What is the Difference between Septoplasty and Sinus Surgery?

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What is the Difference between Septoplasty and Sinus Surgery?

What is the Difference between Septoplasty and Sinus Surgery?

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Our uniqueness is our individuality. Each human is different in his or her own way. These differences can be in how we perceive things, how we appear to ourselves and the others, how we carry ourselves and how our features and parts of body differ from one other. One such distinctive feature is our nose. The nose is made up of the bones, cartilage, skin and tissues.

Restricted airflow in the nose can be caused because of the shape of the nose and nasal cavity defects. The hinderance in regular breathing can lead to many problems such as snoring, difficulty in exercising, crusting and nose bleeds making and generally make everyday life uncomfortable.

There are two main reasons behind this. One is the septum’s structure and the second is the state of the sinuses. Both conditions can be easily treated by rhinoplasty surgeons. When not treated sinus infections can cause unbearable pain for a person. Before we get into treatment procedures let us take a dive into what the deviated septum and the sinus issues mean and why they need surgical corrections.

Sinus infections

There are 4 sets of sinuses around the nose, placed in the hollows of nose, eyes, and forehead. Their function is to act as a natural air filter, humidifier and improves the immune health. The inside of sinuses is lined the mucus for good air filtration. To keep the sinuses clean, body’s natural system drains the mucus in the nasal cavity. If for some reason the sinus become blocked (rhinosinusitis) because of viral or bacterial infections, then the residual mucus and other things can cause inflammation. In a sinus infection the fluid starts to fill the empty hair pockets and nasal polyps start to develop. The germs grow and multiply in the nose leading to various symptoms like itching, chronic discharge from the nasal region.

Another common reason for sinus issues is the deviate septum. If the septum is more towards one side it can trigger a host of complications including sinusitis. . Symptoms include facial pain, pressure, congestion, postnasal drip, and headaches.

What is a deviated septum?

The septum is made up of a bony cartilage that forms a wall between the two parts of the nose. it supports the structure of the nose and regulates the airflow. Ideally the septum should be straight but many a times it is not and has some degree of deviation. However, when the imbalance is extreme it can cause breathing issues and prevent draining from nose.

A deviated septum can also cause the turbinates to become inflamed. The turbinates filter and humidify the air before it goes into the lungs and prevent the nose from becoming moist. In cases of severely deviated septum the turbinates adjust their size by becoming bigger and it causes more blockage in the nose.

Treatment options

Endoscopic sinus surgery is most commonly used to treat chronic sinusitis. And septoplasty is the most popular option for treatment of sinuses. Best septoplasty surgeon in India often combinesturbinoplasty with septoplasty to give more relief to the patient.

Confused which procedure will work for you?

The choice of procedure between sinus surgery and septoplasty in India will depend on the persistent symptoms that you might be experiences. Difficulty in breathing is often because of deviated septum, whereas if you have been suffering from regular fluid discharge accompanied with chronic headaches and breathing issues then it can be because of the sinus infection. Both endoscopy for sinus and septoplasty in India are distinct procedures but surgical. they can be complementary and sometimes performed together. Here is an overview of the procedures and the differences between them to help you with the necessary decision making.

The procedure

Septoplasty: Septoplasty is a surgical procedure aimed at correcting a deviated septum, which is a condition where the nasal septum, the thin wall between the nostrils, is significantly off-centre or crooked. This condition can obstruct the nasal passage and cause breathing difficulties, chronic congestion, frequent sinus infections, snoring, and other related problems.

Best septoplasty surgeon in India, perform the procedure by making an incision inside the nose and lifting the mucosal lining. The deviated septum is then corrected and repositioning by trimming or removing the portion that is blocking the airflow. The surgeon will ensure proper alignment. The surgery is done under general or local anaesthesia and the patient can go home the same day.

Sinus surgery: The sinus surgery is an endoscopic procedure and is also commonly known as sinusitis surgery or functional endoscopic sinus surgery (FESS), is a procedure performed to treat chronic or recurring sinus infections (sinusitis) and related sinus conditions. It aims to alleviate symptoms, improve sinus drainage, and reduce inflammation within the sinuses.

In this procedure the surgeon will use thin endoscope that has a camera attached to the end. The surgeon inserts the endoscope in the nose and can see the insides of the nose using the camera. He will then remove the tissues, and polyps to clear the air flow. The surgeon can also expand the sinus openings to improve the airflow in the nose. This is done using the balloon sinuplasty in which a small balloon is inserted in the nasal cavity and then inflated. After removing the balloon, the surgeon will use a saline spray to clean up any debris.  The procedure can be done under local or general anaesthesia. There are no cuts in the procedure or parts of nose removed.

Risks

The common risks with septoplasty in India include bleeding, infection, difficult in breathing through the nose and persistent swelling around the nose. The recovery time in Septoplasty is longer than in balloon sinuplasty.

