Category Archives: Rhinoplasty

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Can Exercise Help You Reshape Your Nose?

Can Exercise Help You Reshape Your Nose?

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Our genetics are the ones that determine the shape of the nose. Whether it is broad, thin or narrow or long, or crooked, you can see the indications in how the noses of your forefathers are shaped. The shape of the nose can have a significant impact on facial symmetry. Facial symmetry refers to the balanced and proportional arrangement of facial features, where the left and right sides of the face are similar in shape, size, and positioning. By the time you reach the age of 10, the nose shape takes a definite form and its growth is complete when a person reaches the age of 19.

If you are taking good care of your skin, it will delay the aging droop of the nose otherwise the muscles and skin around the nose cartilage will start to lag making the tip droopy and the nose look larger.  This disturbed the entire facial symmetry. Many people seek nose reshaping treatments to help restore or improve the harmony among facial features. Here are a few key points to understand the relationship between nose shape and facial symmetry:

  • Nose as a Central Feature: The nose is positioned in the center of the face and acts as a focal point. It can influence the overall balance and harmony of facial features. A well-proportioned and symmetrical nose can contribute to an aesthetically pleasing appearance and enhance facial symmetry.
  • Vertical Alignment: A straight and properly aligned nose can contribute to facial symmetry. When viewed from the front, the bridge of the nose should be aligned with the center of the face, and the tip should be positioned in the midline. Deviations or asymmetries in the nose, such as a crooked bridge or a tilted tip, can disrupt facial symmetry.
  • Nasal Width: The width of the nose, particularly in relation to other facial features, can affect facial symmetry. A nose that is too wide or too narrow in proportion to the face can create an imbalance and affect the overall facial harmony.
  • Nasal Projection: The projection of the nose, or how far it protrudes from the face, can impact facial symmetry. Excessive or insufficient nasal projection can disrupt the balance of other facial features, such as the chin or forehead, and affect overall facial proportions.
  • Nasal Symmetry: The symmetry of the nose itself is also crucial for facial symmetry. Ideally, the left and right sides of the nose should have similar shape, size, and positioning. Asymmetries in the nostrils, nasal bones, or nasal cartilage can create noticeable imbalances and affect overall facial symmetry.

Achieving facial symmetry often involves considering the balance and harmony of all facial features in relation to each other, including the shape and proportion of the nose.

Does nose exercise change the shape of the nose?

The internet is flooded with influencers and yoga teachers etc. claiming dramatic changes in the shape of the nose with just massages and exercises. The research over the last few years has demonstrated that while exercises can help with little muscle firming on the nose but these changes are very subtle and barely noticeable.

The bone is the basic structure of the nose and it is surrounded by cartilage, tissue, skin and muscles. When you exercise the nose, it tightens the muscles around it but does not change the structure of bone or cartilage.

Nose reshaping exercises are a new beauty trend. Some exercises are based on how to move your fingers around the nose to create pressure in some areas and some involve breathing techniques. Exercises also cannot help with any functional issues with the nose such as breathing, sinus or a deviated septum.

Exercise is definitely good for your body and skin and it keep can prevent the nose skin from sagging prematurely but the amount of reshaping remains very small and these changes are seen in terms of slight increase in the height of the nose, and decrease in the size of nostrils.

Also, there is a downside to exercising the nose. Though exercises are generally safe but it is important to remember that applying too much pressure or exercising the wrong way can cause pain and discomfort before you start doing any exercise program.

In summary, it is important to remember that nose exercises don’t make obvious changes in the body or any other parts of the face. It is unrealistic to expect changes in just one day or one week of exercise. If you want to maintain good skin health then be patient and exercise daily and diligently.

What works for nose reshaping?

If you are really looking to change or modify the shape of your nose then rhinoplasty or a nose job or a nose reshaping surgery is the best option. It can not only correct the functional defects in your nose such a breathing problems, sinus, blocked airways etc but it can also correct aesthetics of the nose such as uneven nostrils, bumpy nasal bridge, crooked nose etc.  Nose reshaping options include

Use of dermal fillers

This is the non-surgical option to traditional surgery to the nose. In this the dermal fillers which is a gel like skin friendly substance, injected in the skin under the nose to change the shape of the nose. This procedure is also termed as liquid nose job and the total duration for this procedure is just under 15 minutes. Hyaluronic acid, silicone and calcium hydroxylapatite are the commonly used dermal fillers for the nose.

Fillers are not very dramatic as the traditional procedure but they can bring noticeable changes in your nose like smooth the bump, make the nose look straighter or thinner, or reduce the droopy tip. There is no anaesthesia needed in this procedure and there are no side effects of non-surgical rhinoplasty. the results however are temporary and last for anywhere between six months to eighteen months.

Surgical options for nose reshaping

These include different types of rhinoplasties. The rhinoplasty can do many things with the nose such as reshape it, or straighten it. it is done by manipulating or trimming the bone, cartilage, tissue, and skin in the nose. Nose specialist doctors in Mumbai use two major procedure to do rhinoplasty

  • Open rhinoplasty: This procedure is used when the changes made in the nose are major and the surgeon needs access to all the parts of the nose. The incision is placed on the sides of the nose and the surgeon lifts up the skin of the nose to see the entire insides of the nose and make the necessary corrections.
  • Closed rhinoplasty: This procedure is done to make minor changes in the shape of the nose. Incisions are made in side the nose and the surgeon use an endoscopic camera to see the insides and make the necessary corrections.

