Closed rhinoplasty — the nose, way, rehabilitation

Rhinoplasty – surgery performed to change congenital or acquired defects of the nose.

There are several types of plastic surgery. The most modern method is a closed (endonasal) type having advantages over others.

What it is

Closed rhinoplasty differs from open fact that during the operation, all incisions are made inside the nasal cavity.

This allows you to avoid scarring, significant arterial injury due to the absence of the type by endonasal incisions in the columella.

Not to say that change flaws with surgery is the ideal option. The procedure has advantages and disadvantages.

The final decision about adjustments can only take a doctor to assess all the risks.

If there are serious contraindications this technique is the elimination of defects of the nasal cavity and its external tissues is not carried out.

Plastic is made with the purpose of elimination of pathological defects that complicate a man’s life due to disorders of the functionality of the nose.

Also the surgery is performed for aesthetic purposes, that is, to correct congenital (acquired) characteristics of the nose (hump removal, reduction of the nostrils, changing the tip, etc.).

The method

Each type of rhinoplasty has its advantages, but most experts recommend just closed, as in contrast to other types of this procedure is the most safe.

Plastic is gated through one, and sometimes several incisions inside the nasal cavity.

The number of incisions depends directly on the readings.

After finished the first stage, the surgeon separates the tissue from the cartilage and bone. Next is the elimination of defects. In most cases, the doctor uses manual palpation.

Plastic correction is completed with stitching that is invisible from the outside. On average the whole process takes about forty minutes. Throughout this time the patient is under General anesthesia.

Rehabilitation begins the day after the patient wakes up. The operating period lasts five weeks. The health of the patient can recover in one to two weeks.

Attention! Previously, the patient should be diagnosed of the respiratory system and study of anatomical features.

A qualified surgeon with extensive experience is able to combine when performing surgical intervention of open and closed form of rhinoplasty.

For and against the operation in this way

Characteristics of plastics are its main advantages. So most people prefer indanazolina method due to the lack of scars and a short recovery period.

Due to the fact that in the process of correction of the nasal cavity and the external tissues are not affected artery columella, circulatory disorders occurs.

This affects the condition of the tissues in the postoperative period. Swelling and bruising on the face in the nose area significantly less than after open rhinoplasty.


No surgery can not have flaws, because it assumes a violation of the functionality of the systems and organs.

The drawback is the stitching of the dome and the arches krylnyh cartilage (large), because to accomplish such a task without any flaws is very difficult.

The stitching is performed in the internal cavity and therefore is, in effect, to the touch. Most often, the welds are not symmetrical. However, visually observe the asymmetry of the joints is impossible.

Since when closed the plastic is not running strong cuts, to eliminate defects specialist have to stretch the cartilage of the nostrils, and is further able to cause deformation of the tissues.

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Set the transplants can be very difficult. To carry out such actions, the surgeon needs to have not only specific skills, but also experience.

The main objective when placing the grafts is symmetry, which is not easy to achieve. Large grafts can only be set using the open plastic.

Photo: Before and after surgery


Performed rhinoplasty for people with indications for this type of surgery. Endonasal method is used to correct aesthetic defects, and under medical indications.

Recommended rhinoplasty for people with the following defects:

  • deformation of the shell;
  • narrow passages;
  • the hump on the bridge of the nose;
  • a deviated septum;
  • the long length of the nose;
  • thick tip;
  • congenital anatomical defects.

It should be noted that in some clinics perform rhinoplasty only under medical indications.

For aesthetic plastics you should pick up a special institution. Medical indications determined by a doctor after diagnosis.


Rinoplastica adjustment is a process by which affected one of the important organs of respiration, so if you have a lung disease surgery is contraindicated.

Also we do not recommend closed plastic in the following diseases:

  • inflammation and infection in the nasal cavity;
  • viral and infectious disease;
  • chronic pathology of internal organs and systems;
  • cancer;
  • diabetes mellitus;
  • poor blood clotting;
  • cardiovascular disease.

You should not use this method of elimination of defects, intolerance to anesthesia, as the surgery is performed under General anesthesia.

For the same reason forbidden to carry out surgery to children under the age of eighteen. Plastic can be made to the child only if there are serious medical indications.


If the wrong actions of the surgeon or violations of the practitioner in the postoperative period sometimes there are complications.

Experience side effects very rarely, but if the patient, there are complications, you should immediately visit the doctor.

The main types of pathology include:

  • congestion;
  • strong bruising;
  • very visible scars;
  • regular bleeding;
  • the development of infectious diseases;
  • the low sensitivity of the tissues;
  • tissue necrosis;
  • asymmetry;
  • hyperpigmentation;
  • the formation of spider veins.

To cope with pathological processes is possible only with the help of medicine. By themselves, the side effects are not eliminated. In the absence of treatment, the patient’s condition can only worsen.

Attention! Eating complications arose as a result of the mistakes of the surgeon, for correction of the effects may require repeated surgical intervention. But the second plastic material is not held earlier than six months after the first.

How to conduct rhinoplasty closed type

In that case, if you intend to rhinoplasty for medical reasons, the patient must first be diagnosed to confirm the need for surgical intervention.

If plastic surgery is done solely of the purposes of changing the shape of the nose, enough the patient’s wishes.

