Who can benefit from closed rhinoplasty?

Closed rhinoplasty is a surgical technique that involves making incisions inside a patient's nose, without any external visible scars. It is well-suited for correcting issues such as a bulbous nasal tip, wide nasal bones, a dorsal hump, and other specific nasal defects. However, for cases that require extensive nose revision or reconstruction, scarless nose surgery is typically not recommended as it may not provide the desired outcomes.

Pros and Cons Of The Closed Rhinoplasty

Closed rhinoplasty offers several indisputable advantages over open rhinoplasty:

• Less invasive procedure compared to open rhinoplasty.
• Absence of any visible scars since all incisions are made inside the nose.
• Reduced swelling during the recovery period.
• No need to remove stitches as self-absorbable sutures are used.
• Shorter recovery time compared to open rhinoplasty.

However, closed rhinoplasty also has its limitations and drawbacks:

• It is considered an almost blind operation, which requires the surgeon to be highly experienced and skilled.
• It may not be suitable for addressing all types of nose problems, and certain complex cases may require an open rhinoplasty approach.
• Achieving symmetry of stitched arches can be challenging, especially in patients with thick skin.

Ultimately, the choice of rhinoplasty technique is a decision that should be made by the surgeon based on the individual patient's unique anatomy and specific nasal concerns.

Recovery after closed rhinoplasty 

Recovery after closed rhinoplasty may not differ significantly from open rhinoplasty, but it can be shorter. Following the procedure, you will receive specific instructions to prevent complications and aid in the healing process.

During the first week, a nasal splint will be worn, and once removed, you should notice reduced swelling and bruising. Swelling will gradually disappear over six months, becoming less noticeable. Some black and blue discoloration under the eyelids is normal and will fade after two weeks. While you can return to daily activities in two to three weeks, exercise may need to wait up to six weeks.

Avoid wearing eyeglasses for three weeks, as their pressure can affect the changes made to the nose.

The final shape of your nose may become apparent after one year, as it takes time for all the tissues to settle and for the nose to achieve its desired appearance. Patience and adherence to post-operative guidelines are essential for optimal results.