Closed Rhinoplasty to deproject/ reduce length of a long ethnic nose? (Photo)

Closed versus open Rhinoplasty for your nose. not only could closed rhinoplasty do a good job with your nose, but I think it could do as a better job than open rhinoplasty, and with less scarring and much quicker healing. Those surgeons who grew up with closed rhinoplasty are comfortable with it and very effective. Those who grew up with open Rhinoplasty will be more comfortable with that, and since it is easier to visualize with open, if you learn open first you will probably never want to do closed. I have done longer bigger noses than yours with closed rhinoplasty and gotten excellent results. It’s a matter of what the surgeon has done most of and what he is most comfortable with.

I do not recommend the closed approach when there is any significant change in tip position, including shortening, deprojection, and significant changes in rotation. Open rhinoplasty allows for direct visualization, precise changes in tip position and stabilization of the tip in the right place, redraping of the skin and soft tissue to match the new framework created during surgery, and release and restoration of the Pitanguy's ligament which acts as a leash on the tip of the nose and is implicated in supratip deformity after closed rhinoplasty.