1. Closed Rhinoplasty: The Endonasal Approach

Closed rhinoplasty, also referred to as an endonasal approach or “incisionless rhinoplasty,” is the technique preferred by Dr. Kaniff for most primary surgeries.

• The Technique: All incisions are hidden entirely inside the nostrils. Through these internal incisions, the nasal skin is separated from the underlying bone and cartilage, allowing Dr. Kaniff to modify the nasal structure without external marks.
• The Benefits: This approach is ideal for reducing bony humps, smoothing irregularities, and straightening or narrowing the nasal bones.
• Recovery: Because the skin envelope is not fully lifted, there is typically less disruption to the nasal tissues. Approximately 80% of swelling resolves over the first two to three weeks, with final refinement manifesting over 12 months.

2. Open Rhinoplasty: The External Approach

For more complex structural work or advanced grafting, the open rhinoplasty (external approach) provides maximum visibility and precision.

• The Technique: This approach uses internal incisions plus a small, precise skin incision across the columella (the strip of tissue between the nostrils).
• The Advantage: The columellar incision allows Dr. Kaniff to lift the skin, providing better visualization of the nasal tip cartilages and underlying structure—essential for advanced structural grafting.
• Application: Open rhinoplasty is the gold standard for complex cases, especially in revision rhinoplasty surgery.

3. Specialized Rhinoplasty Variations

Dr. Kaniff offers specialized procedures to address specific concerns without necessarily altering the entire nasal structure:

• Tip Rhinoplasty: Limited to the lower third of the nose. Dr. Kaniff modifies the cartilage to change shape, rotation, and projection while maintaining overall facial harmony.
• Revision Rhinoplasty: Surgery on a nose that has had at least one previous operation. This requires a high level of expertise to navigate scar tissue and altered anatomy.
• Non-Surgical Rhinoplasty: A non-invasive method using dermal fillers to camouflage minor bumps. It is a temporary solution used in limited, appropriate situations.