Sinus treatment on the other hand as few side effects and complications which also go away in few days. The common risk factors include congestion, swelling around the eyes and nasal cavities and a change in the appearance of nose.

Purpose

Septoplasty focuses on correcting a deviated septum to improve nasal breathing and alleviate related symptoms. Sinus surgery, on the other hand, addresses chronic sinusitis by removing obstructions, improving drainage, and reducing inflammation within the sinuses.

Targeted Structures

Septoplasty primarily targets the nasal septum, while sinus surgery focuses on the sinuses themselves, including the frontal, maxillary, ethmoid, and sphenoid sinuses.

Indications

Septoplasty is typically recommended for individuals with a deviated septumcausing significant breathing problems. Sinus surgery is indicated for patients with chronic or recurrent sinusitis that does not respond to other conservative treatments like medication.

It’s important to note that while septoplasty and sinus surgery have their distinct purposes, they can be performed simultaneously if the patient presents with both a deviated septum and chronic sinusitis. In such cases, the surgeon will address both issues during a single

Cost

The cost of septoplasty and sinus surgery  in India can vary based on several factors, including the geographic location, the surgeon’s experience and reputation, the complexity of the procedure, the type of anaesthesia used, the surgical facility, and any additional treatments or services included. Here are some general considerations regarding the cost differences between septoplasty and sinus surgery:

Septoplasty Cost in India: Septoplasty is a surgical procedure specifically focused on correcting a deviated septum. The cost of septoplasty tends to be lower compared to sinus surgery due to the less extensive nature of the procedure.

Sinus Surgery Cost: The cost of sinus surgery is generally higher than that of septoplasty because it typically involves a more complex and comprehensive approach. The cost can vary depending on the extent of the surgery, the number of sinuses being treated, and additional factors.

Insurance Coverage: In some cases, both septoplasty and sinus surgery may be partially or fully covered by health insurance. However, coverage varies depending on the specific insurance plan, the severity of the condition, and whether the procedure is considered medically necessary. Septoplasty in India may have a higher chance of being covered if it is primarily aimed at correcting breathing difficulties, while sinus surgery may have a higher chance of coverage if it is performed to treat chronic sinusitis that does not respond to conservative treatments. It is essential to consult with the insurance provider to understand the coverage details and requirements.


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What Is the Best Age to Correct a Deviated Septum?

What Is the Best Age to Correct a Deviated Septum?

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Deviated septum is a common problem and most people have little degree of deviation. The septum is a thin cartilage wall that divides the nostrils in to two parts. Ideally it should be in centre and divide the nostrils evenly so ensure a smooth airflow in the nose. But it is not so at all times. Sometimes the septum can be deviated or perforated created multiple functional and aesthetic problems such as

  • One nostril appears larger than the other
  • Blocked nostril
  • Difficulty in breathing especially when doing strenuous work.

When the deviated or perforated septum starts to negatively impact the quality of life then it necessitates a deviated septum correction or a septoplasty by the best deviated septum surgeon.

Who can get a deviated septum surgery?

The nasal structures form fully by average age of 16 years for girls and 18 years for boys and by this time the nasal septum also form full. Surgery before this can affect the growth of the nasal septum and hence affect the development of the facial structures. However, in cases when it is lifesaving, the deviated septum surgery can also be performed on children under the age of 16 by a good paediatric otolaryngologist or a deviated septum surgery. There is no upper age limit to getting a septoplasty procedure done.

What causes a deviated septum?

  • Usually, it is congenital i.e., a person is born with it but later at a person ages,
  • The deviated septum can also be caused because of injury to the nose during labour at birth.
  • The deviated septum can be because of injuries from sports, fights, and accidents.
  • When it is not treated it can get worse with ageing.
  • In some cases, the changes in facial features during puberty which add more definition to the facial features can also lead to septum deviation.

Swelling and infection in nose can exacerbate the deviated septum with passage of time as it can constrict the nasal channel and cause more obstruction. Board certified best deviated septum surgeon use functional septoplasty and aesthetic rhinoplasty to ensure a stable septum.

Symptoms of deviated septum

Most people don’t notice any discomfort because of the deviated septum but in some cases the mild to severe symptoms include

  • Difficulty in breathing normally through the nose
  • Preferring to breath through one side of the nose
  • Frequent nosebleeds
  • Sinus infections
  • Dryness in nostril or nostrils
  • Snoring when sleeping
  • Feeling of persistent nasal congestion or pressure or stuffy nose
  • Preference to sleeping on one side as it makes breathing easier
  • Chronic nasal discharge
  • Facial pain
  • Frequent and long lasting headaches

When a child is affected by deviated septum then the first line of treatment is to help manage the nasal obstruction. Only after the primary treatment has failed to solve the nasal breathing and sleep problems then a surgery can be recommended for children.

What are the indications for deviated nasal septum surgery?

