Closed Rhinoplasty Surgery

What is a Closed Rhinoplasty?

Closed rhinoplasty is a refined surgical technique used to reshape the nose through incisions made inside the nostrils. Unlike open rhinoplasty, which requires a small external incision across the columella, the closed approach is performed without any visible scarring. At his practice in Phoenix, Arizona, Dr. Christian Paquet specializes in closed rhinoplasty for patients seeking both cosmetic enhancement and improved nasal function using a less invasive method. This technique is often ideal for those who desire subtle to moderate refinements and want to minimize visible scarring after surgery.

By performing all incisions internally, Dr. Paquet is able to make precise adjustments to the nasal bones and cartilage while preserving the integrity of the nasal skin. This not only helps in achieving natural-looking results but also reduces the risk of long-term swelling and scar tissue formation. Whether the goal is aesthetic improvement or functional restoration, closed rhinoplasty is a safe and effective option for the right candidate.

Am I a Candidate for Closed Rhinoplasty?

Ideal candidates for closed rhinoplasty plastic surgery typically require mild to moderate adjustments to the nasal shape and have no history of previous nasal surgeries or significant trauma. This surgical method is often recommended for patients looking to refine the bridge of the nose, adjust the nasal tip, narrow the nostrils, or correct minor asymmetries. It is also appropriate for individuals experiencing certain breathing difficulties due to internal nasal obstructions, provided these can be addressed without external access.

You may be a good candidate if you are in overall good health, a non-smoker, and have realistic expectations about your surgical outcome. Skilled surgeon, Dr. Paquet conducts thorough in-person evaluations to examine the nasal anatomy, nose shape, nose structure, nose tip, nose bridge, and assess whether the closed approach will allow him to achieve your desired results. Patients with complex structural issues or those requiring significant tip support may be better suited for an open rhinoplasty approach, which experienced surgeon, Dr. Paquet can also perform with precision and care. Open and closed rhinoplasty surgery both serve different purposes, making it important that you schedule a consultation to see if open or closed rhinoplasty is right for you and your desired outcome.

Benefits of Closed Rhinoplasty

Closed rhinoplasty offers several key benefits, making it an appealing option for many patients. One benefit is the lack of an external scar, as all incisions are hidden inside the nostrils. Additionally, closed rhinoplasty requires a shorter operation and a faster recovery compared to the open technique. Because the skin is not lifted away from the nasal framework, there is less postoperative swelling, which allows patients to see results sooner and experience a more comfortable healing process.

Types of Closed Rhinoplasty

Dr. Paquet tailors each rhinoplasty procedure to the unique needs and goals of his patients. Closed rhinoplasty can address a wide range of concerns, both aesthetic and functional, and is not limited to one type of patient or outcome.

Cosmetic Closed Rhinoplasty

A cosmetic closed rhinoplasty focuses on improving the shape and symmetry of the nose to better complement the patient’s facial features. Common goals include refining a bulbous or droopy tip, straightening the nasal bridge, smoothing out a dorsal hump, or narrowing the nostrils. These adjustments can enhance facial harmony while preserving a natural appearance.

Functional Closed Rhinoplasty

In addition to cosmetic improvement, closed rhinoplasty can improve breathing and airflow. Dr. Paquet may correct issues such as a deviated septum or internal nasal valve collapse using internal incisions alone. Patients who suffer from chronic congestion, snoring, or sinus pressure may find relief from these symptoms with a functionally focused procedure.

Closed Revision Rhinoplasty

A revision closed rhinoplasty may be considered for patients who have undergone prior nasal surgery and are seeking minor corrections. Revision rhinoplasty surgery performed with the closed approach is typically only feasible when previous alterations were minimal, and the internal nasal support remains largely intact.

Before Your Closed Rhinoplasty Procedure

In preparation for your nose surgery, Dr. Paquet and his team will provide you with detailed pre-operative instructions. You will be advised to stop smoking several weeks before the procedure to support proper healing and to avoid medications or supplements that increase bleeding risk, such as aspirin, ibuprofen, and vitamin E. Alcohol should also be avoided in the days leading up to surgery. You must arrange for a caregiver to drive you home after your procedure and remain with you during the first 24 hours. You will also want to prepare your recovery area in advance with soft foods, cold compresses, entertainment, and any prescribed medications. On the morning of your closed surgery, arrive with a clean face free of makeup, moisturizers, or jewelry, and wear comfortable clothing.

The Closed Rhinoplasty Procedure

Closed rhinoplasty is performed under general anesthesia to ensure your comfort and safety. The surgery usually lasts between one and two hours, depending on the extent of the changes being made.

The Incisions

Board-certified plastic surgeon, Dr. Paquet, creates incisions inside the nostrils, allowing him to access and modify the nasal structures without cutting the skin externally. During the closed technique, this internal approach ensures that any reshaping is completely hidden, which is a major benefit for patients concerned about visible scarring.

Reshaping the Nasal Structure

Using specialized instruments, Dr. Paquet carefully sculpts the nasal bone and cartilage to achieve your desired nasal shape. Common adjustments during the surgical procedure may include smoothing out a bump on the bridge, refining the nasal tip, narrowing the nasal base, or improving septal alignment for better breathing.

Closing the Incisions

Once reshaping is complete, the incisions inside the nostrils are closed with dissolvable sutures. A lightweight splint is usually applied to the outside of the nose to help maintain its new shape and protect it during the initial healing period. Because the skin remains intact, external dressings are typically not needed unless additional support is required during the procedure.

After Your Closed Rhinoplasty Procedure

Patients are usually able to return home the same day from their closed nose job, with only mild to moderate swelling, bruising, and nasal congestion expected during the first week. Discomfort is typically managed with prescription medication and cold compresses, and Dr. Paquet will provide personalized instructions for nasal care, sleeping position, and activity restrictions.

Many individuals feel ready to return to work or school within seven to ten days, although strenuous exercise should be postponed for several weeks. While some changes are visible soon after surgery, your nose will continue to refine over the next several months as swelling gradually subsides. Dr. Paquet will schedule several follow-up appointments to monitor your progress and answer any questions you may have during recovery.

Schedule a Consultation for a Closed Rhinoplasty in Phoenix, AZ

Contact our office today by completing our online contact form to schedule your consultation with Dr. Paquet in Phoenix, AZ, and learn more about how closed rhinoplasty can help you achieve your goals.