“Open tip rhinoplasty” involves only altering the tip of the nose. That means that the bridge of the nose is left alone. Open tip rhinoplasty would not fix a “hump” on the bridge of the nose and would usually not ivolve breaking the nasal bones. (Stephan Finical, MD, Charlotte Plastic Surgeon)
Open tip rhinoplasty refers to surgery to modify the tip of the nose. In most cases this refers to narrowing of a wide or bulbous tip but may also involve techniques to create a more symmetric tip in patients where one side of the tip differs from the other.
It may also entail tip grafting with cartilage to create more definition to the tip. This is very useful in a thicker skinned individual where skin may mask or blunt the underlying cartilage, or patients who have weak cartilages. This may also refer to patients who may have abnormalities from past surgery requiring revision to the tip structures. (J. Andrew Bartlett, MD, FRCS, Vancouver Facial Plastic Surgeon)
Open tip rhinoplasty focuses on the lower part of the nose
The nose is divided into different parts anatomically. The tip is the lower third usually the most projecting part of the nose. Open tip rhinoplasty is one where most of the change is focused on the tip of the nose. Usually altering the width or changing the rotation or projection from the face. (Richard Rival, MD, FRCSC, Toronto Facial Plastic Surgeon)
The nose is typically organized into thirds (upper, middle, lower). The lower third is the tip and involves addressing how rotated the nose is, how far it projects out, and how refined or large it is. It is the most intricate part of rhinoplasty. (Samir Undavia, MD, Princeton Facial Plastic Surgeon)
Open tip rhinoplasty: What Is It?
Nose tip is the most dominant feature of the nose and the outcome of rhinoplasty is largely dependent on how elegant the tip looks. Open tip rhinoplasty refers to the part of the rhinoplasty that reshapes the cartilage frame of the bottom of nose to alter the shape of the tip.
The tip is supported by 2 pieces of cartilage that resemble the McDonald arches that control the shape of the nose, By adjusting these cartilages we can produce better defined and aesthetically pleasing nose tip. (Bahman Guyuron, MD, Cleveland Plastic Surgeon)
Adressing the tip of the nose which is too wide, bifid, too narrow, boxy etc is where the money in rhinoplasty is. There are many techniques involved. (Vartan Mardirossian, MD, Jupiter Facial Plastic Surgeon)
Open tip rhinoplasty refers to the surgical alteration of the nasal tip structure. The nasal tip is comprised of a pair of arched cartilage structures, there is overlying soft tissue and skin. Manipulation of the tip typically involves reducing the cartilage size and reshaping the cartilage with sutures. In certain situations cartilage is added as grafts to further modify the tip structure and shape. Its important to know when to alter the tip as well as when not to alter the tip when performing cosmetic rhinoplasty. (Philip Solomon, MD, Toronto Facial Plastic Surgeon)
Open tip rhinoplasty to address nasal tip imbalances
Open tip rhinoplasty is a cosmetic procedure that can be done in open or closed fashion. It is intended to improve the shape, position and relationship of the lower nasal cartilages, and does not address other cosmetic nose issues. (Scott C. Sattler, MD, FACS, Seattle Plastic Surgeon)