The deviated septum surgeon will first examine the nostrils using a nasal speculum device to see the placement of the septum and its impact. They will also ask about your sleep patterns, sinus issues, level of difficulty in breathing, etc. The following problems ask for a deviated septum surgery:

  • Compressed nasal turbinates because of deviated septum. This leads to headache and nasal congestion. Then the deviated septum presses down on the middle turbinate it causes blockages in the sinus opening and can cause regular sinus infection and thinning of the sinus wall. This is called the silent sinus syndrome.
  • Bleeding from the nose: the deviated septum can lead to repeated bleeding because of the strain on the blood vessels that pass over the septum. This cannot be treated with medical or conservative treatment.
  • Cosmetic reasons: the simple deviated septum correction can make a huge difference in the entire look of the face. Hence sometimes doing this surgery becomes necessary from a cosmetic point of view

Types of nasal septum deviation

Nasal septum deviation can be classified into two types

  • According to anatomic deviation: The septum has two portions one is the cartilaginous part and other is the bony part that joins to the skull. The deviation extends to both parts.
  • According to functionality: this happens when the deviation is directed to one side (c section deviation), or it is on the both sides of the nasal cavities (S shaped deviation).

Septoplasty or Septo-rhinoplasty procedure

These are usually surgical procedure that do not require prolonged hospital stay. The latest techniques used by best deviated septum surgeons in India reduces the risk of scarring, trauma and post operative complications. The entire procedure takes about 1-2 hours to complete and if rhinoplasty is included to change the shape of the nose, it might take a bit longer. The basic steps to the surgery include

Pre-operative preparation: Before the surgery, you may be required to undergo certain pre-operative tests and evaluations. You’ll be advised to stop taking medications that can increase the risk of bleeding, such as aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).

  • Anaesthesia: Septal perforation repair and the deviated septum surgery can be performed under local anaesthesia with sedation or general anaesthesia, depending on the complexity of the procedure and your surgeon’s preference. You’ll discuss this with your surgeon during the pre-operative consultation.
  • Surgical procedure: The surgeon will access the nasal septum by making incisions inside the nostrils. They will carefully lift the mucosal lining of the septum to expose the perforation. The edges of the perforation are then trimmed and freshened, and a tissue graft is placed over the hole to close the perforation. In case deviated septum correction, the surgeon will reshape, reposition, and straighten the septum to the desired position. If necessary, the surgeon might also trim a part of the septum. The graft can be taken from inside the nose (septal cartilage or mucosal flaps) or from another part of the body (e.g., ear cartilage or synthetic materials).
  • Recovery: After the surgery, you will be monitored in a recovery area until the effects of the anaesthesia wear off. You may experience some discomfort, swelling, and nasal congestion for a few days. Your surgeon will provide instructions on how to care for your nose, including nasal irrigation, medication use, and activity restrictions. It’s important to follow these instructions closely to promote healing and reduce the risk of complications. During the recovery period, you should notify your surgeon if you experience any severe pain, excessive bleeding, or signs of infection.

Choice of cartilage for graft for deviated septum treatment and perforated septum treatment

The nasal grafts are almost always needed as the part of deviated septum correction and to create a natural appearance of the nose. Artificial materials often do not give the natural drape and hence most deviated septum surgeons prefer using patient’s own cartilage. Also using the patient’s own cartilage means the results will last forever. There are three types of cartilages used for the septum repair

  • Rib cartilage: The rib cartilage rhinoplasty and reconstructive Septorhinoplasty is the most popular choice. The reason being that this material has the least rate of resorption, does not cause infections and has low rates of complications. The rib cartilage is extremely resilient and strong to put up with the expansion and contraction that occurs while breathing. Another advantage is that this graft material is available in abundance and can be easily used in severe deformities for good structure support and dorsal augmentation.
  • Nasal or the septal cartilage: This is taken from the nose but the drawback is that it can only be used for minor repairs. Using this also not possible in case of revision rhinoplasty because the septal cartilage might already be compromised. Nose cartilage can be easily harvested and does not cause any cosmetic or functional problems.
  • Ear cartilage: This is another excellent choice for small grafts as it is not strong enough for major rhinoplasty reconstructions. The shape of the ear cartilage makes it an excellent choice for lower cartilages.

The long term complications of using rib cartilages are the lowest. The biggest concern is wrapping but it can also now be easily corrected by dipping the graft in a solution before reshaping and resizing. Since the usual time for warping to happening is between 15 to 60 minutes of harvest, best deviated septum surgeons usually wait out this period before reshaping the graft and positioning it. 

The cost of deviated septum surgery

The cost of deviated septum surgery in India can vary depending on several factors, including the location, hospital or clinic, surgeon’s expertise, the type of cartilage used and the complexity of the case. Additionally, the cost may also cover pre-operative consultations, anaesthesia, medications, hospitalization (if required), post-operative care, and follow-up visits.

It’s difficult to provide an exact cost without specific details, but as a general guideline, the cost of septoplasty in India can range from approximately INR 30,000 to INR 1, 50,000 or more. However, these are approximate figures, and the actual cost may be higher or lower based on the factors mentioned above.

