Open or Closed for Best Result? (photo)

asked 7 months ago by chris272 in cardiff
Latest answer by William Portuese, MD
Question viewed 233 times
Tags: closed, hump, open, projection, recommendation

Hi thanks for the responses from my last post but the surgeons need to see my nose at a different angle. I have had a couple of consultation one said open one said closed i wish to know what would get the best result . I need the hump removed and the tip de-projected. The last pic is a surgeons computer generated result do yo think it is a realistic prospect with closed.

9 answers to Open or Closed for Best Result? (photo)

Open or closed rhinoplasty

Difference between closed and open rhinoplasty is the approach when performing rhinoplasty. Specific maneuvers performed during rhinoplasty are the same whether it is done through open or closed. A primary rhinoplasty to file down a nasal hump, osteotomies, and deproject the tip can all be performed quite easily through a closed rhinoplasty. Look for an experienced surgeon in closed rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

The skill of the rhinoplasty surgeon is far more important.

Dear “Chris”: You raise an interesting question concerning the entrance point into the nose to perform rhinoplasty surgery. As you know, “closed” refers to doing the entire operation through hidden incisions inside the nose. “Open” rhinoplasty implies that there will be an external incision, which is generally horizontal between the two nostrils. That incision becomes the main entrance into the nose, although there may be additional... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

Hump

For reduction of over projection, I always do an open tip even though i do %50 of my rhinoplasties closed. Do what your surgeon is best at

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Open versus closed rhinoplasty

I think that a good rhinoplasty can be performed with either a closed or open approach. I prefer open in most cases to have the best visualization of the structures and to allow for precise tip work.

Steven Wallach, MD
Manhattan Plastic Surgeon

Open versus closed Rhinoplasty

In the end it doesn't matter how you get there, it's about what you do to the nose. Choose the surgeon, not the approach and you'll be happiest. pick the one with the before and after results you like the best. These results will reflect their specific operating styles. Most surgeons do a combination of open and closed. Looks like you need a lateral crural overlay which I have done both ways. All the best.

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon

Closed or Open Rhinoplasty

The changes you would like to make in your nose are realistic and can be done open or closed. The most important decision is to find a Board Certified Plastic Surgeon who does a lot of Rhinoplasty surgery. Make sure you see lots of photos of that surgeons actual patients. A computer can generate an example of your result, but can that surgeon replicate that? Make sure you like what you see in real patient photos. Whether the surgeon does it open or closed, you want the best result.... more

James A. Hoffman, MD
Saint Paul Plastic Surgeon

Closed Rhinoplasty

Although your pictures are not complete it seems that you could benefit from a closed rhinoplasty approach and obtain results similar to the ones created by the computer generated images. You need to have realself expectations since the computer generated pictures are only a simulation !! Good luck

Tal T. Roudner, MD
Coral Gables Plastic Surgeon

Many rhinoplasties can be done closed.

Hi. You look like you have a pretty easy nose to improve, and you don't need open approach. I think the projected result is realistic for you. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Open vs Closed Rhinoplasty

Your computer generated result is realistic. It makes no difference whether the rhinoplasty is done open or closed. I repeatedly say pick the surgeon, not the technique.