Samsun Closed Rhinoplasty (Scarless Rhinoplasty)

What is Closed Nose Surgery (Closed Rhinoplasty)?

Closed nose surgery is a rhinoplasty technique where all surgical incisions are made inside the nostrils, and no incision or stitch marks are visible from the outside. When planning closed rhinoplasty in Samsun, the goal is to be as respectful as possible to the tissue while shaping the nasal bridge and nasal tip, and to make the recovery process comfortable.

In this technique, no incision is made in the columella region (the skin between the nostrils); all surgical procedures are performed by proceeding from inside the nose. In suitable candidates, closed rhinoplasty can offer a scarless and controlled option both aesthetically and functionally.

Differences Between Open and Closed Nose Surgery

A single technique is not mandatory for all patients in nose surgery. When choosing between closed rhinoplasty and open rhinoplasty; the degree of nasal deformity, the structure of the nasal tip, previous surgery history, and the patient's expectations are evaluated together.

• In the closed technique: All incisions are made inside the nose, there is no externally visible incision in the columella region.
• In the open technique: A small incision is added to the columella, and the nasal skeleton is evaluated under a wider view.
• Selection criterion: The goal is not to apply the same technique to every patient, but to determine the most appropriate method according to the nasal structure and needs.

In our clinic in Samsun, the decision for closed or open technique is made individually after the examination. While closed rhinoplasty is extremely sufficient for some nose types, the open technique may be preferred for some complex deformities.

Who is a Suitable Candidate for Closed Nose Surgery?

Closed nose surgery can be evaluated especially in patients whose nasal tip structure is not heavily distorted and where more controlled corrections such as a hump or slight curvature are planned. The closed technique may come to the agenda in the following cases:

• Hump or slight irregularity on the nasal bridge
• Limited deformity or droopiness at the nasal tip
• Desire to make nose and face proportions more compatible
• Patients who will have nose surgery for the first time and have no history of trauma

During the examination, your nasal structure is evaluated along with your skin thickness, cartilage and bone structure, and breathing status. If necessary, information is given in comparison with preservation rhinoplasty or open rhinoplasty.

Patients Who Want a Scarless Appearance

Since there is no externally visible incision line in closed rhinoplasty, it can be a psychologically more comfortable option, especially for patients who "do not want a visible scar on the columella." Nevertheless, the choice of technique should be planned not only according to scar concerns but according to surgical requirements.

Evaluation Before Closed Rhinoplasty in Samsun

For a successful closed rhinoplasty, a comprehensive pre-operative evaluation is essential. The following steps are followed in a Samsun closed rhinoplasty examination:

• Analysis of the nasal bridge, nasal tip, and nostrils from the front and side
• Evaluation of facial proportions (forehead, nose, chin) together
• Examination of septum deviation and concha problems
• Listening to the patient's aesthetic expectations in detail

After this evaluation, it is clearly discussed which corrections can be made with the closed technique and, if necessary, in which areas there are limits.

How is Closed Nose Surgery Performed?

Closed rhinoplasty is usually an operation performed under general anesthesia. Although technical details vary according to the patient's nasal structure, the general flow is as follows:

Surgical Approach

In the closed technique:

• All incisions are made inside the nostrils.
• The nasal bridge, cartilage, and bone structures are reached from the inside.
• Hump correction, reshaping of the nasal bridge, and arrangement of nasal tip cartilages are performed from inside the nose.
• In necessary cases, septum deviation and concha interventions can be performed in the same session.

Support materials (splints, silicone splints, etc.) placed inside and/or outside the nose at the end of the surgery are used to support the healing process.

Closed Rhinoplasty Together with Functional Procedures

Closed nose surgery is not just a procedure aimed at changing the external shape. If there are also breathing problems, in the same session:

• Septoplasty (correction of septum deviation)
• Concha reduction procedures
• Opening of narrowness in the valve region

can be planned. The goal is to provide satisfaction both with the aesthetic image and with the breathing quality after the surgery.

Recovery Process After Closed Nose Surgery

Although the recovery process varies according to personal tissue structure and the scope of the procedure, there are no incision marks on the external skin due to the incisions being made inside the nose in the closed technique. The general recovery process can be summarized as follows:

• Swelling and mild bruising may be seen in and around the nose in the first days.
• The splint placed on the nose is usually removed around 1 week.
• If a silicone splint was used, it is taken at the appropriate time according to the breathing status and recovery process.

Most of the swelling decreases in the first weeks; however, it may take a few months for the nasal tip to settle fully and for the final shape to become clear. The recovery process is followed step by step in control appointments.

What are the Advantages of Closed Nose Surgery?

Some prominent advantages of the closed technique in suitable patients are:

• No external scars: Making all incisions inside the nose does not leave a visible scar on the columella.
• Preservation of tissue planes: It is aimed to preserve anatomical planes with more limited intervention to soft tissues.
• Natural appearance-oriented approach: While shaping the nasal tip and nasal bridge, a natural result compatible with the face is aimed.

Of course, these advantages gain meaning when combined with a surgical approach that analyzes the nasal structure well and is experienced in the closed technique.

Can Closed Nose Surgery Be Applied to Everyone?

The closed technique may not be suitable for every nose type. Especially:

• In noses that have experienced heavy trauma and whose bone and cartilage structure is significantly distorted
• In patients who have had multiple surgeries before, requiring revision rhinoplasty
• In cases requiring advanced asymmetry and reconstruction of nasal tip support

the open rhinoplasty technique may be more advantageous. This decision is made after the internal and external nasal structures are evaluated together during the examination.

Protective Approaches and Closed Nose Surgery

In recent years, surgical techniques that preserve the nasal bridge and skeleton as much as possible have come to the fore along with the concept of preservation rhinoplasty. Some of these approaches can also be applied with the closed technique.

The goal, instead of completely destroying and rebuilding the nasal bridge, is to obtain a more natural profile by preserving the existing structure and to provide more balanced results in the long run.