Is Closed Rhinoplasty Best for a Droopy Tip Surgery?

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

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. 

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. 

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.

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. 

Surgeons can perform rhinoplasty through open vs closed techniques. The only difference inthe incision is that with open there is a 1 cm skin incision on the columella.  The exposure allows precise work to be doen especially on the tip. Closed rhinoplasty does not give them same exposure. Interesting most of the "experts" on the lecture circuits use the open approach.

Closed rhinoplasty is best in the hands of an experienced Nose Surgeon.

With a closed rhinoplasty there is no external scar to show that you had the operation. I have been doing closed rhinoplasties for 30 years and am confident that I can produce the desired changes without a visible, external scar. We plan the final appearance on the computer ahead of time and carry it out in the surgery with no 'give away' scar.

In my opinion, open rhinoplasty is better for tip refinement surgery, as it gives the surgeon better visualization of the tip cartilages. Also, it makes it possible to do precise stitches for sculpting of the tip. 

Excellent surgeons use both open and closed procedures for tip rhinoplasty depending on the needs of their patients and their own personal preferences. I advise you to pick the surgeon based on the results you see in patients like you. Pick the surgeon, not the technique.