Is a closed Rhinoplasty a better idea to prevent bad scarring or it won't make a difference whether it's a closed or opened one?

Doctor Answers 10

closed rhinoplasty versus open rhinoplasty

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Open rhinoplasty involves placement of incisions on both the inside and the outside of the nail.  A closed rhinoplasty approach involves making all of the incisions on the inside of the to accomplish making the  Cosmetic changes to the notes. There is no scarring with closed rhinoplasty since all of the incisions are placed on the inside of the nose.  In our practice, we have seen many patients very unhappy with the open rhinoplasty scar across their columella.  For more information  and many examples of closed rhinoplasty, please see the video and the link below

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Is a closed Rhinoplasty a better idea to prevent bad scarring or it won't make a difference whether it's a closed or opened one?

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I am a proponent of a closed Rhinoplasty technique, especially when it comes to Primary Rhinoplasty. The closed technique  refers to the incision made inside of the nose. This surgical approach is much more challenging than the external approach but offers profound and significant benefits in so far as the early resolution of the swelling and its associated distortion. 

Is a closed Rhinoplasty a better idea to prevent bad scarring or it won't make a difference whether it's a closed or opened one?

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The difference between an open rhinoplasty and a closed approach is the external scar across the columella with an open approach which is unnecessary with a closed approach. Excellent cosmetic results can be achieved with both techniques. There is not a best way to perform the procedure. Individual surgeons have their own preferences of how to produce the best results in their hands. What is more important than whether a closed or open approach is utilized is the experience and artistry of the plastic surgeon and your comfort level and confidence in that individual.  
Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do 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 (optolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. 
Robert Singer, MD FACS 
La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 22 reviews

Open vs. Closed rhinoplasty?

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This is a common concern for many patients. The decision is mostly surgeon preference with the only difference to you being a barely perceptible scar on your columella if executed properly.  Great results can be obtained with either technique. I base my decision to perform one vs. the other on the complexity of the case. Feel free to watch my video for some examples and more information. Be sure the doctor you choose is a facial plastic surgeon or plastic surgeon. Good luck with your surgery!

Parker A. Velargo, MD
New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

Trust your surgeon

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More and more surgeons are choosing an open approach. The incision from open rhinoplasty heals beautifully >99% of the time.  If your surgeon has confidence that open will be provide a better result, trust your surgeon. If you are picking between two surgeons - one that does open and one that does closed, trust your gut after reviewing results and meeting with the surgeons. Best of luck. 

Benjamin C. Paul, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 40 reviews

Closed vs Open Rhinoplasty

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Generally, the scar should not be a consideration. It is extremely uncommon for the tiny scar(s) to be objectionable at all. The ability to predictable control/achieve the desired result is most important and outweighs the scar consideration. Whichever approach offers the predictability/control in the hands of your surgeon is the best approach.

Is a closed Rhinoplasty a better idea to prevent bad scarring or it won't make a difference whether it's a closed or opened one?

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Te choice between closed vs open rhinoplasty is the surgeon's decision. It shud be based upon the needs to attain the best results!

Rhinoplasty, some advices:

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Thanks for sharing your concerns with us. I recommend you to send your photos to us to give you the advices you want and need, also to tell you what procedure you should perform. Kind regards 

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 365 reviews

Open or closed rhinoplasty

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Some surgeons do their best technique in closed fashion. Others prefer open technique.Chose the doctor and not the operation

Dennis Barek, MD (retired)
Great Neck Plastic Surgeon

Open vs Closed Rhinoplasty

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Once again I will suggest you pick the surgeon, not the technique. The most important consideration  is achieving the best possible result.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

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.