Closed Rhinoplasty Seattle

Many patients seeking nose refinement worry about visible scarring and extended recovery times associated with traditional rhinoplasty. The fear of noticeable surgical marks and prolonged healing often prevents individuals from pursuing their desired nasal improvements. Closed rhinoplasty offers a sophisticated solution through internal incisions, providing natural results without external scarring while maintaining the structural integrity of the nose.

Closed rhinoplasty, also known as endonasal rhinoplasty, is a surgical technique that reshapes the nose through incisions made entirely within the nostrils. This approach allows surgeons to modify nasal structures including cartilage, bone, and soft tissue without creating external cuts on the columella, which is the tissue between the nostrils. The procedure maintains the natural anatomy of the nasal tip support structures while achieving comprehensive aesthetic improvements.

Dr. Javad Sajan at Allure Esthetics specializes in this advanced technique, utilizing specialized instruments and visualization methods to achieve precise modifications through limited access points. The closed approach preserves more of the nose's natural blood supply and lymphatic drainage systems, potentially contributing to reduced swelling and faster healing times.

No Visible Scarring

All incisions remain hidden inside the nostrils, eliminating concerns about external scarring on the columella or nasal surface. This makes closed rhinoplasty particularly appealing for patients with darker skin tones who may be prone to hyperpigmentation or keloid formation.

Shorter Operating Time

The closed technique typically requires 1 to 2 hours of surgical time, compared to longer durations often needed for open procedures. This reduced operative time may decrease anesthesia exposure and associated risks.

Faster Recovery Period

Patients often experience less swelling and bruising with closed rhinoplasty. Studies have shown that the preserved soft tissue envelope in closed techniques can lead to quicker resolution of postoperative edema. Research published in the National Institutes of Health database indicates that patients who undergo closed rhinoplasty typically report less edema and faster recovery periods than those who have open rhinoplasty because the internal incisions and minimal dissection of the nasal skin result in less tissue stress.

Natural Results

The undisturbed columellar skin and tip support mechanisms help maintain natural nasal dynamics and appearance. The nose retains its original external architecture while achieving desired improvements.

Preserved Nasal Tip Support

By avoiding disruption to the columellar strut and medial crural footplates, closed rhinoplasty maintains stronger tip support structures, reducing the risk of long-term tip drooping.

Closed rhinoplasty candidates typically include individuals seeking:

• Dorsal hump reduction or smoothing of nasal bridge irregularities
• Narrowing of the nasal bridge through controlled osteotomies
• Correction of mild to moderate nasal tip refinements
• Adjustment of nasal projection without extensive tip work
• Correction of functional breathing issues alongside aesthetic improvements
• Revision rhinoplasty for minor adjustments

The best candidates maintain realistic expectations about achievable outcomes through the closed approach. Patients with good skin quality, adequate cartilage structure, and specific aesthetic goals that align with closed technique capabilities benefit most from this procedure. Dr. Sajan evaluates each patient's unique anatomy during consultation to determine whether closed rhinoplasty can achieve their desired results.

Individuals with severely deviated septums, significant tip asymmetry, or those requiring major structural reconstruction may benefit more from alternative approaches. Age considerations also apply, with most surgeons recommending waiting until nasal growth completes, typically around age 16 for females and 18 for males.

Consultation and Planning

Dr. Sajan begins with comprehensive nasal analysis using advanced imaging technology. Digital morphing software helps visualize potential outcomes while maintaining realistic expectations. Detailed measurements and photographic documentation guide surgical planning.

Anesthesia Administration

General anesthesia ensures patient comfort throughout the procedure. Local anesthetic with epinephrine is injected to minimize bleeding and provide additional postoperative pain control.

Internal Incision Placement

Strategic incisions inside each nostril provide access to nasal structures. These intranasal incisions typically include intercartilaginous, transfixion, and marginal approaches depending on required modifications.

Structural Modifications

Through these internal access points, Dr. Sajan carefully reshapes cartilage and bone. Techniques may include rasping the dorsal hump, performing osteotomies for width reduction, and suturing techniques for tip refinement. Cartilage grafts from the septum can provide additional support or contour when needed.

Closure and Stabilization

Dissolvable sutures close the internal incisions. External taping and a nasal splint stabilize the newly shaped structures during initial healing.

Immediate Postoperative Period (Days 1-7)

Patients experience moderate swelling and bruising around the eyes and nose. Pain medication manages discomfort effectively. Keeping the head elevated and applying cold compresses reduces swelling. The external splint remains in place for approximately one week.

