Closed Rhinoplasty

There are many techniques and procedures that are used in a Rhinoplasty procedure to bring about the changes that the patient desires and are absolutely need. When it comes to approaches, there are two main approaches, closed rhinoplasty and open rhinoplasty. Closed Rhinoplasty is also known as endonasal rhinoplasty. Open Rhinoplasty gained popularity in recent years and before that rhinoplasty mean closed Rhinoplasty.

There are many reasons for which a patient might seek Rhinoplasty. But the surgeon should not be choose because of the approach rather it should be the surgeon’s decision which procedure he or she wants to use. Only the surgeon can decide whether to use open or closed approach depending on the patient’s profile and expectations.

Advantages of Closed Rhinoplasty

As it is obvious from the name closed Rhinoplasty means that the nose is not actually opened and the entire procedure is done from the inside. In both kinds of rhinoplasties the principals are the same but it is the approach that makes the different. Some common advantages of Rhinoplasty performed with the endonasal approach are:

  • Very very decreased surgical cutting up. There are a number of incisions in both the procedures but in closed rhinoplasty the incisions are well hidden.
  • Vis a vis open rhinoplasty in closed rhinoplasty there are very less changes the tip will not be supported well
  • Reduced chances of disrupted blood supply which can result to edema
  • Minimal outward and overall scarring
  • Closed Rhinoplasty gives the surgeons the ability to make challenging changes at the instance
  • Targeted surgery can be done without taking the complete nose apart
  • There is no risk of external scarring
  • Closed Rhinoplasty takes shorter operative times
  • Changes can be felt immediately
  • Well accepted by older patients because of reduced risk of illness
  • Quick return to normal conditions

An expert surgeon can use either open or closed technique when performing rhinoplasty. A surgeon will do a thorough examination of the patient before deciding what type of approach to use. These examinations include a thorough understanding of the patient’s medical history. Analysis of the patient’s physical strengths and lifestyle choices is also done. A detailed examination of the nasal structure is done to determine the possibility of Rhinoplasty. The height and width of the nose, shape of the nostrils, symmetry of the nose and internal anatomy is taken into consideration when deciding for closed Rhinoplasty. The surgeon might also take the photographs of the patients to give them a correct knowledge of the nasal angles etc.

Generally Rhinoplasties can be performed on anybody who desires to change the appearance of their facial structure. However there are a few exceptions:

  • Unrealistic expectations of the patients can cause the surgeon to say to Rhinoplasty. Rhinoplasty aims to preserve the harmony of the face.
  • Patients who have had Rhinoplasty in last one year.
  • Poor health conditions which can lead to post-operative risks
  • Patients with too many rhinoplasties in the past
  • Cocaine users are not suitable patients for Rhinoplasty

Closed Rhinoplasty Procedure

The incisions are made inside the nostrils they are on the lining of the nostrils. The incisions are not visible outside at all. Incisions are made separately in both nostrils. The biggest disadvantage of close Rhinoplasty is that there is very limited visibility for the surgeon. Also the nasal skin is stretched a lot, which can lead to the distortion of nasal cartilage. If there are grafts to be placed they have to shaped to precision beforehand and then inserted inside the nose. The incisions are closed inside when the process is complete to the surgeon’s satisfaction. They take relatively less time to heal and the patient can get back to normal activity with ease.


About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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