A closed rhinoplasty, also referred to as an endonasal approach or incisionless rhinoplasty. Incisionless closed rhinoplasty is performed through incisions hidden inside the nose. Through these hidden incisions the nasal skin is separated from the underlying nasal bone and cartilages. With this exposure bony humps can be reduced, irregularities smoothed and the nasal bones straightened and narrowed. The nasal cartilages can be shaped and supported using a variety of rhinoplasty techniques depending on the size, shape and support of the cartilages. When the changes to the bone and cartilage are complete, the nasal skin is re-draped over the changes and the incisions closed with dissolvable sutures.
An external splint is removed after one week. Bruising is possible but with good post-operative care most nose bruising is gone after the first week. Nose swelling gradually degrees over time. Approximately 80% of the swelling is down over the first two to three weeks, 90% over 12 weeks and the final swelling can take up to one year or longer depending on the thickness of the nasal skin.
Dr. Kaniff prefers this approach to most rhinoplasty surgeries, unless the changes needed require the open approach rhinoplasty. After these bone and cartilage and the appropriate changes are made. The incisions are closed with dissolvable stitches. Dr. Thomas Kaniff finds the closed rhinoplasty