Closed rhinoplasty, also known as endonasal rhinoplasty, is a minimally invasive nose surgery where all incisions are made inside the nostrils. This closed rhinoplasty technique leaves no visible external scars, making it a popular choice for patients seeking a more discreet procedure. Closed scarless rhinoplasty offers natural-looking results with less swelling and quicker recovery compared to open procedures.

Closed rhinoplasty before and after images often show refined results, especially for patients with mild to moderate nasal concerns. When comparing open vs closed rhinoplasty, the closed method is ideal for subtle changes and shorter healing times. Closed rhinoplasty recovery time is typically shorter, with most patients returning to normal activities within 1–2 weeks. The closed rhinoplasty recovery day by day is smoother due to fewer incisions and less tissue disruption.

Closed rhinoplasty cost varies based on location, surgeon experience, and complexity. In Turkey, closed rhinoplasty in Turkey cost is more affordable than in Western countries, attracting medical tourists worldwide.

Closed rhinoplasty results are impressive, especially for issues like dorsal hump correction and nasal asymmetry. For a bulbous tip, a bulbous tip closed rhinoplasty or closed ultrasonic rhinoplasty can provide precise reshaping. Closed rhinoplasty incisions are hidden, and stitches dissolve or are removed within a week. Healing time varies, but most swelling subsides within a few weeks.

Closed revision rhinoplasty can correct previous surgeries while maintaining minimal scarring. With skilled closed rhinoplasty surgeons, patients can achieve a refined, scarless nose through the rhinoplasty closed technique.

For Your Dream Nose. Perfection Through ProfessionalismYUNUS KAPLAN M.D. RHINOPLASTY & REVISION RHINOPLASTYBorn in 1979 in Iskenderun, The Yunus Kaplan Private Clinic was founded, a renowned otorhinolaryngologist (ear, nose, and throat specialist) who has specialized in facial aesthetics for more than 15 years in Istanbul. After graduating from Gaziantep University Faculty of Medicine in 2001, Yunus Kaplan left the Department of ENT at Gaziantep University Faculty of Medicine as an expert in 2009.

For Your Dream Nose. Perfection Through ProfessionalismYUNUS KAPLAN M.D. RHINOPLASTY & REVISION RHINOPLASTYBorn in 1979 in Iskenderun, The Yunus Kaplan Private Clinic was founded, a renowned otorhinolaryngologist (ear, nose, and throat specialist) who has specialized in facial aesthetics for more than 15 years in Istanbul. He is one of the best surgeon for Closed Rhinoplasty in Istanbul, Turkey.

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Table of Contents

Case Studies

Rhinoplasty in a 34-Year-Old Female Patient

Before & After

Complex Revision Rhinoplasty in a 29-Year-Old Female Patient

Before & After

Rhinoplasty in a Patient with a Large, Thick-Skinned Nose

Before & After

Rhinoplasty for Nasal Tip Ptosis, Wide Tip, Dorsal Hump, and Low Radix

Before & After

Comprehensive Rhinoplasty for Functional and Aesthetic Improvements

Before & After

Overview of Closed Rhinoplasty in Istanbul, Turkey

Anesthesia

General

Duration

3-4 hours

Hospital Stay

1 Day

Hotel Stay

7 Days

Recovery Time

6-12 months

Back to Work

1 Week

What Is Closed Rhinoplasty?

Closed rhinoplasty is known as a minimally invasive method among rhinoplasty surgeries that leaves no visible external scars. In this technique, all incisions are made inside the nostrils, allowing the surgeon to reshape the nasal cartilage and bone from within. It is generally preferred for correcting mild to moderate nasal defects. Widely used in the 19th century, closed rhinoplasty became secondary in the 1970s as open rhinoplasty was preferred for more complex cases. Nevertheless, due to advantages like faster recovery time, lower risk of complications, and minimal postoperative swelling, it remains popular today for simple nasal correction procedures.

