I have a dorsal hump and droopy nose tip. Can I achieve this look with a closed rhinoplasty? (Photos)

Question

Can I achieve this look with a closed rhinoplasty? I have a dorsal hump and droopy nose tip

Daniel Barrett, MD · Answer

Dear Drangonfly,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from rhinoplasty. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty. I think rhinoplasty is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Ronald J. Edelson, MD · Answer

Your nose and most others can done either open or closed. Most surgeons do open these days because that is how they were taught. But there are plenty of surgeons who still do closed rhinoplasty. I do all mine closed

Williams Bukret, MD · Answer

Yes, it is possible to get close with a close rhinoplasty to that result based on the profile view. However, it's necessary to evaluate other views to rule out a septal deviation and if eventually can be corrected through a close septorhinoplasty. A frontal view of smiling and showing your teeth will give us more info, in addition to knowing if you have breathing issues.

Robert Ciardullo, MD · Answer

Rhinoplasty for a dorsal hump and droopy nasal tip: A dorsal hump and droopy tip can be corrected by either closed or open iRhinoplasty. Closed rhinoplasty is less invasive, results in less scar tissue, and quicker healing. Open Rhinoplasty gives better direct vision and is easier for revision surgeries involving the placement of multiple Cartlidge graphs to reconstruct a devastated nose. However the majority of primary Rhinoplasties particularly those involving a dorsal hump, a long nose, an over projecting nose, a bulbous nasal tip, a plunging tip , and any combination of these could easily be performed with either closed or open rhinoplasty. Ultimately it depends on the comfort level of the surgeon performing the procedure which technique he employs. In general surgeons who first learned and grew up on closed rhinoplasty will be more comfortable with this procedure particularly if they have a great deal of experience. Generally younger surgeons who first learned and grew up on open Rhinoplasty will prefer open in Rhinoplasty to closed . So ultimately, in your case the type of surgery, whether open or closed, will depend on the comfort level of the surgeon you choose.

William Portuese, MD · Answer

Yes indeed, a closed rhinoplasty approach can accomplish shaving down the dorsal hump, decreasing the overall projection of the nose, refinement of the nasal tip and narrowing the bridge line with all the incisions placed on the inside of the nose. No external incisions are required. No painful packing is required. Best to choose a surgeon who specializes in closed rhinoplasty and has lots of experience. For many examples, we see the link below to our closed rhinoplasty photo Gallery

Robert Singer, MD · Answer

The nasal areas that you described and would like improved can be addressed with an artistically performed natural appearing nasal surgery (rhinoplasty) through either a closed or open surgical approach.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on  limited two dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD  FACS

La Jolla, California

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note a high nasal bridge, lack of nasal tip support, and a drooping nasal tip.
This can be corrected with either closed or open techniques of rhinoplasty and cartilage grafting.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

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