Is It Possible to Narrow the Nose Tip, with Closed Rhinoplasty?

Is it possible to narrow the nose tip, with closed rhinoplasty? If so, how will this get done? thanks eric

Doctor Answers 25


Absolutely. All rhinoplasty was dine closed up until about 25 years ago when dr goodman popularize the open techniue. Most of todau's young surgeons are not trauned in the closed procedure

Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Closed rhinoplasty to narrow nose tip

The closed rhinoplasty is an approach to the procedure, not the technique itself.  Tip plasty can be performed through either closed or open approaches.  The important part of the procedure is what is done with the actual cartilages such as suturing, tip cartilage grafting techniques, and removal of thick wide excess cartilage is what will effect the change.  In closed rhinoplasty all incisions are made inside the nose, while open rhinoplasty makes the incision across the columella in addition to the internal incisions.  The open rhinoplasty takes longer to heal.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Closed and open rhinoplasty are essentially the same procedures

Closed or open rhinoplasty are both in essence the same procedures, the only difference is the exposure that is provided with the open approach.  In my hands, for the past 20 years, I have preferred the open approach for what I feel are its superior advantages.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 132 reviews

Is It Possible to Narrow the Nose Tip, with Closed Rhinoplasty?

Yes, it is possible to reduce the size of the nasal tip with a Closed Rhinoplasty.  Open Rhinoplasty, IMHO, is reserved for very wide, asymmetric, previously operated/deformed nasal tips.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Closed Rhinoplasty can narrow the nose tip

Closed Rhinoplasty, also known as "endonasal rhinoplasty" can narrow the tip of the tip of the nose.  The exposure of the  cartilages in closed rhinoplasty is sufficient to identify and modify the tip cartilages to an orientation and configuration such that the tip is narrowed. 

Philip J. Miller, MD, FACS
New York Facial Plastic Surgeon
4.7 out of 5 stars 83 reviews

Rhinoplasty and tip correction or narrowing

Rhinoplasty: cam be  opened, or closed,

the boxy tip can be fixed alone with a tip rhinoplasty

The round, bifid or separated tip can be best improved by:
Open method
Tip sutures in the dome
Cartilage removal

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Closed rhnoplasty

A good rhinoplastic surgeon will be equally adept at open and closed rhinoplasties.  The best choice for you should be done in conjunction with your surgeon.  If your surgeon does both types, they will give you an opinion as to your best option.  Usually, for primary tip surgery, a closed approach works in the majority of cases.  For tips that are substantially asymmetric or need extensive revisions, then an open approach is usually done.  However, the exact surgical approach varies for each patient. 

Good luck. 

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 16 reviews

Most changes on the nose can be done equally as well by closed as open rhinoplasty

As a surgeon who has performed closed, or endonasal rhinoplasty for over 23 years, most modifications on the tip or any part of the nose can be done through a closed approach. I find results are equally as good for an experienced rhinoplasty surgeon.

My indications (reasons) for doing an open rhinoplasty a very crooked nose, need to add many grafts to the nose and in complex revision Rhinoplasty. That means, in my book, i perform over 90% of primary rhinoplasties using the closed or endonasal approach.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 126 reviews

Narrow the tip

It is absolutely possible to narrow the tip via a closed rhinoplasty is is commonly done. The issue is the final position of the cartilages after surgery and the tip cartilages most certainly can be improved and revised via  closed rhinoplasty.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 reviews

Closed rhinoplasty to narrow tip

Yes the nasal tip can be narrowed with a closed rhinoplasty technique.  All the incisions are made within the nose and no external scar is present.  Some more difficult nasal tips though are better handled with the open technique which provides better visualization.  Donald R. Nunn MD   Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 47 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.