Closed Rhinoplasty - Rim Graft - Nose Job

Closed rhinoplasty involves incisions which are confined to the inside of the nose. Though this results in no visible scarring, the procedure offers less visibility of the inside of the nose and is typically not possible for more complex cases. Hump reduction, on the other hand, can be performed with closed rhinoplasty.

The alar rim graft is placed in the pocket and extends the entire length of the alar to the region of the soft tissue triangle. Customizing the appearance of the medial end of the alar rim graft is often necessary to balance the alar rim. When the skin flap is redraped, the alar rim graft needs to be “pulled down” into the correct position under the alar rim. If a closed approach is used, alar rim grafts may be placed via a rim incision and sutured to the vestibular tissue with 5-0 chromic or slid into a small pocket via a small rim incision after careful sharp dissection is performed through the alar rim.

Video produced by SPORE Medical