08/13/2026
Closed rhinoplasty was performed to reduce the dorsal hump, narrow the nasal bones, narrow/ refine the tip, and open nasal airways.
I perform closed rhinoplasty under direct visualization similar to open rhinoplasty. The nasal skin moved to the side rather than cutting it at the bottom and elevating it. Moving the skin to the side allows to visualize tip cartilages, nasal bones, and septum as in open approach. In addition, keeping the tip skin in its natural position over the cartilages during refinement provides a more accurate real-time assessment of the result. In contrast, with open rhinoplasty, the skin is elevated, requiring repeated redraping to assess the appearance of the nose. I perform both closed and open rhinoplasties, and utilize the open approach for some revision cases.