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Closed rhinoplasty is often referred to as “scarless rhinoplasty,” as the revisions made to the nose structure are achieved by accessing the nose from within the nostrils. This approach may be used when less comprehensive alterations are needed.

What is closed rhinoplasty?

Closed rhinoplasty, or “endonasal rhinoplasty,” is performed through incisions placed within the nostrils. This technique is ideal for patients who need nose tip reshaping or minor changes to the nose bridge, such as removing a hump on the bridge. This surgical technique involves accessing the nose structure through incisions placed within the nostrils and does not leave a visible scar. 

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Am I a candidate for a closed rhinoplasty?

Closed rhinoplasty can be performed if you have any of the following nose shape issues you want to alter:

  • Bulbous nose tip
  • Nostril structure is wide
  • Nose shape needs refinement rather than comprehensive reshaping
  • Nasal bones need to be subtly narrowed
  • Nose bridge has a hump that needs to be reduced
  • Nose is asymmetrical
  • Nasal tip requires resculpting

What is the closed rhinoplasty procedure?

The closed rhinoplasty procedure involves anesthesia, local with intravenous sedation, or general. Once the patient is comfortable, incisions are placed within the nose to access cartilage and bone and reshape specific areas, such as the nose bridge or tip. This approach is less invasive, faster, and typically involves a shorter recovery time. Not all plastic surgeons are experts with this surgical approach and prefer to use the open rhinoplasty technique. It requires a rare level of surgical skill to perform a closed rhinoplasty, which you will find at Eisemann Plastic Surgery in Houston.

What to expect – your journey to facial balance

At Eisemann Plastic Surgery, we do all we can to make your journey positive and comfortable. Our plastic surgeons are extremely talented and genuinely care about their patients. 

You will arrive for your surgery, and anesthesia will be administered. You will not experience any pain during the procedure. The incisions will be placed within each nostril, and the bone and cartilage reshaped to achieve the changes you envision. The incision sites are closed with dissolvable sutures, the nose is protected with a dressing, and the surgery is complete. The entire procedure takes about one to two hours, based on the extent of the changes you desire for your nose shape.

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The recovery after closed rhinoplasty

After your rhinoplasty, you are free to return home, driven by another adult. On the first day, you will want to rest and should ensure your head is elevated on a wedge or extra pillows. You can expect some swelling and bruising, which fades in about one week, but this can vary. The tissues need time to settle, and any irregularities generally disappear as the swelling subsides. You will be asked to avoid any vigorous physical activities during healing but should take walks daily to stimulate blood circulation and speed healing. Within about four weeks, the swelling has diminished to the degree that your new nose shape can be enjoyed, shown off, and presented to the world. The results continue to improve in the following months as any residual swelling fades.

Why choose Eisemann Plastic Surgery in Houston for a “scarless rhinoplasty?”

Rhinoplasty performed with the closed technique requires exceptional skills. Our triple board-certified plastic surgeon, Dr. Michael Eisemann is a leader in his field and serves as an Assistant Clinical Professor in Plastic Surgery at Baylor College of Medicine and Assistant Clinical Professor of Otolaryngology at the University of Texas Medical School in Houston. He is known for his outstanding skills, honesty, integrity, and exceptional outcomes.

Dr. Bradley Eisemann is a board-certified plastic and reconstructive surgeon who has completed fellowship training in craniofacial surgery. When you are under the care of the medical team and support staff at Eisemann Plastic Surgery, you can trust that your closed rhinoplasty will be performed by a leading surgeon who uses the most advanced techniques for elegant, refined surgical results.

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Closed Rhinoplasty

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