Closed Rhinoplasty

Closed rhinoplasty is a minimally invasive method of nasal surgery performed by making incisions inside the nostrils. Because no incisions are made on the outer surface of the nose, the likelihood of scarring is low. 

Free consultation and appointment booking

Before Image
After Image
+
0
Years of surgical experience
+
0
Facial surgeries
+
0
Breast surgeries
+
0
Body sculpting, limb surgery

This type of surgery is mostly suitable for correcting minor imperfections such as a drooping tip, small humps, slight asymmetries, and adjusting the length of the nose. Since the stitches are placed inside the nose in closed rhinoplasty, they are not visible externally. Therefore, this method is known as one of the nasal surgeries with minimal stitches and complications.

Types of Closed Rhinoplasty

Types of Nose surgery: the closed method includes preservation and plasma techniques; details of each method will be explained below.Types of Closed Rhinoplasty

Closed Rhinoplasty using the Preservation Technique

In preservation rhinoplasty, the surgeon tries to maintain the natural structure and internal tissues of the nose as much as possible while correcting its appearance. This modern technique of closed rhinoplasty, due to its preservation of internal tissues, is known for its minimal complications and short recovery period. The use of this method in Revision rhinoplasty is also applicable.

Closed Rhinoplasty using Plasma

This non-surgical method does not require incisions in the nose. The doctor uses ionized gas called plasma, which has high heat, to target the outer part of the nose. This thermal energy penetrates the underlying layers of the skin, causing tissue contraction and making the nose appear more balanced and smaller. The result of this process is a lift and improvement in the shape of the nose with minimal damage and without the need for surgery.

Currently, most people for surgery on fleshy noses opt for closed surgery. These types of noses, which usually have thick skin, a drooping or wide tip, are well-suited to closed techniques and the use of plasma jet. The plasma jet device, with controlled heat, targets the fleshy areas of the nose to make its overall structure more compact and beautiful.

How Closed Rhinoplasty is Performed

Closed rhinoplasty is performed by making all incisions inside the nostrils, leaving no trace of incisions or stitches on the outer surface of the nose. Since the nose is not fully opened in this method, the surgeon has limited access to the internal structure.

In rhinoplasty, the work is done through narrow pathways inside the nose, and therefore the surgeon’s view is limited. Therefore, closed surgery is more suitable for correcting minor cosmetic changes or reducing the size of the nose. The skill and experience of the surgeon play a significant role in this type of surgery, as the limited workspace requires high precision.

This surgery is usually performed under general anesthesia and takes less time than other methods because the steps involve separating the skin from the bone and cartilage with special instruments and making the desired changes without fully opening the nose; therefore, we suggest that you research thoroughly and consult a top plastic surgeon before undergoing this procedure.

The Best Candidate for Closed Rhinoplasty

Closed rhinoplasty is suitable for individuals with minor cosmetic imperfections of the nose. In this type of surgery, the most important thing to consider is the condition of the nasal tip and bridge. If the nasal tip has a good shape and the nasal bridge is symmetrical, other minor imperfections can be easily corrected using the closed technique. In general, closed nasal surgery is suitable for the following groups:

  • People who only need a small amount of cartilage grafting.
  • Those who intend to have limited correction of their nasal septum.
  • People who have decided to undergo nasal surgery at an older age, as this method is minimally invasive and has fewer complications.

In conclusion, it can be said that closed rhinoplasty due to its high precision, minimal incisions, and short recovery period, is a suitable option for those seeking natural and limited changes in their nasal appearance. The choice of this method should be made in consultation with and after careful examination by a specialist surgeon to achieve the best results.

Preparation Before Closed Rhinoplasty

Before making any decision about surgery, you must first carefully choose a rhinoplasty surgeon. Entrusting your nose to an experienced and skilled doctor directly affects the final result and ensures that the shape of your nose after surgery is what you envisioned. If you are unsure whether closed rhinoplasty is right for you, take advantage of the consultation services of Dr. Ghorabi, a cosmetic surgeon To better prepare for closed rhinoplasty, it is essential to follow the points below:

  • Consult your doctor about stopping medications such as aspirin at least two weeks before surgery. Stop smoking and other tobacco products at least two weeks before surgery, as these substances slow down the healing process.
  • In the days leading up to surgery, keep your body hydrated by drinking plenty of fluids.
  • Do not use any cosmetics or toiletries on your facial skin 24 hours before surgery so that your skin is in the best condition for surgery.

In conclusion, success in closed rhinoplasty depends not only on the surgical technique but also on your complete preparation and the choice of a specialist doctor plays an important role in achieving the desired outcome.

