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

Doctor Answers 6

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

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, FICS
Double Board Certified Plastic Surgeon

Houston Plastic Surgeon
4.7 out of 5 stars 82 reviews

Open vs Closed rhinoplasty

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

Ruth Celestin, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 31 reviews

Nose: open or closed approach?

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.

Jeffrey Ditesheim, MD, FACS
Charlotte Plastic Surgeon
4.7 out of 5 stars 53 reviews

Tip refinement through closed or open rhinoplasty techniques

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

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

More defined and refined tip using an open approach verses closed?

Excellent cosmetic results can be achieved with both techniques. There is not a best way to perform the procedure. Individual surgeons have their own preferences of how to produce the best results in their hands. What is more important than whether a closed or open approach is utilized is the experience and artistry of the plastic surgeon and your comfort level and confidence in that individual.

Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited 2 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 the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) through the Smart Beauty Guide that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 19 reviews

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

 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

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.