Closed Rhinoplasty in Istanbul, Turkey

The incisions for a closed rhinoplasty, also known as an endonasal rhinoplasty, are made inside the nose.

By using this method, there will be no visible scar, which is typically seen when an open rhinoplasty is performed.

Depending on how the conversation with your doctor goes and what ultimate result you want, the doctor will decide whether the treatment will be done as an open rhinoplasty or a closed rhinoplasty.

So, it can be seen that closed rhinoplasties require the surgeon to be highly skilled with working in limited visibility and small spaces.

On the other hand, it can be said that closed rhinoplasties are performed as an alternative to open rhinoplasties. The reason for this is, in closed rhinoplasty, incisions on the nasal membrane are performed in various areas to reach various elements of the nose framework instead of exposing the nasal structure, which means the bone will not be broken.

As a consequence, patients will benefit from shorter recovery times and non-visible scars by not opening their noses.

On the other hand, while there is some debate over whether the surgical method is best, there are a few advantages to a closed rhinoplasty that patients may want to explore.

Such as;

• No noticeable external scar
• Less post-operative tip swelling
• Better nasal tip support
• Shorter operating time and thus less anesthesia
• Return to more normal appearance much sooner

In conclusion, it can be said that a closed rhinoplasty is performed to improve facial harmony by modifying the shape, size, or angle of the nose, while it can also be utilized to correct breathing issues caused by nasal abnormalities.

Quick Facts

What is Closed Rhinoplasty?

Closed rhinoplasty, also known as endonasal rhinoplasty, is performed by concealing all incisions within the nostrils. General anesthesia or twilight sedation are employed in this approach. So, it is a technique that tries to change the appearance of your nose if you are unhappy with it.

People have this surgery to fix the size and proportion of their noses and features; the bridge of the nose has a hump that seems excessively large for their face. In some occasions, people do not want this operation for pleasure or cosmetic purposes, they need it. For instance, because a little part of their noses is not appropriate, they may have breathing issues.

To summarize, closed rhinoplasty is a scarless and painless procedure that can be used to improve the appearance of your face. Nonetheless, you should conduct thorough research to select the best clinic with a successful surgeon, as it is a delicate operation that only experienced plastic surgeons can perform.

Procedure

Rhinoplasty, often known as a nasal augmentation or nose job, is a surgical treatment that alters the form, size, and appearance of the nose and nostrils. Nevertheless, there is not only one type of the surgery. Surgeons have been using several methods to achieve the main goal, change the size, volume, and appearance of the nose.

One technique of rhinoplasty is closed rhinoplasty. In this type of nose job that surgeon makes separate surgical openings in the left and right nostrils to, in general anesthesia, operate on the mucosa within the two nostrils. It may cost a little bit more when it is compared to other kinds of rhinoplasty, nevertheless, this method is scar-free and risk-free. So, it is less invasive on your well-being.

Advantages of closed rhinoplasty;

• It does not change the natural characteristics of the nose and instead only refines and enhances the patients’ present anatomy.
• This method allows for nose refinement without causing severe changes, resulting in a contoured version of the patient’s natural nose.
• There is less visible evidence of surgery.
• No exterior cuts or scars are left after the surgery.
• Short recovery period.
• Brand-new appearance.

To sum up, the patients who do not want an extremely surgical appearance that reveals to their family or peers that they have had a rhinoplasty generally prefer this kind of rhinoplasty technique. Also, it may give you the best results for good. If you are considering getting closed rhinoplasty, you should know that it corrects common cosmetic nasal difficulties such as a bulbous tip, a dorsal hump, and other cosmetic nasal flaws. As a result, it could be the ideal alternative for you!

Closed Rhinoplasty Recovery Timeline 

All incisions in a closed rhinoplasty procedure are made inside the nose, leaving no visible scars. Corrections to the nasal cartilage, bone, and septum are all accomplished through the small incisions in the nose. Closed rhinoplasty gives the added benefit of a quicker recovery time.

Closed rhinoplasty can also be performed to correct breathing issues caused by nasal abnormalities.

Here’s how long it takes to recuperate after a closed rhinoplasty and what to expect after the surgery.

Recovery Timeline

Closed rhinoplasty has a shorter recovery time than open rhinoplasty. However, the initial healing time for both treatments is typically 1-2 weeks. Most patients heal in 7 days, and the splint can generally be removed on the 5th or 6th day.

Bruising and swelling will persist for 1 to 2 weeks following surgery, but in most cases, it will be entirely gone in about a week. This is because the skin is not moved around as much as with open rhinoplasty, so don’t worry, the swelling will be less severe.

The first 5 days in recovery you’ll be wearing a splint to keep your nose fixed in its place to heal probably, keep your head elevated with pillows you going to sleep in this period you should avoid any type of strenuous activities which goes without saying, however, don’t worry you will eventually be able to play a contact sport like basketball and other sport when your body is ready. 

The third week, on the other hand, will be significantly easier, with your nasal bridge swelling fully gone and you able to resume normal activities.

And in six weeks, your bones will be stable, you will be able to resume resistance workouts (weight lifting), you will be able to wear glasses, and you will be able to blow your nose normally.

