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.
- avg. recovery
About the Procedure
Surgeons are always searching for ways to improve recovery time without impacting results. By using an endoscope during a closed rhinoplasty procedure, patients are able to have the reduced recovery time associated with the less invasive technique but also the visualization that is normally only available during surgeries that completely expose the nasal framework. Some medical professionals however argue that while this may improve visualization, it still does not compare to the full exposure offered by an open rhinoplasty. During an endoscopic rhinoplasty, incisions will be made on the inside of the nose. The nasal structure will not be exposed however with the introduction of the endoscope, visualization is improved for the surgeon and postoperative scarring will be hidden and discreet. When repair has been completed, sutures will close incisions and an external splint or cast will be placed over the nose. An endoscope can also be used during an open rhinoplasty however is typically not necessary due to adequate exposure inherent to the technique.
The goal of an endoscopic rhinoplasty is to achieve facial harmony by changing the shape, size or angle of the nose. Endoscopic rhinoplasties can also be used to correct breathing problems resulting from irregularities inside the nose.
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.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 2 weeks before and after surgery
- Limit sun exposure for 2 weeks
- Do not eat or drink anything 6 hours prior
- Purchase all recovery items beforehand
- General or local anesthesia with sedation
- Incisions made on the nasal membrane in varying locations to access different parts of the nose
- Endoscope inserted for better visualization
- Nose is reshaped and refined
- Sutures to close incisions
- External splint or cast will be placed over the nose
During an endoscopic 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.
The ideal candidate for an endoscopic rhinoplasty has small nasal deformities, more complex revision rhinoplasties, or chronic sinus and desires no visible scarring.
Not Recommended For
Endoscopic rhinoplasty is not recommended for 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 because children mature physically and emotionally at varying rates.
Side effects from an endoscopic 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.