Types of Rhinoplasties

Reduction Rhinoplasty:

This procedure aims to reduce the size or shape of the nose. It involves removing excess cartilage, bone, or soft tissue to create a more proportionate and balanced appearance.

Augmentation Rhinoplasty:

In cases where the nose lacks sufficient volume or projection, augmentation rhinoplasty can be performed. This procedure involves adding tissue grafts or implants to enhance the nasal structure and create a more defined and prominent nasal shape. These grafts can be taken from the patient’s own body or made of silicones.

Tip Plasty:

Tip plasty focuses on reshaping and refining the nasal tip. It can involve altering the cartilage, removing excess tissue, or adjusting the position and angle of the nasal tip to achieve a more defined, refined, or upturned appearance.

Nasal Bridge Adjustment:

Nasal bridge adjustment aims to modify the shape, width, or height of the nasal bridge. It can involve narrowing the bridge, straightening a crooked bridge, or addressing humps or depressions along the bridge to achieve a smoother profile.


Septoplasty is a procedure that focuses on correcting a deviated septum, which can affect both nasal aesthetics and breathing. It involves repositioning or removing portions of the septum to improve airflow and restore nasal function including clearing nasal blockage, reducing snoring, sinus, nasal discharge.


In cases where a previous rhinoplasty procedure did not yield the desired results or resulted in complications, revision rhinoplasty can be performed to correct or enhance the previous outcome.

It is important to note that each individual’s nose reshaping needs are unique, and the specific options and techniques recommended will depend on factors such as the patient’s nasal anatomy, goals, and the nose specialist doctor in Mumbai’s expertise. It is crucial to consult with a qualified plastic surgeon or facial plastic surgeon who can evaluate your specific concerns, provide personalized recommendations, and guide you through the available options to help you achieve your desired results.

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How does non-surgical rhinoplasty work?

How does non-surgical rhinoplasty work?

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How do I look? This is the most common concern in both males and females and this worry is increasing day by day. Increasing number of studies have shown how cosmetic procedures influence how patients see themselves, their self-confidence, and public interactions. Patients who have had a satisfactory cosmetic procedure tend to feel better about themselves and are happier.  Of course, facial attractiveness and youthfulness are unique to each person. The idea of an ideal face is long hair, large eyes, pink bow-shaped lips and a sharp nose.

The nose plays a vital role in enhancing beauty because it is the centre part of the face. It impacts both front and side profiles. The nose is something that first comes to notice when you meet somebody.  Whether you are born with a nose that does not accentuate the features of the nose or if your nose’s shape has changed because of ageing, deviated septum, injury, surgery or trauma, the shape of the nose is an increasing concern in men and women of all ethnicities. A prominent hump on the bridge of the nose can make your nose look hoked in the side profile. It can also make the tip of the nose look droopy. Grooves and indentations on the nose can also cause it to look unsymmetrical.

The basic cosmetic concerns of the nose can be corrected through nonsurgical rhinoplasty or liquid rhinoplasty. A nonsurgical nose job is the quickest, and simplest way to reshape and modify the shape of the nose. Liquid rhinoplasty does not actually or permanently change the size of the nose or change its actual size but it will make the nose straighter and defined and hence the nose looks smaller and better fit to the other features of the face.

Nonsurgical rhinoplasty is done using a dermal filler that is injected into the tip and the bridge of the nose strategically to enhance the natural structure of the nose without making it appear unnatural. While it can provide temporary improvements to the nose’s shape and contour, it is important to understand the limitations and considerations involved. Non-surgical rhinoplasty may be suitable for individuals who:

  • Desire minor changes: non-surgical rhinoplasty is ideal for individuals who are looking for subtle changes or enhancements to their nose’s appearance. It can be used to address concerns such as minor asymmetries, dorsal humps, or minor irregularities.
  • Seek a non-permanent solution: Injectable fillers used in non-surgical rhinoplasty provide temporary results. If someone wants to test the desired changes or prefers a non-permanent option, a non-surgical rhinoplasty may be considered.
  • Wish to avoid surgery: non-surgical rhinoplasty offers a non-invasive alternative to traditional surgical rhinoplasty. It involves minimal downtime, no general anaesthesia, and avoids the risks associated with surgery.
  • Have realistic expectations: It is essential to have realistic expectations regarding the outcomes of non-surgical rhinoplasty. While it can address certain aesthetic concerns, it may not be able to correct severe nasal deformities or functional issues such as breathing difficulties.
  • Seek a reversible but long-lasting option: One advantage of non-surgical rhinoplasty is that the effects can be reversed. Injectable fillers can be dissolved if the individual is unsatisfied with the results or wishes to pursue a different treatment option. Fillers last comfortably from anywhere to six months to one year and are low maintenance.

