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Procedure Name

Closed Rhinoplasty
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Surgery Type

Rhinoplasty
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Hospital Stay

Typically 1 to 2 days
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Duration of Surgery

Around 2 to 3 hours
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Type of Anaesthesia

General anesthesia
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Full Recovery

Usually within a few weeks

Overview

Rhinoplasty is one of the most popular types of cosmetic surgery that enhances the appearance of your nose. It is a plastic surgery that reshapes your nose by modifying the bone or the cartilage. Popularly known as a “nose job,” it is generally performed as an aesthetic rhinoplasty to improve how your nose looks or a medical rhinoplasty to improve breathing and nasal function. Rhinoplasty can effectively correct a deviated septum or a broken nose. There are two types of rhinoplasty- open and closed.

In this article, we will discuss the closed type of rhinoplasty, its indications, procedure, and complications associated with the surgery, while also exploring the significant differences between an open and closed rhinoplasty.

What is a Closed Rhinoplasty?

Closed rhinoplasty, also known as endonasal rhinoplasty, is a cosmetic procedure that helps alter the size and shape of your nose to enhance your overall appearance. It involves incisions (cuts) made inside the nostrils and the nose, with minimal scarring on the outside. It is a minimally invasive procedure with less swelling and bruising, quick recovery time, and minimal risk of visible scar when compared to open rhinoplasty. Closed rhinoplasty is typically used to reshape the tip of the nose, shorten the nose or it also aids in getting rid of a bump (dorsal hump).

When is a Closed Rhinoplasty Recommended?

Closed rhinoplasty finds its application for various aesthetic and medical reasons as well. It is indicated in the following conditions:

  • If the width and length of your nose are not proportionate to the rest of your face, closed rhinoplasty is performed to refine and slim down your nose to enhance the overall appearance of your face.
  • Closed rhinoplasty is effective for people with wide nasal bones, bulbous or droopy nose tips, and unequal nasal symmetry.
  • Inappropriate nose angle (the angle formed at a point where the nose and forehead meet, and from the nasion to the nose tip). This can make your nose look either short or long.
  • Corrects dorsal hump that is a common nasal defect, which is a cartilage and bone irregularity that can distort the appearance of your nose. 
  • Sometimes accidents, injuries, and birth defects can alter the shape of your nose, causing septal (thin cartilage that separates both the nostrils) deviations. This can lead to the narrowing of any one of the nostrils causing breathing problems.
  • Restoring breathing function that may occur due to any disease, fractures, cancer treatment, injuries or burns.

How is a Closed Rhinoplasty Performed?

Closed rhinoplasty is an in-patient procedure that requires hospitalization for 1 to 2 days, and is usually done under general anesthesia or local anesthesia with sedation. It involves the following steps:

Pre-procedure preparation

  • Before undergoing rhinoplasty, you will have a consultation with your surgeon to discuss your specific situation and the result that you desire.
  • Your doctor or nurse will take several photographs of your nose from different angles to determine the type of treatment you would require (whether surgical rhinoplasty or non-surgical fillers).
  • Your surgeon will record your medical history to rule out pre-existing diseases like diabetes (increased blood sugar levels), and hypertension (high blood pressure) that may delay healing.
  • Inform your surgeon about the medications and supplements being taken.
  • You will be advised to stop certain medications such as blood thinners (eg: aspirin) for at least 2 weeks before and after the surgery.
  • Smoking and alcohol can delay your healing process, hence it is best to avoid it 1 to 2 weeks before and after surgery. Clear instructions will be provided by your surgeon.
  • Arrange someone to drive you back home once you are discharged from the hospital. Also, arrange help during your recovery period and you will require rest.

During the procedure

  •  Your surgeon will administer general anesthesia, or local anesthesia with sedation.
  • Once you are sedated and numb, your surgeon will make small incisions or cuts inside your nostrils.
  • The skin is separated from the cartilage to expose the area to be corrected.
  • Your surgeon begins the process of reshaping the cartilage, removing or adding bone. 
  • A bone graft (artificial bone tissue taken from another part of your body) is used to add the bone.
  • The incisions are closed using stitches. 
  • The entire procedure takes around 1 to 2 hours. 

Post-procedure 

  • You will be given a cast or nose splint for 5 to 7 days which helps to support your nose while healing.
  • Rest the day of your surgery and the initial few days after going back home.
  • Sleep on your back with your head elevated above the level of your heart to prevent swelling due to the pooling of blood in your nose.
  • Your cast is removed after 7 days to reveal your new nose.
  • Avoid the following activities for atleast 2 weeks:
    • Strenous exercises
    • Swimming
    • Blowing your nose
    • Drinking alcohol
    • Excessive chewing 
    • Sleeping on your face.
  • Recovery takes around 2 to 3 weeks.

What are the Complications of a Closed Rhinoplasty?

Closed rhinoplasty is safe since it is a minimally invasive procedure with quick recovery and faster healing. However, closed rhinoplasty is also associated with certain complications 

  • Nosebleeds that could be due to the pooling of excess blood around the surgical site
  • A numb nose due to an injury to any nerve near the surgical site
  • A asymmetrical nose 
  • Breathing difficulties
  • Allergic reaction to anesthesia (nausea, dizziness, confusion, and shortness of breath)
  • Prolonged inflammation, bruising, and swelling
  • Septal perforation (a hole in the cartilage between the right and the left nostril)
  • Post-operative deformities requiring repeat surgery
  • A change in sense of smell

Open Rhinoplasty vs Closed Rhinoplasty

Parameters

Open Rhinoplasty

Closed Rhinoplasty

Procedure 

During an open procedure the surgeon can have easy and clear access to the and visibility of the surgical site, which increases the precision

Here the precision may be compromised since it involves access from inside the nostrils which hampers the surgeon's visibility of the surgical site

Incision 

The incisions are made on the exterior of your nose on the fleshy column between the nostrils

The incisions are made in the inside of the nose, on the cartilage that separates the two nostrils

Duration

Open rhinoplasty has longer operation time

Closed rhinoplasty has a shorter operation time

Scar 

Since the incisions are made outside the nose, the resulting scar is clearly visible

The scar is not visible since the cuts are made inside the nose

Recovery time

Since it is an invasive procedure involving a large incision, recovery is longer ( 3 to 4 weeks)

Recovery is shorter since it is a minimally invasive technique (2 to 3 weeks)

Why Choose Medfin?

Get treated by some of the best yet most experienced doctors in the country! Our team of Interventional radiologistsin Bangalore are 15+ years certified and trained surgeonsin Bangalore who have extensively treated Varicocele related problems for over a decade. Our surgeons suggest the most advanced surgical procedures that are painless, scarless, and ensure a speedy recovery. Think Surgery!! Think Medfin !!

The power of Medfin in patient’s words

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“ Got to know about them from my friend. They got an appointment for only 299. Once the doctor confirmed that I needed the surgery they got me a fixed cost which included ALL the costs. No extra amounts were charged. Thank you Medfin”

Suresh Menon Hyderabad 8 days ago
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“ After my consultation with the doctor, MEDFIN representative got me a fixed package cost that included my mothers initial tests, surgery cost. They also gave me stockings free for Rs. 3000 post the surgery. They kept up their promise they made”

Radhika Iyer Mumbai 8 days ago
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“ Thank you Medfin. They ensured the whole process from selecting a very experienced doctor to offering the latest procedure at a very reasonable price. They also arranged a follow up post my surgery with the doctor to ensure my recovery was on track. Thank you for being there throughout”

Deepa Shree Bangalore 8 days ago
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