Closed Rhinoplasty

Closed Rhinoplasty

What is Closed Rhinoplasty?

The medical term rhinoplasty, which is a combination of the words rino (nose) and plasti (to give shape or form), means “shaping the nose” and “nose aesthetics”.

In rhinoplasty surgeries, which are known by the general name of rhinoplasty; Two different techniques are used as “Closed” and “Open”. In open rhinoplasty; The operation is performed by cutting the area between the nostrils in the shape of “Λ” at the tip of the nose. In closed rhinoplasty, the intervention is performed by entering through the nostrils without cutting the tip of the nose, and the incision procedures are performed completely inside the nose.

Although open rhinoplasty is more effortless in terms of surgical intervention due to its openness of vision, the scar left after surgery gives away the aesthetic surgery performed. Although closed rhinoplasty is a difficult technique, it does not leave any scars outside the nose due to the fact that the entire intervention is performed from inside the nose, and protects the vessels, nerves and ligaments coming to the tip of the nose.

Before rhinoplasty surgery, the patient’s image is taken and the planning of the intervention to be performed is made using two-dimensional simulations in the light of the patient’s demands and the doctor’s requirements. Although the duration varies according to the physiological problem in the nose and the planned changes, the operation is completed in approximately 3-4 hours. The operation is performed under general anaesthesia. After the intervention, the patient is discharged from the hospital on the same day or the next day, depending on the patient’s condition.

In Which Situations Should Nose Aesthetics Be Performed?

Rhinoplasty is a solution for people who are dissatisfied with the shape, appearance or size of their nose, but it is also a preferred surgical intervention method to improve the nasal functions of people with injuries and deformations or to provide healthy solutions to people with respiratory problems. The general purpose of the intervention is to renew the functionality and appearance of the nose, taking into account the facial structure, skin type and texture.

In general, the most common rhinoplasty requests are the elimination of breathing difficulties and the resulting sleep disorders, reduction of the size of the nose, shortening the length of the nose, correction of the size and shape of the nostrils, correction of the arched nose, correction of the asymmetrical appearance, reshaping of the tip of the nose.

Rhinoplasty surgeries performed as a result of aesthetic demands are mostly due to personal preferences. There are people who have a disproportionate and ugly nose according to general acceptance and are satisfied with their appearance, as well as people who want to have a different appearance despite having a normal-looking nose. As a result, rhinoplasty surgeries are common operations performed due to physiological health problems or personal preferences.

What is the Recovery Time After Closed Rhinoplasty?

Following discharge on the day of the operation or the following day, silicone splints are removed two or three days later. At the end of this period, a shower can be taken, washing only the body without wetting the head area. The splints placed on the nose are removed within a week and the tapes are attached. Normal showers can be taken during this period. The tapes are removed on the tenth day. In closed rhinoplasty; the stitches placed inside the nose fall out on their own within 15-20 days. You can swim in the pool or sea 15 days after the operation. Then the control process, which will be carried out by the doctor, begins.

There is no restriction on eating or drinking after the second day. On the tenth day, the tape and splints are removed and normal daily life is resumed and the patient can board a plane. As long as the bruising under the eyes or on the upper eyelids has not disappeared, do not go out in the sun, and if you have to, you should definitely use a hat. However, glasses should not be used for at least 2 months. This period may be extended to 6 months depending on the situation.

 

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Frequently Asked Questions

Is There an Age Limit for Rhinoplasty?

In young adults and teenagers who have not yet completed their physiological development, growth continues and the appearance and function of the nose may change with the growth of the face. In addition, since rhinoplasty surgeries are mostly performed under general anaesthesia, being exposed to this procedure at a young age is a great source of stress for both the child and the family. It is generally accepted that rhinoplasty surgeries should be performed after 15-16 years of age in girls and after 17-18 years of age in boys, except in emergency cases and when deemed necessary by the doctor.

How Much Does Closed Rhinoplasty Cost?

Since each case and situation requires a separate diagnosis and treatment, it is not possible to give general information about the price of closed rhinoplasty. If you have difficulty breathing due to your nose, have structural problems, or are unhappy with the appearance of your nose, you can reach us using our contact information.

Is Closed Rhinoplasty Painful?

Since closed rhinoplasty is performed under general anesthesia, no pain is felt during the surgery. In the postoperative period, mild to moderate pain and discomfort may be experienced, but this can be easily managed with prescription painkillers. Most patients complain more about nasal congestion and a feeling of pressure rather than pain. Generally, the first 2-3 days are the most uncomfortable period, after which the discomfort rapidly decreases. Since there is less trauma compared to the open technique, the pain level also tends to be lower.

What Is the Recovery Process Like After Closed Rhinoplasty?

The recovery process after closed rhinoplasty is generally faster compared to the open technique. During the first week, swelling and bruising may be visible inside and around the nose. The cast or splint is removed after approximately 7-10 days. Most patients can return to their social lives within 1-2 weeks. The majority of the swelling subsides within the first 3-4 weeks, but it may take between 6 months to 1 year for the nose to achieve its final shape. The swelling at the nasal tip is the last area to resolve.

Is Closed Rhinoplasty Permanent?

Yes, the results of closed rhinoplasty are permanent. The changes made to the nasal bone and cartilage structure during surgery are preserved for a lifetime. However, it may take approximately 12-18 months for the nose to achieve its final shape. During this period, the swelling completely subsides and the tissues settle. Since natural changes in the facial structure may occur with the aging process, minimal differences in the appearance of the nose may also be observed over time. Revision surgery is rarely needed except in cases of trauma or accidents.
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Elad Azizli M.D. Answers Your Questions.

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