Free consultation & simulation for Closed Rhinoplasty in Istanbul, Turkey with Dr. Yunus Kaplan

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How Is Closed Rhinoplasty Performed?

Closed rhinoplasty is a minimally invasive technique used in rhinoplasty surgeries, performing nasal reshaping without any visible external incisions. The surgery consists of several stages, each meticulously executed.

The key steps in the procedure are:

Anesthesia: The patient is placed under local or general anesthesia to ensure comfort and painlessness during the operation.
Incision: Incisions are made inside the nostrils, leaving no external scars and providing the surgeon access to the nasal structure.
Cartilage and Bone Shaping: The surgeon uses specialized surgical instruments to correct or reshape the nose.
Retracting Nasal Skin: The surgeon lifts the nasal skin to access the underlying cartilage and bone structures.
Suturing and Healing: Incisions are closed with self-dissolving stitches, and a nasal splint is applied to support the new shape.

Since closed rhinoplasty is less invasive than the open method, patients generally recover more quickly. The challenges of this technique require the surgeon to be experienced to achieve precise results despite the limited field of view. Postoperative swelling and bruising are usually minimal, and patients can return to their normal lives within a few weeks. The final results of the surgery fully manifest within a few months.

Closed Rhinoplasty in Istanbul, Turkey Before & After

When Is Closed Rhinoplasty Performed?

Closed rhinoplasty is preferred in cases where extensive exposure of the nasal anatomy is not required. It is suitable for patients needing minor to moderate nasal changes and can be performed for both aesthetic and functional purposes. The surgeon can make the desired changes without leaving external scars by intervening through the nostrils. This method is frequently preferred due to its minimally invasive nature and offering a faster recovery time.

Situations where closed rhinoplasty is appropriate include:

Minor tip refinements
Mild nasal tip reshaping
Reduction of dorsal hump
Small deviations in the nasal bridge
Minor profile adjustments
Airway improvements combined with septoplasty
Preference for minimal scarring
Selected cases of revision rhinoplasty

While closed rhinoplasty does not offer as extensive visualization and access as open rhinoplasty, it allows for precise surgical interventions. It is an attractive option, especially for patients who do not want visible scars aesthetically. Additionally, it may be preferred by individuals with a busy lifestyle due to its shorter recovery time. The most important consideration in this method is to carefully evaluate whether it is suitable for the patient’s nasal anatomy and needs. Closed rhinoplasty can yield highly successful results when the right patient selection is made and can also improve nasal function.

Who Is Not Suitable for Closed Rhinoplasty?

Closed rhinoplasty may not be a suitable option for some patients. The limited access and visibility of this method can make it difficult to achieve desired results in patients with certain nasal deformities and surgical requirements. Situations where the procedure is contraindicated encompass patients with both aesthetic and functional problems. Closed rhinoplasty should not be preferred in the following cases:

Complex nasal deformities
Need for revision rhinoplasty
Thick nasal skin
Severe airway obstructions
Requirement for extensive cartilage grafting
Unrealistic expectations

These situations can make it challenging for the surgeon to access the nasal structure and make necessary changes. In complex nasal deformities, open rhinoplasty, which requires more surgical precision, should be preferred. Especially difficulties arising after previous surgeries may not be fully corrected due to the limited visibility of the closed technique.

Closed rhinoplasty is ideal for patients needing minimal corrections. However, patients with thick nasal skin or structural problems requiring extensive grafting may not benefit sufficiently from this technique. Lastly, the best candidates for closed rhinoplasty are patients who have realistic expectations about surgical outcomes and desire more minimal changes. Psychological factors related to aesthetic surgery should also be evaluated, as such surgeries can have not only physical but also psychological consequences.

How Is Closed Rhinoplasty Applied?

