Introduction

Rhinoplasty, also called  a ‘nose job’. It is a surgical approach to reshape and redefine your nose profile. It is a scarless rhinoplasty, performed to balance your facial aesthetics and improve the functioning of your nose by fixing breathing difficulties. 

Among nose job’s various techniques, closed rhinoplasty has gained popularity for its minimally invasive nose job approach and excellent results.

In this insightful write-up by Dr. Milan Doshi, we’ll understand what exactly closed rhinoplasty is and find out if you need it. 

 

What is Closed Rhinoplasty?

Closed rhinoplasty, also called an endonasal rhinoplasty. This is a surgical technique performed through small incisions inside your nostrils. 

Unlike open rhinoplasty, which involves an external incision between the nostrils, closed rhinoplasty leaves no visible treatment scars made by incisions.

Synonyms of Closed Rhinoplasty

Endonasal rhinoplasty, Minimal incision rhinoplasty, Scarless rhinoplasty, Internal rhinoplasty, Closed-approach rhinoplasty, Internal approach rhinoplasty, Intranasal rhinoplasty, No external incision rhinoplasty, Hidden incision rhinoplasty, Concealed approach rhinoplasty

Why is Closed Rhinoplasty performed?

Closed rhinoplasty is favored for patients looking for minor to moderate nose reshaping, like:

• Refining the nasal tip
• Correcting a dorsal hump
• Narrowing the nasal bridge
• Addressing breathing issues caused by structural irregularities

What to Expect from Closed Rhinoplasty

1. Consultation and Planning
   A detailed consultation with your surgeon to help you and your surgeon to evaluate your nose’s structure, discuss your goals, and use imaging tools to simulate possible outcomes before surgery.
2. Surgical Process
   • Performed under local or general anesthesia.
   • Small incisions are made inside your nostrils to access the underlying bone and cartilage.
   • Your surgeon will reshape the nose by removing, adding, and repositioning tissues.
   • The incisions are closed with dissolvable stitches.
3. Closed-rhinoplasty Recovery
   • Patients typically wear a nasal splint for 5–7 days.
   • Bruising and swelling reduces within 1–2 weeks.
   • Full results become apparent as the nose heals. This may take up to a year to notice subtle refinements.

Benefits of Closed Rhinoplasty

1. No External Scars
   Closed rhinoplasty is entirely internal. Hence, no scars appear externally post-surgery.
2. Reduced Swelling and Faster Recovery
   Since there is less disruption to the nasal tissues, patients often experience reduced swelling and a quicker recovery period compared to open rhinoplasty.
3. Preservation of Nasal Structure
   The technique allows for precise adjustments and maintains the integrity of your nasal cartilage and skin.
4. Shorter Surgical Time
   Closed rhinoplasty procedure is quicker than open rhinoplasty. This minimizes anesthesia time.

Closed Rhinoplasty: Risks and Complications

• Swelling and BruisingNasal AsymmetryBreathing DifficultiesInfection
• Scarring
• Numbness or Sensation Changes
• Overcorrection or Undercorrection
• Hematoma
• Delayed Healing

Is Closed Rhinoplasty Right for You?

Yes. If you are looking for cosmetic nose or nose functional improvement without any extensive structural alterations, then closed rhinoplasty is an ideal option. 

Your surgeon will assess your nose’s anatomy/structure and recommend the best approach.

Here At Allure Medspa, we specialize in tailored rhinoplasty procedures that align with your aesthetic and functional needs. Our expert surgeons, led by Dr. Milan Doshi, combine advanced techniques with a patient-centered approach to deliver natural, harmonious results. With state-of-the-art facilities, compassionate care and a commitment to excellence, we ensure a safe and satisfying experience.

Limitations of Closed Rhinoplasty

It is not recommended for patients with:

• Severe nasal deformities
• Complex revisions from previous rhinoplasty
• Extensive structural corrections

Compare Open Vs Closed Rhinoplasty

Open Rhinoplasty	Closed Rhinoplasty
Incisions are made inside the nostrils. Leaves no visible scars.	External incisions are made. Small visible scars fade overtime.
Provides limited surgical access. Best for less complex corrections.	Provides complete access to your nasal structures. Best for complex nose corrections.
Recovery is faster due to minimal tissue disruption.	Recovery takes longer due to greater tissue manipulation.
Causes less swelling and bruising.	May result in more noticeable swelling and bruising.
Suitable for minor to moderate adjustments like smoothing humps or reshaping the tip.	Suitable for major structural changes, asymmetry corrections, or revisions.
Focuses on subtle, natural-looking results.	Allows for precise and dramatic changes.

Conclusion

Closed rhinoplasty offers a minimally invasive solution for refining nasal aesthetics and resolving minor functional issues, all without visible scars. It’s an excellent choice for patients seeking subtle, natural-looking results with faster recovery. However, for more complex corrections, open rhinoplasty may be necessary.

At Allure Medspa, Dr. Milan Doshi and his expert team ensure personalized care, precision techniques, and results that enhance both your appearance and confidence. If you’re considering rhinoplasty, schedule a consultation to explore the best approach for your unique goals and take the first step toward your ideal nose.