Closed Surgery Technique in Rhinoplasty



Closed Surgery Technique in Rhinoplasty



The main objective of the cosmetic surgeon is to create a harmonious natural nose, which fits perfectly into the face. It is necessary to recreate all the aesthetic anatomical criteria of the nose, for perfect facial balance. Rhinoplasty must beautify the nose through nose enhancement, but also the eyes and thus the entire face.


What is rhinoplasty?

A rhinoplasty performed primarily to improve symmetry and overall appearance is commonly called a cosmetic rhinoplasty, as opposed to functional rhinoplasties, which are aimed more at treating respiratory problems.

Because beyond the physical change, rhinoplasty brings a real change in self-image. The decision must therefore be carefully considered. The nose holds a central place on the face, it is an element that cannot be hidden. For patients who experience the shape of their nose as a social obstacle, this procedure often allows them to change their outlook on themselves, with a nose that will not be stereotypical (surgical look) but a natural nose, in accordance with their face and personality. So that the nose does not appear to be an attached part, the procedure must take into account the face as a whole.

The discussion between the patient and the surgeon during consultations is of paramount importance. It will help determine what is desired by the patient. And finally, determine what is technically achievable by the surgeon and aesthetically suited to the face.

The main issues that can be enhanced through rhinoplasty are:

  • Being bothered by the shape and dimensions of the nose
  • Desire to improve the results of the previous rhinoplasty
  • Asymmetrical, crooked, or droopy nose
  • A nasal tip that is thick, broad, bulbous, or upturned
  • Dorsal hump
  • A nose that is disproportionate to the rest of the face
  • Nostrils that are excessively big, tiny, broad, or narrow
  • A nasal bridge with a flat or shallow profile may make glasses slide

Rhinoplasty techniques

There are two main techniques of rhinoplasty procedure that may be chosen when someone decides to undergo a nose job: open rhinoplasty and closed rhinoplasty.

Both approaches are now used by surgeons. The patient's nasal anatomy is an important factor to consider while deciding on the best approach. In general, closed rhinoplasty is suggested if there are no functional issues. The closed approach might not be appropriate while undergoing repairs or other rhinoplasty procedures. You'll be told throughout the exam which approach is best for you.

In general, open rhinoplasty involves an incision on the outside of the nose to allow direct visualization of the nasal structures. However, closed rhinoplasty involves incisions inside the nose to minimize scarring.

What is a closed rhinoplasty?

The term "endonasal rhinoplasty" is another designation for closed rhinoplasty. In an endonasal rhinoplasty, the patient's nose is operated on using internal incisions. Patients who need to modify their nasal bridge are typically advised to have this technique. Modifications to the nasal bridge are undertaken for mild to moderate instances. For minor tip changes, endonasal rhinoplasty can also be used. It is a surgery where the skin of the nose is partially detached from the bony and cartilaginous structures using hidden incisions called “endonasal”. The skin remains attached to the columella. As a result, visibility and analysis of the anatomy of the nose is restricted.

Endonasal rhinoplasty often leaves no visible scars, causes less swelling, and requires less time to heal.


What are the advantages of closed rhinoplasty?

The main advantages of closed rhinoplasty are:

  • Much less invasive than open rhinoplasty
  • No recognizable scars
  • Thanks to the use of self-absorbable sutures, stitches do not need to be removed
  • Less post-surgical fluid retention
  • Less swelling while recovering
  • A short period of recovery
  • A short operative time


What are the disadvantages of closed rhinoplasty?

  • Due to restricted tissue and cartilage visibility, the surgeon can only perform minor adjustments with less finesse.
  • Compared to open rhinoplasty, closed rhinoplasty requires less trained surgeons.
  • Having a nose cut compromises the integrity of the form of the nose in the long run by weakening the nasal structure.
  • Because access to the nasal structure necessitates considerable stretching of the skin, the danger of the nasal cartilage being deformed during the procedure is increased.


What is the difference between closed rhinoplasty and open rhinoplasty?

In a nutshell, during an open rhinoplasty, the surgeon creates a small external incision (known as a trans-columellar incision) on the exterior of the nose at the base of the columella (the supple bridge between the nostrils). The surgeon next carefully removes the skin of the nose, providing direct access to the bone and cartilage of the nose for the procedure.

