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Is It Possible to Narrow the Nose Tip, with Closed Rhinoplasty?

asked 7 months ago by eric2010
Latest answer by William Portuese, MD
Question viewed 590 times
Tags: nose tip, closed, narrow, technique

Is it possible to narrow the nose tip, with closed rhinoplasty? If so, how will this get done? thanks eric

24 answers to Is It Possible to Narrow the Nose Tip, with Closed Rhinoplasty?

+1

Narrowing Nasal Tip with Closed Rhinoplasty

I am one of four surgeons who first did open rhinoplasties in the United States, but frequently use the closed approach to narrow a tip. Having said that, pick the surgeon, not the technique. I suggest you select an experienced surgeon whose results you like and then follow his/her recomendations for the operation.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Closed rhinoplasty to narrow nose tip

The closed rhinoplasty is an approach to the procedure, not the technique itself. Tip plasty can be performed through either closed or open approaches. The important part of the procedure is what is done with the actual cartilages such as suturing, tip cartilage grafting techniques, and removal of thick wide excess cartilage is what will effect the change. In closed rhinoplasty all incisions are made inside the nose, while open rhinoplasty makes the incision across the... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Closed and open rhinoplasty are essentially the same procedures

Closed or open rhinoplasty are both in essence the same procedures, the only difference is the exposure that is provided with the open approach. In my hands, for the past 20 years, I have preferred the open approach for what I feel are its superior advantages.
Jeffrey Epstein MD, FACS

Miami Facial Plastic Surgeon

www.plasticsurgeryoftheface.com

+1

Is It Possible to Narrow the Nose Tip, with Closed Rhinoplasty?

Yes, it is possible to reduce the size of the nasal tip with a Closed Rhinoplasty. Open Rhinoplasty, IMHO, is reserved for very wide, asymmetric, previously operated/deformed nasal tips.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Closed Rhinoplasty can narrow the nose tip

Closed Rhinoplasty, also known as "endonasal rhinoplasty" can narrow the tip of the tip of the nose. The exposure of the cartilages in closed rhinoplasty is sufficient to identify and modify the tip cartilages to an orientation and configuration such that the tip is narrowed.
Philip Miller, MD

New York Facial Plastic Surgeon

www.drphilipmiller.com

+1

Rhinoplasty and tip correction or narrowing

Rhinoplasty: cam be opened, or closed, the boxy tip can be fixed alone with a tip rhinoplasty The round, bifid or separated tip can be best improved by: Open method Tip sutures in the dome Narrowing Cartilage removal
Jed H. Horowitz, MD

Orange County Plastic Surgeon
+1

Closed rhnoplasty

A good rhinoplastic surgeon will be equally adept at open and closed rhinoplasties. The best choice for you should be done in conjunction with your surgeon. If your surgeon does both types, they will give you an opinion as to your best option. Usually, for primary tip surgery, a closed approach works in the majority of cases. For tips that are substantially asymmetric or need extensive revisions, then an open approach is usually done. However, the exact surgical... more
David Alessi, MD

Beverly Hills Facial Plastic Surgeon
+1

Most changes on the nose can be done equally as well by closed as open rhinoplasty

As a surgeon who has performed closed, or endonasal rhinoplasty for over 23 years, most modifications on the tip or any part of the nose can be done through a closed approach. I find results are equally as good for an experienced rhinoplasty surgeon. My indications (reasons) for doing an open rhinoplasty a very crooked nose, need to add many grafts to the nose and in complex revision Rhinoplasty. That means, in my book, i perform over 90% of primary rhinoplasties using the... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon
+1

Narrow the tip

It is absolutely possible to narrow the tip via a closed rhinoplasty is is commonly done. The issue is the final position of the cartilages after surgery and the tip cartilages most certainly can be improved and revised via closed rhinoplasty.
Jay M. Pensler, MD

Chicago Plastic Surgeon

www.plasticsurg.org

+1

Tip

Absolutely. All rhinoplasty was dine closed up until about 25 years ago when dr goodman popularize the open techniue. Most of todau's young surgeons are not trauned in the closed procedure
David A. Bray, Sr., MD

Los Angeles Facial Plastic Surgeon
+1

Closed rhinoplasty to narrow tip

Yes the nasal tip can be narrowed with a closed rhinoplasty technique. All the incisions are made within the nose and no external scar is present. Some more difficult nasal tips though are better handled with the open technique which provides better visualization. Donald R. Nunn MD Atlanta Plastic Surgeon.
Donald Nunn, MD, DDS