Many people try to make the nose appear straighter and narrower with the help of makeup but makeup is very time consuming, costly and needs to be applied once or twice a day to keep the look intact. It is crucial to consult with a qualified cosmetic dermatologist or plastic surgeon who specializes in non-surgical rhinoplasty. They can assess your specific concerns, evaluate your nasal anatomy, and discuss the available options to determine if non-surgical rhinoplasty is suitable for your needs. They can also provide guidance on the expected outcomes, potential risks, and limitations associated with the procedure.

More and more people are turning towards nonsurgical rhinoplasty because

  • Its non-invasive
  • It is quick and has minimal downtime
  • Gives immediate results
  • Can be reversed. Hyaluronic fillers can be dissolved using hyaluronidase.
  • Fillers are safe for the body as they are biocompatible and biodegradable and are naturally flushed out of the body as time passes.
  • There are no surgery related risks with liquid rhinoplasty and there is no scaring
  • Cost effective. Non-surgical rhinoplasty cost in India is much less than the surgical rhinoplasty. It typically involves lower medical fees, no hospitalization expenses, and avoids costs associated with anaesthesia or post-operative care.

Nonsurgical nose job is used to correct imperfections like dorsal hump, minor asymmetries, or irregularities in the nasal contour. It can help achieve smoother nasal profiles and enhance overall facial harmony but it cannot correct a deviated septum or a crooked nose.

How does nonsurgical rhinoplasty work?

In the past the fillers were made of hard substances like paraffine wax and silicone which felt firm to touch and often gave an artificial contour to the nose. But the modern fillers used today are made of better materials which mould to the skin in a real looking manner.

Before liquid rhinoplasty the surgeon will discuss your concerns regarding your nose and the things you want to change. The surgeon will examine your skin, its thickness and affects of ageing on the nose. They will do a pinch test to check skin laxity and determine the suitability of the fillers for the results expected. Liquid nose job is not done on pregnant and breastfeeding ladies and if you have any other medical condition then you should let your cosmetic surgeon know about it. The cosmetic surgeon will also take some pictures of the nose and the face for measurement and marking purposes.

The treatment procedure

During the nonsurgical rhinoplasty procedure, the plastic surgeon will begin by cleansing the treatment area. A numbing cream will then be applied to your nose and allowed to take effect for a few minutes. Next, the surgeon will carefully mark the specific injection points on your nose for the fillers or threads.

Once the numbing cream has sufficiently numbed the area, the surgeon will use small injections to administer the fillers or insert and anchor the threads under the skin using a cannula-type syringe. This entire process takes only a few minutes, and you should not experience any pain or discomfort during the procedure.

Top plastic surgeons prioritize the use of high-quality fillers and nasal threads for non-surgical rhinoplasty. Commonly used nasal fillers include Calcium hydroxyapatite, Hyaluronic Acid, Liquid Silicone, Polyacrylamide gel, and Polymethylmethacrylate. These options are chosen based on their safety and effectiveness in achieving the desired aesthetic results.

It’s important to consult with a qualified and experienced plastic surgeon to discuss your specific goals and concerns regarding non-surgical rhinoplasty. They will be able to evaluate your individual case, recommend the most suitable fillers or threads, and provide personalized care throughout the procedure.

Here are the things that the nonsurgical rhinoplasty can help with

Dorsal Hump Correction: Injectable fillers can be used to camouflage a dorsal hump or bump on the nasal bridge. By strategically injecting filler above and below the hump, the profile of the nose can be smoothed out, creating a straighter appearance.

Nose Tip Enhancement: Non-surgical rhinoplasty can address concerns related to the nasal tip. Injectable fillers can be used to refine and reshape the tip, adding volume or definition. This can help create a more lifted, defined, or balanced tip.

Nasal Bridge Augmentation: Injectable fillers can be used to augment or enhance the nasal bridge. By strategically injecting filler along the bridge, the appearance of a higher or straighter bridge can be achieved, improving overall nasal aesthetics.

Correcting Asymmetry: Non-surgical rhinoplasty can help address minor asymmetries of the nose. Injecting fillers in specific areas can help create a more symmetrical appearance by balancing out uneven contours or proportions.

Non-Surgical Tip Rotation: Injectable fillers can be used to adjust the rotation of the nasal tip, providing a subtle upturn or downturn as desired.

Who cannot get a non-surgical nose treatment

While non-surgical rhinoplasty offers several advantages, it may not be suitable for everyone. The procedure has limitations and cannot address significant structural changes or correct functional issues with the nose. If you are looking for permanent changes in the appearance of the nose then a surgical rhinoplasty will be a better option for you. For example, the dermal fillers can augment the nose tip but cannot reduce the size of the bulbous area. also, fillers cannot reduce the width of the nostrils or pick up a heavily plunging nose because of the thickness of the nose in that area.

Recovery and Results

The results post nonsurgical nose job are instantaneous but you should wait for a few days for the bruising and swelling to settle down to see the full impact of dermal fillers in the nose. In the meantime

  • Avoid wearing sunglasses on the nose as it may disrupt the filler placement
  • No touch or press the treatment area
  • Avoid activities that can cause trauma to the nose
  • Take it easy for a few days post the treatment i.e., avoid jumping, bending etc. to give the fillers the time to settle in.


