The closed approach describes an incision technique in rhinoplasty. In this collection, rather than judging the scope of surgery by this name alone, you can examine which structures were actually corrected. Case records include addressing a small nose together with nostril show, as well as raising the nasal tip and adjusting its projection using autologous rib cartilage.
This collection also includes an article on revision rhinoplasty performed via a closed approach in the presence of severe adhesions, cartilage damage, and a deviated implant. Because the materials used and the structures reconstructed differ even within the same approach, it is important to read the detailed surgical notes in the original post. The closed approach should not be misunderstood as having no incisions at all, nor does it mean applying the same method to every condition.
View before-and-after cases ↓Comprehensive rhinoplasty guide
This is a case of septal cartilage deficit, nasal bone asymmetry, and nasal obstruction remaining after two surgeries. Through a closed approach, autologous rib cartilage was used for septal reconstruction, along with nasolabial angle correction, nasal bone asymmetry correction, and radix adjustment.
Performed or used in this surgery
A primary rhinoplasty case involving a small, low nose and an upturned tip causing excessive nostril show. Using a closed approach, septal reconstruction with autologous rib cartilage, nasolabial angle correction, artificial dermis skin reinforcement, and a silicone implant were performed.
Performed or used in this surgery
Following prior surgeries, a bulbous and drooping long nose with an excessively high radix and nasal obstruction was corrected using a closed approach. Scar tissue debridement, osteotomy, nasolabial angle correction, and septoplasty were performed concurrently.
Performed or used in this surgery
This is a primary rhinoplasty case correcting an irregular dorsal hump and an acute nasolabial angle. Using a closed approach, we refined the dorsal hump, performed nasal tip plasty with autologous rib cartilage, reconstructed the septum, placed a silicone implant, and corrected the nasolabial angle.
Performed or used in this surgery
This is a revision rhinoplasty case where the patient experienced a drooping tip, a deviated septum, and nasal obstruction after previous surgery. The septum was reconstructed using autologous rib cartilage, and silicone implant replacement along with rhinitis surgery was performed using a closed approach.
Performed or used in this surgery
Nostril asymmetry caused by a tilted columellar axis and loss of alar cartilage after Gore-Tex insertion was corrected through Gore-Tex removal, autologous rib cartilage alar reconstruction, and septoplasty.
Performed or used in this surgery
Through a closed approach, a nose that became low, upturned, and showed excessive nostril exposure after silicone implant removal was refined using autologous rib cartilage tip extension, nasal bridge height restoration, and correction of the nasolabial angle to 90 degrees.
Performed or used in this surgery
After 6 previous surgeries, a drooping and tilted columella, crooked nose, and nostril asymmetry were stabilized through a closed approach using autologous rib cartilage reinforcement, lateral osteotomy, and columellar alignment correction.
Performed or used in this surgery
An uneven nasal bridge, damaged septal cartilage, and nasal obstruction were corrected by removing the existing silicone implant and filler, followed by autologous rib cartilage reconstruction, re-insertion of a customized silicone implant, and septoplasty with inferior turbinoplasty.
Performed or used in this surgery
A long nose, drooping nasal tip, crooked nasal bridge, and nasal obstruction remaining after prior functional surgery were corrected using autologous rib cartilage tip plasty, partial septal reconstruction, and lateral osteotomy.
Performed or used in this surgery
A dorsal hump and drooping tip were smoothly refined through a closed approach using autologous rib cartilage tip plasty, hump reduction, lateral osteotomy, and nasolabial angle correction.
Performed or used in this surgery
A drooping nasal tip and crooked dorsal hump caused by small lower lateral cartilages were refined through autologous rib cartilage support reinforcement, lateral osteotomy, a silicone implant, and nasolabial angle correction.
Performed or used in this surgery
Septal support lost in previous surgeries was reconstructed with autologous rib cartilage, and pinched alae and depressed nasal bridge areas were reinforced to correct an upturned nasal tip and nostril show.
Performed or used in this surgery
For a patient who wanted primary rhinoplasty without artificial implants, lateral osteotomy was performed to straighten the deviated nasal bones, and donor rib cartilage and septal cartilage were used to reinforce the bridge and reshape the nasal tip.
Performed or used in this surgery
A case of persistent nostril asymmetry and nasal valve stenosis after multiple surgeries, addressed by removing existing implants, performing septoplasty and turbinoplasty, and reconstructing the structure with rib cartilage and a skin graft.
Performed or used in this surgery
Residual unabsorbed HA filler was completely removed, followed by autologous rib cartilage rhinoplasty, lower lateral cartilage trimming, and septal and inferior turbinate surgery, all performed via a closed approach.
Performed or used in this surgery
For a patient who developed a depressed nostril sill, an upturned nose, and nostril asymmetry 15 years after primary rhinoplasty, a closed-approach surgical plan was established including septal reconstruction, cartilage adjustment, and implant exchange.
Performed or used in this surgery
For a primary rhinoplasty patient presenting with a small nose, nostril asymmetry, and a retracted columella, we performed septal extension using septal cartilage and donor rib cartilage, dorsal hump reduction, dermal graft reinforcement, and silicone implant placement.
Performed or used in this surgery
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There is a recorded case where reconstruction using autologous rib cartilage was performed via a closed approach in a patient with severe adhesions, damaged cartilage structures, and a deviated implant. Another article details the process of adjusting the height and direction of the nasal tip using a closed approach. Checking both the surgical approach and the actual scope of reconstruction provides a clearer understanding of each procedure.
It is difficult to judge scarring or recovery progress for all patients based solely on the name of the surgical approach. The featured articles also vary widely in scope, ranging from simple nasal tip surgery to revision rhinoplasty involving adhesions and cartilage damage. It is helpful to first check whether the before-and-after photos were taken immediately after surgery or during follow-up, as well as what concurrent procedures were performed, and to review them within the context of each individual record.
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