Open or closed rhinoplasty for maximum structure changes? Tip refinement, de-rotation, bridge thinning, nostril reduction

Most surgeons will use open rhinoplasty if many things need to be done during surgery. That way direct visualization will help the surgeon to achieve great symmetry before closing the nose. The incision usually heals very nicely. If using an experienced surgeon, the recovery time is usually similar as well.

Hello! Thank you for your question.
As far as I can understand from your question Open Rhinoplasty always give us better solution and more safe. Healing process are changing abut skin type If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best regards!

The refinements you mention can be done either open or closed. The important thing is to go to a highly experienced rhinoplasty surgeon. Whether open or closed is a less important decision.