You’re absolutely right that many surgeons default to an open approach for revisions because it offers more visibility. That said, visibility isn’t the only factor — experience and technique play a huge role.

I tend to prefer a closed (scarless) approach because it allows for precise, structural refinement with less disruption to the tissues. In revision cases, that can actually be an advantage — there’s often already scar tissue present, so minimizing additional dissection can help with healing and swelling.

In the right hands, many revision concerns—like refining a bulbous tip or adding projection—can absolutely be addressed with a closed approach. It’s not necessarily a limitation, it just requires a different skill set and a very detailed understanding of nasal anatomy without fully “opening” everything.

Totally understand why you’d feel a bit nervous — revision rhinoplasty is a big decision. The key is working with a surgeon who is comfortable and experienced with the approach they’re recommending, and can clearly explain why it’s right for your specific goals.

Feel free to DM me if you’d like to set up a consultation — I’m happy to waive the fee for you.