Ethnic rhinoplasty open or closed?

Don't be scared of an open rhinoplasty, the scar is not perceptible, and in wide ethnic tips, the results are much more predictable--at least in my experience. Selecting your surgeon is vastly more important than trying to choose the technique. Pick an experienced surgeon that you trust and let him decide. I have revised hundreds of closed rhinoplasties performed by other surgeons and have personally performed several thousand open rhinoplasties without a complaint of the scar.  

The best approach would be to find a surgeon who has a lot of experience with ethnic noses.  Each technique (open/closed) has its pros and cons, and if you ask someone who does only closed, they will argue for closed and vice versa. Best wishes.

A rhinoplasty performed without an external incision is called the “endonasal” technique. For many years this was the primary approach to rhinoplasty, although over the last few decades the pendulum has swung towards “open” rhinoplasty- which requires an incision in the skin between the nostrils. If the incision isn’t concerning to you, the change you’re hoping for can definitely be performed via the endonasal technique. When you visit with a rhinoplasty surgeon be sure to mention your preference. Your ideal result can be achieved through either technique. 

Hello!Thank you for the photographs and question!The best option for you is to find a board certified facial plastic surgeon that dedicates his/her entire practice to scarlessnose rhinoplastys. In my practice If my patients have a breathing issue,  I  assess that as well and determine if they need to have a septoplasty at the same time in conjunction with a  rhinoplasty. With a closed rhinoplasty you can achieve any look that you desire without the risk of a scar at the bottom of your nose. I recommend going to a Plastic Surgeon that specializes in closed scarless rhinoplasty (preferred by actresses and celebrities) because there is no risk of external scarring and much less healing and recovery time. Closed rhinoplasty enables you to have flash recovery with very minimal bruising if at all. You will only have to wear a cast for 5-7 days, no one will know you had anything done. All the incisions are made from inside the nose. The goal is to finesse and enhance the nose without drastic change. It still looks like it is your nose just more refined without looking fake. Meaningful refinement is the key!  All the same surgical maneuvers your nose requires can be performed with a skilled closed scarless surgeon. 
Best of luck, Dr. Deepak DugarBeverly Hills Rhinoplasty Center 

 A closed rhinoplasty approach can accomplish making all the required changes to the nose by making all incisions on the inside of it.  No external incisions are required.  The entire nose could be narrowed  which includes the tip and the bridge.  An alar-plasty is required to narrow wide nostrils.    For more information and many before and after examples, please see the link below  to our closed rhinoplasty Photo Gallery 

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 done technically on the inside of the nose is the same with either approach. 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 a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. 

Robert Singer, MD FACS

La Jolla, California

Dear Layle, thank you for your question. According to your photos you are looking for a reduction rhinoplasty, aiming for an overall refinement of your nasal contours. We perform ethnic and/or reduction rhinoplasties strictly using Piezo technology. This method allows us to reshape your nasal bones without breaking them. This leads to finer contours, less pain, swelling and bruising. 
The question if closed or open rhinoplasty is better has been discussed on plastic surgery conferences for decades... and there are experts of both techniques that do believe their approach is superior to the other. In my experience, it really depends on the degree of specialisation and experience of your surgeon as well as his understanding of your aesthetic goals - and not which surgical approach is been preferred. I suggest you consider an in-person consultation with an experienced rhinoplasty surgeon. He or she will be able to use computer-assisted software to morph your nose on photos to show you what can be achieved. It will also help you appreciate what impact a desired newly shaped nose will have on your face. Good luck.
Kind regards, 
GB

Hi,I believe the best way to treat Ethnic Rhinoplasty is using an open approach rhinoplasty. This will ensure that the tip cartilages are exposed and can reshaped under direct vision. Also , if any tip fat needs to be removed , this can only be done through an open approach. Feel free to send your photos for computer imaging.Best,Dr.S.

Dear Layla, You would benefit nicely from rhinoplasty surgery performed in the hands of an expert surgeon. This would address the wide nasal bridge, and drooping bulbous tip. There are a lot of surgeons on here purporting that you NEED to have a closed "scarless" rhinoplasty, one surgeon even goes so far as to state "preferred by actresses and celebrities." I have performed thousands of rhinoplasty procedures with both closed and open techniques. Each surgery is designed to artistically provide the patient with their desired results. I have performed many open rhinoplasty procedures on top models and actresses and "their preferred" method is the method that the surgeon feels will provide the results they want. If an open technique is used in the hands of a skilled surgeon there should be no visible scar. Find the surgeon who has the before and after photographs that you love, have imaging performed to show you the proposed results of your surgery and then the surgeon will discuss in detail the techniques that will be used to attain YOUR desired result. Once you have gone through this process you can make an informed decision. Best regards, Michael V. Elam, M.D.