The first step is a consultation with the surgeon who will carry out plastic surgery.

Specialist must consider the patient’s wishes and the structural features of his nose. Detailed survey and careful examination enable you to make a preliminary decision.


Before surgical intervention is necessarily performed additional diagnostics to determine the possible presence of contraindications.

Consider all factors that could affect the condition of the body during surgery and after it.

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Diagnosis involves performing the following procedures:

  • surrender of the biochemical and General blood analysis;
  • HIV;
  • passing urine test;
  • the passage of ECG and fluoroscopy;
  • inspection ENT doctor and dentist.

In the absence of contraindications recommendations on necessary actions to prepare. You need to start preparing a week before the surgery.

Not desirable:

  • drink drugs that slow blood clotting;
  • Smoking or drinking alcoholic beverages;
  • is under the sun a long time in the sun.

Immediately prior to surgery (8 hours) is not recommended for you to eat.

Before you enter the operating room, the patient should remove all jewelry, and false eyelashes and lenses.

The anesthesiologist should not use the anesthesia without prior conversation with the patient. If there are contraindications to a certain drug, you should replace it with another.

Local anesthesia is not used.

Video: Technique

Peculiarities of the operation

Rhinoplasty closed method method where accessibility to the internal tissues of the nose is opened only after the plastic surgeon will make transfictional, and sometimes krishnadeva cut.

Because in closed form incisions are made just inside the nostrils, the nasal cavity is opened not completely.

This creates difficulties for the work of the specialist.

If you want to eliminate the defects of cartilage, the doctor can make Podhradie or interchondral the incision that will facilitate his work by increasing the viewing angle.

Due to the fact that the soft tissue of the nasal cavity insufficiently mobile, the result can cause the cartilage will be fixed is not symmetrical. It depends on the surgeon’s experience.

After the technician removes all the defects imposed special seams (mattress). This method allows to reduce the risks of inflammation, suppuration, and to prevent the accumulation of fluids in the healing period sutures.

On the nose is overlaid with plaster tape to secure the position of the tissues.

Throughout correction the person is under anesthesia. This eliminates the possibility of them feeling pain.

Within a few hours after the surgery the person is still under anesthesia. The next day begins a rehabilitation period.


The first two days the patient spends in the hospital under supervision of medical staff, on the third day begins outpatient treatment.

The first stage of recovery can last for three weeks. In this period it is necessary to take anti-inflammatory and other medications prescribed by your doctor.

After a week and a half off a plaster strip and remove the stitches.

It is prohibited for two weeks to take a hot bath or shower and wash in hot water.

High temperatures can lead to side effects (bruising, hemorrhage and extensive edema).

It is recommended to sleep on the back, the head should be above the body. Thus, it will reduce swelling and make breathing easier.

In areas with high humidity or large amounts of dust should wear a mask. It is not advisable to lift heavy objects and to make sharp bends.

The second phase of rehabilitation lasts up to three months. Receiving the drug can be canceled at the direction of the attending physician.

In the next three months not:

  • to wear glasses;
  • heavy and tight hats;
  • to swim;
  • to be in the sun for a long time.

Rehabilitation can be completed in six months or a year after the surgery, it depends on the condition of the patient.

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With all the guidance and the absence of complications the postoperative period is faster and easier.

The result and durability of the effect

To observe the result of rhinoplasty nose closed you can type in two or three months.

If in the process of the operation was fixed several defects or have been completely changed form, this period may come a little later (six months).

As a result of surgical intervention it is possible to achieve the following changes:

  • reducing the width of the back;
  • adjusting the shape of the tip and the nostrils;
  • the elimination of the hump;
  • recovery partition;
  • the change of asymmetry;
  • correction of congenital defects.

Is plastic and to repair the more serious defects that can occur in person or be congenital.

The result of the correct work of the surgeon does not require any re-surgery and remains until the end of life.

The average cost

Prices closed rhinoplasty can vary greatly depending on the location of the clinic, its prestige, the qualifications of the surgeon and the complexity of the case.

The cost most often included:

  1. the patient’s stay in a facility.
  2. testing;
  3. anesthesia;
  4. the provision of professional services.

In most clinics, the cost of plasticity is not less than 9000 rubles. Moreover, this price involves a minor adjustment to the tip of the nose.

Change partitions, backs, wings can cost up to 150 thousand rubles. A complete change, including the correction of the entire form, will cost an average of 300 thousand rubles.

The cost of services is determined after a medical examination and consultation with him. No clinic does not indicate an absolutely exact prices, so as always take into account the individual characteristics of each organism.


Order the rehabilitation period is over faster and you can begin to enjoy a new nose, you should follow the recommendations which are given by professionals.

Violation of the rehabilitation regime could provoke complications.

Plastic surgeons and trauma specialists suggest:

  • to observe a three-day bed rest;
  • to make cold compresses on the nose in the first three days;
  • you should not strain your vision, better to rest;
  • you need to handle the nasal cavity from the crusts with cotton swabs with a weak alcoholic solution or sea buckthorn oil;
  • not to take alcohol and not to smoke for at least the first week;
  • to take painkillers.

To improve the overall condition it is recommended to conduct a healthy way of life. Supervision by a professional should last for at least six months.

After the end of the rehabilitation period, you can start to live a full life. Full restoration completed in an average of six months.