Closed or open rhinoplasty?

Do not focus on open or closed, those are surgeon preferences and sometimes used to sway decisions. Focus on who can deliver the results that will make you happy. Make sure to discuss the different variations using computer morphed images. This will help you and surgeon determine the best outcomes and set goals. There are certain aspects of nasal aesthetics that can be tricky. For example, rather than building up your bridge, you might be happy with creating a slightly deeper and sharper radix. This would give the nose a more defined and lower start point, which would make the nose look less "scooped". Good luck!