Closed Rhinoplasty: Procedure, Recovery, and Cost in 2025

Our perception of our nose's beauty is significantly influenced by its size, symmetry, shape, and placement in the face.

The way the nose looks is a source of confidence for many people, and this is why many people feel that it should be improved by any means.

If you're not quite satisfied with the way your nose looks, you could find a way to change it without leaving any visible scars.

To get that, you can consider closed rhinoplasty, which is a cosmetic treatment that involves making incisions inside the nose and nostrils.

If your nose is smaller and has little asymmetry, your surgeon can suggest this type of plastic procedure.

Since all incisions are done inside the nose, the close rhinoplasty and recovery time are significantly less than those of an open rhinoplasty.

Closed Rhinoplasty

Your surgeon will make all of the incisions inside your nostrils during a closed rhinoplasty, also known as an endonasal rhinoplasty. The bone and cartilage are either surgically removed or rebuilt

A closed nose rhinoplasty can minimize the nose's length, improve the nasal tip, or lessen a dorsal hump. However, other types of rhinoplasty exist to satisfy different preferences. 

Interestingly, the earliest technique for nose job was closed type, which goes back to the turn of the century.

However, open rhinoplasty gained popularity and preference later on, particularly in the 1990s.

In contrast to a more conventional open rhinoplasty, a closed rhinoplasty is usually performed to shorten the nose, reshape the tip of the nose, or remove a bump or dorsal hump.

The nose of the ideal candidate would be symmetrical, with the bump or tip receiving the majority of the reshaping.

With 180-degree incisions made a few millimeters below the nostril entry, this procedure provides access to the whole nasal skeleton, including the tip and rear of the nose.

It also makes it possible to address circumstances that can make it difficult to breathe via the nose. To know the difference between closed and open nose jobs, you can check: Open vs Closed Rhinoplasty: Benefits, Risks & Costs

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Closed Rhinoplasty Procedure

Under general anesthesia, a closed rhinoplasty surgery treatment usually takes one to two hours to finish. An outline of what occurs during closed rhinoplasty technique is as follows:

• Anesthesia: Your physician will provide general anesthetic to ensure your safety and comfort throughout the entire procedure.

• Incisions and reshaping: The surgeon will make tiny incisions within your nostrils to gain access to the interior nasal anatomy. Next, they will alter the nose's cartilage, membrane, or bones to assist you in achieving your objectives.

• Closure: Then, they will use sutures to seal the interior incision sites after making the required corrections.

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Open Rhinoplasty Procedure

An open rhinoplasty involves making incisions either through a tiny external cut at the base of the nose or within the nose, which is known also as a transnasal technique.

Because of this, they can precisely reshape the nose by lifting the skin away from the underlying bones and cartilage.

In some situations, grafts from other parts of your body or synthetic ones may be needed for extra support or augmentation.

During the open nose job, your surgeon can reshape the nose with more access and control while doing an open rhinoplasty.

An external rhytidectomy incision, sometimes referred to as an "open roof" incision, is made on either side of the skin between the nostrils to allow direct access to surgery.

Closing these external incisions is the next step once the nose has been reshaped as desired.

This often involves suturing both sides of any incisions made during open rhinoplasty, whether they are columellar or marginal. Augmenting the bridge of the nose is better done through an Asian nose job. 

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Closed Rhinoplasty Recovery

Following surgery, you will be brought to a recovery center where you will be watched over by medical professionals until you are cleared to return home.

As the internal nasal structure and nasal skin continue to recover and adjust to their new placements, the final effects of your surgery might not be seen for a few months after rhinoplasty recovery. 

Compared to open rhinoplasty, closed rhinoplasty usually has a faster recovery period and is less uncomfortable. The following advice will help guarantee a speedy recovery:

• Follow the directions of your surgeon on how to take care of your nose and incisions.

• Relax a lot and have an optimistic attitude during the first few days after surgery. This will make the healing process much faster.

• For two to three weeks following surgery, avoid strenuous activity and extreme exercise to promote healing and avoid complications.

• To monitor your progress and address any issues, it is so important that you show up for all planned follow-up consultations with your surgeon.

Closed Rhinoplasty and Bulbous Tip

Some people choose closed rhinoplasty to make small changes to the nasal tip of a bulbous nose tip. Nonetheless, an open rhinoplasty allows for more precision.

Furthermore, an open rhinoplasty approach may be necessary for more extensive reshaping since it provides greater access and allows for more cartilage removal and nose tip shaping.

The recovery period following a bulbous tip rhinoplasty procedure is one and a half to two weeks.

In any case, anything that causes a dramatic alteration to the appearance of the nose is best done with an open rhinoplasty.

A clearer picture of the overall nasal anatomy is necessary to maintain the nose's symmetry or reduce cartilage.

Closed Rhinoplasty Cost

The level of surgical correction needed, the surgeon you choose, and the clinic's location are some of the variables that will affect the cost of a closed rhinoplasty.

We can provide an estimated rhinoplasty cost for the procedure in different countries as follows:

Frequently Asked Questions

What Is Closed Rhinoplasty?

By making incisions inside the nose, closed rhinoplasty tries to reduce the number of visible scars, which makes it more appropriate for less complicated situations, such as a crooked nose.

What Is the Disadvantage of Closed Rhinoplasty?

Closed surgery is a little bit more challenging to do and might not be as successful in fixing some issues. More accurate results can be obtained more easily with open surgery.

Is Closed Rhinoplasty More Expensive?

The answer is “it depends”. Closed rhinoplasty is more sensitive, which prompts surgeons to charge more for it, while others may charge the same or less.

Can Closed Rhinoplasty Make Your Nose Smaller?

Generally speaking, the surgery can decrease the size or prominence of specific nasal characteristics. It also can be done to treat functional issues with the nose, such as a deviated septum or difficulty breathing.

Can Rhinoplasty Go Wrong?

A small number of patients who have had rhinoplasty report having new or lingering respiratory issues. Breathing issues are the primary complaint in many of these cases, mostly due to nasal vestibular stenosis or persistent septal abnormalities.

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References