Rhinoplasty is one of the most in-demand plastic surgeries in the world. It helps people not only improve the appearance of their nose but also restore its function in the case of congenital or acquired defects. One of the most gentle and modern techniques is known as closed rhinoplasty.

What is Closed Rhinoplasty?

Closed rhinoplasty is a type of nose surgery where all incisions are made inside the nasal passages, without external access. Unlike open rhinoplasty, where an incision is made across the columella (the strip of skin between the nostrils), the closed technique avoids external stitches and, consequently, visible scars.

This method requires a high level of surgical skill and experience, as it is performed through a limited view and space. However, when performed correctly, it provides excellent aesthetic results with less tissue trauma.

Who is a Good Candidate for Closed Rhinoplasty?

Closed rhinoplasty is ideal for patients who need:

• Removal or reduction of a nasal hump
  
• Narrowing of the nasal bridge
  
• Refinement and/or projection change of the nasal tip
• Correction of mild asymmetries
• Improved breathing due to functional issues (e.g., deviated septum)

It may also be used in revision surgeries, but in most cases involving major deformities, open rhinoplasty is preferred.

Advantages of Closed Rhinoplasty

• • No visible scars. Since all incisions are inside the nose, there are no external marks after surgery.
    
  • Faster recovery. Patients usually experience less swelling and bruising, and the recovery period is shorter.
    
  • Less trauma. The technique is less invasive, reducing the risk of damage to blood vessels and nerves.
    
  • Minimal risk of structural changes. More internal support structures and ligaments are preserved, resulting in long-term stability of the nose shape.
    
  • Convenience for the patient. The nose regains a natural look more quickly, allowing the patient to return to daily life sooner.

Limitations and Drawbacks

Despite its many benefits, closed rhinoplasty isn’t suitable for everyone. The main limitations include:

• • Limited visibility for the surgeon. This makes complex procedures, such as major reconstructions, more difficult.
    
  • Not suitable for severe deformities. In cases requiring major changes to the bone or cartilage structure, open rhinoplasty is preferred.
    
• Requires advanced skill. The surgeon must have extensive experience and the ability to operate with limited visibility.

How the Procedure is Performed

Closed rhinoplasty is performed under general anesthesia and typically lasts 1 to 3 hours, depending on the complexity. The surgeon makes internal incisions, lifts the soft tissue off the nasal bone and cartilage framework, and performs necessary corrections:

• Removal or shaving of bony structures
  
• Reshaping of the nasal tip cartilage
  
• Straightening of the septum
  
• Correction of asymmetries
  

Once all adjustments are complete, the mucosa is sutured, internal splints or tampons are placed, and a cast is applied to the nasal bridge to maintain the new shape.

Conclusion

Closed rhinoplasty is an effective and gentle way to reshape the nose without external incisions or scars. It’s ideal for patients seeking a refined appearance with minimal intervention and a fast recovery. The most important factor is choosing an experienced specialist who can accurately assess your case and determine the most appropriate technique.

If you’re considering rhinoplasty, don’t rush the decision. Educate yourself, consult with several surgeons, and make a well-informed choice. The outcome will reward you not only with a new look but also with renewed confidence.