To get an accurate cost estimate for deviated septum surgery in India, it is recommended to consult with multiple healthcare providers, discuss your specific case, and obtain detailed cost breakdowns from them. Additionally, inquire about any potential additional costs that may arise during or after the surgery.

Remember to also check if your health insurance policy covers septoplasty or if any part of the procedure can be reimbursed. It’s advisable to have a comprehensive understanding of the overall expenses involved before making a decision.


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What is a Bulbous Nose and How Rhinoplasty Can Help?

What is a Bulbous Nose and How Rhinoplasty Can Help?

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The simple google search for the meaning of bulbous returns the words, bulb shaped, fat, round and ugly. Now imagine this for the nose and it brings a strange shape in mind. A bulbous nose actually refers to the broad appearance of the tip. It can have a varying degree of severity and alter one’s appearance greatly. For a normal nose, the broad tip gives the entire face a disproportionate appearance. The bulbous nose rhinoplasty is a tip rhinoplasty which resizes or reshapes the tip of the nose to a more aesthetic pleasing appearance.  

What causes bulbous tip?

Usually, people are born with bulbous tip and it can worsen as one ages because of lack of elasticity and tissue weakening. The round and wide shape of the tip can be because of

  • Ethnicity: Certain ethnic groups have a natural tendency to have a broader or more rounded nasal tip. For example, individuals of African, Mediterranean, or Middle Eastern descent often have a more prominent or bulbous nasal tip as a characteristic of their ethnic features.
  • Nasal cartilage and skin thickness: The structure and thickness of the nasal cartilage and skin can contribute to the appearance of a bulbous tip. Thicker skin and excess cartilage in the nasal tip area can create a rounder or wider appearance. Weak cartilage, Cartilage spaced too wide, cartilage with too much elasticity, round cartilage etc. also because the nasal tip a bulb like appearance.
  • Aging: ageing causes a natural loss in elasticity and collagen under the skin, which can lead to changes in the shape and structure of the nose. The nasal tip may become more rounded or droop over time, resulting in a bulbous appearance.
  • Trauma or injury: Previous injuries to the nose, such as fractures or surgeries, can alter the shape of the nasal structures. Scar tissue formation or incomplete healing can contribute to a bulbous tip.
  • Nasal congestion or inflammation: Conditions that cause chronic nasal congestion or inflammation, such as allergies or sinusitis, can affect the shape of the nose over time. Prolonged swelling or congestion can lead to nasal tip enlargement or bulbosity.
  • Rhinophyma: This is a rare skin condition characterized by a bulbous, enlarged, and red nose. It is associated with severe cases of rosacea and involves the overgrowth of sebaceous (oil-producing) glands and connective tissue.

Determining the exact cause of bulbous nose helps the rhinoplasty surgeon find the best solution for it and the specific tip plasty technique needed for correction.

How does the bulbous tip affect the appearance of the nose?

The rounded, wider tip of the nose leads to a less defined shape. This impacts the overall aesthetics of the facial features in many ways:

  • Lack of definition: Instead of a well-defined and triangular shape, the tip appears rounded and less sculpted.
  • Proportional imbalance: The bulbous tip can create an imbalance in the proportions of the nose. It may draw more attention to the lower part of the nose, making it appear larger or wider compared to the rest of the facial features. This can affect the overall harmony and balance of the face.
  • Nasal symmetry: The bulbosity of the nasal tip can also impact nasal symmetry. If one side of the tip is more pronounced or larger than the other, it can result in an asymmetrical appearance of the nose.
  • Self-consciousness: Individuals with a bulbous tip may feel self-conscious about the appearance of their nose, which can affect their self-esteem and confidence. They may be hesitant to be in social situations, have photographs taken, or feel dissatisfied with their facial aesthetics.
  • Breathing difficulties: In some cases, a bulbous tip can be associated with underlying nasal structural issues that can affect breathing. This can occur if the nasal cartilage is overly large or if the nasal passages are obstructed, leading to nasal congestion or difficulty in breathing through the nose.

If the shape of the nose tip is causing serious concerns and dissatisfaction in one’s appearance then it is best to consult a qualified rhinoplasty surgeon who specializes in bulbous tip rhinoplasty. A thorough investigation and evaluation will help address the concerns better and get the desired nasal aesthetics.

Bulbous tip nose rhinoplasty procedure

The bulbous tip nose surgery is a simple procedure for refining the nasal tip and brings in more symmetry and shape to the nose. The aim of rhinoplasty surgeon is to create a more natural looking, symmetrical and narrower point of the nasal tip. This type of rhinoplasty is done by

  • In the first step the surgeon will lift the nose skin and remove the cartilage for reshaping.
  • The cartilage is then shaped or tripped to create a better nose shape
  • If the cartilage is weak then the surgeon will use a cartilage graft from the ear or ribs or the septum to get the desired shape and strength.
  • Then using the expert suturing techniques, the cartilage will be trimmed and shaped to the perfect nose tip
  • If necessary excess skin and tissue might be removed too.
  • The skin is then draped over the shaped cartilage and stiches are put to hold it in place.

