Closed Preservation Rhinoplasty

Closed Preservation Rhinoplasty: Aesthetic and Functional Nose Surgery

Closed preservation rhinoplasty is a surgical procedure that is used to reshape and modify the structure of the nose through only inside of nose incisions. Unlike traditional rhinoplasty, this technique does not involve making any skin incisions or cut the below part of skin soft tissues from the nasal framework. Closed preservation rhinoplasty has been gaining popularity among surgeons and patients due to its less invasive nature and quicker recovery time. In this article, we will discuss detaily into the this technique, its benefits and drawbacks, the recovery process, and the types of patients who are suitable for this procedure.

Introduction to Closed Preservation Rhinoplasty

Rhinoplasty,or  commonly known as a nose job, is a surgical procedure to reshaping of the nose. Closed preservation rhinoplasty is a minimally invasive technique of rhinoplasty that has gained popularity in recent years due to its numerous benefits over traditional structural rhinoplasty. In this article, we will explore what closed preservation rhinoplasty is, its pros and cons .

What is Closed Preservation Rhinoplasty?

Closed preservation rhinoplasty is a surgical procedure that reshapes the nose while preserving the more nasal structures. Unlike traditional open rhinoplasty, where incisions are made on the outside of the nose skin, closed preservation rhinoplasty involves making internal incisions, leaving no scars on the skin. This technique is particularly useful for patients who want to improve the appearance of their nose without undergoing an extensive surgery and more natural results.

History of Closed Preservation Rhinoplasty

Closed preservation rhinoplasty was first introduced in the 1950s.So, in fact, the history of protective rhinoplasty surgeries is quite old. However, due to the lack of advancements in endoscopy and video communication at that time, it couldn’t become widespread worldwide and was only performed by a few surgeons who were knowledgeable about the technique. But after the 1990s, with the introduction of endoscopes in medicine and the increased communication through the internet era, many surgeons were able to learn and apply this method. As a result, it has become particularly popular in the last 7-8 years.

Benefits of Closed Preservation Rhinoplasty over Traditional Rhinoplasty

Less Invasive Procedure

Closed preservation rhinoplasty is a less invasive surgery than traditional open structural rhinoplasty. The incisions used in this technique are made internally, without any skin scars.Furthermore, it remains preserved since the natural bridge of the nose is lowered without being cut.This means less trauma to the nose, leading to less bleeding and swelling.

Faster Recovery Time

The recovery time for closed preservation rhinoplasty is shorter than traditional rhinoplasty. Since the procedure is less invasive, patients experience less swelling, bruising, and pain. They can return to their daily activities much sooner.

Minimal Swelling and Bruising

Closed preservation rhinoplasty is known for causing minimal swelling and bruising. This is because the procedure does not involve extensive dissection of the nasal tissues. Patients can expect to have a quicker and less uncomfortable healing period.

Patients can change the shape of their nose as desired through massage

In open surgery, the nasal bridge is cut and grafts are placed to repair it, while the sides of the nose are released and the open roof is closed. Massage application is beneficial for reducing swelling. However, in preservation rhinoplasty, since the natural nasal bridge is preserved and the entire nose is mobilized from the sides and nasal radix, massages according to the patient’s wishes after the surgery are also highly effective in settling the nose shape. Furthermore, in closed preservation rhinoplasty, the nasal tip is much more flexible and mobile. In this method, the patient also has the opportunity to increase or decrease the nasal tip through massages.

Natural Looking Results

Since closed preservation rhinoplasty preserves the nasal structures, the results tend to look more natural than traditional rhinoplasty. The natural contours of the nose are preserved with little reshapings, resulting in a more aesthetically pleasing appearance.

The Procedure of Closed Preservation Rhinoplasty

Anesthesia and Incisions

Closed preservation rhinoplasty is performed under general anesthesia. The surgeon makes 180 degree internal incisions in the enterance of nasal cavity, this insision scar do not visible from the outside. Therefore surgeon reaches all over the nasel skeleton detaily via headlight or endoscope. This eliminates the need to make any external incisions.

Techniques Used in Closed Preservation Rhinoplasty

The surgeon uses various techniques to reshape the nose during closed preservation rhinoplasty. These techniques include altering the shape and size of the nasal bones, reshaping the nasal tip, and correcting the asymmetry of the nose.

