Limitations of Closed Rhinoplasty?

Hi Ricardo,
Open and closed are approaches to performing the rhinoplasty operation. I agree with both Dr. Waldman and Dr. Pearlman that excellent results can be achieved with both approaches. Dr. Rollin Daniel, a very well respected Newport Beach rhinoplasty specialist takes it one step further and performs a "closed to open" rhinoplasty.
Personally I find it easier to secure cartilage grafts with the open approach.
Choose your rhinoplasty surgeon based on results, skill, experience, and the noses of the office staff (if they have been operated on by the surgeon).
Good day.
Dr. P

Limited tip work and slight reduction in the "dorsal hump" region of the nose can be done via a closed approach. More extensive tip work and significant reduction in the height of the nose usually requires the open approach. Both can be done as an outpatient and are pretty well tolerated. Good luck!