Top rhinoplasty surgeons use one of the two types of approaches to perform the procedure

  • Open rhinoplasty: in this method the incisions are made in such a way so that surgeon can lift the skin above the nose and have access to the cartilage, tissue and bone structure underneath. This surgery gives the surgeon more room for manipulation and corrections
  • Closed rhinoplasty: This technique is used by surgeons when the corrections to be done are not very major. No incisions are visible on the outside and the surgeon works by drawing the tip cartilage outside, working on it and then placing it back to the place.

Bulbous nose rhinoplasty is done under general anaesthesia and takes about 2-3 hours to complete.

Rhinoplasty bulbous nose before and after

Rhinoplasty for the bulbous nose is one of the frequently demanded and performed nose cosmetic surgery. bulbous nose before and after will show you many pleasing changes that have come about in your nose and rest of the appearance such as

  • Greater tip definition because the cartilage has been sculped to give the tip a more triangular shape.
  • Reduced broadness of the nasal tip: To reduce the bulbosity or width of the nasal tip, the surgeon may trim and reshape the excess cartilage or tissue in the area. This can involve techniques such as cartilage removal, reshaping, or suturing to create a more streamlined and narrower appearance.
  • Correction in droopiness or under projection of the nose: One of the most obvious changes you will see in rhinoplasty bulbous nose before and after is the correction in tip projection. This is done by repositioning or augmenting the existing cartilage, and providing a more balanced and harmonious nasal profile
  • Change in nasal symmetry: bulbous nose before and after will see a change in the nasal symmetry because the underlying structures have been modified and shaped in the nasal tip to balance the facial features.

The specific changes made during the surgery will depend on the individual’s unique nasal anatomy and desired outcome.However, the bulbous nasal tip rhinoplasty is often combined with other surgeries for a better look of the nose. For example, nostril reduction or refinement procedures are done to achieve a better harmony and proportion with the reshaped nasal tip. It’s important to note that the specific changes made during surgery will depend on factors such as the patient’s individual goals, nasal anatomy, and the surgeon’s expertise.

Recovery after bulbous nose rhinoplasty

The tip of the nose takes the longest to heal among all types of nose surgeries. It takes about 2-3 weeks for the nose to heal and the results take about 1 year to appear and improve. Some tips for faster recovery are

  • In the acute recovery phase rest as much as possible
  • Keep your head elevated during the healing process
  • Once the stiches or tape has been removed, the swelling might remain, so give it time and rest a lot.
  • After week 3 of the rhinoplasty, you will notice considerable reduction in swelling and you will be able to exercise and cleared for flying.

Bulbous tip rhinoplasty cost

This is one of the most frequently asked questions by patients seeking bulbous tip rhinoplasty.The cost of bulbous nose rhinoplasty in India can vary depending on several factors, including the surgeon’s experience, anaesthesia, the location of the clinic, the complexity of the procedure, and the facilities provided. Since it is a cosmetic change, your insurance might not cover the procedure cost.

However, if the bulbous nose rhinoplasty is done for functional purposes or combined with a functional rhinoplasty for deviated septum, allergies, or repeated sinus infections then the insurance might cover a part of the surgery. It’s crucial to consult with a qualified plastic surgeon who specializes in rhinoplasty to obtain an accurate assessment of your specific case and the associated costs. During a consultation, the surgeon will evaluate your nasal anatomy, discuss your goals, and provide you with a personalized treatment plan and cost estimate. Furthermore, it’s important to research and choose a reputable and experienced surgeon, as the quality of care and expertise can affect the final results and patient satisfaction. Take the time to thoroughly research the surgeon’s qualifications, experience, and patient reviews before making a decision.


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How to Find the Best Deviated Septum surgeon?

How to Find the Best Deviated Septum surgeon?

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A deviated septum occurs when the cartilage wall dividing the two sides of the nose is off centre. The septum is a very thing wall but its askew placement can lead to many symptoms ranging from mild to more pronounced. If you too have been feeling any of the following then the chances are you are suffering from deviated septum

