Closed Rhinoplasty in London
What is Closed Rhinoplasty?
Closed rhinoplasty, also known as endonasal rhinoplasty, is a surgical technique that reshapes the nose through incisions made entirely inside the nostrils. This means there are no external cuts or visible scars.
At Real Plastic Surgery, Consultant Plastic and Reconstructive Surgeon Mr Naveen Cavale performs closed rhinoplasty for patients seeking subtle refinements to the nasal structure, whether for aesthetic enhancement or improved breathing.
This minimally invasive approach allows precise modification of the bone and cartilage framework while maintaining the natural nasal support structures. It is especially suited to patients requiring moderate changes without the need for extensive reconstruction.
Closed rhinoplasty from £10,000
Schedule a consultation with one of the best rhinoplasty surgeons in London
Before and After
Why Choose a Closed Rhinoplasty?
Closed rhinoplasty is ideal for those looking to refine the shape and symmetry of their nose without an external incision. It offers several advantages, including:
- No visible scarring – all incisions are concealed within the nostrils.
- Reduced swelling and quicker recovery compared to open rhinoplasty.
- Shorter operating time, as there is less disruption to the nasal tissues.
- Subtle, natural-looking results that preserve the integrity of your facial features.
While the closed technique offers less direct visibility than open rhinoplasty, it provides excellent results in cases that do not require significant structural grafting or major tip reconstruction.
At Real Plastic Surgery, Mr Cavale carefully assesses each patient’s anatomy to determine whether the closed approach will achieve their desired results safely and effectively.
Techniques Used in Closed Rhinoplasty
Closed rhinoplasty procedures are tailored to each patient, but may include:
Tip Refinement
Adjusting cartilage through internal incisions to improve nasal tip definition or symmetry.
Bridge Adjustment
Reducing a dorsal hump, smoothing irregularities, or subtly adjusting the nasal bridge for better balance.
Septal Correction
Addressing mild septal deviation to improve nasal airflow.
Minor Grafting (if required)
Small internal grafts may be placed to maintain support and definition where needed, using cartilage from within the nose.
Each operation is performed with meticulous care by Mr Naveen Cavale, ensuring proportionate, elegant results that enhance rather than change your appearance.
Treatment Time
Between 2 and 2.5 hours. We use a general anaesthetic and you can usually go home on the same day.
Downtime
10 - 14 days off work.
Reasonable Mobility
We recommend patients begin gentle movement around two days after surgery. Light activities such as walking, climbing stairs, and carrying out basic daily tasks are encouraged to support circulation and recovery.
Sport & Exercise
You can begin exercising and doing more strenuous activities at six weeks.
Driving
Most patients can resume driving two weeks after surgery, provided they feel comfortable.
Shower
You can shower the day after surgery, but it's important to keep any wounds and dressings clean and completely dry.
Full Recovery
Between six months to a full year. While most swelling subsides within the first few months, subtle changes and final results may continue to develop over time.
Maintenance
Rhinoplasty provides a permanent solution. It can be combined with other surgical and non-surgical procedures when looking to rejuvenate the appearance and reduce signs of ageing.
Reason for doing this?
To address aesthetic and structural concerns such as dorsal humps, nasal deviation, asymmetry, or disproportionate nasal size. The procedure also aims to improve nasal contour and function, including correction of breathing difficulties caused by internal nasal obstruction (e.g. deviated septum).
Reasons to Avoid
If you have any doubts. Our team of experts will support and guide you through your treatment journey. During your consultation, Mr Cavale will determine your suitability and your certainty.
The Patient Journey: Closed Rhinoplasty
Your closed rhinoplasty in London journey begins with a detailed consultation at the REAL Clinic in Battersea, where Mr Cavale will assess your nasal structure and discuss your goals. He’ll explain whether a closed approach is suitable, and what results you can expect based on your anatomy.
You’ll have the opportunity to view before-and-after examples, ask questions, and discuss recovery expectations. Virtual consultations can be arranged initially, with an in-person review required before surgery.
What to Expect on the Day:
Closed rhinoplasty is performed under general anaesthesia, typically as a day-case procedure lasting around two hours. All incisions are made inside the nostrils, with no cuts to the columella. This results in less post-operative swelling and faster healing.
After surgery, you’ll be discharged the same day with clear aftercare guidance and direct access to our team via phone or WhatsApp. A follow-up appointment is arranged at one week to remove dressings, and another at six weeks to monitor progress.
Most patients notice gradual refinement over three to six months as swelling resolves.
Book a Consultation
If you’re considering closed rhinoplasty in London, book a consultation with Mr Naveen Cavale at Real Plastic Surgery. Known for his calm, honest approach and meticulous attention to detail, Nav personally conducts every consultation and performs all surgeries himself. With over 20 years of experience in both open and closed rhinoplasty, he will help determine which technique best suits your goals, ensuring safe, natural, and balanced results.
Frequently Asked Questions
What is the difference between closed and open rhinoplasty?
Closed rhinoplasty uses incisions inside the nostrils, leaving no external scars and allowing quicker recovery. Open rhinoplasty includes a small incision under the nose for greater visibility in more complex cases.
Will I have any visible scars?
No. All incisions are made inside the nostrils, so there are no external marks or visible scars.
Who is a good candidate for closed rhinoplasty?
Patients seeking modest nasal refinements, such as smoothing a hump, refining the bridge, or adjusting tip projection, without requiring major reconstruction.
How long is the recovery after closed rhinoplasty?
Most patients can return to work within one week. Swelling subsides steadily over several months, with final results visible around six to nine months post-surgery.
How much does closed rhinoplasty cost?
Prices for closed rhinoplasty at the REAL Clinic in Battersea typically start from £10,000, depending on complexity. You’ll receive a personalised quote after your consultation.
Will my results look natural?
Yes. Mr Cavale’s technique focuses on achieving subtle, balanced results that align with your overall facial proportions, never an “overdone” or artificial look.
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