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Endoscopic Rhinoplasty

An endoscopic rhinoplasty involves the same surgical technique as either a closed rhinoplasty with the addition of an endoscope to improve visibility of the nasal structure. Since incisions are made within the nose, no visible scars are present after surgery. This approach also typically results in lower postoperative swelling and faster healing.

Endoscopic Rhinoplasty

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The Skinny


Average Recovery

1 weeks

Permanence

Temporary

Application

Surgical Procedure

Surgical

Yes

Cost

$3000 - $15000

The Specifics


What is an endoscopic rhinoplasty?

An endoscopic rhinoplasty utilizes the closed rhinoplasty surgical approach (meaning internal incisions without full retraction and exposure of the nasal structures) with the assistance of a small, lighted camera (endoscopic approach) to help the surgeon better visualize internal structures. This type of nasal surgery approach allows for more precise alterations with less invasiveness and recovery time. Many surgeons maintain, however, it is not as effective as the full, open plastic surgery approach.

The Anatomy of the Nose

Nose anatomy cross section illustration

What cosmetic concerns does an endoscopic rhinoplasty procedure treat?

  1. Nose Shape: Endoscopic rhinoplasties allow for alterations to the soft and hard tissues of the nose to enhance overall shape.
  2. Nose Size: Nose size and the proportion of the nose to other facial features can be addressed through an endoscopic rhinoplasty.
  3. Cosmetic Breathing Issues: Altering the nose size and shape can allow for better air flow through the nasal passages and ease mild breathing concerns.
    1. Nose Angle: Genetics or nasal trauma (think: a nasal fracture) can cause a crooked nose, nasal deviation, or concerns with the angle of the nose, and those concerns can be addressed with surgical intervention.
  4. Nose Bump: For people dealing with structural dorsal humps, both non-surgical and surgical rhinoplasty may be able to address them.

Who is the ideal candidate for an endoscopic rhinoplasty procedure?

Endoscopic rhinoplasties are believed to offer the less invasive/less recovery benefits of a closed approach with better visualization. Ideal candidates have minor nasal deformities, require revision rhinoplasties, or chronic sinus problems. Endoscopic rhinoplasty is not recommended for children under the age of 18 or those with more involved concerns.

What is the average recovery associated with an endoscopic rhinoplasty procedure?

Most patients experience less than one week of initial recovery time. Most swelling, bruising, and tenderness will resolve within a week. Many patients return to work within five to seven days. Activity precautions are taken for up to six weeks.

What are the potential side effects of an endoscopic rhinoplasty procedure?

As with the closed rhinoplasty approach, an endoscopic rhinoplasty carries minimal to no scarring risk due to the internal incisions. As with any surgical procedure, numbness, nerve damage, and blood vessel damage may occur.

What can someone expect from the results of an endoscopic rhinoplasty procedure?

An endoscopic rhinoplasty provides permanent results that evolve into the final appearance over the course of 12 to 18 months.

What is the average cost of an endoscopic rhinoplasty procedure?


This is a one time permanent surgical procedure that can cost anywhere from $3,000 to $15,000. The actual cost of the procedure is dependent upon location, surgeon, and length and involvement of the surgery. To learn more, check out our complete guide to rhinoplasty cost.

Pros

small incisionsbetter visualization of the nasal structuresbetter visualization of nasal shapefaster recovery timesless postoperative swellingless trauma to the tissueless potential scarring

Cons

limited doctors with expertisemore technically challenginglimited data of any real advantage over traditional techniques

Invasiveness Score

mildmoderatesevere
1
2
3
4
5
6
7
8
9
10

Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

What to Expect


An endoscopic rhinoplasty offers patients a shorter recovery time using the closed technique but offers better visualization by using an inoperative camera. Here is a quick guide for what to expect before, during, and after an endoscopic rhinoplasty.

The Takeaway


An endoscopic rhinoplasty provides the lessened recovery time and less invasiveness benefits of a closed rhinoplasty approach, while improving a plastic surgeons’ visualization with the endoscopic approach (assistance of a lighted camera endoscope).

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