Closed Rhinoplasty in Turkey

How Long Has Closed Rhinoplasty Been Used?

Rhinoplasty was first applied to actors and actresses in the United States during World War I, and surgical incisions were placed inside the nostrils for the rasp bone. It later became more and more popular and became what it is today. Thus, the first rhinoplasty was planned with a closed technique that does not involve any external incision.

Closed nose surgery is an application that is generally performed without any incision on the nasal tissue. Since all the procedures performed in closed rhinoplasty are performed inside the nose, no scars or incisions are visible from the outside, thus positively affecting the appearance of the person in terms of aesthetics.

While performing closed rhinoplasty, thin medical devices are placed in the patient’s nostrils. With the help of these devices, the operation is performed. Since local anesthesia is preferred during the operation, pain and pain are not felt.

According to What is Open and Closed Rhinoplasty Preferred?

The Open Rhinoplasty technique has been found to be easier and more applicable by surgeons and has been popular in the last 30 years. In this technique, a transcolumellar incision is created to join the nostril incisions. The nose skin can be folded, focusing on bone and cartilage. The field of view is seen directly without the use of tools and can be easily taught to assistants.
Closed rhinoplasty has recently become popular again with the development of endoscopes, micromotors and camera systems. Special conferences and publications were organized for surgeons to popularize the difficult technique. Why is it important to cut or not cut the skin? This question is one of the topics of discussion in rhinoplasty. Since no incision is made on the nose or the pitanguy ligament, the closed rhinoplasty technique does not leave any scars, the nose returns to its normal appearance more quickly and the tip of the nose does not lose its flexibility. On the other hand; The open rhinoplasty technique leaves an uncomfortable, distinct scar after the incision is made in the nose. Since the nasal skin is folded upwards, it is easier and more traceable and is used by assistant surgeons for educational purposes.

Closed Rhinoplasty Advantages

Closed rhinoplasty has many advantages. If we examine these advantages;

• The recovery process is faster after closed rhinoplasty.
• Since the nerves and connective tissues and vessels in the nose are less damaged, swelling and bruising are less.
• On average, splints are removed between 5 and 7 days.
• In revision nose surgery, closed nose surgery gives positive results.
• It is used in nasal procedures that require urgent intervention and gives good results.

According to the patient’s rhinoplasty indications, I can use both closed and open rhinoplasty approaches. In my clinical practice, I perform all surgeries with the closed rhinoplasty technique. In the closed rhinoplasty technique, the surgery is performed with surgical incisions placed inside the nostrils.

One last example; There is excess cartilage at the tip of the nose, causing the nose to appear wider. Instead of cutting this cartilage, it may be possible to fold this cartilage to make the nose both narrower and stronger. It is possible to give many examples like these.

Use of Atraumatic Technique in Closed Rhinoplasty

Closed Atraumatic Rhinoplasty: It not only protects but also supports the structure of the nose. In other words, the Atraumatic Technique is a progressive approach that changes every step of the surgery and explores how to do it as desired without harming anything. For example, there is a belt on the back of the nose and it is necessary to reach the bone on the back of the nose by entering through the nostrils. In such cases, the atraumatic technique should be used. Because the nose can be reached by going under the skin or through the fascia to reach the bones. However, in such cases, blood vessels are damaged and as a result, more edema and bruises occur on the face. In these cases, the atraumatic technique is used.

To give another example about the atraumatic technique; There is excess cartilage at the tip of the nose, causing the nose to appear wider. Instead of cutting this cartilage, it may be possible to fold this cartilage to make the nose both narrower and stronger. It is possible to give many examples like these. In general, the Atraumatic Technique is a progressive approach that changes every step of the surgery and explores how to do it as desired without harming anything.

As you can understand from what I have explained, the basic and important is the Atraumatic Approach. The closed rhinoplasty technique was preferred by me as it helps the atraumatic approach. In conclusion, Closed Atraumatic Rhinoplasty is the result of your effort to do your best.