Closed Rhinoplasty

Closed Rhinoplasty: Achieving Subtle, Scar-Free Nose Reshaping

At Cilento Facial Plastics, we offer closed rhinoplasty as a minimally invasive option for those seeking to reshape their nose without visible external scars. This surgical technique involves making incisions inside the nostrils, which allows for precise adjustments to the bone and cartilage while maintaining a natural, refined appearance. Closed rhinoplasty is ideal for patients who require less extensive reshaping and want a faster recovery with minimal scarring.

What Is Closed Rhinoplasty?

Closed rhinoplasty, also known as endonasal rhinoplasty, is a specialized nose reshaping procedure where all incisions are made inside the nostrils. Unlike open rhinoplasty, which involves making an incision across the columella (the tissue between the nostrils), closed rhinoplasty avoids external cuts and potential scarring. This approach allows for subtle adjustments to the nasal structure, making it a great option for patients who desire a more refined nose shape with minimal invasiveness.

The technique is highly effective for correcting various aesthetic and functional issues, including:

• Reducing a nasal hump: Smoothing out a prominent bump on the bridge of the nose.
• Reshaping the nasal tip: Making adjustments to the tip for a more defined or balanced appearance.
• Narrowing the nasal bridge: Refining the width of the nose for improved facial harmony.
• Correcting a deviated septum: Addressing breathing issues caused by a misaligned septum.

Closed rhinoplasty requires a highly skilled surgeon due to the limited visibility and access, making it important to choose an experienced provider like Cilento Facial Plastics.

Benefits of Closed Rhinoplasty

Closed rhinoplasty offers numerous advantages for patients seeking nasal reshaping, particularly when compared to the open rhinoplasty technique. Some key benefits include:

1. No Visible Scarring: One of the main advantages of closed rhinoplasty is that all incisions are hidden inside the nostrils, leaving no external scars. This is especially appealing to individuals concerned about scarring or those who want a more discreet procedure.
2. Reduced Recovery Time: Because it is less invasive than open rhinoplasty, the recovery period is often shorter. Patients typically experience less swelling and bruising, allowing for a quicker return to daily activities.
3. Faster Procedure: Closed rhinoplasty tends to be a shorter surgery, as there are no external incisions to make or close. This can also contribute to reduced overall healing time.
4. Less Invasive: With no external incisions, the procedure is less traumatic to the nasal tissues, resulting in less post-operative discomfort and a smoother recovery process.
5. Natural-Looking Results: The goal of closed rhinoplasty is to achieve subtle, natural-looking results that enhance the harmony of your facial features. This technique allows for precise adjustments to the nose while maintaining its natural shape and contours.

Who Is a Good Candidate for Closed Rhinoplasty?

Closed rhinoplasty is an excellent option for individuals who need minor to moderate changes to the nose structure. However, not everyone is a candidate for this type of rhinoplasty. You may be a good candidate for this if:

• You desire subtle changes: Closed rhinoplasty is ideal for those who want to address specific aesthetic concerns, such as reducing a hump or refining the tip of the nose, without the need for extensive reshaping.
• You have good nasal symmetry: Patients who need more complex corrections, such as major tip modifications or significant structural changes, may benefit more from open rhinoplasty.
• You want a shorter recovery time: Because it is less invasive, the recovery is typically faster and less uncomfortable compared to open rhinoplasty.
• You prefer no visible scarring: If avoiding visible scars is a top priority, it offers the benefit of no external incisions.

During your consultation at Cilento Facial Plastics, our expert surgeon will assess your nasal structure, discuss your goals, and determine if closed rhinoplasty is the best approach to achieve your desired outcome.

The Closed Rhinoplasty Procedure

The closed rhinoplasty procedure is performed under general anesthesia or local anesthesia with sedation, depending on the complexity of the case. Here is what you can expect during the procedure:

1. Consultation: Before your surgery, you'll have a thorough consultation with your surgeon to discuss your aesthetic goals, review your medical history, and outline a personalized surgical plan. This is the time to address any concerns and ensure that you and your surgeon are aligned on the expected outcomes.
2. Incisions Inside the Nose: During the surgery, the surgeon makes incisions inside the nostrils, allowing access to the bone and cartilage. These incisions are strategically placed to ensure they are completely hidden once healed.
3. Reshaping the Nose: Depending on your goals, the surgeon may remove or reshape bone and cartilage to achieve the desired contour. This could include smoothing a dorsal hump, narrowing the bridge, or refining the nasal tip.
4. Closing the Incisions: Once the necessary adjustments are made, the incisions are closed with dissolvable stitches. Since the incisions are internal, there is no risk of visible scarring.
5. Post-Surgical Care: After the procedure, you will be monitored during a brief recovery period before being sent home to continue healing. Your surgeon will provide you with detailed post-operative care instructions to ensure a smooth recovery.

Recovery and Results

One of the most significant advantages of closed rhinoplasty is the shorter and more comfortable recovery compared to open rhinoplasty. Most patients experience mild swelling and bruising around the nose and eyes, which typically subsides within one to two weeks. You'll be advised to avoid strenuous activities for a few weeks, but many patients are able to return to work or normal activities within 7-10 days.

Initial results will be noticeable once the swelling subsides, but it can take up to a year for the final outcome to fully emerge as the nose heals and settles into its new shape. Because the incisions are made inside the nose, there are no visible scars, and the results look natural.

Is Closed Rhinoplasty Right for You?

Closed rhinoplasty is a great option for individuals seeking subtle yet effective improvements to their nose shape. However, it is important to have realistic expectations and a clear understanding of what the procedure can achieve. During your consultation, your surgeon will help you determine if closed rhinoplasty is the best approach based on your specific anatomy and aesthetic goals.

At Cilento Facial Plastics, our surgeons are highly experienced in performing both open and closed rhinoplasty, ensuring that you receive the highest level of care and expertise throughout the process.