The surgeon covers the incision with stitches after performing the required adjustments to the nasal structure. In most instances, splints and a gauze bandage will be used, and they should be worn for a few days.

The incision is formed within the nose, and the sutures used to seal the incision are absorbable (dissolvable), which means they eventually dissolve on their own and do not need to be removed. All other processes of a closed rhinoplasty are similar to those of an open rhinoplasty. The procedure also requires less time than open rhinoplasty.

Where are the scars from closed nose surgery located?

For a more natural-looking outcome after surgery, a closed rhinoplasty places the incisions within the nose rather than on the exterior. The surgery can be more discrete since the incisions are often quite tiny and can be concealed inside the nostrils.

What convalescence after closed rhinoplasty should be expected?

The post-operative convalescence is essentially the same regardless of the procedure technique. Overall, a closed rhinoplasty is less painful and has a quicker recovery time. However, it is currently advised for conservative rhinoplasty or mild cosmetic procedure.


In general, swelling goes down in a shorter time following the recommended treatments, and undoubtedly it is less severe than it is with open rhinoplasty because the skin is not displaced. However, it is highly important to keep in mind that post-operative swelling and bruising’s extent differ from one patient to another following different factors, which are mainly: the patient’s health condition, age, lifestyle, and the patient’s response toward the performed surgical technique.

Read more about plastic surgery recovery in Korea.

Keep it in mind

One thing to keep in mind is that, rather than giving you a brand-new nose, a successful rhinoplasty aims to enhance the appearance of your existing one. Selecting a surgeon who will optimally accentuate your features and keeping realistic expectations in mind are the greatest approaches when it comes to rhinoplasty. You must specify your expectations and aims precisely if you want this treatment to work as best it can. In order to picture the desired outcome, you can visualize the new nose in connection to the overall harmony of the face utilizing medical photographs and computer simulations (morphing).

During pre-treatment consultation and discussion, raise any and all concerns you may have.

A natural appearance is what a rhinoplasty seeks to accomplish in the end. A skilled hand with a focus on cosmetic surgery will constantly look for the greatest ways to balance your features while maintaining your inherent beauty.

Since every face is different and presents a varied set of challenges, the surgeon will tailor the approach that is employed. It is crucial to understand that a number of variables, including cartilage, facial form, skin pore size, nasal bone structure, and skin elasticity, might affect the surgical approach and its outcome.



Why closed rhinoplasty?

As the name suggests, open-nose surgery is performed externally and leaves a small scar on the nose that needs time to disappear. Closed nose surgery is performed through the nostrils.

The benefits of closed nose surgery are as follows:

  • No trace of the surgery
  • Compared to other nose operations, the recovery time after the operation is much faster
  • Much less bruising
  • Much less swelling and pain


Is close rhinoplasty safer than open rhinoplasty?

We cannot assume that one method is not always safer than the other when it comes to safety. Both have been proven to be secure, especially when performed by a skilled and experienced surgeon. Thus, to ensure a safe surgery with satisfactory results, finding the ideal surgeon is crucial. It is essential to consider factors including the surgeon's experience, standing, and past performance. Discussing your expectations and your available treatment alternatives is also an important part of the pre-operative consultation. Docfinderkorea will take your concerns into consideration and help you find the right surgeon to reach the nose shape that you always dreaming about.


Is closed rhinoplasty more expensive?

Compared to open rhinoplasty or other procedures, it is neither more affordable nor more expensive. Together, the patient and the doctor will select how the procedure will be carried out. It fully depends on these skills for a surgeon to execute an operation in closed surgery as comfortably and effectively as in open surgery.

Is rhinoplasty surgery permanent?

If rhinoplasty is carried out on a well-shaped face and is carried out by qualified hands, the effects are long-lasting and occasionally permanent. However, it is natural that the body will alter gradually as it ages, whereas improvements ought to last a lifetime. A good influence on prolonging results and obtaining a permanent outcome will come from leading a healthy lifestyle and using lifetime sun protection.


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Rhinoplasty is one of the most common cosmetic surgeries today performed to create face harmony. People who mainly aim to get back their self-confidence undergo nose enhancement after suffering for a long period. If you are considering getting your nose job in Seoul, Docfinderkorea can help you in making your medical journey much easier.