Closed (Endonasal) Approach

A closed rhinoplasty involves making all incisions inside the nose. The surgeon works through these internal incisions to access and reshape the nasal bones, cartilage, and tissues. It is important to note that a closed approach does not necessarily mean an alternative approach to open since each technique addresses different issues and offers varied benefits.

Suitability

This technique can address various aspects of the nose such as the nasal tip, dorsum, nasal septum, and width. Closed rhinoplasty is typically suitable for patients requiring minor to moderate alterations to the nasal structure, particularly when the nasal tip does not require significant modification. It can address issues such as nasal bridge augmentation, narrowing of the nostrils, and correction of minor asymmetries. Various techniques can be employed in closed rhinoplasty, including dorsal hump reduction, nasal tip refinement, septoplasty (straightening the nasal septum), and narrowing or widening of the nasal bones.

Benefits

• No visible scars due to hidden incisions

• Reduced swelling

• Faster recovery

• Less post-operative nasal numbness

• Preservation of nasal support

• Option (sometimes) for fear of external incision

• Less disruption to nasal tissues