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
An open rhinoplasty, also known as an external rhinoplasty, is performed using incisions inside the nose, as well as a skin incision across the skin bridge between nostrils known as the columella. The advantage of the open rhinoplasty technique is better visualization of the nasal tip cartilages if needed or if more advanced structural grafting techniques are necessary. An open rhinoplasty approach is often used in revision rhinoplasty surgery. See “Rhinoplasty Consultation”
Swelling after open rhinoplasty can last longer than after the closed rhinoplasty approach.The open rhinoplasty incision usually heals well
Tip rhinoplasty refers to a type of rhinoplasty in which the changes are limited to the lower third of the nose – the nasal tip. Dr. Kaniff has the rhinoplasty expertise to modify the nasal tip cartilage changing the shape, rotation and projection of the nasal. Bruising is usually less in a tip rhinoplasty and swelling is concentrated in the nasal tip area. Tip rhinoplasty is not as commonly performed because changes changes in the tip often require changes to other other aspects of the nose to maintain harmony of all the parts
Revision rhinoplasty refers to rhinoplasty surgery on a nose that has had at least one previous rhinoplasty. Revision rhinoplasty is more difficult because of scar tissue and structural changes from prior surgery. The Revision rhinoplasty is more difficult, takes longer, and is more expensive. See “Rhinoplasty Cost” Depending on the extent of work necessary, revision rhinoplasty swelling may last longer than the original rhinoplasty procedure.
Non-Surgical rhinoplasty or non-invasive rhinoplasty refers to the injection of dermal fillers to produce visual changes to the nose. Fillers add volume to the nose to camouflage certain undesirable attributes. There are limitations to the extent of changes possible with non-invasive rhinoplasty techniques. The changes are temporary, lasting several months. Also, there are risks associated with noninvasive rhinoplasty because of the blood supply to the nose as well as scarring from prior surgery or trauma. This treatment is used in limited situations.
