Patient Testimonial: Rhinoplasty in NYC with Dr. Dibelius – Improving Breathing and Confidence?

(0:00) Hey everyone, today I want to talk about the difference between open and closed rhinoplasty. 

(0:05) I hope to address some myths in this video and dispel some of the misinformation out there 

(0:10) and hopefully add to the discussion about these important topics. So, in my opinion, 

(0:16) there’s really two major differences between open and closed rhinoplasty.
(0:20) The first one is there’s a little scar right across the collumella in open approach to 

(0:26) rhinoplasty. This is something that is a sort of a hard and fast difference, cannot be changed, 

(0:32) it’s always going to be there during an open rhinoplasty. Luckily, it’s well camouflaged, 

(0:36) it heals quite well, and it’s very, very small. The second main difference is most important, 

(0:42) okay, and this is what I think you should consider most highly when you’re thinking 

(0:46) about doing surgery, and that’s what does the surgeon prefer to do, what is their experience 

(0:51) with that approach. So, essentially, some surgeons specialize in closed approaches, 

(0:56) and they prefer it to get the results that they are comfortable with, and, you know, I think they 

(1:02) get excellent results. The other camp is the same thing with open approaches.
These surgeons prefer 

(1:07) the open approach, and they use it to get their results. In either case, the results can be 

(1:12) excellent, so it really just matters what the surgeon’s plan and how it applies to your case, 

(1:18) so it’s really important to do the consultation, ask them which approach they prefer and why, 

(1:24) and give some before and afters that are similar to your case, etc. There is some discussion about 

(1:30) the recovery. Yes, in the closed approach you don’t have to go through the scar recovery, 

(1:35) so in that way it’s kind of easier or faster, but really the swelling and all that is actually 

(1:39) fairly similar because you still have to do the surgery, and you still have to change the 

(1:44) bone, and so actually that can be quite similar between the two approaches. If I had to guess, 

(1:50) I’d think that maybe 70% of surgeons prefer the open approach, and the usual idea is that using 

(1:57) the open approach, you can see everything the way it just sits naturally, and it’s easier to get 

(2:03) a good result because of that. However, as I mentioned before, there are excellent closed 

(2:09) rhinoplasty surgeons out there, so, again, it comes down to your individual case and 

(2:14) very specific consultation with your surgeon.
Anyway, I hope this sheds some light on the 

(2:21) issues regarding closed and open approaches to rhinoplasty. If you’re interested in setting up 

(2:25) a consultation, we’d love to meet with you. So, give us a call, send us an email, we’d love to 

(2:30) have you in.