Closed Rhinoplasty

What Is Closed Rhinoplasty?

Closed rhinoplasty is one of the most commonly preferred techniques among rhinoplasty procedures. The primary goal of nose reshaping surgeries is to improve both the functional and aesthetic structure of the nose. The closed technique is widely chosen by both plastic surgeons and patients due to its advantages such as no visible scarring, a shorter recovery period, and natural-looking results. This article provides a detailed overview of what closed rhinoplasty is, how it is performed, its benefits, the recovery process, and post-operative care.

Definition: What Is Closed Rhinoplasty?

Closed rhinoplasty is a surgical technique in which the surgeon makes small incisions inside the nostrils to perform all procedures internally. Unlike open rhinoplasty, no external incision is made on the nasal tip, making it a scar-free and less visible method.

This technique is typically used for aesthetic corrections such as reshaping the nose, removing a dorsal hump, refining the nasal tip, or narrowing the nostrils. It can also be employed to treat functional problems like a deviated septum that impairs breathing.

How Is Closed Rhinoplasty Performed?

Closed rhinoplasty is performed under general anesthesia. Through small incisions made inside the nose, the surgeon accesses the nasal bone and cartilage structures. The nose is then reshaped, and if necessary, excess cartilage or bone is removed or repositioned.

The average surgery duration ranges from 1.5 to 2.5 hours. Since there are no visible external incisions, no scars are left on the skin. After the operation, silicone splints may be placed inside the nose, and a small cast may be applied over the nasal bridge.

Preoperative Preparation

Before undergoing closed rhinoplasty, patients must be thoroughly examined. The preparation process includes:

• Evaluation of internal and external nasal anatomy
• Assessment of breathing problems or structural issues
• Planning of the surgery based on the patient’s expectations and facial features
• Blood tests and anesthesia suitability checks
• Discontinuation of smoking, alcohol, and blood-thinning medications prior to surgery

Recovery After Closed Rhinoplasty

The recovery process after closed rhinoplasty is typically faster and more comfortable compared to the open technique.

Advantages of Closed Rhinoplasty

• Scar-free results: No external incision on the nasal tip means no visible scarring.
• Faster recovery: Less swelling and bruising compared to the open method.
• Natural appearance: Subtle changes create a more harmonious look.
• Functional improvement: Breathing problems can be addressed in the same session.

Postoperative Care Guidelines

• Avoid any trauma to the nose and be cautious with sleeping positions.
• Refrain from wearing glasses and avoid strenuous exercise for the first weeks.
• Use saline sprays for nasal hygiene as advised by your surgeon.
• Attend all scheduled follow-up appointments.

Closed rhinoplasty is a highly effective rhinoplasty technique offering both aesthetic and functional benefits. It is ideal for patients seeking a natural look, scar-free results, and a faster recovery process. When performed by an experienced surgeon, closed rhinoplasty can lead to long-lasting and satisfying outcomes in both breathing function and facial aesthetics.