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.

These are excellent photos. Thanks!. Given the appearance of your nose, it is my impression that you could undergo satisfactory treatment through a closed approach. Many surgeons, especially younger ones, have been taught the open approach and are more familar with this technique. Therefore, you most likely have heard more about this technique. Seek consultations with a surgeon comfortable with the closed technique.

An open versus a closed approach refers to the access used to perform the rhinoplasty. Most rhinoplasties can be performed via a closed approach. You are correct in that tip swelling takes longer to resolve with an open versus a closed approach. For something like a hump reduction, my preference is a closed approach since I reserve open approaches for revision rhinoplasties, significant tip alterations or grafting neither of which you would seem to need. I hope this information helps.

Hi Lovexlinda,
It appears that a closed approach can be used in your rhinoplasty to achieve your desired results.
More important than the approach (open versus closed) you should be concerned about the skill and results of the rhinoplasty surgeon that you choose. Take your time and carefully choose your surgeon.
Good luck and be well.
Dr. P

Especially if the main goal is to reduce a large hump. Most alterations on the nose, including rotating a drooping nasal tip, narrowing a wide nasal tip and even getting a mildly crooked nose straighter can be performed with equal accuracy through an endonasal or closed approach. I have specific reasons why I might choose to use an open approach for a primary rhinoplasty, which comprises about 10% of my cases. However, many superb rhinoplasty surgeons do all their cases through an open approach and get great results as well as many getting great results through a closed approach. The choice of an incision will not determine results but the skill of the surgeon and their procedure of choice.

Patients can get excellent results with both Open and Closed Rhinoplasty. The disadvantage of Open Rhinoplasty is a scar along the columella. Closed Rhinoplasty is a more difficult operation, and requires more experience -- but I believe leads to an equally good result without an external scar. Ask your Plastic Surgeon which method HE/SHE feels is best in thier hands and proceed forward.

You can easily have the nasal hump reduced and the tip turned upwards with a closed approach. The approach usually is a preference of the surgeon. Many surgeons are not trained to do a closed approach and will prefer to use open approach. The healing time is definitely greater with open approach.
However at the end of the day it is more important to have a good surgeon than to have the closed approach.
Regards