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My doctor prefers open vs closed rhinoplasty. He mentioned going under the lip or collumela. What's the best approach? (Photo0

Doctor Answers (6)

Open versus closed rhinoplasty for best approach

+2
There really is no best approach, surgeons just have their own personal preference as to which way  they perform the rhinoplasty procedure. The big difference is that with a closed approach all the incisions are placed inside the nose versus open approach where there is an incision across the columella. For many examples of noses similar to your own, please see our closed rhinoplasty photo  Gallery


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Open vs closed rhinoplasty approach

+2
I prefer in many cases to perform an open rhinoplasty with the incision made at the "waist" of the columella.  There are plenty of excellent surgeons that will do them closed as well.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Open vs Closed Approach

+2
There is no significant difference between open and closed approaches. The only difference is the one incision made on the columella . Each surgeon has her/his preferred approach. What matters most is the results obtained by the surgeon. 
Regards
Dr. J

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

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My doctor prefers open vs closed rhinoplasty. He mentioned going under the lip or collumela. What's the best approach?

+2
An open Rhinoplasty through the upper lip is risky and unnecessary.  Most experienced Plastic Surgeons would not do an open Rhinoplasty in this way.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 24 reviews

Open rhinoplasty is generally performed through an incision in the columella.

+2
The nose can be accessed for an open rhinoplasty through the upper lip at this requires fairly extensive dissection that in my opinion is unnecessary.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 8 reviews

My doctor prefers open vs closed rhinoplasty. He mentioned going under the lip or collumela. What's the best approach?

+1
The columella is the most common for open.  I use closed for all of my rhinoplasties.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 203 reviews

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