Is it safe to have a closed rhinoplasty after an open rhinoplasty that led to vascular issues on the columella?(Photo)

Hi - I answered your question once before I believe as I recognize your nose. The answer is yes. There is no problem with doing a closed rhinoplasty afterwards as long as the person doing it is experienced in these things.

Since you had vascular occlusion after your second surgery, rhinoplasty with either approach may not be a terrific idea. Please consider re-asking your question with photos that demonstrate your concerns and what you were looking to achieve. The feasibility of surgery in your case would require a review of your operative reports, photos, and a physical examination. Wishing you well moving forward. Sincerely, Dr. Joseph