Can the tip of my nose be reduced with closed surgery? (photos)
Doctor Answers 13
Closed rhinoplasty candidate, some advices:
The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.
In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.
With this procedure you get a delicate nose, better harmonize with your other facial features.
Dr. Emmanuel Mallol Cotes.-
Square Tip (Box Tip Deformity) - Open Or Closed Approach
Open or closed tip rhinoplasty?
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California
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Tip reduction with closed rhinoplasty
Thank you for your question and photographs.I would recommend scheduling a consultation with a board certified plastic surgeon who specializes in rhinoplasty, that way they can perform a physical examination of your nose and give you the optimal results you desire. From what I can tell from your photographs, it appears your tip is enlarged and bulbous. You would benefit from a tip rhinoplasty which includes trimming the lower lateral cartilages and placing precision sutures to refine the tip and make it look more pleasing. These incisions can be made discretely on the inside of the nose if an open rhinoplasty is out of the question for you.
I would encourage you to submit frontal photos.
Best of luck in your endeavors!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgeon
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS
Closed rhinoplasty approach for bulbous tip reduction
Can the tip of my nose be reduced with closed surgery?
Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on very limited 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
Closed vs Open
Rather than focusing on the approach (open vs. closed) utilized, one should focus on the results of a given surgeon. Tip refinement is possible via an endonasal (closed) approach although most surgeons favor the external (open) approach for that for very good reasons including longevity and predictability of the results. The tiny incision at the bottom of the nose heals extremely well that the scar is essentially imperceptible once healed. The overall result is way more important than the tiny scar at the bottom that nobody can see. Best wishes!
Tip Refinement Via Closed Rhinoplasty
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