Non-surgical rhinoplasty cost

The cost of a non-surgical rhinoplasty in India is considerably lower compared to surgical rhinoplasty. However, it’s important to note that the price of a non-surgical nose job in Mumbai includes not only the surgeon‘s fees but also the facility fees. Additionally, the specific type of fillers used can also impact the overall cost. In India, the pricing for filler and thread rhinoplasties may differ. To get a clear understanding of the complete pricing, it is recommended to discuss it with your surgeon. They will be able to provide you with detailed information about the costs involved and can also guide you through various payment options available.

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How to fix a crooked nose?

How to fix a crooked nose?

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The shape of the nose is an important factor influencing the symmetry of the face. This is because the nose is the most prominent feature of the face and crookedness in its shape can throw the whole facial features out of balance. Traditionally facial symmetry plays a very important role in how the mind and the camera perceive beauty. All of us are born with some degree of lack of symmetry but a severely and visibly crooked nose can distort the entire aesthetics of the face.

What is a crooked nose?

A crooked nose (bent or curved) is one which has some degree of curvature in its shape rather than being in a straight vertical line down the centre of the face. Crooked noses are classified in terms of their severity and shape. Some are barely noticeable and some look visibly prominent. Usually, crooked nose is a cosmetic concern but it can also cause breathing issues in people. Depending on their shape the shapes of crooked nose shapes are C-shaped, I-shaped, or S-shaped. Here are some common problems associated with a crooked nose

Breathing Difficulties: A crooked nose can cause nasal obstruction and airflow problems. The misalignment of the nasal bones or cartilage can narrow the nasal passages, making it difficult for air to flow freely through the nose. This can lead to chronic nasal congestion, difficulty breathing through the nose, and increased reliance on mouth breathing.

  • Nasal Congestion and Sinus Issues: The asymmetry of a crooked nose can affect the proper drainage of the sinuses, leading to chronic sinus congestion, increased susceptibility to sinus infections, and facial pain or pressure. The blocked sinuses can result in discomfort, reduced sense of smell, and post-nasal drip.
  • Appearance and Self-Esteem: The visual impact of a crooked nose may lead to self-consciousness and decreased self-esteem. Individuals with a crooked nose may feel dissatisfied with their facial appearance and may experience social or psychological difficulties as a result.
  • Facial Imbalance: A crooked nose can contribute to facial asymmetry. The deviation of the nose may affect the overall balance and harmony of the face, leading to an unbalanced or distorted facial appearance.
  • Snoring and Sleep Disruptions: In some cases, a crooked nose can contribute to snoring and sleep-related disorders. The nasal obstruction caused by the misalignment of the nose can lead to breathing difficulties during sleep, resulting in snoring, disrupted sleep patterns, and daytime fatigue.

A crooked nose can be the result of previous nasal trauma or injury. Alongside the aesthetic concerns, individuals may experience long-term issues such as nasal deformity, breathing problems, or septal deviation due to the initial injury. The severity might vary from person to person.

What causes a crooked nose

The treatment of a crooked nose largely depends on the cause of the shape of the nose. there are two types of crooked noses

Type I is caused because of the shape of bone, cartilage and tissues that form the nose. They can be bent or askew because of birth defects, injury or trauma to the nose, severe infections in the nose, previous rhinoplasties or surgery on the nose, and tumours.

Type II the crooked nose is caused because of a deviated septum. The septum divides the passages of the nose and keeps the airflow regulated. Deviated septum causes the wall to lean towards one side an gives a crooked appearance to the nose. Sometimes the deviated septum can also cause one side of the nose to become blocked. The deviated septum can cause nosebleeds, loud and difficult breathing and difficulty in sleeping on one side.

Can exercises and nose straightening devices fix a crooked nose?

If you search only, you will see many videos and advertisements preaching different types of facial exercises to correct nasal symmetry. They look like an easy and zero-cost way to get rid of a crooked nose, but the truth is exercises don’t work. The nose is formed by the complex combination of bones and cartilages and exercises cannot change their shape.

Nasal shapers are another myth for crooked nose correction. They can injure the nose, cause bruises and even permanent damage.

What are the right treatments for crooked nose correction?

There are both surgical and non-surgical treatments available for correcting or straightening a crooked nose. The treatment for a crooked nose depends on the severity of the condition and the specific concerns of the individual and the specific cause of the crooked nausea. A skilled plastic surgeon will assess the nose in order to determine and advise on the best course of treatment. The options include

Rhinoplasty: Rhinoplasty, also known as nose surgery or nose job, is a surgical procedure aimed at reshaping and correcting the appearance of the nose. It can address both functional and aesthetic issues associated with a crooked nose. During rhinoplasty, the nasal bones, cartilage, and soft tissues are carefully manipulated to straighten the nose and improve its symmetry. The procedure can involve reducing or augmenting certain areas of the nose to achieve the desired result. Rhinoplasty is a complex surgery and requires high levels of specialization from the plastic surgeon. There are two types of rhinoplasties namely open and closed nose jobs. Though it is a surgical procedure, it does not require long hospital stays but full recovery i.e., the time to see the results is about three months.