Atlanta Plastic Surgeon
+1

Tip Rhinoplasty

Hi Eric, Yes it is possible to perform tip rhinoplasty with the closed technique. The tip cartilages are delivered through an rim and intra-cartilagenous incision. Once the cartilage is exposed, the dome and tip of the cartilages can be altered to achieve a more narrowed look. However, open rhinoplasty is still a superior approach when dealing with the tip. Best. Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

www.facechange.org

+1

The Nose Tip can be Narrowed with a Closed Rhinoplasty

Many cosmetic surgeons prefer to perform a closed rhinoplasty. Those who perform the surgery often through the closed technique are comfortable modifying the tip that way. The more modifications that are made the more difficult it can be to perform the surgery through a closed technique. Most surgeons get comfortable with a certain technique. Once they get good at it, they stick with it. Good luck.
Benjamin Dunkley, DO

Salt Lake City Facial Plastic Surgeon
+1

Usually yes

As 95% of themrhinoplastys I do are closed, yes a tip can usually be narrowed using the closed technique.
William B. Rosenblatt, MD

New York Plastic Surgeon
+1

Closed rhinoplasty?

Yes. Almost anything that is done in an open rhinoplasty can be done in a closed technique provided the surgeon is very experienced. I perform open rhinoplasty most of the time because I think it gives me the best opportunity to give predictable excellent results. I used the closed technique when the nose is not very complicated and most things are in the right place. The most important thing is the final result. The columellar scar heals very well and should not really be an issue. more
Ronald Schuster, MD

Baltimore Plastic Surgeon
+1

Open rhinoplasty usually provides greater predictability, control and improved results

It is definitely possible to narrow the nasal tip with a closed rhinoplasty approach. However, in general and depending on the specific situation, the open approach affords more predictability and control and may reduce the risk for a secondary procedure to further try to obtain what was one's initial goal. The trade-off of the open approach is a small, usually very inconspicuous scar on the columella (skin between the nostrils).
Steven Turkeltaub, MD

Scottsdale Plastic Surgeon
+1

Nasal tip narrowing

Yes. The tip is narrowed by gaining access to the tip cartilages from inside the nostrils. They are then trimmed to.make them smaller and narrower.
Donald T. Levine, MD

Nyack Facial Plastic Surgeon
+1

Keep it simple.

Rhinoplasty is a technically demanding operation. Open procedures allow more predictable results in most surgeons hands. Unless you need minimal tip work, I would stay with open.
Mark D. Wigod, MD

Boise Plastic Surgeon
+1

Tip changes with closed versus open rhinoplasty

Tip narrowing can be created using wither open or closed approaches. A wide tip is narrowed by suture placement and reducing the width of the outer aspect of the tip cartilage. Either technique is effective, depending on the surgeon's preferences and the exact nature of the patient's problem. A nose with significant asymmetry, previous surgery or major injury may better be treated with an open technique. However, most typical patient noses can be... more
Michael Suzman, MD

New York Plastic Surgeon

www.westmedgroup.com

+1

Narrow nose tip with closed rhinoplasty

Yes, it is very possible to create a narrower nose with a closed rhinoplasty, however, I prefer to do it open, so I can be more precise with my suture placement to achieve the narrowing.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Closed Rhinoplasty To Narrow The Tip

Closed rhinoplasty can very successfully narrow the tip of the nose. It could be a preferred technique over an open rhinoplasty depending upon the anatomy of the tip problem and what else may need to be done to the rest of the nose. The success of a closed rhinoplasty has a lot to do with the experience of the rhinoplasty surgeon, if it is a first time rhinoplasty and what the specific tip problem is. It is done through incisions just inside the tip of the nose and may include some... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

+1

Tip rhinoplasty

You may be able to do something surgically i.e. it is in the realm of possibility but that does not mean you should do it. If you narrow the tip by only removing some tip cartilage that can be done reliably well open or closed. If you also need sutures placed to align and reposition the tip cartilages there is a chance that that cannot be done reliably in a closed approach. It depends on what exactly needs to be done and your surgeon's skill, experience and comfort level. The trade offs... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Nasal tip refinement can be safely and effectively achieved with closed rhinoplasty

Closed rhinoplasty can accomplish all elements of nasal refinement when undertaken by learned and experienced rhinoplasty surgeon. That includes nasal tip refinements among other elements of rhinoplasty. Choose your surgeon well.
Vasdev Rai, MD

Dallas Plastic Surgeon
+1

Narrow nose tip

Hi. Yes, it is quite possible to narrow the nasal tip through a closed rhinoplasty approach. The choice of closed versus open rhinoplasty is made by your surgeon. Remember that the only difference between an open and closed operation is the presence of a small scar on the columella, that bridge of skin which separates the nostrils. This scar is virtually imperceptible when closed properly and should not deter you from seeing a surgeon who prefers this approach. In the end, your outcome... more
Richard Chaffoo, MD

San Diego Plastic Surgeon

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