What to expect after the surgery 

When compared to open rhinoplasty, a closed rhinoplasty causes less stress to the nose, resulting in faster recovery times. The majority of patients can resume normal daily activities 2-3 days after surgery and return to work in 5-7 days. After the nasal cast is removed, there is usually minimal swelling or bruising, and the procedure is usually undetectable.

Another important aspect of the rhinoplasty recovery phase, whether it’s an open or closed procedure, is that you won’t be able to blow your nose for the first two weeks. Although this should go without saying, your doctor will remind you that straining your nose can cause bleeding, which means you’ll have to start the recovery process all over again.

Closed rhinoplasty has a shorter recovery time than open rhinoplasty. However, the initial healing time for both treatments is typically 1-2 weeks. Most patients heal in 7 days, and the splint can generally be removed on the 5th or 6th day.

Closed rhinoplasty is not indicated for revision rhinoplasties or candidates under the age of 18 unless the need for surgery is due to an accident; however, each case must be evaluated individually.

Risks and Side Effects

Closed rhinoplasties are an option to open rhinoplasties. In this procedure, a cut is made in the nasal membrane in several areas to reach different portions of the nose frame, rather than revealing the nasal bone. Every surgical procedure has the potential for problems, including a closed nose-job. For closed rhinoplasty, here are the possible complications:

• An allergic experience in some individuals because of anesthesia
• Nausea
• Bloody noses
• Scars
• Edema
• Breaking of capillaries on the top layer of the skin
• Irreversible nerve damage
• Inadequate or excessive treatment that demands revision rhinoplasty
• Asymmetries or unpleasant outcome
• A reduction of feeling across the nose

What’s the Difference between Traditional and Closed Rhinoplasty?

A typical rhinoplasty treatment involves the removal of all of the nose’s cartilage. To develop a visibly symmetrical new nose that fits a client’s face, numerous nose modifications are nearly usually required. For example, you may have a hump on your nasal bridge; yet, simply removing the bulge may cause something else to get out of line. Your surgeon can also straighten your nose or make your nostrils smaller during a classic rhinoplasty to ensure that the end outcome is exactly proportional. Traditional rhinoplasties can also help with allergies or breathing problems by correcting badly deviated septums or reducing enlarged nasal filtering structures.

On the other hand, as an alternative to open or traditional rhinoplasties, closed rhinoplasties are performed. In this technique, instead of exposing the nasal structure, different incisions on the nasal membrane are made to access specific components of the nose architecture. Patients benefit from quicker recovery times and non-visible scars by not opening their noses. Whatever your objectives are, whether ethnic rhinoplasty or nose rejuvenation, a closed method is most certainly an option.

So, as you can see the differences between the traditional and closed rhinoplasty are;

• The recovery period. The recovery period for a closed nose operation is usually one to two weeks, although a standard nose job may take longer.
• Closed rhinoplasty allows you to have your nose job done without leaving a scar, whereas standard rhinoplasty has a tiny risk of leaving a scar.
• A nasal splint is often removed five to six days following a closed rhinoplasty treatment, but standard rhinoplasty takes at least two weeks to remove the splint.
• Post-rhinoplasty bruising and swelling are usually mild after the closed rhinoplasty.

In conclusion, although there are some differences, one is not superior to the other. All you need to have reasonable expectations and meticulous research to choose the best doctor or clinic.

How much does Closed Rhinoplasty cost in Europe?

The costs of a closed rhinoplasty may vary depending on the following factors;

• Surgeons Level of Expertise
• Difficulty of Surgery
• Primary or Revision Surgery
• Need for Cartilage Grafting
• Surgical Facility
• Geographic Location

However, this does not rule out the possibility of an average cost. In Europe, closed rhinoplasty costs start from;

• $16000 in United Kingdom
• $10700 in Germany.

To sum up, as it is valid for nearly all the operations, all you need is meticulous research and to have reasonable expectations. Also, keep in mind that the most important thing is to be aware of your overall health. For example, if you do not have bleeding or infection problems, you may choose open rhinoplasty; but, if you have at least one problem in your general health, you should choose closed rhinoplasty in order to achieve the best possible health recovery and benefit.

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FAQ

Does Health Insurance Cover Closed Rhinoplasty?

If you’re planning to get a closed rhinoplasty, you may wonder whether your insurance covers it.

Closed rhinoplasty operations are often classified optional operation and are not funded by the insurance. If there is a technical or clinical element to the operation, such as a respiratory problem, that element of the operation may be paid by an individual’s insurance policy, especially if breathing problems caused by structural damage or an abnormality are fixed.

Is closed rhinoplasty better than open?

Many doctors perceive Closed Rhinoplasty to be significantly less traumatic than Open Rhinoplasty since the essential surgical cuts are made within the nostrils. The operation is usually completed faster than an open rhinoplasty, and the recuperation period is frequently reduced.

In a closed rhinoplasty, do surgeons crush your nose?

The fractures in your nose really aren’t damaged during this operation; instead, they are sliced and restored in some instances to obtain the desired outcome. Because each nose operation is customized to a patient’s structure and personal desires, some people don’t undergo any “crushing.”

Does closed rhinoplasty last forever?

Closed rhinoplasty outcomes are meant to last a lifetime, but different aspects influence how much a person can keep his or her nose operation outcomes. Nasal sagging or fall may result if a doctor extracts tissue excessively throughout a nose surgery.

References:

https://academic.oup.com/asj/article/26/4/456/177909