Early Recovery Phase (Weeks 2-4)

After splint removal, residual swelling begins subsiding. Most patients return to work and light activities within 10 to 14 days. Avoiding strenuous exercise, contact sports, and activities that risk nasal trauma remains important during this phase.

Intermediate Healing (Months 2-6)

Subtle swelling continues resolving, particularly in the nasal tip area. The nose gradually refines as tissues settle into their new positions. Patients can resume all normal activities including exercise.

Long-Term Results (6-12 Months)

Final results become apparent as residual swelling completely resolves. The nose achieves its permanent shape, though minor refinements may continue for up to two years post-surgery.

Patients achieving successful closed rhinoplasty outcomes report high satisfaction rates. According to research published in the National Institutes of Health, both open and closed rhinoplasty techniques show similar efficacy in terms of patient satisfaction and outcomes. A systematic review found no significant differences between open and closed rhinoplasty in Rhinoplasty Outcome Evaluation scores or Nasal Obstruction Symptom Evaluation scores.

Before and after photographs demonstrate achievable improvements including smoother nasal profiles, refined tips, and improved nasal symmetry. Results appear gradual and natural as swelling subsides, avoiding the operated appearance sometimes associated with more aggressive techniques.

Long-term stability remains excellent when performed by experienced surgeons. The maintained structural support in closed rhinoplasty contributes to lasting results with minimal risk of delayed complications such as tip ptosis or nasal collapse.

The primary distinction lies in surgical access. Open rhinoplasty creates an external columellar incision providing direct visualization of nasal structures, while closed rhinoplasty works entirely through internal incisions. Each approach offers specific advantages depending on patient anatomy and surgical goals.

Closed rhinoplasty excels for patients requiring dorsal modifications, minor tip work, and those prioritizing minimal scarring. Open rhinoplasty may prove necessary for complex tip reconstruction, severe asymmetries, or revision cases requiring extensive grafting.

Recovery timelines often favor closed techniques with reduced swelling duration and faster return to normal appearance. However, surgical complexity and individual healing patterns influence recovery more than technique choice alone.

Dr. Javad Sajan brings extensive expertise in advanced rhinoplasty techniques to every procedure. His artistic vision combined with technical precision delivers natural results tailored to each patient's facial harmony. Allure Esthetics provides comprehensive care from initial consultation through complete recovery.

The practice utilizes state-of-the-art surgical facilities and advanced imaging technology for precise surgical planning. Patient safety protocols exceed industry standards, ensuring optimal outcomes with minimal complications. The dedicated support team guides patients through every step of their transformation journey.

How long does closed rhinoplasty surgery take?

Closed rhinoplasty typically requires 1 to 2 hours of operative time, though complex cases may take longer. The reduced surgical time compared to open techniques often means less anesthesia exposure.

Will insurance cover closed rhinoplasty?

Insurance coverage depends on whether the procedure addresses functional issues like breathing problems. Purely cosmetic rhinoplasty requires out-of-pocket payment, though financing options are available through Allure Esthetics.

Can closed rhinoplasty fix a deviated septum?

Yes, septoplasty can be performed simultaneously with closed rhinoplasty to correct septal deviations and improve breathing function while achieving aesthetic improvements.

What is the minimum age for closed rhinoplasty?

Most surgeons recommend waiting until nasal development completes, typically around age 16 for females and 18 for males, though individual assessment determines appropriate timing.

How much does closed rhinoplasty cost in Seattle?

Closed rhinoplasty costs in Seattle typically range from $8,000 to $15,000, depending on surgical complexity and individual requirements. Consultation with Dr. Sajan provides personalized pricing including surgeon fees, facility costs, and anesthesia.

When can I return to work after closed rhinoplasty?

Most patients return to desk work within 10 to 14 days when bruising and swelling subside sufficiently. Jobs requiring physical exertion may require 3 to 4 weeks recovery time.

How does closed rhinoplasty compare to open rhinoplasty in terms of results?

Research indicates that both closed and open rhinoplasty techniques achieve similar patient satisfaction and functional outcomes when performed by experienced surgeons. The choice between techniques depends on the complexity of changes needed and patient-specific factors rather than superiority of one approach over the other.

What are the risks associated with closed rhinoplasty?

As with all surgical procedures, closed rhinoplasty carries some risks including breathing difficulties, nosebleeds, temporary numbness, asymmetry, allergic reaction to anesthesia, prolonged bruising, and in rare cases, the need for revision surgery. Dr. Sajan thoroughly discusses all potential risks during consultation.