Closed Rhinoplasty in Seattle, Washington
A closed rhinoplasty, also known as a scarless nose job, enhances the appearance of the nose using small incisions inside the nostrils. Compared to an open rhinoplasty, it generally results in less swelling, less bruising, and no visible scars. It’s often chosen to refine the nasal tip, shorten the nose, or remove a dorsal hump. When performed by a skilled, board-certified facial plastic surgeon, closed rhinoplasty is a safe and effective procedure.
The surgery typically takes between 1-2 hours, and most patients recover enough to return to normal activities within a week. Costs can range from $10,600 to $12,300, depending on the specifics of the surgery and location. In one survey from 2015, 83.6% of patients reported satisfaction with their results—women, on average, were more satisfied than men.
Closed Rhinoplasty Seattle Washington
- Closed rhinoplasty involves internal nostril incisions, leaving no visible scars.
- It’s ideal for subtle cosmetic improvements with faster recovery.
- About 83.6% of patients are satisfied, with women showing higher satisfaction rates.
- When done by a qualified facial plastic surgeon, it’s safe and effective.
What Is a Closed Rhinoplasty?
A closed rhinoplasty (endonasal rhinoplasty) is a nasal reshaping surgery performed through small internal incisions. This approach avoids any visible external scars. It’s best for patients who need minor to moderate changes, such as tip refinement, shortening, or dorsal hump reduction.
Why the Incisions Are Made Inside the Nostrils
The key advantage of a closed technique is that the surgeon works entirely through the nostrils. This requires a high level of precision and experience, but it ensures that no external scars are left behind.
Ideal for Tip Refinement or Dorsal Hump Removal
Closed rhinoplasty is most effective for cosmetic tweaks, like refining the nasal tip or removing bumps along the bridge. It’s not typically used for major structural corrections.
Benefits of a Closed Rhinoplasty
- Minimal Swelling and Bruising: Because all incisions are internal, trauma to the skin is reduced.
- Quicker Recovery Time: Most people resume normal routines within a week.
- Natural-Looking Results: The technique allows the surgeon to preserve the nose’s natural structure while improving aesthetics.
The Closed Rhinoplasty Procedure
Under general anesthesia, the surgeon makes small internal cuts inside the nostrils. Cartilage and/or bone may be added or removed depending on the desired changes. Once reshaped, the area is sutured, and a nasal splint is placed for protection during healing. The surgery typically takes 1-2 hours.
Recovery and Results
After the procedure, a nasal splint is worn for 5-7 days. During this time, patients should avoid physical exertion, chewing hard foods, swimming, and sleeping on their face. Although most swelling subsides within a few weeks, subtle tip swelling can take up to a year to fully resolve.
Returning to Normal Activities
By the two-week mark, most patients experience a noticeable reduction in swelling and are able to return to work and light physical activity. The final shape of the nose continues to improve over several months.
Permanent, Natural Results
The outcome is long-lasting and typically very natural in appearance. Choosing an experienced surgeon is critical to achieving an aesthetically pleasing and functional result.
Choosing the Right Facial Plastic Surgeon in Seattle
Look for a board-certified facial plastic surgeon with extensive experience in rhinoplasty. Viewing before-and-after photos, reading reviews, and checking credentials will help you find someone whose aesthetic matches your goals.
Cost of Closed Rhinoplasty in Seattle
- Primary Rhinoplasty: $10,100 (Surgeon + Operating Room) + $725 (Anesthesia)
- Revision Rhinoplasty: $12,300 (Surgeon + Operating Room) + $875 (Anesthesia)
Closed vs. Open Rhinoplasty
While both approaches reshape the nose, the main difference is in access and incision placement. Closed rhinoplasty keeps all incisions internal, ideal for simpler cosmetic changes. Open rhinoplasty includes an external incision for more complex restructuring.
Closed rhinoplasty has less downtime and a more natural outcome, but it requires a highly skilled surgeon. Open rhinoplasty is better suited for major revisions or structural corrections.
Preparing for Surgery
Before surgery, have a consultation with your surgeon to set realistic expectations. They’ll review your medical history, take photos, and explain the process. Avoid smoking, alcohol, and blood-thinning medications in the days leading up to surgery. Arrange a ride home and prepare soft foods, cold compresses, and recovery supplies ahead of time.
Post-Op Care and Aftercare
You’ll wear a nasal splint or cast for 5-7 days. Swelling peaks during the first few days and gradually fades over the following weeks. Avoid heavy lifting, strenuous activity, and sun exposure during early recovery. Keep your head elevated and avoid wearing glasses directly on the nose for several weeks.
Risks and Complications
While closed rhinoplasty is generally safe, risks include swelling, bruising, numbness, minor bleeding, breathing difficulties, or asymmetry. Rare complications can include septal perforation or the need for revision surgery.
Why Choose Closed Rhinoplasty in Seattle
Closed rhinoplasty is a popular choice for those seeking nose reshaping without visible scarring. It allows for subtle, refined changes with a faster and easier recovery. Choosing a qualified facial plastic surgeon in Seattle ensures that the results are not only beautiful but also long-lasting and natural.
Seattle Facial Plastic Surgery Experts
Seattle is home to experienced facial plastic surgeons like Dr. William Portuese and Dr. Joseph Shvidler, both known for their work in closed rhinoplasty and natural-looking results. Their expertise covers a range of procedures including facelifts, eyelid surgery, and neck lifts, all tailored to enhance both appearance and function.
Their Seattle practice is known for delivering high-quality care and exceptional outcomes. With over 17 years of experience, Dr. Portuese leads a team that’s dedicated to helping patients look and feel their best.