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Open or Closed Rhinoplasty For A Hump And Deprojected Tip? (photo)

asked 7 months ago by chris272 in cardiff
Latest answer by Kenneth R. Francis, MD
Question viewed 357 times
Tags: closed, deprojection, hump, open, technique

16 answers to Open or Closed Rhinoplasty For A Hump And Deprojected Tip? (photo)

Rhinoplasty for the long nose.

The long or overprojected nose can be done either closed or open, depending what else is going to be done( grafts ). See an experienced rhinoplasty surgeon for a consultation and let him tell you which is better for YOUR nose.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Either or

Chris, The correction that you seek can be performed either through an open or closed approach. Your nasal tip is actually overprojected and needs deprojecting. This might better be performed with an open approach for precise control of removal of cartilage. Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

Open or closed rhinoplasty surgery for hump removal and deprojection

Either surgical approach can be used to remove a hump and deproject the tip. I personally use both approaches and cater the technique to the problem at hand. What's more important than the approach is the results that your surgeon is able to achieve with their preferred technique. You should also focus on making sure the surgeon's results are durable as evidenced by after photos from at least a year after surgery.

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Open vs Closed Rhinoplasty

All excellent rhinoplasty surgeons have their own criteria for recommending an open or closed procedure. As I said when I answered an identical post earlier today, I always recommend that a patient select the experienced physician whose results they like, not the technique.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Open or Closed Rhinoplasty For A Hump And Deprojected Tip? (photo)

I have read ALL the expert posters responses. In general, you should ALWAYS obtain in person evaluations prior to asking, in a very vague manner, "which technique" would each of us use. ONLY one side view photo and no other information makes it impossible to give any accurate guide. I, let me see, chose either open or closed would work.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Open vs closed rhinoplasty

Your one photo does not provide enough information to specifically answer your question. That being said, you should select your rhinoplasty surgeon based on their reputation, your comfort level, etc. Whichever approach they feel most comfortable with is what you should have. The small incision for the open approach leaves a small essentially imperceptible scar yet this technique in general provides more precision and predictability of results.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

Open or closed rhinoplasty

I do them both, but I feel that open gives me more precision to get the desired result in the tip. I think the small scar on the columella in the majority of cases heals very well.

Steven Wallach, MD
Manhattan Plastic Surgeon

Open or Closed Rhinoplasty For A Hump And Deprojected Tip?

I have performed Rhinoplasty for over 20 years and use both Closed and Open Rhinoplasty techniques for this very situation. I would need to see a front view, of your nose, to make the final determination as an open Rhinoplasty, IMHO, is reserved for nasal tips that are very wide, asymmetrical, previous operated or some other reason that requires directl manipulation of the nasal tip cartilages. Otherwise a Closed Rhinoplasty could thin the nasal tip, reduce the tip... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty

I do not know who you think the surgeons in this group are but we are not oracles. There is no way we can make reliable recommendations to you based on a single side view photo of the nose and a less than 10 word statement by you. There should be a lot more thought going into this on your part and your prospective surgeon's in order for you to have a safe reliable result. My response to your question/post does not represent formal medical advice or constitute a doctor patient... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Open vs. Closed Rhinoplasty, its more about the surgeon's skills than a small incision

In primary rhinoplasty, most nasal humps can be removed as well as deprojecting the tip of the nose through both the endonasal (closed) or open rhinoplasty approach. I personally use the closed approach for approximately 90% of my primary rhinoplasties and feel the results are as good as open rhinoplasty. I suggest you see an experienced rhinoplasty surgeon and discuss your goals. Look at the surgeon's before and after photos and make sure that their aesthetic sense matches yours. more

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Open rhinoplasty is a better option for tip deprojection

There are many methods to deproject a tip. Which method is best for you depends on many factors. I would note that it is impossible to tell from the photograph whether you are actually over projected. I suggest you seek a consultation with a rhinoplasty surgeon. Look at before and after pictures of actual patients to see if you like the surgeons work. A lot of surgeons advocate computer imaging. I would caution you to use caution with... more

Gregory Pippin, MD
New Orleans Facial Plastic Surgeon

www.pippinmd.com

Pick the right rhinoplasty surgeon

The question of open versus closed technique has been a commonly debated question among rhinoplasty surgeons for years. Both techniques have been shown to work effective and is really a matter of the individual surgeons preference.

Edward S. Kwak, MD
Manhattan Facial Plastic Surgeon

www.eskfps.com

You may not need rhinoplasty

The picture shows nose that may not need surgical treatment.Personal consultation and computer imaging would be helpful. The evaluation of the nose should be done in relation to the forehead and chin.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Open or Closed Rhinoplasty Technique?

The concerns of a dorsal nasal hump and an underprojecting nasal tip may both be addressed by the open or closed technique. The technique, however, is less important then the artistry and skill of the surgeon. What matters most is to consult with a board-certified plastic surgeon experienced in rhinoplasty surgery that you feel comfortable with. The choice of a surgeon based on a particular technique is probably not a good way to decide on having any plastic surgery... more

Stephen Delia, M.D.
Boston Plastic Surgeon

Technique open vs closed

The technique is irrelevant. The key issue is the experience and ability of the surgeon. Anyone who would state things differently is doing you a diservice.

Jay M. Pensler, MD
Chicago Plastic Surgeon

www.plasticsurg.org

Choice of approach for hump and tip projection

It is hard to say for sure but just based upon the photo either approach would be adequate to address both the hump you have and also elevate the tip or narrow it depending upon your frontal views. However, if you have had a previous rhinoplasty, then in my opinion the open approach would probably be best.