1. Endonasal Technique: This is the most common form of closed rhinoplasty where all incisions are made inside the nostrils. The surgeon works through these internal incisions to access and reshape the nasal bones, cartilage, and septum.
2. Piezo Technique: This is a specialized type of closed rhinoplasty where ultrasonic instruments (piezotome) are used to make precise cuts in the nasal bone. This technique is particularly useful for delicate procedures requiring fine adjustments to the nasal bone structure.

Advantages of Closed Rhinoplasty:

– No Visible Scarring: Since all incisions are inside the nostrils, there is no external scar visible after healing.

– Faster Recovery: Some patients may experience less post-operative swelling and quicker initial recovery compared to open rhinoplasty, due to less disruption of nasal tissues.

– Preservation of Nasal Support: The technique allows for preservation of the nasal support structures, potentially leading to more stable long-term results.

Limitations of Closed Rhinoplasty:

– Limited Access and Visibility: The surgeon has less visibility and maneuverability compared to open rhinoplasty, which may be challenging for complex or revision cases requiring extensive nasal reshaping.

– Technique Limitations: Not all nasal reshaping goals can be achieved through closed rhinoplasty, particularly those requiring significant restructuring or refinement of the nasal tip or bridge.

Indications:

Closed rhinoplasty is often suitable for patients seeking minor to moderate changes to their nasal appearance, such as reducing a nasal hump, refining the nasal tip, or correcting mild asymmetries. It is important to consult with a qualified and experienced plastic surgeon to determine if closed rhinoplasty is the appropriate technique to achieve your desired nasal aesthetic while ensuring functional outcomes.

bruising and swelling are typical after closed rhinoplasty?

Yes. Here’s what you can do to manage them:

1. Cold Compresses: Applying cold packs or ice wrapped in a cloth to the bruised and swollen areas can help reduce swelling and discomfort. Do this for about 15 minutes at a time, several times a day.
2. Head Elevation: Keeping your head elevated while resting, especially when sleeping, can help minimize swelling.
3. Medication: Your surgeon may prescribe pain relievers or anti-inflammatory medications to manage discomfort and swelling. Follow their instructions carefully.
4. Avoid Certain Activities: Avoid strenuous activities and exercises that could increase blood flow to the face and worsen swelling.
5. Follow Post-Operative Instructions: It’s crucial to follow all post-operative care instructions provided by your surgeon. This may include avoiding certain medications, caring for incisions, and attending follow-up appointments.
6. Patience: Remember that bruising and swelling are temporary and should gradually improve over the following weeks. Complete resolution can take several weeks to months, depending on individual healing.

If you have concerns about the extent of bruising or swelling, or if you experience severe pain, unusual symptoms, or signs of infection (such as increased redness, warmth, or pus), contact your surgeon promptly. They can provide guidance and ensure your recovery progresses smoothly.