Preparation Before Closed Rhinoplasty

Post-Operative Care for Closed Rhinoplasty

If you are a fan of natural nose surgery,closed rhinoplasty is a suitable option; because in this method there are no external incisions and changes are made precisely and delicately from inside the nose. This technique will also reduce swelling and scarring after surgery; however, to achieve the desired and natural result, you must take seriously the post-operative care, which includes the following: 

  • In the first 24 hours after surgery, use cold compresses on the area under the eyes.
  • For 72 hours after surgery, consume only soft and liquid foods and avoid eating hard foods.
  • When sneezing or coughing, keep your mouth open to avoid putting pressure on your nose.
  • Reduce salt intake to reduce swelling around the nose faster.
  • When sleeping, raise your head by placing several pillows under your head.
  • Avoid strenuous physical activity for several weeks after surgery.
  • Learn the correct way to apply tape to your nose from your surgeon and follow it.
  • Avoid taking hot showers for 72 hours after surgery.

By carefully following these recommendations, the recovery process will be faster and the final result will be more satisfactory. 

Visitor comments

Kamal Ahmadi

Closed rhinoplasty

My nose had a slight droop, and given Dr. [Doctor's name]'s high expertise and experience, I agreed to use this method.

Shideh Sabati

Closed rhinoplasty

Hello Doctor, thank you for being so professional. I wanted to make my nose shape more natural, and I learned about your team. Now I'm very happy with my choice.

Heavenly Dawn

Closed rhinoplasty

I wanted to thank Dr. Ghorabi. My nose was crooked, and I had this surgery done with peace of mind.

Complications of Closed Rhinoplasty

In closed rhinoplasty, the surgeon does not have direct access to the underlying tissues; therefore, his control is less than in the open method. Therefore, choosing an experienced and skilled specialist is very important so that he can carefully and delicately make the necessary corrections to correct minor cosmetic imperfections of the nose. This surgery is not suitable for noses with significant imperfections; therefore, if your nasal problems or deviations are significant, you should consider septoplasty Septoplasty is a combination of cosmetic rhinoplasty and correction of nasal septum deviation that simultaneously improves appearance and corrects respiratory problems and nasal deviation. 

If the surgeon does not have sufficient skill in performing this surgery, there is a possibility of damage to the internal structure of the nose, such as cartilage or bone; also, some surgeons believe that the longevity of the results of closed surgery may be less, and with increasing age, there is a possibility of drooping of the nasal tip.

Closed Rhinoplasty; A Minimally Invasive Method for Correcting Nasal Problems

Closed rhinoplasty is a minimally invasive method of nasal surgery performed through internal incisions in the nose, so there are no visible scars on the outer surface of the nose. This technique is suitable for correcting minor imperfections of the nose such as drooping tip, small humps, and minor asymmetries. Closed surgery using methods such as preservation and plasma may produce precise and natural changes in the appearance of the nose. This method is particularly suitable for those seeking limited changes with minimal complications. 

For success in this surgery, choosing a specialist surgeon and carefully following the pre- and post-surgical instructions is essential. By taking advantage of the free consultation of Dr. Gholamhossein Ghorabi, a super specialist in plastic, cosmetic, and reconstructive surgery, before the surgery, you will understand whether you are a suitable candidate for closed rhinoplasty. Dr. Ghorabi, considering all aspects and the necessary pre-operative tests, will reassure you of a successful surgery. 

About DR. Ghorabi

Get to know/Meet Dr. Ghorabi.

About DR. Ghorabi

Get to know/Meet Dr. Ghorabi.

I am Dr. Gholamhossein Ghorabi, a subspecialist in plastic, cosmetic, and reconstructive surgery. I am an official member of the American Academy of Cosmetic Surgery (ASAPS), the International Society of Aesthetic Plastic Surgery (ISAPS), and the Iranian Society of Plastic and Cosmetic Surgeons (ISPAS).

Fellow of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) or a similar organization such as the American Society of Plastic Surgeons (ASPS).

Official member of the International Society of Plastic and Aesthetic Surgeons

عضو رسمی انجمن جراحان پلاستیک و زیبایی ایران

Official member of the Iranian Association of Plastic and Reconstructive Surgeons

FAQs

01

Who are suitable candidates for closed rhinoplasty?

Individuals with minor imperfections such as a droopy tip or a small hump are suitable candidates for this procedure.

02

What are the advantages of closed rhinoplasty?

This method leaves no scars, produces less swelling, and has a shorter recovery period.

03

What is the difference between preservation and plasma methods?

In the preservation method, the surgeon preserves the structure of the nose, but in the plasma method, the nose shape is corrected without surgery.

04

Is closed rhinoplasty suitable for fleshy noses?

Yes, fleshy noses can be successfully reshaped by combining closed techniques with plasma.

05

What are the complications of closed rhinoplasty?

If the surgeon is inexperienced, there is a risk of damage to the internal structure or drooping of the nasal tip.

06

How can I determine if this method is right for me?

Before proceeding, you need to attend a consultation. The surgeon will determine the appropriate method for you through examination and consultation.