Rhinoplasty Q&A
80%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
1,003 Reviews
Rhinoplastybefore & after photos
View Before and Afters

Average Rhinoplasty Cost: $5,975

Learn about Rhinoplasty

5,053 people and 803 doctors are talking about Rhinoplasty

Get Free Email Updates

Refine Nose Tip with Closed Rhinoplasty?

asked 3 years ago by mrls.kevin in ny
Latest answer by C. Spencer Cochran, MD
Question viewed 1,157 times
Tags: nose

Can the tip of the nose be refined with closed Rhinoplasty? Or does it have to be with an open Rhinoplatsy?

4 answers to Refine Nose Tip with Closed Rhinoplasty?

+1

Yes it is possible.

 The closed method has been used for 75 years for tip refinement. The open approach we popularized in the late 70's is used when you are dealing with major tip asymmetry and need to sew in grafts etc. The surgeon's skill should be the point, not the type of procedure. 
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Open Rhinoplasty vs. Closed Rhinoplasty

Tip refinement can be accomplished with both open and closed rhinoplasty techniques. The question of which surgical approach to rhinoplasty is the "best" -- Open versus Closed -- is one of the most frequently debated topics among Rhinoplasty Specialists. Closed Rhinoplasty refers to a nose job that is performed via internal incisions - i.e., there are no external scars. The surgeon makes one or more incisions along the inside of the nose and lifts the skin up from the nasal... more
C. Spencer Cochran, MD

Dallas Facial Plastic Surgeon

www.rhinoplasty-usa.com

+1

Approach is no longer much of a debate.

The short answer to your question is yes. A tip can often be refined through a closed approach, particularly if it's a primary rhinoplasty (meaning that it's not a revision surgery). For years, surgeons used to debate whether open or closed rhinoplasty was "better" for reshaping the nose, especially in terms of tip work. But for the most part now, reasonable surgeons agree that the best approach is the one that works best in that surgeon's hands. Some can get beautiful results... more
David C. Pearson, MD

Jacksonville Facial Plastic Surgeon
+1

It depends on the nature of the problem...

 Depending on the complexity of the problem, a closed approach (endo-nasal) can be used for a tip rhinoplasty.  I there are large asymmetries or irregularities, an open approach may be better suited.
Ricardo Izquierdo, MD

Chicago Plastic Surgeon

www.FaceAndBodyChicago.com

Ask a question