Closed Rhinoplasty Surgery

Are you searching for a specialist to handle your closed rhinoplasty? Welcome to SurgeonGate, Michigans #1 online destination for learning about cosmetic medicine and reaching premier surgeons. Did you know there are dozens of physicians marketing and performing rhinoplasty in Michigan who are not qualified to do so and do not specialize in this delicate procedure?

We are on a mission to make cosmetic surgery safer and more effective by connecting patients with extremely experienced plastic surgeons and highly trained specialists. If you request a consultation below, a specialist will reach out to you as soon as possible to connect you with the most experienced rhinoplasty surgeon in your area. 

What is a closed rhinoplasty?

Closed rhinoplasty involves reducing the size of bones or cartilage, modifying their shape or increasing their size according to the needs of each patient. It is called closed rhinoplasty because the incisions necessary to make all the necessary modifications are made inside the nostrils. Closed rhinoplasty and open rhinoplasty are the two techniques used.

The soft tissues that cover the cartilage and the bones of the nose (skin and muscles) adapt to the new shape and structure of the nose, thus providing the final silhouette. Therefore, it is important to take into account the characteristics of these soft tissues, since they must have adequate elasticity and thickness.

Indications for closed rhinoplasty

The choice of this technique depends on the difficulty of the case and the preferences of the surgeon. Rhinoplasties of limited difficulty, which require few modifications, usually are done by the closed technique. As we can understand the visualization of the structures, using a closed technique, is limited, which hinders or precludes complex surgical maneuvers. A closed rhinoplasty is not better or worse than an open rhinoplasty. The important thing is to adapt to the complexity of the intervention with the technique that allows one to obtain the results you are looking for.

The closed rhinoplasty procedure

The surgery is usually performed under general anesthesia and in some cases under local anesthesia plus sedation. The intervention is made through various incisions made inside the nose. The number and extent of the incisions depend on the magnitude and location of the deformities to be treated. Once the deformities are corrected, the bones and cartilages are placed in such a way that they adopt the most appropriate position.

Closed rhinoplasty

Sometimes it may be necessary to use bone and cartilage grafts, which may come from the nasal septum, ear, rib or hip. After the intervention, a nasal packing and a small splint are placed to help maintain the shape and stability of the nasal structures. The permanence of the Nasal packing depends on the magnitude of the resection and replacement of the remodeled structures.

The nasal packing can cause discomfort, headaches, a feeling of plugged ears, and a dry throat. Rarely, the nasal packing can move back toward the oropharynx, causing discomfort and nausea, which is resolved by removing the nasal packing and placing another, if necessary. If the nasal packing is maintained for a prolonged period, oral antibiotic therapy should be indicated to avoid the development of nasal infections.

Recovery after closed rhinoplasty

After the intervention, there is usually pain and nasal inflammation that can spread to the face and orbital region. During the first few hours, bloody vomiting can also occur, this is due to blood swallowed during surgery, usually disappearing after 24 h.

After the surgery, the patient must maintain relative rest for a few days and avoid trauma to the nose that could modify the result of the surgical intervention. In case of hemorrhaging through the nose or mouth, a few days after surgery, the patient should go to the hospital for proper assessment and treatment.

Advantages of closed rhinoplasty

The main advantage of closed rhinoplasty is that it does not leave any visible scar on the patient since the incisions are made inside the nasal passages.

This technique is less invasive, so the surgery, in addition to last less (1-2 hours), will produce less swelling and recovery is faster. It also allows in most cases to choose the type of sedation to be used, either by general or local anesthesia.

Disadvantages of closed rhinoplasty

The main drawback of using this technique is that the operability of the surgeon is limited, which is why it is not recommended for complicated cases. With closed rhinoplasty, it is more difficult to define the nasal tip and the nasal dorsum tends to sink after several years.

Closed rhinoplasty risks and complications

Risks and complications

Closed rhinoplasty is a safe surgical procedure with a high satisfaction rate if performed by a qualified plastic surgeon. However, there is always the possibility that complications or unwanted results may appear.

It is very important that patients inform the surgeon about any medication they are taking as well as any medical condition they suffer. Herbal products and vitamins, so fashionable nowadays, can be a source of serious complications.

Compliance with postoperative care is of great importance to avoid the development of irregularities, deviations or other anomalies. Although they are rare, the main complications of closed rhinoplasty are infections and excessive bleeding. In patients with thick or slightly flexible skin, exaggerated inflammation may occur, which could modify the final results.

Sometimes, after sculpting the nasal structures, small bone or cartilaginous splinters may remain, causing small contour defects once the nose has been de-inflamed. Nasal septum perforation can occur when it is manipulated to correct respiratory problems or when it is used as a source of grafts. Nasal septum perforation should be corrected surgically if they produce significant respiratory alterations.

The communication with the patient, prior to the operation, is very important to clarify the aesthetic objective that is sought so that the final result is satisfactory. It is important to note that there are results that cannot be obtained, are unrealistic or are detrimental to the functionality of the nose so they should be thoroughly discussed with the patient before the surgery.

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We are on a mission to make cosmetic and plastic surgery safer and more effective.

Every day, we connect patients all over Michigan with experienced surgeons who are rigorously trained in the specific procedure they are searching for, changing minds and bodies.

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Did you know there are hundreds of physicians performing cosmetic surgeries in Michigan, who are not board-certified, not specialized, and not even trained in plastic surgery? 

Browse our learn section to read non-biased and science-backed information about the most popular procedures available.

We only trust the most experienced plastic surgeons in Michigan, and so should you! It’s your body! Request a consultation today, because safe cosmetic surgery begins here, at

Welcome to SurgeonGate

Welcome To SurgeonGate

How does SurgeonGate work?

When you request a consultation through SurgeonGate, a specialist immediately analyzes your case to better understand the skills it will require for you to reach your goals. Once that is established, we determine which plastic surgeon is most experienced with patients like you, and is most fit to handle your case safely and effectively.

We then share your information with that surgeon, who may or may not be well known in your area. Once the surgeon receives your information from SurgeonGate, which is typically on the same day, their medical staff will reach out to you and schedule a consultation for you to meet them.

Why do I need to use SurgeonGate?

The world of cosmetic surgery is lucrative and greatly unregulated in the state of Michigan. Dermatologists are performing hair transplants and general practitioners are performing liposuction left and right. Technically speaking, you do not need to be a board-certified plastic surgeon to perform plastic and cosmetic surgeries, and this has led to a growing number of complications and unhappy patients.

Many doctors are marketing themselves as “cosmetic surgeons” when in reality, their residency training was in dermatology, ophthalmology, family medicine, or general surgery. Most of these doctors have been drawn to performing cosmetic surgery for its high profits and lack of regulation by health insurance companies.

So my surgeon just needs to board certified?

Even surgeons who are board certified in plastic surgery may not be specialized in the procedure you are having. The best surgeons are those who specialize in the smallest number of treatments and focus their efforts on a particular region of the body. Despite this, many plastic surgeons are still performing every single procedure under the sun. From hair transplants to breast augmentation, to rhinoplasty and liposuction, every single procedure is extremely complex and surgeons who try to offer everything at one clinic often find themselves having trouble matching the results of a specialist.

When you choose to work with SurgeonGate, you don’t just get to work with top plastic surgeons in Michigan. You get to work with leading plastic surgeons who specialize in the procedure of your choice, because that’s how we make plastic surgery safe and effective for everyone. 

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