Closed Rhinoplasty

A closed rhinoplasty technique makes all incisions within the nose, leaving no visible scars. Corrections made to the nasal cartilage, bone, and septum are all completed within the discreet nasal incisions. The closed rhinoplasty method also has the advantage of reduced recovery times.

at-a-glance

Closed Rhinoplasty

avg. recovery
1 weeks
permanence
Is permanent
application
Not Applicable
surgical
Yes
cost
$3000 - $15000

About the Procedure

Closed rhinoplasties are done as an alternative to the open technique. Instead of exposing the nasal structure, incisions are made on the nasal membrane in varying locations to access different parts of the nose framework. By not opening the nose, patients are able to have reduced recovery times and non-visible scars. Whatever your goals may be, whether for an ethnic rhinoplasty or rejuvenation nose job, a closed technique can most likely be utilized. During a closed rhinoplasty, incisions will be made on the inside of the nose. The nasal structure will not be exposed which means decreased visualization for the surgeon, however postoperative scarring will be hidden and discreet. The addition of an endoscope may be used during a closed rhinoplasty to increase visualization. When repair has been completed, sutures will close incisions and an external splint or cast will be placed over the nose.

The goal of a closed rhinoplasty is to achieve facial harmony by changing the shape, size or angle of the nose. Closed rhinoplasty can also be used to correct breathing problems resulting from irregularities inside the nose.

Concerns

Closed Rhinoplasty addresses concerns such as:

Recovery Notes

During a closed rhinoplasty, there is less trauma to the nose when compared to an open rhinoplasty which translates to shorter recovery times. Most patients are able to resume normal daily activities 2-3 days post-op and return to work within 5-7 days. After removal of the nasal cast, less swelling or bruising is noted and most leave little trace of having surgery completed.

Ideal Candidate

The ideal candidate for a closed rhinoplasty can include primary rhinoplasty candidates and candidates who require less cartilage grafting and more work on the upper portions of the nose including the nasal dorsum or septum, and less work needed on the nasal tip.

Not Recommended For

Closed rhinoplasty is not recommended for revision rhinoplasties or candidates under the age of 18 unless correction is due to injury, however, need for surgery must be evaluated on a case-by-case basis.

Side Effects

Side effects from a closed rhinoplasty may include numbness, nosebleeds, scarring, swelling, bursting of small blood vessels on the surface of the skin, permanent nerve damage, and under or over correction that necessitates revision rhinoplasty.

Pros
  • no visible scar
  • less post operative swelling
  • shorter operating time
  • quicker recovery
  • permanent
Cons
  • more technically challenging
  • poorer visualization
  • difficulty with extensive nasal tip work
  • difficult with cartilage grafting
  • less precise modifications
  • less precise shaping
  • limited visualization

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