Is Closed Rhinoplasty Best for a Droopy Tip Surgery?

Question

I consulted with doctors who do closed rhinoplasty, and I consulted with ones who do open. Closed seems less risky and more simple for some reason to me, but I am concerned that the results won't be as good. I have a droopy tip that I want to be lessened (same tip, just less droopy) Also, I don't want my nose to be longer from the side. For this procedure, is closed better than open or not?

Nima Shemirani, MD · Answer

Dear sourkid13,

	
		You will live with your nose for the rest of your life and so the goal should be a specific result that you will love
	
		In my hands, in someone with an already nice tip, I can do a closed approach
	
		If there is a lot of asymmetry between the two sides of the tip, then I favor an open appraoch
	
		In the end, you should go with the surgeon you are most comfortable with, the technique does not matter as much


	Best regards,

	Nima Shemirani

Paul S. Nassif, MD · Answer

Whether an open or closed technique is used really depends on the nature of the patient's issues and what will be necessary to obtain the desired result. An open technique is generally used when more invasive work is necessary, and it gives the surgeon a better look inside the nose. An exam would really be necessary to determine the technique that would best suit your needs. I would recommend a consultation with a board certified rhinoplasty specialist. He or she will be able to examine your nose in person and provide you with the best advice. I hope this helps, and good luck to you.

John M. Hilinski, MD · Answer

In my humble opinion, I think an open rhinoplasty approach has a big advantage over closed rhinoplasty when it comes to reshaping and repositioning the nasal tip.

Thomas A. Lamperti, MD · Answer

Both open and closed rhinoplasty approaches are safe options when performed by an experienced surgeon. Depending on the situation and surgeon preference one approach may be preferred compared with the other, especially when it comes to treating issues with tip position, droopiness, etc.

	I would focus more on your potential surgeon's results rather than solely on the approach used.

	You can read more about droopy tip repair at my web reference link below.

David M. Lieberman, MD · Answer

That is a great question. You will likely receive different answers depending on the comfort level of the surgeon- ie some surgeons perform most rhinoplasties via an external approach while others prefer the endonasal (closed) approach. Excellent nasal tip refinement can be achieved with either method. I would not consider opening the nose more risky- in fact certain surgical techniques used for tip surgery are only possible with an open approach. I would not base your decision only on the approach- make sure your surgeon is expert at this type of surgery and that you like the results you see in the before and after gallery. Hope that is helpful.

Is Closed Rhinoplasty Best for a Droopy Tip Surgery?

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Answer: Opoen versus closed rhinoplasty for droopy tip repair

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Answer: Is Closed Rhinoplasty Best for a Droopy Tip Surgery?

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Is Closed Rhinoplasty Best for a Droopy Tip Surgery?

Answers (9)

Answer: Opoen versus closed rhinoplasty for droopy tip repair

Answer: Opoen versus closed rhinoplasty for droopy tip repair

Answer: Is Closed Rhinoplasty Best for a Droopy Tip Surgery?

Answer: Is Closed Rhinoplasty Best for a Droopy Tip Surgery?

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.