Can a closed rhinoplasty achieve the results I desire?
A closed rhinoplasty refers to a technique of cosmetic nasal surgery in which the operation is performed through small incisions placed inside the nostrils, with no incisions on the outside of the nose. This was the standard technique for many years, but requires an excellent understanding of anatomy as the surgical field is always covered by skin during the surgery. In the open rhinoplasty technique the skin of the nose is dissected back from the tip and top of the nose, but this requires making an incision in the skin of the nose between the nostrils. However, the visualizing of the anatomy during the procedure allows the surgeon to identify the smallest anatomic detail and adjust their technique accordingly. The trade-off of a very small incision hidden under the nose for the accuracy of correcting each and every anatomic asymmetry makes the open technique the most popular rhinoplasty technique used today.Although the results you desire can be achieved using a closed rhinoplasty technique, the results are often more predictably achieved using an open technique.
I want my nasal bridge to be flatter and the tip to be lifted. Can it be achieved with closed rhinoplasty?
Hello jessa11,Thanks for your question. Yes, a closed rhinoplasty can be used to achieve your ideal nose. The procedure you are looking for involves a mild bridge reduction and a mild shortening of the caudal edge of the septum. If the bridge appears wide after reshaping, then osteotomies (nasal bone reshaping) can be performed to optimize the view from the front. I would recommend that you consult with a rhinoplasty specialist in your area for more information.Good luck,Dr. Shah
Open vs Closed Rhinoplasty
Your goals are very realistic and can be achieved with either an open or closed technique. Every time I'm asked this question in this forum I always recommend the patient choose an experienced rhinoplasty specialist, not the technique. You want a surgeon who will give you a natural non-surgical appearance.
Open vs. closed rhinoplasty?
Both open or closed rhinoplasty can give excellent results. It depends more on the skill level of the surgeon more than the approach. See a very experienced rhinoplasty surgeon who's noses look like what you would like to have done to yours and not the overdone look.
You can have this procedure performed either way. Surgeons that prefer an open approach emphasize that the improved exposure allows for more control of tip and bridge shape. I would not be so concerned about the open vs closed debate since the columellar scar heals very nicely and is hardly noticeable. Best wishes, Dr. T.
Yes, that is possible. You need to have the dorsum taken down a bit as well. Best of luck with your decision to move forward.
Open or closed rhinoplasty?
The difference between an open rhinoplasty and a closed
approach is the external scar across the columella with an open approach which
is unnecessary with a closed approach. Excellent cosmetic results can be
achieved with both techniques. There is not a best way to perform the
procedure. Individual surgeons have their own preferences of how to produce the
best results in their hands. What is more important than whether a closed or
open approach is utilized is the experience and artistry of the plastic surgeon
and your comfort level and confidence in that individual.
Following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do based on limited
2 dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of the operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon with extensive nasal
surgery experience who is certified by the American Board of Plastic Surgery and
ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or the Canadian Society for Aesthetic Plastic Surgery (CSAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from a cephalic rotation of your tip to turn up your tip
slightly and a tip de-projection to make your overall nose smaller. The most important aspect is
to find a surgeon you are comfortable with. I recommend that you seek consultation
with a qualified board-certified plastic surgeon who can evaluate you in
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
In your case both open and closed techniques would be acceptable. It all depends on which technique your surgeon is comfortable with. Most experienced rhinoplasty surgeons should be comfortable with both techniques.