  • Nasal Congestion: One of the primary symptoms of a deviated septum is chronic nasal congestion or blockage. The deviation can restrict airflow through one or both nostrils, making it difficult to breathe properly.
  • Difficulty in Breathing: Due to the narrowed nasal passages caused by a deviated septum, individuals may experience difficulty breathing, particularly through the affected side of the nose. This can lead to mouth breathing and contribute to dry mouth and throat. Many people with deviated septum face difficulty in
  • Frequent Sinus Infections: A deviated septum can impede proper drainage of the sinuses, leading to recurring sinus infections. The blocked nasal passages create an environment conducive to bacterial growth, resulting in symptoms such as facial pain, pressure, postnasal drip, and headaches.
  • Snoring and Sleep Apnea: The obstruction of airflow caused by a deviated septum can lead to snoring and potentially contribute to the development or exacerbation of sleep apnea. Sleep apnea is a sleep disorder characterized by pauses in breathing during sleep.
  • Nosebleeds: The irregular airflow and dryness caused by a deviated septum can make the nasal tissues more prone to drying out and becoming fragile, increasing the risk of nosebleeds.
  • Headaches: Chronic headaches, particularly those associated with sinus pressure, may occur as a result of a deviated septum. The blockage and impaired drainage can lead to increased sinus pressure and inflammation, triggering headaches.
  • Facial Pain: The chronic inflammation and pressure caused by a deviated septum can result in facial pain, particularly around the nasal area and cheeks.
  • Postnasal Drip: The imbalance in nasal airflow caused by a deviated septum can lead to excessive mucus production and a sensation of mucus dripping down the throat. This is known as postnasal drip and can cause throat irritation, coughing, and a persistent need to clear the throat.

Not everybody experiences the deviated septum symptoms. Some go through the life without any noticeable effects on breathing or overall health. If you suspect a deviated septum to be the reason of any of the above mentioned symptoms then it is time to seek the deviated septum treatment by the best deviated septum surgeon.

It is recommended to consult with a qualified healthcare professional for an accurate diagnosis and appropriate treatment options during the nose job consultation.

Best rhinoplasty surgeon in Mumbai who are training in diagnosing and treating conditions related to nose will be able to evaluate the symptoms, do a physical examination and recommend the right type of surgery for deviated septum correction.

Since it is an invasive surgical procedure, you want only the best deviated septum surgeon to do the procedure for the best results which last for a long time. Good surgeons will ensure that the scarring is minimal, and the nose shape remains in its natural form.  Researching and finding the best deviated septum surgeon will also save you on the secondary rhinoplasty for deviated septum surgery cost India. But then the question arises how does one find the best rhinoplasty surgeon in Mumbai? Here are some factors that will help you chose the best nose surgeon for your needs.

Seek Recommendations

Start by asking your primary care physician, friends, family members, or acquaintances if they have had a positive experience with a deviated septum surgeon. Personal recommendations can provide valuable insights and help you create a shortlist of potential surgeons and save you a lot of time too.

Research Surgeon Credentials

Once you have a list of potential surgeons, start by research in their credentials and qualifications. Look for surgeons who are board-certified in otolaryngology (ear, nose, and throat specialty) or plastic surgery. Board certification indicates that the surgeon has undergone rigorous training and has met the required standards in their field. You can check the surgeon’s credentials and board certification status through online directories or medical board websites. You can also ask about their training and experience with the previous patients. Best deviated septum surgeons are happy to share patient details for references. Online reviews will also help you further narrow down your search. Professional memberships are another criterion for checking the credentials of the surgeon. Memberships denote the qualification and experience of the rhinoplasty or septoplasty surgeon.

Review Surgeon’s Experience

Assess the surgeon’s experience in performing deviated septum surgeries. Look for surgeons who specialize in nasal and sinus procedures and have a significant amount of experience specifically in septoplasty. Consider how long they have been practicing, the number of deviated septum surgeries they have performed, and any additional training or expertise they may have in the field. It is important that the surgeon understands the specific ethnicity, skin type and deviated septum correction options to give results that best suit your needs. The more experience the surgeon has in your specific problem then better is the outcome of the surgery.

Hospital  and clinic Affiliations

Consider the hospitals or surgical facilities where the surgeon performs their procedures. Look for reputable institutions with a focus on ear, nose, and throat (ENT) or nasal surgeries. Hospitals with a strong reputation for providing high-quality care and safety standards are generally preferable. This is an important factor in finalizing the deviated septum surgeon for your treatment. This information is easy to get and by will give you a fair idea about the quality of care that you will be getting, the resources the doctor has at his disposal and the locations where you can get the treatment. If the facility is far from your residence, then it may be difficult to go in for regular follow-ups and you will have to bear the additional expenses of travelling and stay that will increase the deviated septum surgery cost India. Ensure that the surgeon and the surgical facility prioritize patient safety. Inquire about the accreditation of the facility, the presence of qualified anaesthesiologists, and the availability of emergency equipment. A safe and well-equipped facility is crucial for a successful surgery and optimal post-operative care.

Consultation and Communication

 Schedule nose job consultations with the surgeons you are considering. This will allow you to meet them in person, ask questions, and evaluate their communication style. A good surgeon will listen to you attentively, address your concerns, explain the procedure and potential risks, and make you feel comfortable and confident. Assess how well they explain complex medical concepts in a way that you can understand. If you and the surgeon can understand each other and communicate effectively then it will be easier for you to understand the treatment. Ask questions during the nose job consultation such as

  • Why is this procedure necessary for me
  • What are the risks and complications
  • Do I need other procedures with it
  • How long is the recovery and what should I expect during the process
  • What is the success rate and long term results
  • Is there an alternate treatment to try
  • Will I be able to do normal activities post the surgery

Ask About Surgical Techniques

 Inquire about the surgical techniques (open or closed rhinoplasty) the surgeon uses for deviated septum correction. A skilled surgeon should be well-versed in various approaches, including endoscopic techniques, and should tailor the procedure to your specific condition. They should be able to explain the pros and cons of each technique and discuss the most appropriate approach for your situation.

