What are the long term pros/cons of closed vs open revision rhinoplasty?

Question

I had a closed primary + secondary rhinoplasty by the same surgeon. My nose is still crooked with a wide tip so I want get a revision with a new surgeon. I hear closed rhinoplasties heal faster, but is healing a few days or weeks more quickly that big a deal if the trade off is having more visibility and/or control into a procedure? Can someone clarify in detail the long term pros and cons of each? Fewer doctors do closed rhinoplasty, so I'm wondering if it is worth limiting my search for

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Rhinoplasty, especially secondary rhinoplasty, is a very intricate procedure (the nose is a very complex structure). That said, the surgical approach will depend on the issue to be addressed, your nasal structure, and your aesthetic goals. And the best way to determine what type of surgery is best for you is to schedule an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will have a deep understanding of the nose’s functional and aesthetic elements while having an aesthetic eye for balance and symmetry. Your surgeon will give your nose a thorough evaluation, recommend the best surgical approach, and ensure the best possible outcome.

Ronald Schuster, MD · Answer

Rhinoplasty finesse and complex operation. Of course some are easier than others but in general the anatomy is somewhat complicated. Open rhinoplasty has been promoted over the past 30 years in order to provide for more predictability and decrease undesirable results and the need for secondary surgery. Open rhinoplasty provides for a clear view of the anatomy and unrestricted maneuvers by the surgeon. Proponents of closed rhinoplasty will say that it is best to disturb as little of the anatomy as needed to make the changes, and that the healing is quicker. I recommend choosing your surgeon based on the results and communication rather than the technique used. Good luck.

Cem Altindag, MD · Answer

Hi, thank you for the question. Open technique seems more advantageous (if you have wide tip and crooked nose) although I cant see your images. Both of them was closed, I guess. Regards. Dr. Cem Altindag Istanbul

What are the long term pros/cons of closed vs open revision rhinoplasty?

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