Closed Rhinoplasty in Houston

Achieve Subtle Nose Enhancements with Scarless Closed Rhinoplasty

Closed rhinoplasty is often referred to as “scarless rhinoplasty,” as the revisions made to the nose structure are achieved by accessing the nose from within the nostrils. This approach may be used when less comprehensive alterations are needed.

What is closed rhinoplasty?

Closed rhinoplasty, or “endonasal rhinoplasty,” is performed through incisions placed within the nostrils. This technique is ideal for patients who need nose tip reshaping or minor changes to the nose bridge, such as removing a hump on the bridge. This surgical technique involves accessing the nose structure through incisions placed within the nostrils and does not leave a visible scar.

Am I a candidate for a closed rhinoplasty?

A closed rhinoplasty in Houston can be performed if you have any of the following nose shape issues you want to alter:

Bulbous nose tip
Nostril structure is wide
Nose shape needs refinement rather than comprehensive reshaping
Nasal bones need to be subtly narrowed
Nose bridge has a hump that needs to be reduced
Nose is asymmetrical
Nasal tip requires resculpting

What is the closed rhinoplasty procedure?

The closed rhinoplasty procedure involves anesthesia, local with intravenous sedation, or general. Once the patient is comfortable, incisions are placed within the nose to access cartilage and bone and reshape specific areas, such as the nose bridge or tip. This approach is less invasive, faster, and typically involves a shorter recovery time. Not all plastic surgeons are experts with this surgical approach and prefer to use the open rhinoplasty technique. It requires a rare level of surgical skill to perform a closed rhinoplasty, which you will find at Eisemann Plastic Surgery in Houston.

What to expect – your journey to facial balance

At Eisemann Plastic Surgery, we do all we can to make your journey positive and comfortable. Our plastic surgeons are extremely talented and genuinely care about their patients.

You will arrive for your surgery, and anesthesia will be administered. You will not experience any pain during the procedure. The incisions will be placed within each nostril, and the bone and cartilage reshaped to achieve the changes you envision. The incision sites are closed with dissolvable sutures, the nose is protected with a dressing, and the surgery is complete. The entire procedure takes about one to two hours, based on the extent of the changes you desire for your nose shape.

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The recovery after closed rhinoplasty

After your rhinoplasty, you are free to return home, driven by another adult. On the first day, you will want to rest and should ensure your head is elevated on a wedge or extra pillows. You can expect some swelling and bruising, which fades in about one week, but this can vary. The tissues need time to settle, and any irregularities generally disappear as the swelling subsides. You will be asked to avoid any vigorous physical activities during healing but should take walks daily to stimulate blood circulation and speed healing. Within about four weeks, the swelling has diminished to the degree that your new nose shape can be enjoyed, shown off, and presented to the world. The results continue to improve in the following months as any residual swelling fades.

Why choose Eisemann Plastic Surgery in Houston for a “scarless rhinoplasty?”

Rhinoplasty performed with the closed technique requires exceptional skills. Our triple board-certified plastic surgeon, Dr. Michael Eisemann is a leader in his field and serves as an Assistant Clinical Professor in Plastic Surgery at Baylor College of Medicine and Assistant Clinical Professor of Otolaryngology at the University of Texas Medical School in Houston. He is known for his outstanding skills, honesty, integrity, and exceptional outcomes.

Dr. Bradley Eisemann is a board-certified plastic and reconstructive surgeon who has completed fellowship training in craniofacial surgery. When you are under the care of the medical team and support staff at Eisemann Plastic Surgery, you can trust that your closed rhinoplasty in Houston will be performed by a leading surgeon who uses the most advanced techniques for elegant, refined surgical results.

Closed Rhinoplasty FAQs

Why is closed rhinoplasty sometimes called "scarless rhinoplasty"?

All incisions are placed within the nostrils, meaning there are no visible external scars after the procedure. This makes closed rhinoplasty an appealing option for patients who prefer a less invasive approach to nose reshaping.

What type of nose concerns can be corrected with a closed rhinoplasty?

Closed rhinoplasty is ideal for refining a bulbous nose tip, reducing a hump on the bridge, narrowing the nasal bones, or addressing mild asymmetry. It is best suited for patients who need refinement rather than comprehensive structural reshaping.

Is the recovery from closed rhinoplasty shorter than from open rhinoplasty?

Closed rhinoplasty is generally less invasive, which typically leads to a shorter recovery period with less swelling and bruising. Most patients see their new nose shape emerging within about four weeks as swelling diminishes.

What makes closed rhinoplasty more technically demanding for the surgeon?

Because the surgeon works entirely through the nostrils without lifting the skin, they must rely on advanced tactile skill and experience to reshape bone and cartilage with precision. Not all plastic surgeons are experts with this approach, which is why the Eisemann team's proficiency sets them apart.

Can both local sedation and general anesthesia be used for closed rhinoplasty?

Yes, the procedure can be performed under local anesthesia with intravenous sedation or under general anesthesia, depending on the patient's needs and the extent of the changes. Dr. Michael Eisemann and Dr. Bradley Eisemann will recommend the best option during your consultation.

How long does a closed rhinoplasty procedure take?

The entire procedure typically takes about one to two hours, depending on the extent of the changes being made. Patients are free to return home the same day, driven by another adult.

When can I resume physical activities after a closed rhinoplasty in Houston?

Vigorous physical activities should be avoided during the initial healing period, though daily walks are encouraged to stimulate blood circulation. The Eisemann team will provide a personalized timeline for returning to exercise based on your recovery.

What type of sutures are used in closed rhinoplasty, and do they need to be removed?

The incision sites inside the nostrils are closed with dissolvable sutures, so there is no need for a separate suture removal appointment. A protective dressing is also placed on the nose immediately after surgery to support the healing process.