Introduction
Rhinoplasty—often called a “nose job”—is a surgical approach to reshape and refine your nasal profile. Closed rhinoplasty is a scarless technique (incisions inside the nostrils) used to balance facial aesthetics and, when needed, improve nasal function by addressing breathing difficulties.
Among the various techniques, closed rhinoplasty has gained popularity for its minimally invasive approach and excellent outcomes. In this guide by Dr. Milan Doshi, learn what closed rhinoplasty is and whether it’s right for you.
What Is Closed Rhinoplasty?
Closed (endonasal) rhinoplasty is performed through small incisions placed entirely inside the nostrils—so there are no visible external scars. Unlike open rhinoplasty (which adds a small external incision across the columella), the closed approach keeps all cuts internal.
Synonyms: Endonasal rhinoplasty, minimal-incision rhinoplasty, scarless rhinoplasty, internal rhinoplasty, closed-approach rhinoplasty, internal approach rhinoplasty, intranasal rhinoplasty, hidden-incision rhinoplasty, concealed-approach rhinoplasty.
Why Is Closed Rhinoplasty Performed?
- Refining the nasal tip
- Correcting a dorsal hump
- Narrowing the nasal bridge
- Addressing breathing issues caused by structural irregularities (in selected cases)
What to Expect from Closed Rhinoplasty
Consultation & Planning
- Detailed evaluation of nasal structure and facial proportions
- Goal setting; imaging may be used to preview likely outcomes
Surgical Process
- Performed under local or general anesthesia
- Small internal incisions allow access to bone and cartilage
- Reshaping by removing, adding, and/or repositioning tissues
- Incisions closed with dissolvable stitches
Recovery Timeline
- Nasal splint typically worn for 5–7 days
- Bruising and swelling reduce within 1–2 weeks
- Subtle refinements continue as swelling settles (up to 12 months)
Benefits of Closed Rhinoplasty
- No external scars: All incisions hidden inside the nostrils.
- Reduced swelling & faster recovery: Less soft-tissue disruption than open approach.
- Preservation of nasal structure: Precise adjustments while maintaining cartilage/skin integrity.
- Usually shorter operative time: Can mean less anesthesia time.
Closed Rhinoplasty: Risks & Complications
- Swelling and bruising
- Nasal asymmetry
- Breathing difficulties
- Infection
- Numbness or temporary sensation changes
- Over- or under-correction
- Hematoma
- Delayed healing
Is Closed Rhinoplasty Right for You?
Closed rhinoplasty suits patients seeking cosmetic or functional improvements without extensive structural changes. Your surgeon will assess nasal anatomy and recommend the best approach.
At Allure Medspa, our team led by Dr. Milan Doshi tailors rhinoplasty to your aesthetic and functional needs, combining advanced techniques, patient-centered planning, and state-of-the-art care for natural, harmonious results.
Limitations of Closed Rhinoplasty
- Severe nasal deformities
- Complex revision cases after prior rhinoplasty
- Scenarios requiring extensive structural reconstruction
Open vs Closed Rhinoplasty (Quick Comparison)
| Aspect | Closed Rhinoplasty | Open Rhinoplasty |
|---|---|---|
| Incisions / Scars | All inside nostrils; no external scar | Small external incision on columella; fine visible scar that fades |
| Surgical Access | More limited access; best for less complex corrections | Full exposure; best for complex corrections and revisions |
| Tissue Disruption | Less disruption; typically less swelling | More soft-tissue elevation; can mean more swelling |
| Recovery | Often faster | May be longer depending on extent |
| Operative Time | Usually shorter | Often longer for complex work |
| Typical Use | Minor–moderate adjustments (e.g., modest hump smoothing, tip refinement) | Major structural changes, asymmetry correction, complex revisions |
| Aesthetic Style | Subtle, natural refinements | Allows precise plus potentially more dramatic changes |
Conclusion
Closed rhinoplasty offers a minimally invasive path to refine nasal aesthetics and address select functional issues—without external scars. It’s an excellent choice for patients seeking subtle, natural results with quicker recovery. For more complex needs, an open approach may be recommended.
At Allure Medspa, Dr. Milan Doshi and team provide personalized planning and precise technique to enhance both appearance and confidence. Considering rhinoplasty? Book a consultation to explore the best approach for your goals.
