Yaseen khan
Rhinoplasty, often referred to as a “nose job,” is a surgical procedure aimed at reshaping the nose to enhance its appearance and function. One of the main surgical techniques for rhinoplasty is the closed technique, also called closed rhinoplasty.
What is a Closed Nose Job (Closed Rhinoplasty)?
All incisions of a closed rhinoplasty are placed internally, which simply means there would be no trace of scarring externally. So it is actually popular with all those who abhor the concept of scars. This technique actually makes its way into the inner side of the nose for accessing its cartilage and bone structure inside.
Reshaping the Nasal Structures: The surgeon reshapes the nasal structures through these internal incisions. This may include the following:
Reduction of cartilage: Removal of excess cartilage to reshape the tip or bridge of the nose.
Cartilage reshaping: Sculpting and repositioning existing cartilage to reshape and support the nose.
Adding cartilage grafts: In some instances, cartilage grafts may be taken from other parts of the body (such as the septum or ear) to provide support and shape the nasal tip.
Closing the Incisions: Once the desired changes have been made, the incisions within the nostrils are carefully closed with sutures.
Advantages of Closed Rhinoplasty
There will be minimal to no scarring: Since incisions are made only inside the nose, the results of closed rhinoplasty have no outside scars on the nose.
Closed rhinoplasty is normally associated with minimal tissue disruption when compared to the open rhinoplasty approach; hence, its recovery time and post-operative pain may be lesser.
Less Swelling and Bruising: Generally, more associated with minimal postoperative swelling and bruising compared to the open approach.
Ideal for Minor Adjustments: Most appropriate for those with less severe nasal problems, including:
Bumps: Minimal irregularities at the bridge of the nose.
Deviations: Minimal displacements in the nasal septum.
Tip adjustment: Minimal modifications in the form or size of the nasal tip.
Disadvantages of Closed Rhinoplasty
Limited Visibility: The internal incisions provide very limited access to the nasal structures, which might make it challenging for the surgeon to:
See and manipulate the nasal structures: This can be a limitation in complex cases where significant structural changes are required, like major hump reduction or major tip revisions.
Achieve very precise and subtle refinements: Some subtle refinements may not be possible to achieve with very limited visibility.
Less Predictable Outcomes: Since the visibility is limited, the surgeon may have less control over the precise shaping and refinement of the nasal structures, and thus the outcomes may not be as predictable as with the open approach.
Not Appropriate for All Patients: Closed rhinoplasty is not appropriate for patients with:
Complex nasal deformities: Such as significant deviations, large humps, severe asymmetry, or previous nasal surgeries.
Revision rhinoplasty: Revision rhinoplasties usually require greater access to the nasal structures, and thus the open approach is better suited.
Ideal Candidates for Closed Rhinoplasty
Patients with minor nasal concerns: This category includes the ones with minor bumps, slight deviations, and minor tip refinement are generally the ideal candidates.
Patients with minimal chance of complication: Patients who have healthy nasal structure and do not have history of nasal trauma and previous surgery will be relatively easier to manage by closed rhinoplasty.
Those who seek to have the minimum scar appearance: People are anxious about scarring and thus they prefer an invisible procedure. How to Choose Your Surgeon
Experience: Consult a board certified plastic surgeon, who is more experienced in the open as well as in closed rhinoplasty.
Communication: Share your goals and concerns to the surgeon in order to determine whether closed rhinoplasty is a right option for you.
Consultation: Meet with the surgeon to discuss your own personal needs and expectations during your consultation.
Closed Rhinoplasty vs Open Rhinoplasty
| Feature | Closed Rhinoplasty | Open Rhinoplasty |
| Incisions | Internal incisions within the nostrils | Small incision across the columella (the strip of tissue between the nostrils |
| Scarring | No visible external scars | Small, usually inconspicuous scar along the columella |
| Visibility | Limited access to nasal structures | Excellent access to nasal structures |
| Suitability | Minor corrections, less complex cases | Complex cases, revision rhinoplasty, significant structural changes |
Conclusion
Closed rhinoplasty is a minimally invasive technique for rhinoplasty with the great advantage of no visible external scar. However, it is not ideal for all patients, especially those with complex nasal deformities or requiring significant structural changes.
It is crucial to consult with a qualified and experienced plastic surgeon to determine the most appropriate approach for your individual needs and goals. The surgeon will carefully assess your specific concerns, evaluate your nasal anatomy, and discuss the potential risks and benefits of each approach before recommending the best course of action.
ReadMore: The Top Ten Plastic Surgery Specialists in California
