What are the risks of closed rhinoplasty using the "delivery" approach?

Does pulling out the alar cartilages through the nostrils permanently distort or destroy the cartilages or any other part of the nasal framework?

Doctor Answers 6

Closed rhinoplasty techniques

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Closed rhinoplasty is less invasive than open rhinoplasty, and patient's heal much faster with less swelling.  All of the incisions are placed inside the nose, so  there is not a visible scar on the columella. The delivery approach does not distort the cartilages since they're only exposed through marginal incision just like an open rhinoplasty. For many examples of close rhinoplasty please see  the link below  to our closed rhinoplasty photo gallery.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Closed rhinoplasty

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some of the best most experienced rhinoplastic surgeons do noses this way -- it avoids and external scar which can be deforming. I love closed rhinoplasties.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

What are the risks of closed rhinoplasty using the "delivery" approach?

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As long as you have found an experienced rhinoplasty surgeon that performs frequent rhinoplasty via the delivery approach then there shouldn't be any increased risk. This is a widely accepted approach for tip modification and enables your surgeon to create more changes in your nasal tip than a standard non-delivery closed approach.

Stephen Weber MD, FACS
Denver Facial Plastic Surgeon

Closed Rhinoplasty?

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There are no problems performing an alarplasty with a closed rhinoplasty. I have been doing it for 22 years. It will not distort or distroy the lower lateral cartilage AND there is no external scar.

Best wishes

George C. Peck, Jr, MD
West Orange Plastic Surgeon
4.8 out of 5 stars 25 reviews

What are the risks of closed rhinoplasty using the "delivery" approach?

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There are no increased risks if you are doing closed rhinoplasty several times a week and can do virtually anything through this approach. 

Find a board certified plastic surgeon 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 rinoplasty

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The short answer is that no there are no increased risks and it is one of the gold standards on how to do a rhinoplasty though techniques vary from surgeon to surgeon. What is more important is what are you or the surgeon trying to accomplish and is that the best approach in your situation.

Dr. Corbin 

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 65 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.