Dr. Yunus Kaplan during rhinoplasty surgery in Istanbul, Turkey

Closed rhinoplasty is a specific technique used in rhinoplasty surgeries, and all surgical procedures are performed through incisions made inside the nostrils. This way, there are no visible external scars, and the natural nasal structure is preserved. The fundamental steps of the operation are applied in a particular sequence.

Preoperative preparation
Administration of anesthesia
Making internal incisions through the nostrils
Accessing the cartilage and bone structure
Reshaping the nasal bone and cartilage
Refining the nasal tip
Placement of grafts
Closing internal incisions with absorbable sutures
Applying a splint or cast to maintain the nasal shape

The surgeon performs osteotomies to reach the nasal bones and cartilage to achieve the desired shape and supports the nasal structure by using cartilage grafts when necessary. One advantage of closed rhinoplasty is that it leaves no external scars and preserves the skin’s natural integrity. However, due to limited visualization, the surgeon must make precise changes using tactile ability.

During the surgery, specific areas such as the nasal bridge hump, nasal tip, or nostrils can be modified. After this procedure, the healing of internal stitches is generally faster. The absence of any external incisions accelerates the recovery process and contributes to reduced swelling.

What Are the Side Effects of Closed Rhinoplasty?

Closed rhinoplasty is popular in the field of aesthetic surgery due to its lack of external scarring and faster recovery process. However, like any surgical procedure, some side effects and complications may occur with this method. In the postoperative period, patients may encounter various issues, but these side effects are usually temporary and can be alleviated with proper care.

Common side effects include:

Swelling
Bruising
Nasal congestion
Numbness
Skin discoloration
Nosebleeds

Possible complications are rarer but can be serious. These complications include periorbital hematoma (blood accumulation around the eyes), infection, breathing difficulties, and deformities in the nasal structure. Additionally, the formation of a hole in the nasal septum, known as septal perforation, is considered a serious risk.

Another possible complication of closed rhinoplasty is olfactory issues. After surgery, patients may experience temporary changes in their sense of smell. This condition usually resolves within a short time. However, rarely, edema may persist longer than expected, prolonging the healing process and affecting the final aesthetic appearance. Such prolonged swelling requires patients to be patient and closely monitor the process.

How Successful Is Closed Rhinoplasty?

Closed Rhinoplasty in Istanbul, Turkey Before & After

Closed rhinoplasty is a highly effective surgical method in terms of patient satisfaction and success rate. Although success rates vary depending on the complexity of cases and the surgeon’s experience level, they generally range between 80% and 90%. This technique, especially preferred for simpler nasal reshaping, has high satisfaction rates among patients.

Advantages of closed rhinoplasty:

Shorter recovery time
No visible scarring
Less postoperative swelling

Complications are generally less frequent in the long term. The likelihood of nasal tip numbness and scarring is low. However, when complex structural changes are required, precision may sometimes decrease compared to open rhinoplasty. Approximately 5-15% of patients may need a revision operation. Closed rhinoplasty provides effective results by offering both aesthetic and functional improvements.

How to Prepare Before Closed Rhinoplasty?

The preparation process before closed rhinoplasty surgery is of great importance for the safety and success of the operation. Physically and mentally preparing patients before surgery facilitates the recovery process and ensures desired outcomes. There are several key steps to pay attention to at this stage.

Detailed medical evaluation
Physical examination
Imaging studies if necessary
Discussing aesthetic goals with the surgeon

Patients should review their medication use during the preoperative period. Medications with blood-thinning effects, as well as herbal supplements, should be approached with caution as they can increase bleeding risk. The use of certain medications and supplements should be discontinued during this period.

Aspirin and NSAIDs
Ginkgo
Ginseng
Vitamin E

Patients need to quit smoking and limit alcohol consumption. Nicotine can negatively affect healing, so smoking should be stopped at least four weeks in advance. Alcohol should also be avoided as it can cause problems during anesthesia.