Septoplasty: If the crookedness of the nose is primarily due to a deviated septum, septoplasty may be recommended. Septoplasty is a surgical procedure that focuses on straightening the septum, the thin wall of bone and cartilage that separates the nostrils. By correcting the deviation, septoplasty can alleviate nasal obstruction and improve breathing and make the nose straighter.

Non-Surgical Options: In some cases, non-surgical augmenting approaches may be considered to address minor cosmetic concerns associated with a crooked nose. These options can include the use of dermal fillers or injectables to camouflage asymmetries and create a more balanced appearance. Non-surgical treatments are temporary and require ongoing maintenance, but they can provide some improvement without the need for surgery. The commonly used fillers for non-surgical treatment of crooked nose include hyaluronic fillers, and Calcium hydroxylapatite (CaHA). These last from about six months to fourteen months. Hyaluronic acid fillers are reversible whereas CaHA are not. So, ask your cosmetic surgeon about the suitability of each filler. Non-surgical options work best in noses that are slightly crooked.

Revision Rhinoplasty: In situations where a previous rhinoplasty has led to an unsatisfactory outcome or complications resulting in a crooked nose, revision rhinoplasty may be necessary. Revision rhinoplasty is a secondary surgical procedure performed to correct or improve the results of previous nose surgery and restore the shape and function of the nose as per expectations. This surgery is sometimes also needed because of the memory of the cartilage. Sometimes after note straightening using grafts and manipulating the bones, the cartilage tends to move back to its original position and lose its new straight shape. In such cases, additional corrections might be needed to maintain the results.

It is important to consult with a qualified facial plastic surgeon or cosmetic surgeon who specializes in nasal surgeries to determine the most appropriate treatment option for a crooked nose. The surgeon will evaluate the individual’s specific concerns, perform a thorough examination, and discuss the goals and potential risks of each treatment option. This will help determine the best course of action to address both the functional and aesthetic aspects of the crooked nose.

Crooked nose surgery cost in India

Crooked noses are very common in men and women and modern science gives us enough options to straighten the nose and restore facial symmetry. They can be because of an old injury or a deviated septum or present by birth. The cost of crooked nose surgery in India can vary depending on several factors, including the location of the clinic, the surgeon’s experience and expertise, the complexity of the procedure, the type of anaesthesia used, and the facilities provided. It is important to note that the cost can also vary based on the specific requirements and desired outcome of the individual.

On average, the cost of crooked nose surgery in India can range from approximately INR 50,000 to INR 2,50,000 or more. However, these figures are approximate and can vary significantly depending on the factors mentioned above. In addition to the surgical fee, the overall cost may also include pre-operative tests, post-operative care, medications, follow-up appointments, and any additional services provided by the clinic or hospital. It is recommended to consider not only the cost but also the surgeon’s credentials, experience, and quality of care provided when making a decision about crooked nose surgery.

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Submucosal Nose Resection for Deviated Septum Treatment

Submucosal Nose Resection for Deviated Septum Treatment

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The septum cartilage in the nose plays an important role in breathing and the shape of the nose. It divides the nasal cavity into passages. It is actually like a very thin wall running vertically in the middle of the nose. The septum performs several important functions related to breathing and the aesthetics of the nose

  • Structural Support: The nasal septum provides structural support to the nose, helping to maintain its shape and stability. It acts as a framework for the external and internal structures of the nose, including the nasal bones, cartilage, and soft tissues.
  • Airflow Regulation: One of the important roles of the nasal septum is regulating and directing the airflow through the nose. When a person inhales, the air passes through the nostrils and encounters the septum. The septum helps to guide the airflow and distribute it evenly through both nasal passages.
  • Filtration and Humidification: As air passes through the nasal cavity, the septum, along with the nasal turbinates (small structures inside the nose), helps to filter out impurities, dust, and particles. It also aids in humidifying and moisturizing the inhaled air, ensuring that it reaches the lungs in a clean and appropriately humidified state.
  • Warmth and Conditioning: The nasal septum, along with the nasal mucosa, helps to warm the inhaled air to match the body’s temperature. This conditioning process is important to prevent discomfort and potential damage to the delicate tissues of the respiratory system.
  • Support for Olfactory Function: The nasal septum houses the olfactory epithelium, which contains specialized cells responsible for the sense of smell. The structure and integrity of the septum contribute to the proper function of the olfactory system, allowing individuals to perceive and distinguish different smells.

In cases when the septum is not behaving properly, such as a misaligned septum, it can disrupt one or all of the above functions leading to breathing difficulties and increased sinus problems. In cases where deviated septum needs major corrections, a submucosal resection of deviated septum is needed.  A deviated septum is a common problem and it affects about 80% of the population but only about 25% of the people face breathing difficulty because of the deviation. The misaligned septum is also one of the reasons behind a crooked nose.

Why is Submucosal Nose Resection for Deviated Septum Treatment Needed?

While a deviated septum can be asymptomatic or cause minimal problems for some individuals, it can also present certain disadvantages and challenges. Deviated septum correction is needed when the patient is experiencing any one or multiple of the following symptoms.

