norman Ge, MD
Orange County Facial Plastic Surgeon

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.

Steven Wallach, MD
Manhattan Plastic Surgeon

Confused About Which Type of Rhinoplasty

Great question. And the answers are themselves confusing to me. So from your so kindly posted photo side view (wish you had posted a frontal view), I agree with you as to the option of ONLY a hump reduction without the tip changed. Whether it is open or closed is the issue you have. If a surgeon prefers open rhinoplasties I would be wary in asking for a closed one, they most likely are not very experienced in the closed method. But if the surgeon gives you a true reason for the open then... more

Darryl J. Blinski, MD
Miami Plastic Surgeon

Which type of rhinoplasty is best.

Several issues are brought up on your statement. Tips don't "have to be done". If you and the surgeon feel it will make the total result better, then yes. If it does not bother you, but rather just the surgeon, no. Having done rhinoplasty for more than 35 years, and being one of the pioneers of "open" rhinoplasty I still do closed rhinoplasty in some patients. The tip can be done open or closed and the decision should not be based on the scar! In thousands of... more

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

The type of rhinoplasty should suit your goals best

Rhinoplasty can be performed through an 'open' approach or a 'closed' one, and the choice may depend on the surgeon's experience, and just what need be done in order to meet your goals and expectations. The most important decisions occur in the planning, and is seems that you and your surgeon have not come together as to just what changes are needed. If you like the tip of your nose as it is, of course there is no need to change it and 'closed' rhinoplasty can... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Open Versus Closed Rhinoplasty

Hello Penny. Whether you have an "open" rhinoplasty or a "closed" rhinoplasty is not nearly as important as that you and your surgeon agree on the goals of the surgery. The open incision, in skilled hands, heals beautifully in most cases and should not be a concern. Computer imaging is a great tool to allow you and your surgeon to have a "meeting of the minds." If your surgeon didn't offer this, I would suggest a second consult with... more

Roy A. David, MD
San Diego Facial Plastic Surgeon

Dont rush in

Hi, First off if you are not sure then dont rush in. Second, make sure your plastic surgeon is experienced in rhinoplasty. Its always easier to get it right the first time and if you regret the results or the surgery, the revision will be harder and more expensive and you will have to wait at least a year before getting a revision. So see more surgeons and do more homework. At the end of the day, Open vs Closed is not as important as WHAT is being done through the... more