Is it possible to reshape the rib cartilage in nose tip with closed approach?

If you are more than one year post-operative and are concerned that your nose tip appears to be too bulbous, it's possible that revision rhinoplasty may be helpful depending upon your examination. Is considered re-asking your question with before and after photos for more information. Hope this helps! Dr Joseph

Hello! Thank you for your question.It is not possible to reshape the rib cartilage in the nose tip with the closed approach. For a better result clear view for the surgeon it is better to do it with the open revision method.Anyway it may vary from one patient to an other. For a better evaluation I need more information and photos please.Best regards!

Technically, most changes are possible through a closed approach. However in a rib graft revision rhinoplasty, in my hands I would almost always perform an open approach to get the best access to have best ability to shape and narrow the tip. With all things in rhinoplasty it is the result not the approach that matters. I dont think an in office surgery would be the ideal approach.

Hello !
Yes, it is possible but it is not as accurate as the open method.

Good luck !

Randal Haworth