I want my nasal bridge to be flatter and the tip to be lifted. Can it be achieved with closed rhinoplasty? (Photo)
Doctor Answers 9
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?
Open vs Closed Rhinoplasty
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Open vs. closed rhinoplasty?
Open or closed rhinoplasty?
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
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Open vs. Closed
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.
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.