Last Updated: February 14, 2023
What are the closed rhinoplasty procedures?
The closed nose job (Rhinoplasty) is an aesthetic operation on the nose in which all the incisions are made inside the nose without leaving any scars or marks on the skin. This technique creates an invisible scar because it is atraumatic and does not leave scar tissue. Closed surgery allows access to the entire nasal skeleton, including the tip and back of the nose, with 180-degree incisions made a few mm behind the entrance of the nostrils. It also allows for correcting situations that may prevent breathing through the nose easily.
Who Is Suitable for Closed Rhinoplasty?
Closed rhinoplasty is suitable for most patients undergoing nose surgery for the first time. However, an open approach is generally preferred in revision rhinoplasty cases, depending on the patient’s underlying problem.
The procedures and surgical manoeuvres performed in closed rhinoplasty are essentially the same as those in open rhinoplasty. The tip, bridge, and nasal pyramid are treated similarly. However, closed rhinoplasty does not require any external incisions on the nasal skin, leading to a faster recovery.
With the help of modern endoscopic techniques, surgeons can now achieve the same results in closed rhinoplasty as they would with an open approach. However, an open technique is usually recommended in revision cases due to adhesions and the complexity of the underlying problem. For selected revision nose surgeries, closed revision rhinoplasty is an option for selected patients who do not require significant tip modifications and only need minor adjustments, such as small rasping or simple bone reshaping.
Rather than debating whether open or closed rhinoplasty is superior, the most crucial factor to consider is the surgeon’s experience in each technique and expertise in handling a wide range of cases. Excellent results can be achieved with both approaches when performed by a skilled and experienced surgeon, whereas an inexperienced surgeon may yield suboptimal outcomes regardless of the technique used.
Benefits of Closed Rhinoplasty
With a closed rhinoplasty technique, surgery can achieve minimum bruises and swelling and, most importantly, no visible scarring. In addition, since the nasal skin is not lifted with this method, the surgeon can instantly see the results of all the manoeuvres he has done during the operation. The possibility of working in this way can also offer the surgeon the opportunity to achieve more natural results. Another advantage of the closed surgery method is the ability to create a much better natural transition between the tip of the nose and the back of the nose. This is because it protects the subcutaneous soft tissues.
Open and Closed Rhinoplasty
Technique of Closed Rhinoplasty Approach:
Closed nose job is performed through incisions within the nostrils, allowing access to the nose’s bone and cartilage. This cosmetic surgeries enables the to reach all parts of the nose, including the dorsum, root, lateral walls, and nasal tip. If there is any deviated septum inside the nose, it can also be corrected during this rhinoplasty procedure with a septoplasty ( Septorhinoplasty procedure). Since all cosmetic procedures are carried out without external incisions, no visible scarring occurs on the skin. The success rate of this facial plastic surgery can be significantly high, mainly when performed by a board-certified plastic surgeon with extensive experience in closed rhinoplasty and septoplasty.
Cosmetic procedures with no visible scarring:
After a closed operation with ultrasonic, there will be no visible stitches on the skin. In this surgical procedure, the entire operation is performed with the help of incisions made inside the nose and an endoscope, and all these sections are closed with self-dissolving stitches after the surgery.
Closed rhinoplasty procedures operating rooms time:
Closed nasal operation can be performed using different methods. Sometimes, the surgery can be completed by making a single incision through the nose and removing the arch on the back of the nose. However, in cases that require access, such as a more open surgery on the back of the nose, which we call hybrid rhinoplasty, the surgery duration is approximately two and a half to three hours. In addition, if the patient requires additional procedures such as nostril reduction, this takes approximately half an hour; in this case, the surgical time is around 3-3.5 hours.
Is closed nose surgery painful?
Closed rhinoplasty operations are done under general anesthesia so patients do not feel pain during surgery. Likewise, after surgery, our patients feel no pain and can return to their daily lives in less than a week.
How long does closed rhinoplasty recovery period?
After surgery, we expect the nose to heal fully on average in 6 months. However, closed rhinoplasty recovery time may vary depending on the patients’ skin quality.
Choosing a Closed Rhinoplasty Surgeon:
Closed rhinoplasty surgeries are performed by fewer surgeons than open surgeries. If you are planning to have a closed rhinoplasty surgery, we recommend that you preferably follow a few doctors closely and decide. The results of the surgeon you follow on similar noses can give you an important idea. In addition, past patient comments will help you make a decision. I recommend you to keep in mind that the comments here do not always reflect reality and that people and institutions working effectively in the service sectors may receive negative comments. In other words, the institutions with the highest stars may not always be the best.
At the next stage, you can mature your ideas on this subject a little more with a video call by requesting an online consultation with the surgeon we plan to have surgery.
Closed Rhinoplasty Cost:
Does insurance cover closed nose surgery?
Most rhinoplasty surgeries are not covered by insurance as they are considered cosmetic procedures. Therefore, if you are hoping for reimbursement from your insurance, it’s crucial to discuss this in detail with your insurance provider beforehand.
What affects the price of closed rhinoplasty?
The nose job cost varies widely depending on the country and the board certify plastic surgeon experience. The price is also influenced by factors such as the hospital’s facilities, the experience and equipment of the anesthesia team and surgical staff, and the quality of the anesthesia and surgical equipment used. Prices can vary significantly across different regions and cities worldwide, presenting a broad spectrum of cost margins.
How much does closed rhinoplasty cost?
Closed rhinoplasty avarage cost 2000-5000 Euro in Istanbul/ Turkey.
Closed Rhinoplasty Before and After Photos:
Frequently Answer Questions (FAQ):
Can I achieve a more natural results with closed surgery?
It’s important to note that closed surgery is performed from inside the nose without any cuts or incisions on the nasal skin. This surgery avoids any scarring on the nasal skin. It largely preserves the integrity of the skin and subcutaneous tissues, muscles, and their connections to bone and cartilage, allowing for more natural results. Additionally, a nose tip that retains certain flexibility and is not rigid can lead to a more natural appearance.
Does recovery is faster with closed nose surgery?
The healing times for both open and closed surgeries are similar. However, recovery can be quicker with closed surgeries since the structures under the nasal skin and the skin itself are generally preserved.
What is the duration of closed nose job?
Closed rhinoplasty surgeries have become quite popular again, especially in the last ten years, largely due to advances in surgical techniques and endoscopes. These allow for interventions on the tip, the dorsum, and the entirety of the nose in closed rhinoplasty, often without making any incisions on the nasal skin. Thus, the surgery duration is comparable between open and closed approaches.
Can every person be suitable for closed rhinoplasty?
In some revision surgeries, the desired manipulations may not be possible with closed techniques, and open surgery may be preferred. Additionally, for specific ethnic nasal structures, opening up the entire nose may achieve more accurate results. Apart from these exceptions, closed rhinoplasty can be applied to most patients undergoing their first surgery.
