The nose is one of the most characteristic features of our face, which defines its general appearance. Due to its great aesthetic importance, many people are not comfortable with their noses, a problem that can create insecurities in their daily lives. That is why they decide to undergo rhinoplasty or nose surgery. In addition, the functional importance of the nose is undeniable, and therefore, to also solve respiratory problems, many patients consult.
Many of those who come to our consultation convey the same concern: is it possible to perform a rhinoplasty without scars?
What is rhinoplasty?
Rhinoplasty is a surgical intervention that consists of reshaping the anatomical structures of the nose. At an aesthetic level, thanks to this procedure, the size of the nose can be reduced or increased, the shape of the tip changed, the back changed, a deviation of the nasal pyramid corrected, or the nostrils narrowed.
But even though most rhinoplasties are done for cosmetic reasons, they are also done to correct congenital problems, trauma or put an end to breathing problems. In these situations, we perform a procedure called rhinospetoplasty, which to the benefits of rhinoplasty, is added the advantages of surgical intervention on the septum or nasal septum.
Depending on the rhinoplasty technique used, there is usually a difference between open rhinoplasty and closed rhinoplasty. The choice of one or the other will depend on the difficulty of each patient’s case and the expected results.
What is closed rhinoplasty?
Closed rhinoplasty is probably the best-known intervention, but less and less used. In this type of surgery, the incisions and transformations necessary in the intervention are made internally of the nostrils, without leaving external visible scars on the patient. In an open rhinoplasty, which leaves scars in patients, more or less evident, these are usually located at the level of the nasal columella or at the base of the lateral cartilages of the nose.
Through the incisions of a closed rhinoseptoplasty hidden inside the nostrils, the cartilage and bones are carved to carry out the remodeling of the nose. Normally, the changes that are made, for example, in the dorsal part (as occurs in the cases of a prominent hump or “ridge”) or in the tip, seek to achieve the aesthetic correction of the contours of the nose, as well as the facial harmony.
Once the modification of the internal architecture of the nose has been carried out, the soft tissues of the cartilage and the bones of the nose adapt to the new nasal shape, providing the final result.
All incisions made are closed with stitches, which can fall out on their own or are removed in a few days. In addition, a splint will be placed on the back of the nose, and the nostrils will be plugged for the first few hours to avoid the discomfort of secretions.
This type of surgery is mainly characterized by a limitation of the direct visibility of the cartilage of the tip of the nose when making the incision. Therefore, this complexity requires great skill on the part of the plastic surgeon who will perform the surgery.
What advantages does it offer?
In the first place, the main advantage that closed rhinoplasty offers is the absence of an external scar in the patient since, as we indicated previously, the surgery is performed from the holes, so the sutures remain internal.
Unlike other surgical techniques, closed rhinoplasty is a less invasive intervention, the duration of the operation is shorter, and the patient’s recovery is faster.
In addition, the surgery produces less swelling or edema than open rhinoplasty, so the healing process is less aggressive, and the final result is obtained in a shorter period of time.