I have a nose that is too wide at the tip. I would like this reduced in size and I would also like the nose shortened. Do you use the open-tip technique with an incision across the columella? Is general anesthesia suggested or required?
I perform about half of my Rhinoplasties closed and the other half open. Each nose has to be evaluated individually and the best approach to the nosejob be planned whether it be an open rhinoplasty or a closed rhinoplasty. The incision across the columella heals very nicely and it’s not a major issue but many patients do not require an open nose job.