Sculpting and Reshaping the Nose

The surgeon performs the necessary sculpting and reshaping of the nose with power instruments ( Ultrasonic or Piezo devices ) through the internal incisions. The nasal tissues are manipulated to achieve the desired results. Once the reshaping is complete, the incisions are closed using dissolvable stiches.

Recovery Process and Post-operative Care for Closed Preservation Rhinoplasty

Immediate Post-Operative Care
After the procedure, the patient’s nose is packed with a special dressings ( Tapings, Cast, Inside nose silicones ) to reduce the risk of bleeding and to aid in the healing process. Patients are typically monitored in a recovery area for a few minutes and stay 1 night in the hospital before going to home or a hotel.

Recovery Timeline and Restrictions
Patients can expect to take anywhere from one to two weeks off from work or school. During this time, they should avoid vigorous activity, bending over, and lifting heavy objects. Patients should also sleep with their head elevated pillows for the first few weeks to reduce the swelling.

Follow-up Appointments and Care
Patients are typically required to see their surgeon for follow-up appointments to ensure proper healing and monitor the progress of the nose. The surgeon will provide instructions on how to care for the nose during the healing process, such as cleaning the incisions and avoiding contact sports. With proper post-operative care and correct massages, patients can expect excellent results from their closed preservation rhinoplasty procedure.

Candidates for Closed Preservation Rhinoplasty

Are you considering having a closed preservation rhinoplasty?

Here are three characteristics that make you a good candidate:

Healthy Individuals:

Individuals who are physically and mentally healthy can tolerate the surgery’s stress and undergo anesthesia. Certain medical conditions can increase the risk of complications, so ensure that your rhinoplasty surgeon is aware of your medical history.

Individuals with Functional or Cosmetic Issues:

Closed preservation rhinoplasty is ideal for individuals who want to improve their nose’s appearance and functionality. If your nose is asymmetrical, blocked, or oversized, closed preservation rhinoplasty can help alleviate a lot of part of wiev these problems. Specially crooked noses is the best indications of preservation rhinoplasty surgery, coz of surgeon can mobilize with ultrasonic powerinstrument devicis whole bony pyramid at this procedure.

Realistic Expectations for Results:

It is crucial to have realistic expectations when undergoing closed preservation rhinoplasty. While this surgery can help improve your nose’s appearance and function, it cannot make you look like a different person.This  Therefore, it’s essential to have an honest conversation with your rhinoplasty surgeon to achieve the best results.

How should I manage my expectations after the closed preservation rhinoplasty surgery?

Even though this surgery can bring about significant positive changes in the shape of your nose, achieving perfection is also dependent on factors such as your age, skin, cartilage and bone structure, as well as your facial anatomy. Therefore, no rhinoplasty surgeon in the world can guarantee that they will give you the best nose in the world. What matters in this surgery is the proportion of positive changes, which may rarely reach 100%. It is important for your psychology to be prepared for this and for you to be ready for the results in a realistic manner.

Conclusion: Advantages and Disadvantages of Closed Preservation Rhinoplasty

While closed preservation rhinoplasty is becoming increasingly popular with currenty medical technologies . Here are some of the most significant pros and cons of closed preservation rhinoplasty:

Advantages of Closed Preservation Rhinoplasty:

• Shorter recovery time
• Less swelling and bruising compared to open rhinoplasty
• Reduced risk of scarring
• The procedure is less invasive compared to open rhinoplasty
• Patient can be change nose shape with massage depends on her or his wishes

Disadvantages of Closed Preservation Rhinoplasty:

• Less visibility for the surgeon and needs surgeons more experience for better symetry
• Limited surgical access compared to open rhinoplasty
• Complex revisions are harder to perform
• Patient needs to perform long time massage and communicate with surgeon at least 6 month

Overall, closed preservation rhinoplasty is an excellent option for individuals who want to improve the appearance and function of their nose. However, it’s essential to choose an experienced rhinoplasty surgeon and discuss your goals and expectations to achieve the best possible results.Closed preservation rhinoplasty is a safe and effective procedure that can provide patients with a more natural-looking and proportionate nose. Without any skin incisions and a shorter recovery period, patients can enjoy the benefits of the procedure. But this procedure needs to longer time patient and surgeon to communicate for correct massage follow-ups. As with any surgical procedure, it is important to consult with a qualified surgeon who can assess your individual needs and determine if closed preservation rhinoplasty is right for you.