Facial beauty and harmony depend on having the right aesthetic angles, volumes and proportions. Due to its central location, the size and shape of the nose plays an extremely important role in the perception of an individual’s beauty. The appearance of the nose can disrupt the general appearance of the profile, as well as break the beauty triangle formed by the cheek and chin. As a result of continuous developments in the field of medicine, innovative methods are applied and applied techniques are developed. As a result, rhinoplasty operations are among the operations that are performed much simpler than in the past and the recovery process is comfortable.
Rhinoplasty, in other words, rhinoplasty surgery can be performed for reasons of health as well as aesthetic expectations. As a result of the surgical procedure applied, the defect in the nose can be eliminated. Thus, it can be ensured that the person has a nose with the desired appearance and breathes in a healthier way.
In recent years, both patients and doctors have shown interest in procedures that do not have trauma and scarring, have a shorter recovery time and enable a faster return to social life, and minimally invasive techniques have come to the fore.
In the closed rhinoplasty technique, also called endonasal rhinoplasty, all incisions are made through the nose. Although parallel incisions surround almost half of the nostril lining, the incision is invisible from the outside and does not create a visible scar. It is less invasive as it is a technique applied without external incision. However, since the right and left nostril incisions are not connected to each other, repositioning of the nostril is more difficult in this method and the entire operation is performed through narrow surgical openings where vision is limited. Distortion of the nasal cartilage is also unavoidable, as access to the nasal framework requires strong stretching of the nasal skin.
People who will undergo closed rhinoplasty should have completed their bone and cartilage development. It is generally a preferred technique in patients who do not need radical changes in the nasal septum and who will use less grafts. It can be applied to people who are not satisfied with the shape and size of nose, which provides successful results in people who will have nose surgery for the first time.
As in revision and deviation surgeries, the closed technique can be preferred in patients with nasal curvature, low nasal tip or asymmetry of the nose wings. However, as in all aesthetic operations, care should be taken to ensure that the patient has realistic expectations about the result to be obtained after the operation.
Closed rhinoplasty can be performed under local or general anesthesia. An incision is made through the nostrils and the inside of the nose is visualized by micro-cameras. Since the incision is made inside the nose, there is no scar, no damage to the soft tissue and skin. There is no cutting and bleeding of the ligaments during the surgery. Nerves are affected very little and a slight numbness may be felt after the operation. The patient’s recovery process is also shorter and more comfortable than the open technique.
The patient’s health history should be taken in detail, and a personalized nose configuration should be designed as a result of facial analysis. Before the operation, the use of blood thinners should be discontinued.
After closed rhinoplasty, the patient is usually kept under observation in the hospital overnight. If the area to be intervened is limited and the operation is performed under local anesthesia, it may be possible to be discharged on the same day after the evaluation made specifically for the patient. After the surgery, splints are placed in the nose and a protective tape is placed on it. Splints and protective tape are removed after approximately 2-3 days.
Since the swelling on the face of the patient decreases rapidly from the second day, it may be possible to return to business or social life. You should not take a bath for the first 3 days after the operation, use a high pillow or two pillows for 1 week, and be careful to keep the head elevated during sleep. Sports that risk damaging the nose should be avoided for 8 we-eks. You shouldnt use glasses for at least 3 months, be exposed to direct sunlight in the open air, and use sunscreen cream.
It can be applied to patients who do not need radical changes in the nasal septum and need less graft use.
No scars remain after closed rhinoplasty.
It takes 1-2 hours on average. However, the duration may be extended depending on the scope of the procedure applied for the individual.
It is generally preferred in cases such as removing the bumps on the back of the nose, reducing the nose and correcting the crookedness of the nose.
