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Closed Rhinoplasty to Remove Hump Possible?

asked 1 year ago by babygirl303
Latest answer by William Portuese, MD
Question viewed 234 times
Tags: closed, hump, options

Hello, I am looking into having rhino done. My main concern is having the hump removed. I don't want to change too much. The hump is what bothers me the most. What would you recommend would be the best thing to do to it and do you think it's very possible to have a closed rhino in my case?

11 answers to Closed Rhinoplasty to Remove Hump Possible?

Closed vs open rhinoplasty.

I was one of the first surgeons to do open rhinoplasty 37 years ago and showed what you give up with closed rhinoplasty. I still do closed rhinoplasty but not for a nose like yours that will need many grafts placed in addition to hump removal. This includes radix, speared. Tip and other areas. This can be done closed but you will not get as good a result. The open allows you to lift up the "hood" and see EXACTLY what you are doing.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Hump removal with closed rhinoplasty

A hump reduction can easily be performed with a closed rhinoplasty. There is no need for an open rhinoplasty unless this is a revision. Once the hump is removed, osteotomies will be performed to prevent an open roof deformity.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Removing a hump with closed rhinoplasty

Removing a nasal hump with closed rhinoplasty can be done. However, this does not provide the visualization of the cartilage and bone as an open rhinoplasty approach might. The middle cartilaginous vault of the nose must be reconstituted for functional and structural purposes after hump removal. Good luck.

Etai Funk, MD
Houston Facial Plastic Surgeon

www.funkfacialplastics.com

Closed Rhinoplasty would remove the hump.

I have performed Rhinoplasty and revision Rhinoplasty for over 20 years and IMHO, a closed Rhinoplasty would be able to reduce the nasal hump that appears to be both cartilage and nasal bone. You would also require lateral osteotomies to reduce the open roof caused by reducing the hump ( a normal consequence of removing dorsal humps)...what is termed "breaking the bones". Typically takes about 1 hour, general anesthesia, no nasal packing used, will have a wafered... more

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

Closed Rhinoplasty for Hump Removal

You are focused on your hump, but it is the rhinoplasty surgeon's responsibility to point out the complexities determining the deformity you perceive. Your hump is accentuated by inadequate tip projection and a low bridge (radix) at the top. Nevertheless, these can be corrected by an experienced surgeon with a closed technique. I prefer to do closed rhinoplasty for most hump removals that require less complex tip work. There is no visible scar, swelling is decreased and there are no... more

Edmund Fisher, MD
Los Angeles Facial Plastic Surgeon

Closed rhinoplasty for hump

In the right hands it can be done either way, but many patients are often concerned with only one feature on their nose that they wish corrected and think that taking care of that is all they need or want. Sometimes this is so and can be confirmed with computer imaging. As rhinoplasty surgeons we are often looking at what effect this change will have on the rest of the nose and realize that if you don't address some other areas just "taking away the bump" will leave you worse... more

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

CLOSED RHINOPLASTY

You should be able to achieve an excellent result with a closed Rhinoplasty. You will also need to break the nose after reducing the hump otherwise your nose will appear too wide and flat. Find an experienced Rhinoplasty surgeon. The results will be dramatic!! Good luck,

Todd B. Koch, MD
Buffalo Plastic Surgeon

Closed rhinoplasty for a nasal hump

Excellent result can be had with a closed or open rhinoplasty, and many surgeons are skilled with both approaches as we are in our office. There are times when tip shaping can best be done with the open technique though excellent results are possible either way. Some ask specifically for a closed technique, and sometimes we favor a closed technique. Your hump can be reduced with closed rhinoplasty. Note that the biggest issue with your nose is not the hump, rather under projection of the tip... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Closed rhinoplasty allows fine tuning and decreases recovery time

There are several advantages of closed rhinoplasty for you in particular. Closed rhinoplasty allows fine tuning and decreases recovery time. In addition, your tip is very flat and does not support itself independent of the height of the bridge--that is called "inadequate tip projection." That means that in order to give you a straight profile, the bump needs to be lowered and the tip needs better support. The problem with open rhinoplasty in your case is that the open... more

Mark B. Constantian, MD
Nashua Plastic Surgeon

Closed rhinoplasty

You appear to have the ideal situation for closed rhinoplasty. However, due to the popularity of open tip rhinoplasty, you may ned to look for a more senior surgeon trained in this technique. In this office abour half of our rhinoplasties are done closed.

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

Closed Rhinoplasty to Remove Hump Possible?

Removing a bump with closed rhinoplasty is easy. However, when removing a bump you must anticipate what the potential problems may come from changing the current architecture of the nose. We have learned that removing a hump will change the stability of the nose, causing the middle one third to collapse with time. To counteract for this, the area of the nose where the ump was removed must be reconstructed with cartilage, called spreader grafts. This can be done via an open or closed approach... more