Open roof: What's the best surgical method to correct it?

Anastasia_Blue: Without seeing you or pictures, it is hard to give you a firm confident answer that pertains directly to you.  In general, one "closes" an open roof by performing osteotomies and mobilizing the nasal bones toward each other.  At times some rasping is then required to smooth the bone edges.  At times the placement of a small amount of crushed cartilage may be necessary to be placed over the site.  In general these tasks can be performed without an external incision.I hope this helps and good luck!Fred G. fedok, MD FACS

I think that in order to determine whether or not you need a rhinoplasty revision you should post photos or be seen in person.