Could an Open Roof Deformity from a Primary Rhinoplasty Be Corrected with a Closed Revision Rhinoplasty?

Since my first surgery was open, I'm worried that another open rhinoplasty would result in unfavorable scars...

Doctor Answers 6

Could an Open Roof Deformity from a Primary Rhinoplasty Be Corrected with a Closed Revision Rhinoplasty?

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               Either can be used, but a closed approach would result in less swelling and fewer healing issues.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Closed rhinoplasty for open roof deformity

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 Closed rhinoplasty technique is the preferred approach for closing an open roof deformity. open rhinoplasty is unnecessary for this specific problem.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Closed Revision of Open Roof Deformity

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An open roof deformity can be corrected using a closed approach. Having said that another open procedure can be done if necessary without an  increased risk of poor scarring.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Open roof deformity after rhinoplasty

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The answer is yes, you could do a closed or endonasal rhinoplasty after an open rhinoplasty if the only issue that remains is an open roof deformity.  In fact, an endonasal approach would be preferred in my opinion.  Much quicker, no reason to visualize the tip cartilage anyway, less swelling, less introduction of "the vagaries of healing."  Osteotomies with the endonasal approach is less than 15 minutes of anesthesia time.  Correction of the open roof just needs completion of the prior osteotomies.

But as an aside, I have to tell you that open rhinoplasty should not introduce concern about scars anyway, whether it's a primary, secondary, or revision case.  The bottom line is you just don't need an open approach for an open roof deformity.

Kevin Robertson, MD
Madison Facial Plastic Surgeon
4.7 out of 5 stars 15 reviews

Open roof and closed rhinoplasty

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Depending upon what would need to be done in the second procedure would determine whether or nor an open or closed approach would be right for you.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Open and closed rhinoplasty are just approaches and not an actual surgery

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Whether the rhinoplasty is done open or closed the actual surgical maneuvers involved to correct an open rood deformity are essentially the same.  Many patients get stuck on the age old "open vs closed" battle but ultimately these are just approaches or tools.  The osteotomies, placement of grafts, adjustments, reductions, augmentations and the variety of maneuvers involved are practically the same.  If you find a skilled surgeon who can do the surgery for you closed, then great.  If you find a skilled surgeon to do the rhinoplasty revision for you open, then great.  The key is finding a great surgeon and allowing him to do what he feels most comfortable with.  I personally use both open and closed approaches and tailor them to each individual patient and surgical plan.  Find the best possible surgeon. Not one that will just do it closed.  

Shervin Naderi, MD, FACS
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 119 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.