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

Question

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

William Portuese, MD · Answer

Closed rhinoplasty is less invasive than open rhinoplasty, and patients 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 closed rhinoplasty please see  the link  and the video below  to our closed rhinoplasty photo gallery.

Kenneth Hughes, MD · Answer

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

William B. Rosenblatt, MD · Answer

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.

Stephen Weber MD, FACS · Answer

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, FACSDenver Facial Plastic Surgeon

George C. Peck, Jr, MD · Answer

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

Frederic H. Corbin, MD (license restricted) · Answer

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

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

Answers (6)

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