Cost and Insurance Coverage

 Consider the deviated septum surgery cost India and your insurance coverage. While cost alone should not be the primary factor in choosing a surgeon, it is essential to understand the financial aspect. Inquire about the total cost of the procedure, including surgeon fees, anaesthesia fees, facility fees, and any additional costs. Confirm whether your insurance plan covers the surgery and what portion you would be responsible for.

Seek Second Opinions

 Don’t hesitate to seek second opinions from different surgeons. This can provide you with additional perspectives, help you gain more knowledge about your condition, and assist in making an informed decision. Consulting multiple experts can also help you compare recommendations, surgical techniques, and potential outcomes.

Lastly, trust your instincts. Choose a surgeon with whom you feel comfortable and confident. The surgeon-patient relationship is crucial for successful outcomes, and you should have trust in their expertise


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Can Men Opt for Saddle Nose Rhinoplasty?

Can Men Opt for Saddle Nose Rhinoplasty?

Gone are the days when any kind of plastic or cosmetic surgery was considered as a women centric domain. Infact, rhinoplasty for men is one of the most common cosmetic procedures around the world. With the twin edged benefit of easier breathing and looking better, nose surgeries are a popular procedure among men.

How are men noses different?

The rule of thumb says that there is no one size fits all when it comes to talking about the perfect nose for men. And this makes septoplasty, septo-rhinoplasty and rhinoplasty for saddle nose, hump nose, bulbous nose tip etc. an art from in which the surgeon must understand and execute the balance between nose and other facial features. The ideal nose fits the face perfectly. In men it is common to have some flatness in the dorsum of the nose. men often feel incredibly self-conscious about a hump in the nose because by nature they have larger nose and a saddle nose  is very noticeable and only decreases the attractiveness of the nose. What makes the saddle nose surgery or rhinoplasty for men different from that for women is that men have thicker skin and oiler skin. hence the nose job consultation for saddle nose correction in men needs an in depth understanding of the male skin on the surgeon’s part.  Male saddle nose repair or the bulbous tip repair has different goals than the female rhinoplasty.

Saddle nose deformity, also known as nasal collapse or nasal dorsum collapse, is a condition where the bridge of the nose is weakened or collapsed, resulting in a depressed or “saddle-like” appearance. The septum is the central pillar of the nose and gives it it’s structural stability and shape. A weak septum can cause the nose to collapse and give a saddle like concave appearance.

This condition can be

  • congenital (present at birth) or
  • acquired due to trauma,
  • previous nasal surgeries,
  • or certain medical conditions such autoimmune and vascular disorders or drug abuse (cocaine) which leads to tissue necrosis and shrinking of septum.
  • or a weakened nasal septum cartilage.
  • Septoplasty in too young patients
  • Because of septal hematoma and septal abscess cause because of compromised blood to the septum
  • Chronic infections

Saddle nose in men gives the side profile a concave appearance. With the dorsal hump surgery for men the result has to be a strong and more well defined nose.

Saddle nose rhinoplasty

Historically saddle nose correction is the most commonly addressed problem regarding nose surgeries. The  history of saddle nose rhinoplasty dates back to the time of Sushruta in 800 BC. The oldest medical document from the ancient Egypt also mentions this deformity and its treatment. Today the techniques for correcting dorsal concavity, hump nose, bulbous tip, crooked nose etc. are high advanced and precise.

In the olden days the frontal forehead flap was used for saddle nose correction but it did not usually work too well. Later it was states that the saddle nose is because of the loss of the cartilage and/or bony structure in the nose which was affecting both functional and aesthetic  aspects for a patient.

The technique used for Saddle nose rhinoplasty in men is dependent on the stage of concavity of the nose.

  • The first stage of saddle nose deformity is the least severe one with minimal depression above the supratip of the nose. this happens because of reduced septal support to the nose.
  • The second stage is the moderate depression. The dip is less than 5mm and the loss of septal supports causes the nasal tip to loose is projection and have an upward rotation.
  • The third stage is a large loss of both bony and cartilaginous support. As a result, the tip loses more projection and nostrils become board. The nose is classified as short nose in such cases.

Saddle nose surgery, also known as nasal reconstruction or saddle nose rhinoplasty, often involves the use of grafts to rebuild and support the nasal bridge. Grafts are typically used to restore the height and shape of the nose, as well as provide structural support. Here are some common types of grafts used in saddle nose surgery:

Septal cartilage graft: The septum is the partition between the nasal passages. In saddle nose surgery, cartilage is often harvested from the septum (the nasal septal cartilage) if it is available and sufficient in quantity. The septal cartilage graft can be used to reconstruct the nasal bridge, add height, and provide structural support.

