Closed rhinoplasty for small bump on nose?

I have a small bump on the dorsum of my nose and have been told a closed rhinoplasty might be a good option to fix this without leaving a scar. I do not want to compromise the quality of my rhinoplasty over concerns of a small scar under my nose. Is one method (open or closed) better than the other? Or does this vary significantly depending on the skill of the surgeon and difficulty of your nose? Thank you!


M, 33, New York

Yes, most definitely a closed rhinoplasty may be an option for you. It is important that male rhinoplasties look natural and not overdone.  Oftentimes small changes, such as a shave of a dorsal hump, can make all the difference without resorting to "overdone" surgery.

For further information, please check out my website for a discussion of male rhinoplasty.

Elliot W.Jacobs, MD, FACS

New York City

Great question. Open rhinoplasty absolutely varies on the difficulty of your nose and the skill and comfort level of the surgeon. In our practice we generally only recommend a closed approach for isolated hump deformities in patients not concerned with changing their nasal tip. If they want any refinement of the nasal tip an open approach is preferred to be able to visualize the underlying cartilage and make the precise corrections needed for the change your looking for. Good Luck!