Closed rhinoplasty is a technique used in nose-reshaping surgery in which all the incisions are made inside the nostrils, specifically along their inner lining, and thus allows the surgeon to access the bony and cartilaginous framework of the nose.
Unlike open rhinoplasty that uses external incision to cut the columella or wall of tissue between the nostrils, the closed technique eliminates the risk of visible scar.
Inland Empire plastic surgery expert Dr. Tarick Smiley says about 95 percent of his surgeries is performed via closed technique due to its number of benefits such as shorter social recovery, greater control over the final results, and less bleeding and scarring.
Meanwhile, he says the remaining 5 percent of his rhinoplastic patients need the open technique, which he generally reserves for individuals who require highly complex changes to their noses as it allows for better exposure of the nasal framework.
One of the most notable closed rhinoplasty benefits is the reduced bleeding and surgical trauma, which promotes quicker social recovery thanks to little amount of bruising and swelling. In fact, many patients have claimed they were able to go out in public within a week postop.
Since there is no incision across the columella, the blood supply to the skin is not disrupted. This results in less swelling and bruising and quicker healing compared with the open technique.
Contrary to popular belief, closed rhinoplasty does not make it harder to visualize the nose in its natural state. Dr. Smiley says the technique even allows him to see the “outside appearance of the nose” while concurrently “reshaping the underlying framework step-by-step.”
In open rhinoplasty, meanwhile, the skin is lifted and so the “outside” of the nose is not in its most natural state while the surgeon is reshaping its underlying framework, says Dr. Smiley in his previous Snapchat video.
“When you’re molding a piece of clay it is better that you see every subtle change in real time. This can help us achieve smoother results from rhinoplasty,” he further explained.