Quitting smoking
Avoiding alcohol

Fasting is required during the preoperative period. This involves not consuming any food or drink for at least 6-8 hours to ensure the safety of anesthesia. Some routine tests performed before surgery help assess the general health status of patients. These tests are especially important in patients with underlying health issues.

How Should Postoperative Care Be After Closed Rhinoplasty?

Postoperative care after closed rhinoplasty is of great importance to achieve the best possible surgical results and accelerate the healing process. Regular and proper application of postoperative care is necessary to prevent complications and ensure patient comfort. There are many steps to pay attention to during this process.

Nasal packing and splints are usually used after surgery. Packing provides internal nasal support, while splints help maintain the nasal shape.

Applying cold compresses can alleviate swelling and bruising.
Keeping the head elevated, especially while sleeping, reduces swelling.
Steroid medications may sometimes be prescribed to minimize swelling.
Nasal hygiene should be maintained with nasal sprays and prescribed ointments. This prevents crusting and accelerates healing.
Pain relievers are used for mild pain, but NSAID-type medications are recommended to be avoided.
Physical activities should be avoided. Avoiding bending, heavy lifting, and vigorous facial movements supports healing.
Objects that put pressure on the nose, such as glasses, should be avoided until healing is complete.
Regular follow-up visits should be conducted for doctor supervision.
Exposure to sunlight should be avoided.

Complete healing after closed rhinoplasty may take about 12 months. Although the final results of the surgery begin to emerge within a few months, it may take time for the remaining swelling to subside completely. During this process, patients should be patient during the recovery period and strictly follow their doctor’s recommendations. Especially in the first weeks after surgery, it is crucial to avoid any impact on the nose, as this can negatively affect the success of the operation.

Wie viel kostet Closed Rhinoplasty in Istanbul, Turkey?

Die Kosten für Closed Rhinoplasty in Istanbul, Turkey liegen typischerweise zwischen 4.500 € und 6.500 €. Die Preise variieren je nach Operationsart, Paketdetails und Krankenhaus, aber die Kosten für Closed Rhinoplasty in Istanbul, Turkey sind günstiger als in westlichen Ländern und es ist eine ausgezeichnete Option für eine Operation im Ausland.

Eine Vergleichstabelle der Kosten für Nasenkorrekturen in verschiedenen Ländern

Land	Durchschnittliche Kosten für Nasenkorrekturen im Jahr 2025
Vereinigte Staaten	$15.000 - $30.000
Vereinigtes Königreich	£10.500 - £21.000
Kanada	CAD 14.250 - CAD 28.500
Australien	AUD 22.500 - AUD 45.000
Irland	11.250 € - 22.500 €
Neuseeland	NZD 25.500 - NZD 51.000
Türkei	4.500 € - 6.500 €

Frequently Asked Questions

Who is suitable for closed rhinoplasty?

Closed rhinoplasty is a method of nasal surgery performed through incisions inside the nasal wings, leaving no external scars. This approach is generally suitable for patients seeking minor changes, such as correcting nasal dorsal humps or reshaping the nasal tip. Closed rhinoplasty can be preferred for its advantages of less swelling and a faster recovery period. However, in cases requiring more complex structural modifications or extensive alterations, open rhinoplasty may be more appropriate due to its greater accessibility.

What techniques are used during closed rhinoplasty?

Closed rhinoplasty is a surgical technique in which all incisions are made inside the nostrils, allowing the nasal bone and cartilage structures to be reshaped without leaving any external scars. This method offers advantages such as no visible scars, less swelling, and faster recovery. However, due to the limited visibility and access, it requires the surgeon to have high skill and extensive experience.

Is the recovery process shorter compared to open rhinoplasty?

Closed rhinoplasty generally has a shorter recovery period compared to open rhinoplasty. Patients undergoing closed rhinoplasty experience less swelling and bruising, allowing them to return to daily activities more quickly. In open rhinoplasty, the small external incision can lead to more swelling and a longer recovery time. However, the recovery process can vary depending on individual factors and the specific surgical interventions performed.