How do you know not to hit a vessel during closed rhinoplasty (afraid of blindness)?

Hello, thank you for your question. The choice of approach, open or endonasal (closed) depends on the anatomy of your nose and, to a large extent, the surgeon's personal preference.  Yes, you nose can be narrowed through an endonasal approach; just make sure you choose a surgeon who does a lot of endonasal rhinoplasty.

Hello,Thank you for your question. All surgeries including revision cases I perform with the Closed Rhinoplasty which is much more difficult, doesnt leave visible scar, and prevents tissue damage. In experienced hands there is no risk of becoming blind. Ask all questions concerning you prior to your surgery to your doctor as this communication is extremely important. Revision rhinoplasty requires extended experience, skills and knowledge. To find out more revision before and after pictures please click on the attached link. Best Regards 

Hello and thank you for your question. Blindness would be extremely unusual after rhinoplasty.  I have never seen it after rhinoplasty.  I prefer to do all revisions using open technique.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon