Closed Rhinoplasty

Rhinoplasty (commonly referred to as a nose job) is still one of the most popular cosmetic treatments in the UK. While rhinoplasty looks at restructuring and reshaping your nose to your desired requirements, closed rhinoplasty achieves the same outcome but is aimed at patients who require nasal bridge modifications. Also, with closed rhinoplasty, the incisions are hidden within the patient's nose (the majority of the procedure is performed from inside the nostrils).

What Can Closed Rhinoplasty Treat?

Closed rhinoplasty procedures differ from traditional (open) rhinoplasty in that the procedure focuses on operating from within the patient’s nostrils. Incisions are hidden inside the nose to minimise scarring. Closed rhinoplasty procedures benefit patients who require nasal bridge reshaping. Some of the benefits of closed rhinoplasty are:

  • Reshaping the nose in relation to facial symmetry
  • Nose width, bridge and nostrils can be reshaped
  • Bumps and depressions can easily be minimised
  • No visible scarring
  • Shorter recovery period (and less bruising and swelling)

Choosing Open or Closed Rhinoplasty Surgery?

The decision between both procedures depends on your specific requirements. Neither procedure is ‘better’ than the other. During your consultation, your consultant will explain both procedures and together you will decide which is more appropriate for your requirements.

How Long does Closed Rhinoplasty Take?

While procedures differ from patient to patient, your closed rhinoplasty procedure should take between 2-3 hours. If you require extensive work, your procedure may take slightly longer. Once the procedure has been completed, the healing process is usually swift and followed by some minimal discomfort.

Rhinoplasty Recovery

Once your surgery is complete, it’s not uncommon to feel some minor discomfort around the nose, cheeks and eyes area. Closed rhinoplasty yields a faster recovery time than open rhinoplasty because the procedure is performed from within the nose and only using small incisions. You can expect any minor bruising and discomfort to completely subside after just one week (for closed procedures). Your consultant will advise you on when your nose splint can be removed, but in most cases, it’s removed after five days.

You can return to work a week after surgery and you will be able to wear concealer to mask any minor bruising if you so desire.

While initial recovery is very fast, it’s essential you do not bump your head or nose after your procedure. Any contact sports must be avoided at all costs for up to three months (unless advised by your consultant). If you do suffer a knock to your nose, you must inform your consultant immediately as this may hinder the healing process.

Sleeping Upright After Rhinoplasty Surgery

It’s advised that you try and sleep upright for up to one week after your procedure. This is simply to help stop your turning onto your nose while you sleep. Doing this will also help reduce swelling and any minor bleeding due to turning onto your nose. Sleeping upright with two pillows should ensure a safe and swift recovery.

Rhinoplasty Care After Surgery

It’s strongly advised that your arrange for someone to pick you up after your nose job procedure and someone to monitor your recovery process immediately after surgery. Your consultant will hand you an aftercare guide tailored to your specific requirements before you leave our care. The aftercare package demonstrates helpful aids to speed up your recovery process, and it’s essential you follow this handbook.

Plastic Surgeons for Rhinoplasty

At The McIndoe Centre, choosing your consultant couldn’t be easier. Our consultants offer a 1-to-1 consultation process where you will be able to ask any questions regarding your closed rhinoplasty procedure and learn about the procedure itself and your aftercare. You can find out more about our consultants by viewing our Consultants page.

This article was written by The McIndoe Centre, in collaboration with Siva Kumar MBBS BMed.Sci(Hons) MRCS MBA FRCS(Plast.), Consultant Plastic, Burns & Reconstructive Surgeon.

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