Open Vs Closed Rhinoplasty to Fix Nose Hump?

A simple hump reduction can be treated with a closed rhinoplasty approach. The difference in healing between open versus closed rhinoplasty is not significant. The healing time in rhinoplasty has more to do with the extent of surgical changes that are done to your nose then the approach which is used to make those changes.
It appears from your photos that you do in fact have a hump on your nasal dorsum, however, it also appears that you may have some issues with a droopy tip and relatively poor tip support. I would suggest seeing a reputable rhinoplasty surgeon and ask their opinion regarding the changes you are seeking to your nose and how best to obtain them.

Hello,The closed rhinoplasty is the best way to remove bone and cartilage in hundreds of micro-millimeter slivers to slowly and carefully sculpt the profile to the perfect balance. If you are a primary nose with no previous surgery, you should ONLY consider closed scarless rhinoplasty (preferred by actresses and celebrities) because there is no risk of external scarring and much less healing and recovery time.  The goal is to finesse and enhance the nose without drastic change.  Meaningful refinement is the key.All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

In my practice in Tampa, Florida, I see little difference in recovery time between an open rhinoplasty and closed rhinoplasty.

The recovery time following a nose job is dependent on the amount of surgical dissection, cartilage repositioning, and bony work required, not necessarily on whether or not the nose was "opened."

I agree with previous posts in that in addition to a dorsal hump reduction, you may also benefit from nasal tip rotation and increased projection. Many nose job surgeons prefer to perform nasal tip work through an open approach.

More important than deciding on an open or closed approach is finding the right plastic surgeon. I recommend choosing a surgeon that you trust, has good before and after nose job photos, operates in an accredited facility, has experience in rhinoplasty surgery, and is certified by the American Board of Plastic Surgery.

Jaime Perez, M.D.

Nose Job Specialist in Tampa, Florida

Plastic Surgery Center of Tampa, Florida

My first impression was that a closed rhinoplasty would work fine.  However, it looks like you may have poor tip support and require a columellar strut or tip graft.  This is best done with an open approach.

Experienced rhinoplasty surgeons don't use the terms 'open' or 'closed'--both approaches involve incisions (endonasal may in fact be more destructive in some cases). In my experience, the external approach does not take much longer (if at all) in terms of recovery in this type of situation, and offers the advantage of superior results.
However, the technique used will depend on your discussion with your surgeon and his/her experience with each technique. Importantly, review results from that surgeon and make sure you communicate well with him/her.
Hope this helps.