Ear cartilage graft: If there is limited or insufficient septal cartilage, the surgeon may harvest cartilage from the ear (auricular cartilage). Ear cartilage can be carved and shaped to create a graft that is then used to rebuild the nasal bridge.

Rib cartilage graft: In more severe cases of saddle nose deformity or when larger amounts of cartilage are needed, rib cartilage grafts may be used. A small incision is made in the chest, and a section of rib cartilage is carefully harvested. The rib cartilage is then shaped and placed to reconstruct the nasal bridge.

Diced cartilage graft: Diced cartilage grafts are created by finely mincing or pulverizing cartilage, usually from the septum or ear. This minced cartilage is then placed in a pocket or wrapped in a layer of soft tissue to form a graft. Diced cartilage grafts can be used to build up the nasal bridge or add volume to specific areas.

The choice of graft material depends on the individual’s specific needs, availability of donor sites, and the surgeon’s expertise. Each graft type has its own advantages and considerations, and the surgeon will determine the most suitable graft(s) for achieving the desired outcome.

Symptoms of saddle nose

The characteristic sunken nose is the most visible symptoms of saddle nose deformity. The location of the deformity can cause breathing issues, septal perforation, nose bleeds, nasal discomfort and chronic crusting in the patient.

How is saddle nose corrected?

The most popular method to correct the saddle nose in men is a type of rhinoplasty called the Septorhinoplasty. During the nose job consultation, the best surgeon for rhinoplasty will examine your nose and determine if only the septal correction is needed or it needed to be combined with other nose jobs such as crooked nose correction, hump nose or dorsal hump, bulbous nose tip surgeries etc.

The surgeon can use either open or closed nose job procedures to make the corrections. Saddle nose correction, is also known as Septorhinoplasty or nasal reconstruction.The procedure is performed by a qualified plastic surgeon or an otolaryngologist (ear, nose, and throat specialist) who has expertise in nasal surgery for saddle nose correction.During the procedure, the surgeon may use various techniques to correct the saddle nose deformity in men. These may include:

Use of grafts: Cartilage grafts, often taken from the patient’s own nasal septum, ear, or rib, are used to rebuild and support the nasal bridge. These grafts are carefully placed and secured to create a more natural and aesthetically pleasing shape.

Osteotomies: Controlled fractures or cuts are made in the nasal bones to reposition and align them properly. This helps in restoring the height and contour of the nasal bridge.

Dorsal augmentation: If there is a significant loss of height in the nasal bridge, synthetic implants or additional grafts may be used to augment and rebuild the area.

Tip refinement: In some cases, the nasal tip may also require reshaping to achieve better balance and harmony with the reconstructed nasal bridge.

Saddle nose correction surgery is done under anaesthesia. Recovery from saddle nose correction surgery may involve swelling, bruising, and nasal congestion for several weeks. Nasal splints or packing may be placed temporarily to support the newly reconstructed nose. Patients are advised to follow post-operative care instructions provided by their surgeon, which may include taking prescribed medications, avoiding strenuous activities, and keeping the nasal area clean. The recovery takes about one week and you will have to take one week off from work. During the recovery avoid any heavy bending and lifting and keep the head elevated when sleeping.

Who can get a saddle nose correction?

Adult males can opt for saddle nose correction. This age is usually around 16-17 years as by that time the nasal structure has generally reached its full adult side. The patient should be healthy and of sound mind.

Cost of saddle nose rhinoplasty for men

The cost of saddle nose rhinoplasty for men can vary significantly depending on various factors such as the geographical location, the expertise and reputation of the surgeon, the complexity of the case, the extent of the procedure, the type and amount of grafts used and any additional treatments or services included.

It’s worth mentioning that the cost of rhinoplasty  for saddle nose correction can also typically include the surgeon’s fee, anaesthesia fees, facility fees (if performed in a surgical facility or hospital), pre-operative consultations, post-operative follow-ups, and any necessary medications or dressings. Additional expenses may include pre-operative tests, imaging, or additional procedures.

Keep in mind that cost should not be the sole determining factor when choosing a surgeon. It is crucial to prioritize the surgeon’s qualifications, experience, and expertise in nasal surgery. Board certification, patient reviews, before-and-after photos, and consultations with multiple surgeons can help you make an informed decision.

Insurance coverage for saddle nose correction or rhinoplasty can vary depending on the specific circumstances. In some cases, if the procedure is deemed medically necessary to correct breathing problems caused by the saddle nose deformity, a portion of the cost may be covered by insurance. However, if the procedure is considered solely cosmetic, insurance coverage may not be available. It’s advisable to check with your insurance provider to determine their specific coverage policies.


About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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