  • Nasal Obstruction: The misalignment of the septum can narrow the nasal passages, making it difficult for air to flow freely through the nose. This can result in chronic nasal congestion, difficulty breathing through the nose, and a sensation of restricted airflow.
  • Chronic Sinus Problems: A deviated septum can impede proper drainage of the sinuses. This obstruction can lead to the accumulation of mucus and bacteria in the sinuses, increasing the risk of chronic sinusitis. Symptoms may include facial pain, pressure, recurrent sinus infections, and post-nasal drip.
  • Sleep Disruptions: Breathing difficulties caused by a deviated septum can disrupt sleep patterns. Individuals may experience snoring, sleep apnea, or other sleep-related disorders. These disturbances can result in daytime fatigue, reduced quality of sleep, and overall decreased well-being including dull skin and dark circles under the eyes with eye bags.
  • Decreased sense of smell: A deviated septum may impact the passage of odor molecules to the olfactory receptors, leading to a decreased sense of smell. This can affect one’s enjoyment of food, appreciation of scents, and overall quality of life.
  • Facial Pain and Headaches: In some cases, a deviated septum can cause facial pain, pressure, and headaches. The obstruction and inflammation associated with the condition can lead to discomfort in the nasal area and radiate to the surrounding regions.
  • Speech and Voice Issues: In rare cases, a severely deviated septum may affect speech and voice quality. The altered airflow and nasal resonance can result in a nasal or congested voice, impacting communication and self-confidence.

If a deviated septum is causing significant symptoms or interfering with daily activities, it may be advisable to consult with an expert plastic surgeon to discuss the potential treatment options such as nasal septoplasty which can correct the septum position.

A deviated septum can be caused because of a birth defect, infections in the nose, or because of trauma or injury to the nose.

What is Submucosal Nose Resection for Deviated Septum Treatment

Submucosal resection is a surgical rhinoplasty technique used to remove or reposition the deviated portions of the nasal septum while preserving the overlying nasal mucosa. Sometimes the submucosal resection of a deviated septum is also done along with the cleft palate repair.

If the surgeon is not able to treat the chronic sinus and other breathing problems with normal treatment methods then they will recommend getting a septoplasty done to help the patient.

The submucosal nose resection for correcting the deviated septum is done in two ways

  • One is by removing the extra septum layer tissue
  • The other is by treating the enlarged turbinates.

The surgeon will do an endoscopy of the nose and examine the physical symptoms first to find out the extent of the deviation and the reasons for the issues in breathing. Thereafter the rhinoplasty surgeon will give the resection surgery options. If the turbinates need to be operated on, the surgeon will first give some medication to bring the swelling down and then check if the severity of the symptoms warrants a septoplasty. The common treatments used to ease the blood flow are decongestants, antihistamines, and nasal steroid sprays.

Submucosal Resection Operation Procedure

This procedure corrects the deviated septum by removing or trimming a portion of bone or cartilage from inside the nose. This procedure does not disturb the nasal linins in any way. During the surgery, the surgeon will make incisions inside the nose, and lift the mucopreichondrial flaps to expose the septal cartilage and bone. The next step is to remove the deviated portions of the septum i.e., the excess cartilage and bone, adjust the shape and alignment of the septum, and straighten it.  The incisions are then closed with the help of dissolvable stitches.

Since the natural nasal lining is not disturbed the healing time after submucosal resection of deviated septum is quite fast.  The procedure takes about 1.5 hours to complete.

If turbinate reduction is performed then care is taken so as to not to remove the turbinates fully so that the normal function of the nose is not disturbed. Once the surgeon is satisfied that the airways are clear, they will close the incision.  Sometimes the surgeon might place a splint to support the trimmed bone and cartilage. This procedure does not disturb the lining of turbinates instead just reduces their size. The whole procedure takes about seventy-five minutes to complete and is done with the help of a microdebrider.

Pre-submucosal resection of the deviated septum

Before you go for the surgery the surgeon will talk to you about your condition, the medications you are on, and if you have had any other previous surgeries. The physical examination and other important tests will give the surgeon an idea about your skin type and condition. The surgeon might also take some photos of the nose to recommend septoplasty changes. The last step is to discuss your expectations and what results can you get.

Postoperative care following submucosal resection

Postoperative care following submucosal resection surgery is crucial for a successful recovery. Here are important considerations for postoperative care:

  • Diet: It is advisable to consume soft and cold foods during the initial stages of recovery. These foods are easier to chew and put less stress on the face. Cold foods can also help reduce the likelihood of nosebleeds, which are common after surgery.
  • Resuming Activities: Within a day after the surgery, you can typically resume most of your daily activities. However, it is important to follow your surgeon’s instructions regarding any specific restrictions or limitations during the recovery period.
  • Common Side Effects: Some common side effects after submucosal resection surgery include a burning sensation due to a dry nose, slight bleeding, and increased mucous secretion. These side effects are usually temporary and should subside as the healing progresses.
  • Infection Prevention: To minimize the risk of infection, it is important to follow proper nasal hygiene practices as instructed by your surgeon. This may include saline rinses or sprays to keep the nasal passages clean.
  • Packing Removal: The surgeon will remove any nasal packing once they are satisfied with the healing process. The timing of packing removal varies depending on the individual case and the surgeon’s preference.
  • Bruising: External bruising is unlikely after submucosal resection surgery. However, it is possible to experience some swelling or discoloration around the nasal area, which should gradually improve over time.
  • Improved Breathing: Following a successful submucosal resection surgery, you should experience an immediate improvement in your ability to breathe. You will likely notice that breathing becomes easier and more comfortable, without the presence of bleeding, pain, or discomfort.

