Open versus closed rhinoplasty

Steven Wallach, MD answers: How much work could be done with closed rhinoplasty?

I was wondering what could be done only with closed rhinoplasty and not open rhinoplasty? (a longer recovery time period does not fit in well for me)? The hump on the bridge of my nose is one thing I would like changing and maybe a narrower tip (especially if the bridge would be thinner due to the hump reduction and then look out of place). How possible would good results be discounting open rhinoplasty? In an ideal world I wouldn't mind but again, the recovery period is one of my major issues in deciding. Thanks.

How much work could be done with closed rhinoplasty?
Steven Wallach, MD
6 months ago

If you are planning to have tip work done, you are probably better off having an open rhinoplasty. Yes, the swelling persists longer than a closed rhinoplasty.  Remember that a rhinoplasty will last a lifetime, so don't you want it done with the most precision that you can get?

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A: Most people only need closed rhinoplasty.

George J. Beraka, MD
6 months ago

Hi!

1) From your pictures, closed rhinoplasty is all you need. It has no scar and quicker recovery, and open rhinoplasty would not give you a better result.

2) I have noticed that younger or less experienced surgeons only do open rhinoplasty, because you can see the cartilages and it is easier if you are not totally at home with the anatomy. But most people don't need it.

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