Can Closed Rhinoplasty Be Used to Lower and Narrow the Nose's Bridge?

I've heard that closed rhinoplasty causes much less swelling and bruising and requires less recovery time. I can't take much time off of work for recovery, so I'm very interested in this approach. However, besides tip work, I would like to lower the bridge of my nose and possibly make it a bit narrower. Can this be done with closed rhinoplasty?

Doctor Answers 13

Closed rhinoplasty can lower and narrow nose bridge

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Closed rhinoplasty can be used to perform nearly all rhinoplasty techniques including lowering and narrowing the bridge, tip, and mid third of the vault placing spreader grafts, tip grafts, and sewing the tip cartilage together to refine the bridge.

Closed rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

As a general rule, this can be completed through a closed rhinoplasty. For me to make the choice between an open and closed rhinoplasty, I have to complete a physical exam and discussion with patients regarding their desires and own personal thoughts about the operation. Most people can return to work in one week after either procedure although bruising and swelling is not 100 percent predictable with either approach.

Deason Dunagan, MD
Huntsville Plastic Surgeon

Closed vs Open Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The nasal changes you want can be acomplished with an open or closed approach. Pick the "best" surgeon, not the technique.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

The experience of your surgeon is more important than the approach with Rhinoplasty Surgery.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

There are many excellent rhinoplasty surgeons that predominantly use a closed approach for Rhinoplasty Surgery. I prefer an open approach for Rhinoplasty Surgery when tip work is involved. In my hands, downtime is less than 2 weeks with an open approach for the majority of my patients.

I see excessive lobule-show on your frontal photo. This is the part of your nose between your tip and columella. This may be improved by dividing your tip cartilages, and straightening your entire lobule-columella with carefully placed sutures and a columella-strut. Maneuvers like this are facilitated by an open approach.

I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 429 reviews

Closed versus Open Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

All the changes you describe can be accomplished with both approaches.

I do agree that closed has less swelling, but that usually has to do with the tip region.

Bruising will be the same in both cases, as it is the result of bone work. This work is done the same way in both closed and open approaches.

There are a lot of things you can do to minimize bruising and swelling. I give patients Arnica and Bromelain capsules to help with swelling. I also work with a nutritionist (I use nutritous life in NYC) to provide patients with additional information. I find that it does make a significant impact on the healing process.

Best of luck 

Rhinoplasty-open or closed.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The difference of the two ways is based on what is needed and how experienced the surgeon is. My practice is 50% revisions noses done somewhere else. Of these 1/2 were done open and the other 1/2 done closed. Therefore, it is not the type of procedure your should concern yourself with, since the swelling and bruising are the same. We pioneered "open rhinoplasty" in the USA more than 35 years age and there are still many noses I do closed. Pick a surgeon who does "natural" looking noses and forget about the approach.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Closed rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes all the issues you are concerned with can be addressed via a "closed Rhinoplasty" approach. It is better to see a few consultants doctors in person to discuss these issues. Best of luck from MIAMI Dr. B

Closed rhinoplasty good choice to lower and narrow nasal bridge.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


Hard to be sure from one picture, but you look like good candidate.  We usually do closed rhinoplasty.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Closed versus open rhinoplasty for reduction of a large nose

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The choice of the approach is often dependent upon the surgeon's preference in conjunction with the wishes of the patient. You are right in that swelling especially of the tip area is much longer for an open versus a closed approach. Most noses can be successfully treated either way. I usually reserve open approaches for revision nose surgery or where a lot of grafting is required or if the nose is crooked and if it needs to be signficantly lengthened. In your case, it can certainly be accomplished with either approach. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

Closed rhinoplasty for nasal hump and bump

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes, a closed rhinoplasty can be used to lower the height of the nasal bridge as well as to narrow the nose in addition  to tip rhinoplasty.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.