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The closed approach may be appropriate for your situation, but a personal consultation is required to determine if this is the case. There are some types of repair which are better open, and some closed. I understand the desire to avoid an incision if possible, but this needs to weighed against the challenge of the revision needed.
Anything that can be done open can be done closed. I routinely place spreader grafts closed. In fact, the original description of spreader grafts by Dr. Sheen was in a closed approach. The term "closed" in rhinoplasty use a misnomer. The nose ia plenty open during surgery, but there is simply not a skin incision accross e columella.
Yes, spreader grafts and a dorsal augmentation graft can be performed through a closed rhinoplasty approach which avoids the external incision. More important to know is whether there's any cartilage left on the inside of the nose for potential grafting purposes. For more information and many before-and-after examples, please see the link below to our closed rhinoplasty photo gallery
I prefer to perform rhinoplasty using an open technique because I like to secure the grafts under direct vision. Performing them closed does not offer this directly.
Without posting before and after pics very hard to advise. Best to seek in person second opinions from only boarded surgeons. Sounds like ONLY surgical revision after 4 to 6 months healing will work...
Dear resty92 in Sacramento, California: That is a legitimate question, because a small bump can be concealed. On the other hand, if it is very sharp and the nose is already wide in that area that may not be appropriate. What does your surgeon say? What did the surgeon propose? After 2 ye...
Dear Velo35 in San Francisco, California: Nineteen months is an adequate time to consider consulting either with the original surgeon or other surgeons to discuss the removal of any cartilage grafts which you are not pleased with. Now is the right time, because it is obviously a matter of ...