I’d like to have a closed rhinoplasty procedure and I was wondering just how much of the decision between open and closed is the patient’s vs. the doctor’s?
There are some plastic surgeons who do every rhinoplasty open and some plastic surgeons do every rhinoplasty closed. I decide which procedure is best for my patient’s particular unique nose and do the rhinoplasty either open or closed based on various factors. The desire of the patient is important but if I think an open rhinoplasty will give a much better result for a particular patient’s unique nose and she insists that she wants it closed then I would try to educate and guide her to the pros and cons or benefits and disadvantages of open vs closed rhinoplasty and help her understand why a particular type of rhinoplasty approach may work better for her nose. Conversely, there are patients who have been told by other plastic surgeons that they need an open rhinoplasty and I may advise them to get a closed rhinoplasty. Each nose is unique and different.