Any suggestions for type of rhinoplasty to get (open/closed) & options excess skin near my chin? (Photos)

First of all, thanks for your question. When I evaluate your photos, I see you have overprotected nose tip and nasal bump issues. And you are a suitable candidate for the ultrasonic rhinoplasty technique. I apply this technique with the open approach. Have a fantastic day!

Good Afternoon! Thanks for your questions. There are different ways to perform rhinoplasty. I utilize the open approach due to the ability to be very precise with changes I'd like to create. You could reduce your hump and deproject your nose. For the chin, an implant may be a good option to provide more narrowing and to assist with tightening the surrounding skin. These can be done at the same time as well. The cost can vary by region and surgeon as you know. Most primary rhinoplasties surgeon's fees are around $4k-10k and chin procedures can be $2500-4000. Hope this helps!

Thank you for your question and for providing photos. Closed rhinoplasty is ideal for patients who require less extensive changes and is performed using incisions inside the nose. Open rhinoplasty procedures are reserved for patients needing more extensive changes. This approach does involve an external incision at the base of the nose, across the columella. In most cases, the incision is nearly invisible once it heals. An in-person consultation is the only way to determine which approach would be best for you.
Since the excess skin near your chin you refer to is minimal, it’s likely that you would benefit from an RF microneedling treatment to improve skin elasticity. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can help you decide on the best procedures to address your concerns and go over the overall cost with you.

When performing a rhinoplasty, the surgeon must assess each component of the nose (skin/soft tissue, nasal bones, and cartilage) and modify these structures to give you the nose you want. Whether to perform open or closed rhinoplasty is mostly surgeon dependent, based on the goals above. In my practice, I perform primarily open rhinoplasty and reserve closed rhinoplasty for someone wanting a small hump reduced or a small amount of tip refinement. I feel as though I get better exposure of the nose, which allows more precision and control of the final nasal appearance. The small scar at the bottom of the nose is nearly invisible with careful closure. Closed rhinoplasty has more limited visibility and space to work, making it more difficult for noses that require more than minor modifications. I would recommend consultation with a board-certified plastic surgeon experienced in rhinoplasty to discuss your goals.

Thank you for your question. In my practice, I prefer a technique called Piezo when we use a device that emits high-speed sound waves to very small cutting and shaving tip inserts. Using ultrasonic waves during the surgery is considered extremely safe and with this technique, you will have minimal bruising and swelling. Therefore, healing time is extremely short, and the process is very comfortable. Best wishes.