Where can I find the best plastic surgeons who do closed rhinoplasty?

There are advantages and disadvantages to either method.  The technique used depends on what needs to be done, and what would best suit the patient.  This is where finding an experienced board certified surgeon (Plastic Surgery or Otolaryngology) is important.  Look at the credentials.  Then look at the respective before and after photos.  Go see at least three surgeons.  Take photos with you of noses that you find attractive.  Make a list of questions.  Together you and the surgeon can determine the best operation for you...

The question you ask is bound to raise some eyebrows among the experts. This a topic that has been hotly debated for many years. There are some surgeons that are particularly passionate about open Rhinoplasty and others that are equally passionate about closed technique. In the end, a surgeon's passion likely reflects his or her own assessment of their work: those that feel they achieve superior results with one particular approach over the other will have a passionate viewpoint.

Given that I perform 99% of my noses in a closed fashion, I may be somewhat biased in my response here. But there are times that I will choose to convert a procedure from closed to open or chose to do a procedure open from the start. Yesterday, I converted a closed procedure to an open one because of a high septal deformity that was impossible to fix safely using a closed technique. Other situations that may require an open approach for me are revisions that are more reconstructive in nature and deviated noses in which the asymmetries are not reliably corrected with a closed technique.

Profile-plasty, in my opinion, should almost never be done open. Extra dissection of the tip structures for the open approach is not warranted if no tip work is being done. As with everything else, there are exceptions.

I feel comfortable correcting most deviations, most revisions, and doing most tip-plasty techniques closed. The swelling reduction after surgery and the constant feedback during the operation make the closed approach superior in my opinion. However, these benefits do not outweigh the small skin incision used in an open approach, especially if your result will be superior with an open.

My advice: choose the surgeon based on the body of work, rather than their approach. Most surgeons are comfortable with both and will choose the type of Rhinoplasty that, in their hands, will result in the best outcome for you down the line.

Best of luck.

There are many qualified, expert surgeons who perform intra-nasal rhinoplasty. A number are right here in NYC. You should seek out a surge ion who performs rhinoplasty as a large proportion of their practice. View their website and see if you like or can relate to their before and afters. 

There is no definitive list ranking rhinoplasty surgeons. The ASPS website is a good starting point to find a qualified board certified plastic surgeon. Consult with 3 - 4 surgeons to understand your options.

There is no such list ranking closed versus open rhinoplasty surgeons.  Look for a plastic surgeon who has performed many thousands of rhinoplasty surgeries and has many before and after photos in their photo gallery.  Also look for someone who performs many closed revision rhinoplasties.  In our practice we perform the majority of noses closed.  We generally perform revision rhinoplasty closed even if the nose has been opened in the past.  It is also important to make sure you have a board certified facial plastic surgeon, board certified anesthesiologist placing you under anesthesia, and done in a certified ambulatory surgery center.  

There are very few indications for the open rhinoplasty. Majority of  plastic surgeons prefer the open rhinoplasty . The reason is the predictability and also long term lasting result. Close rhinoplasty is hit and miss because of the lack of observation of the anatomy.  I would suggest that you look for the best plastic surgeon for your nose and let your doctor decide which technique is going to work better for you.

The 'best' surgeon for any cosmetic procedure can be hard to define and there are many in the vast New York area who could fit on your list. The best surgeon for you, starts with office inquiry about closed rhinoplasty, and a visit to web sites to get a feel for the practice philosophy and a preview of results. As you narrow your search, go for consultation with your ideas and photos in hand. If the surgeon is listening and the practice feels comfortable to you the best may be in hand.
Best of luck,
peterejohnsonmd

I am a doubly trained plastic surgeons who does a lot of noses and would be glad to see you. Make sure whoever you see answers all of your questions and shows photos of patients they have done. Although I do mostly closed rhinoplasties, sometimes open are performed. If you had a friend who was happy after having their nose done, then they would be a good referral source.

I do not know if such list exists.

You'll have to call several plastic surgeons ' offices and inquire whether they  perform the closed rhinoplasty . Then go and consult with those  who do and interview them and ask for referrals with before and after photos.

 Don't  worry, an experienced surgeon will do both closed and open rhinoplasty procedures. You are fortunate - there are many excellent surgeons in NYC. I suggest you go online and find surgeons whose results you like and then schedule a consultation witth those individuals.