It is important to closely follow your surgeon’s postoperative instructions and attend follow-up appointments as scheduled. By doing so, you can ensure proper healing, minimize complications, and optimize the long-term results of the submucosal resection surgery.

Cost of submucosal nose resection for deviated septum correction

The cost of submucosal nose resection, or septoplasty, for the treatment of a deviated septum in India, can vary depending on several factors. These factors include the location and reputation of the clinic or hospital, the surgeon’s expertise and experience, the complexity of the case, the type of anaesthesia used, and the facilities provided. On average, the cost of septoplasty in India can range from approximately INR 50,000 to INR 2,50,000 or more. However, it is important to note that these figures are approximate and can vary significantly. During the consultation, the septoplasty surgeon can assess the specific condition, discuss the treatment options, and provide an accurate estimate of the cost based on the individual’s needs and requirements.


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The Different Types of Nasal Valve Collapse Surgery: Which One is Right for You

The Different Types of Nasal Valve Collapse Surgery: Which One is Right for You

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The nasal valves are the narrow most part of the nasal airway and play a key role in ensuring that your breathing is normal and regular. It regulates the nasal airway and nasal resistance (70% of total respiratory resistance). Even a small issue in the nasal valve can compromise normal breathing during physical efforts and even during sleep. The nasal valve is delicate and mostly made of cartilage and since its natural structure is very narrow, a defect can cause the airflow to become restricted and even blocked at times. There are many techniques that can be used to correct the nasal valve blockage and collapse and top doctors for rhinoplasty counsel a patient about which technique is most suitable.

When there is a refers to a structural abnormality or dysfunction of the nasal valve it is called nasal valve collapse. The nasal passage becomes narrowed or obstructed, leading to various symptoms and potential dangers.

There are two main components to the nasal valve, the internal and external nasal valves. The internal valve is made of the septum, lateral nasal wall, and nasal floor, while the external valve is created by the nostrils and the surrounding soft tissues. Any compromise in the structure or function of these components can result in nasal valve collapse. The dangers associated with nasal valve collapse are primarily related to the obstruction of airflow and subsequent respiratory difficulties. Individuals with nasal valve collapse often experience

  • Chronic nasal congestion
  • Difficult in breathing through the nose
  • Sensation of restricted airflow

And can cause

  • Mouth breathing
  • Snoring
  • Sleep apnea
  • Sleep-related disorders
  • Sleep disturbances

It affects the quality of life of the patient and they often have to deal with reduced physical performance, decreased exercise tolerance, and fatigue due to the increased effort required to breathe adequately. The persistent nasal congestion can also affect their ability to taste and smell properly, leading to a decreased appetite and enjoyment of food. Nasal valve collapse also affects mental wellbeing causing frustration, irritability, and difficulty concentrating, which may affect work or school performance. Sleep disturbances and associated daytime fatigue can also contribute to mood disorders such as depression or anxiety in men and women.

Nasal valve collapse can also cause the asthma to worse and trigger more asthma attacks. If the patient has an issue of chronic sinusitis or nasal polyps then nasal valve compromise can aggravate the condition and lead to increased sinus infections and inflammation.

What causes nasal valve collapse?

There can be many reasons for nasal valve deformity including

  • Birth defect in which the children are born with flawed nasal valves.
  • Ageing and gravity in adults
  • Previous nasal surgery in which excess cartilage is removed
  • Fracture or trauma to the nose
  • Congenital weakness

This collapse can happen on both sides of the nose and can cause partial or complete restriction of the airflow leading to problems. The temporary solution for improving the breathing flow include nasal sprays, allergy medications, steroids and the use of nasal strips to improve air intake. But these are not permanent solutions and don’t often work well.  They can also increase the complications and side effects.

Nasal valve repair treatment

Many people suffering from chronic headaches, congestion, sinus pressure, snoring, sleep apnea etc. often don’t realize that it can be because of an issue with the health of the nasal valve. Nasal valve repair can be a crucial solution for individuals who experience these symptoms. Often, these issues stem from a weakness in the nasal valves, which can significantly impact one’s quality of life. Many individuals resort to using over-the-counter remedies like Breath-Right Strips or nasal stents in an attempt to alleviate their breathing difficulties caused by this condition but they don’t often work so well in improving the airflow.

Types of nasal valve collapse

Internal and external valve collapse are the most common types of nasal wall repair.

Internal wall collapse, also known as internal nasal valve collapse, occurs when the internal components of the nasal valve, such as the septum, lateral nasal wall, and nasal floor, become weak or collapse inward. This leads to a narrowing of the nasal airway, obstructing the flow of air through the nose. Individuals with internal wall collapse may experience symptoms such as chronic nasal congestion, difficulty breathing through the nose, and a sensation of restricted airflow.

