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There's two types of patients. There's the patients that have breathing problems and they've suffered, whether it's snoring or just difficulty breathing out of one side of the nose or the other side of the nose. At the same time, they have a little spot on their nose that they want better. Maybe it's a hump on the nose. Maybe it's the tip they want a little bit narrower. That's one type. The other type of person is they just go, "My face doesn't match my nose," or, "My nose doesn't match my face, and I want those two to line up so my face is harmonious."

With an open rhinoplasty, you would have a scar right underneath here. With a closed rhinoplasty, you don't have a scar on the outside. They're all on the inside. There's actually a lot more than that I think. The biggest thing, or the way I sort of look at it, is with a closed rhinoplasty you have a limited amount of things that you can do with the nose. If you want small, subtle changes, I think a closed rhinoplasty works fantastic. If you want more dramatic changes or if your nose just needs more work, then I think we don't really have a choice but to do an open. There's also some recovery differences. With a closed, the swelling is less. The recovery is a little quicker. The bruising tends to be less. With an open, I think it's all a little bit more involved, but again we're doing more, too.

Well, I think that's the biggest concern that people have when I see them in consultation. What they say to me is I don't want to look too different. I don't want my face to be completely different after I have rhinoplasty. I think it's important to talk to your surgeon to make sure that they understand that, but most good rhinoplasty surgeons will take that into consideration and they're not really trying to change your face. They're not really trying to make you dramatically different. They're just trying to fit your nose to your face, so that it's balanced. When you look at somebody's face, you don't notice just their nose or you don't notice the imbalance between the nose and the face.

These Are the Most Common Patients of a Nose Job

Dr. Bivik Shah explains the type of patients he most often sees for a rhinoplasty.