Closed Rhinoplasty Tip
Closed Rhinoplasty To Narrow The Tip
Closed rhinoplasty can very successfully narrow the tip of the nose. It could be a preferred technique over an open rhinoplasty depending upon the anatomy of the tip problem and what else may need to be done to the rest of the nose.
The success of a closed rhinoplasty has a lot to do with the experience of the rhinoplasty surgeon, if it is a first time rhinoplasty and what the specific tip problem is.
It is done through incisions just inside the tip of the nose and may include some cartilage removal but will most definitely require sutures to reshape the tip cartilages. (Barry L. Eppley, MD, DMD, Indianapolis Plastic Surgeon)
You may be able to do something surgically i.e. it is in the realm of possibility but that does not mean you should do it. If you narrow the tip by only removing some tip cartilage that can be done reliably well open or closed. If you also need sutures placed to align and reposition the tip cartilages there is a chance that that cannot be done reliably in a closed approach.
It depends on what exactly needs to be done and your surgeon’s skill, experience and comfort level. The trade offs of a small scar on the columella and a longer period of swelling after surgery certainly outweigh the risks of revision surgery in specific cases.
I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship. (Aaron Stone, MD, Los Angeles Plastic Surgeon)
Nasal tip refinement can be safely and effectively achieved with closed rhinoplasty
Closed rhinoplasty can accomplish all elements of nasal refinement when undertaken by learned and experienced rhinoplasty surgeon. That includes nasal tip refinements among other elements of rhinoplasty. Choose your surgeon well. (Vasdev Rai, MD, San Diego Plastic Surgeon)
Narrow nose tip
It is quite possible to narrow the nasal tip through a closed rhinoplasty approach. The choice of closed versus open rhinoplasty is made by your surgeon. Remember that the only difference between an open and closed operation is the presence of a small scar on the columella, that bridge of skin which separates the nostrils. This scar is virtually imperceptible when closed properly and should not deter you from seeing a surgeon who prefers this approach. In the end, your outcome depends upon choosing a surgeon with whom you feel most comfortable than focusing on a surgical technique. (Richard Chaffoo, MD, FACS, )
The Nose Tip can be Narrowed with a Closed Rhinoplasty
Many cosmetic surgeons prefer to perform a closed tip rhinoplasty. Those who perform the surgery often through the closed technique are comfortable modifying the tip that way.
The more modifications that are made the more difficult it can be to perform the surgery through a closed technique. Most surgeons get comfortable with a certain technique.
Once they get good at it, they stick with it. (Benjamin Dunkley, DO, Salt Lake City Facial Plastic Surgeon)
As 95% of them rhinoplastys I do are closed, yes a tip can usually be narrowed using the closed technique. (William B. Rosenblatt, MD, New York Plastic Surgeon)
Closed rhinoplasty tip?
Almost anything that is done in an open rhinoplasty can be done in a closed technique provided the surgeon is very experienced. I perform open rhinoplasty most of the time because I think it gives me the best opportunity to give predictable excellent results.
I used the closed technique when the nose is not very complicated and most things are in the right place. The most important thing is the final result. The columellar scar heals very well and should not really be an issue. (Ronald Schuster, MD, Baltimore Plastic Surgeon)
Rhinoplasty is a technically demanding operation. Open procedures allow more predictable results in most surgeons hands. Unless you need minimal tip work, I would stay with open. (Mark D. Wigod, MD, Boise Plastic Surgeon)
Closed tip Rhinoplasty nose narrowing
It is possible to perform tip rhinoplasty with the closed technique. The tip cartilages are delivered through an rim and intra-cartilagenous incision. Once the cartilage is exposed, the dome and tip of the cartilages can be altered to achieve a more narrowed look.
However, open rhinoplasty is still a superior approach when dealing with the tip. (Oleh Slupchynskyj, MD, FACS, New York Facial Plastic Surgeon)
Open rhinoplasty usually provides greater predictability, control and improved results
It is definitely possible to narrow the nasal tip with a closed rhinoplasty approach. However, in general and depending on the specific situation, the open approach affords more predictability and control and may reduce the risk for a secondary procedure to further try to obtain what was one’s initial goal. The trade-off of the open approach is a small, usually very inconspicuous scar on the columella (skin between the nostrils). (Steven Turkeltaub, MD, Scottsdale Plastic Surgeon)
Nasal tip narrowing
The tip is narrowed by gaining access to the tip cartilages from inside the nostrils. They are then trimmed to.make them smaller and narrower. (Donald T. Levine, MD, Nyack Facial Plastic Surgeon)
Narrowing Nasal Tip with Closed Rhinoplasty
I am one of four surgeons who first did open rhinoplasties in the United States, but frequently use the closed approach to narrow a tip. Having said that, pick the surgeon, not the technique. I suggest you select an experienced surgeon whose results you like and then follow his/her recomendations for the operation. (Richard W. Fleming, MD, Beverly Hills Facial Plastic Surgeon)
Tip changes with closed versus open rhinoplasty
Tip narrowing can be created using wither open or closed approaches. A wide tip is narrowed by suture placement and reducing the width of the outer aspect of the tip cartilage. Either technique is effective, depending on the surgeon’s preferences and the exact nature of the patient’s problem.
A nose with significant asymmetry, previous surgery or major injury may better be treated with an open technique. However, most typical patient noses can be narrowed with a closed approach. A skilled surgeon should be able to help guide you. (Michael Suzman, MD, New York Plastic Surgeon)
Narrow nose tip with closed rhinoplasty
Yes, it is very possible to create a narrower nose with a closed rhinoplasty, however, I prefer to do it open, so I can be more precise with my suture placement to achieve the narrowing. (Steven Wallach, MD, Manhattan Plastic Surgeon)