External wall collapse, also known as external nasal valve collapse, refers to the collapse or weakening of the external components of the nasal valve. The external nasal valve is formed by the nostrils and the surrounding soft tissues. When these structures lose their support or become lax, the nasal airway can narrow, resulting in symptoms similar to internal wall collapses, such as nasal congestion and difficulty breathing.

Nasal valve repair surgery is the solution to treat both external and internal valve repair. Nasal valve collapse surgery before and after aims to widen the nasal airway and restore the airflow thus improving the shape of the nose and helping the patient breathe better. Nasal valve collapse surgery strengthens and supports the weakened nasal valve structures, widens the nasal airway, and restores normal airflow.

Symptoms of nasal valve collapse

The surgeon will recommend having a nasal valve collapse rhinoplasty if

  • The patient is having difficulty breathing through the nose
  • The patient has nasal congestion
  • There is an obstruction in the nasal passage
  • There is nasal bleeding
  • There is crusting around the nostrils
  • The patient snores a lot

Nasal valve surgery

This is a surgical procedure that aims to strengthen the cartilage of the nose and fleshy sides of the nostril. This type of rhinoplasty can be done via both open and closed rhinoplasty procedures.

The surgeon will place the crafted cartilage between the midline septum and upper lateral cartilage away from the septum to increase the area in the internal valves. Even an improvement of just 1 mm can make a lot of difference. There are different surgical techniques used for nasal valve repair, and the specific approach depends on the underlying cause and severity of the nasal valve collapse. Here are some commonly employed surgical procedures:

  • Nasal Valve Reconstruction: This procedure involves strengthening and supporting the nasal valve using various techniques. Cartilage grafts may be harvested from the ribs, ear or the patient’s own septum or harvested from an organ donor and used to reinforce the weakened nasal valve structures, thereby widening the nasal airway.
  • Spreader Grafts: Spreader grafts are small pieces of cartilage inserted between the upper lateral cartilage and the septum. These grafts help to stabilize and open the nasal valve, preventing its collapse during inspiration.
  • Alar Batten Grafts: Alar batten grafts are used to address the collapse or narrowing of the external nasal valve. They are inserted into the lateral wall of the nose to provide support and improve the patency of the nasal airway.
  • Turbinate Reduction: Enlarged turbinates, structures located inside the nasal passages, can contribute to nasal congestion and airflow obstruction. Turbinate reduction procedures, such as turbinate cautery or turbinate reduction surgery, may be performed in conjunction with nasal valve repair to further optimize breathing.


When the nasal valve collapse is caused because of weak or lax nasal tissues, the plastic surgeon might recommend the use of radiofrequency energy to tighten and stiffen the tissues to improve nasal airflow.

Nasal valve repair surgery is typically performed under local or general anaesthesia, depending on the complexity of the procedure. Recovery time varies, but most individuals can expect some swelling, congestion, and discomfort for a few weeks following surgery. Nasal packing or splints may be placed temporarily to support the nasal structures during the healing process.

Other treatment procedures to fix the valves include

  • a tip plasty to correct the droopy nose tip which opens up the external and internal valves
  • deviated septum rhinoplasty to increase the airflow thus improving nasal valve function

The type of surgery that will work for you will largely depend on your skin’s anatomy, the criticality of the collapse and the patient’s age. It is quite often combined with septoplasty to

Before the nasal valve surgical repair procedure

The surgeon will evaluate your skin and the condition of the nose to make a specifically tailor-made custom care plan to suit the patient’s exact needs. The plastic surgeon will also guide you through the procedure and all the necessary information to make sure you know what changes nasal valve collapse surgery before and after will bring to your nose and face.

Recovery post nasal valve repair surgery

The recovery post nasal valve repair is quite simple. Once the effect of the anaesthesia wears off, the patient can go home and let the normal recovery take its course. There is very low risk of infection and bleeding.

Some patients who have some underlying medical conditions might see some scarring but that is also very rare. There will be some pain and numbness and change in sensation in the nose for the healing period. During the recovery period

  • make sure you don’t miss the post-surgery appointments
  • follow the aftercare appointments
  • call your doctor if you notice much bleeding and crusting
  • don’t blow your nose
  • avoid contact sports and strenuous work
  • don’t take unprescribed medications

Nasal valve surgery

The cost of nasal valve surgery can vary depending on various factors such as the geographical location, the specific surgical technique used, the complexity of the case, the surgeon’s experience, and the facility where the procedure is performed. Additionally, the cost may also include fees for anaesthesia, pre-operative tests, post-operative care, and any necessary follow-up appointments.

It is important to note that health insurance coverage may vary, and some insurance plans may cover a portion of the cost of nasal valve surgery if it is deemed medically necessary. It is recommended to contact your insurance provider and discuss the specific details of your plan to understand the coverage and any potential out-of-pocket expenses.

Additionally, it is advisable to consult with a qualified specialist who can evaluate your condition, provide a proper diagnosis, and discuss the potential treatment options and associated costs. They will be able to provide you with a more accurate estimate based on your specific case.

It is crucial to consider not only the cost but also the expertise and reputation of the surgeon and the quality of care provided when making a decision about nasal valve surgery.

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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