Can closed rhinoplasty correct a bump on the nose (hit by vehicle as a child)? (Photos)

As a board certified plastic surgeon, I hear concerns like yours all the time! One of the things I like to do in my practice is to help educate patients. So, lets talk about closed vs. open rhinoplasty. There is indeed a lot of chatter about one being superior to another. The truth is, it depends on who is performing the surgery, and what needs to be done. If a surgeon is highly skilled and with decades of experience in rhinoplasty surgery, both are important approaches to correct different issues. I’ve performed countless closed rhinoplasties, and countless open rhinoplasties. Each has its benefits, and it is up to the surgeon to determine the appropriate approach. The techniques that I use – whether open or closed -- produce very little difference in healing time and recovery. So, the real question in your case is whether you would be a good candidate for rhinoplasty in general – no matter the approach. The answer, just based on your photos (though a thorough in-person examination would be needed) appears to be “yes.” The bump can be addressed whether it is the result of a fractured nasal bone or scar tissue.

Thank you for submitting your question and providing photos for reference. Closed rhinoplasty is ideal for patients who require less extensive changes. This procedure can reshape the nose to create an appearance that is more harmonious with your other facial features.
During a closed rhinoplasty procedure, the bump can be removed while taking your previous medical history into account. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concern and help you achieve your aesthetic goals.

Any type of rhinoplasty will be able to address your dorsal hump. It is too bad you did not mention it prior to your septoplasty. It is quite simple to address the two procedures but recovery from a simple hump reduction is quite easy.

Hello S,
Yes, a closed approach rhinoplasty can remove the traumatic bump on your nose. The most important aspect of your surgery will be choosing your expert rhinoplasty surgeon very carefully. I recommend William C Harris, MD, feel free to contact us for a virtual or in person consultation regarding your rhinoplasty questions and concerns. Good luck and be well.
Michael A. Persky, MD
Encino, CA

Your nose has a small bump
On it but the bridge is also quite wide. It can be addressed with either a closed or open rhinoplasty, depending on the surgeon’s preference. The asymmetry isn’t bad but is not always correctable regardless of the techniques used.

In person exam is essential .If you wish to improve the appearance of your nose the closed technique is very applicable to you. In the right hands- you have the potential to have a more elegant nose. I suggest that you seek an experienced Board Certified PS

Rhinoplasty for bump on nose bridge: The “bump”on your bridge seems to be a winding of the nasal bones particularly on the right side. Removing dorsal humps and narrowing the nasal bridge are a typical part of a rhinoplasty, whether done open or closed. For this issue there is no advantage to one procedure over the other. If you have a preference to have a closed rhinoplasty, Then you must find a surgeon who is comfortable with closed rhinoplasty.

Yes indeed, a closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing your wide nasal bridge line, and refining the nasal tip with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. For many examples, please see our closed rhinoplasty photo Gallery on the link below

The simple answer is yes. Based on your photo you appear anatomically to be a good candidate for an artistically performed rhinoplasty through either a closed or open technique.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you whether you are an appropriate candidate for surgery and exactly what to do without examining you, physically feeling your 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. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or the Canadian Society for Aesthetic Plastic Surgery (CSAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California

You need to be seen in person, but in my experience a closed rhinoplasty can usually be done to fix this type of problem.