Closed or Open Rhinoplasty? Price? Can I achieve this nose? (Photos)

The morphing that you have done is definitely feasible through a closed rhinoplasty. I use the open thechnique when significant tip work is required, for example if the tip is asymmetric, boxy or bulbous. It is hard to assess your nasal tip on the photographs and give you a definitive answer. The fees for the procedure varies and can be between 8 to 10k. The sepltoplasty can be done through the closed apprauch as well. I like the open rhinoplasty which is extremely useful, but it is not necessary when the tip shape is adequate. Even though the columella scar is alway acceptable, in very few patients it could be visible on close inspection. Therefore when it is not necessary to open the nose, I prefer the closed technique.

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a cephalic rotation of your tip to turn
up your tip slightly and a conservative dorsal hump reduction.  The deviated septum could be fixed at the same time.  This could be done with either a closed or open approach.  Cost varies based on geographic region and surgeon expertise.   Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon