DO you think you can achieve a more defined and refined tip using an open approach verses closed?

Question

John Nguyen, MD, FACS · Answer

Open versus closed rhinoplasty is a question based on the training of your surgeon.  I perform an open technique and feel that it is much easier to make detailed, fine changes to the tip when you can see everything you are working on.  However, this is an opinion, and many skilled surgeons also perform closed rhinoplasty.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

Ruth Celestin, MD · Answer

Thank you for your question.  Both techniques can result in excellent tip refinement.  Different surgeons have varying degrees of experience with each technique, and that is what is most important:  finding a plastic surgeon that you're comfortable with, and whose experience you feel will provide you the results you desire.  Best of luck to you.Ruth Celestin, MD

Kenneth Hughes, MD · Answer

I can achieve a refined tip through either approach.  I find that the closed rhinoplasty produces less swelling and a shorter recovery.  There is also no visible scar.   Find a board certified plastic surgeon who performs hundreds  
of rhinoplasties and rhinoplasty revisions each year.  Then look at the 
 plastic surgeon's website before and after photo galleries to get a   
sense of who can deliver the results. 	Kenneth Hughes, MD Los Angeles, CA

Jeffrey Ditesheim, MD, FACS · Answer

Great question: The technique really depends on the surgeon and what needs to be changed surgically.  One is not better than the other, there are advantages and disadvantages.  Essentially, if skeletal work needs to be done, a closed may be appropriate, if more refinement than an open.  An expert surgeon can advise you for your nose.

William Portuese, MD · Answer

The open versus closed technique is only the approach to get inside the nose, not the actual procedure itself. Suture techniques to the lower lateral cartilages and sometimes a conservative cartilage removal are necessary to obtain a refinement of the nasal tip

DO you think you can achieve a more defined and refined tip using an open approach verses closed?

Answers (6)

Answer: Nose: open or closed approach?

Answer: Nose: open or closed approach?

Answer: Tip refinement through closed or open rhinoplasty techniques

Answer: Tip refinement through closed or open rhinoplasty techniques

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

DO you think you can achieve a more defined and refined tip using an open approach verses closed?

Answers (6)

Answer: Nose: open or closed approach?

Answer: Nose: open or closed approach?

Answer: Tip refinement through closed or open rhinoplasty techniques

Answer: Tip refinement through closed or open rhinoplasty techniques

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.