Category Archives: Rhinoplasty

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nasal valve

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.

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advantages of rhinoplasty in mumbai

What are the advantages of having a rhinoplasty in Mumbai?

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Rhinoplasty, or the nose job as it is popularly called, is the most popular cosmetic and plastic surgery in the world today. The reason is simple, the nose is the center of the face, and when it comes to talking about the appearance of the components of the face, the nose is always the prime concern. Since your face is the first thing people see, you always want to put your best face forward and make an excellent first impression.
The significant players in overall facial balance and appearance are size, shape, contour, and symmetry. A simple rhinoplasty procedure can significantly enhance the look of your face greatly. More importantly, today’s world is all about being online with selfies, reels, video chats, online meets, and even online parties. Our faces are always displayed, and we want to look our best. Rhinoplasty is a cosmetic and plastic procedure that can make a life-changing alteration in your face by changing the form and function of the nose.
Top plastic surgeons in Mumbai are highly experienced in delicate and complicated nasal surgeries and offer various surgical and non-surgical rhinoplasty in Mumbai for men and women. Nose specialists in Mumbai ensure that all patients get spending, the most natural-looking and long-lasting results that make your life comfortable.
Modern changes in technology have made rhinoplasty a highly successful surgery in India. The last few years have seen a much higher rate of women opting for rhinoplasty in Mumbai. Since the changes are more or less permanent, it is natural to be concerned about the long and short terms effects of the nose job. The innovative techniques used in rhinoplasty in Mumbai make it a more accessible, less expensive surgery with shorter recovery periods. This surgery is also popular among men.

Who can get a rhinoplasty?

Rhinoplasty aims to improve the form and function of the nose. Rhinoplasty can fix a lot of problems such as a humped nose, saddle nose, uneven nostrils, droopy or tilted tip, depressed nose, flat nose, broad nose, crooked nose, short nose, long nose, difficulty in breathing, deviated septum, etc.
Adults in good health, have realistic expectations of a nose job and suffer from any of the abovementioned issues can opt for rhinoplasty. Top nose surgeons in Mumbai will evaluate your skin and health conditions and suggest the best solution. You will also see the before and after photos of plastic surgery results in India to see what difference rhinoplasty can make in your facial structure.

Benefits of Rhinoplasty

There are many cosmetic and functional benefits of rhinoplasty in Mumbai. These include

Enhanced nose size: Rhinoplasty can increase or decrease the nose size to make it a better fit for your face. Correcting the nose size that is too large, too small, broad, or narrow can be done through the nose job.

• Correction in nasal symmetry: Nasal asymmetry can disturb the harmony of the entire face. An asymmetric nose can be because of a congenital disability, injury, or trauma to the nose or maybe because of a botched old nose job. On the other hand, a balanced nose can make your eyes appear wide and more alert.

Changes in the nostril size: Our nostrils should be even-sized to ensure a smooth passage of the airways. A rhinoplasty is a fantastic option to correct the small, too small, big, or asymmetrical nostrils.

Gives more appealing features: Rhinoplasty can correct many congenital disabilities in one single procedure, such as altering the shape or size of the tip of the nose, removing the bump from the bridge of the nose, flattening a pointed nose, or a build up a flat nose. Nose specialist doctors in Mumbai use a personalized approach in all forms of rhinoplasty. Each patient has unique structural characteristics, and preserving the patient’s natural features gives a more balanced and harmonious blend to the facial features.

Improves breathing: Trouble in breathing can hamper many daily activities. It also affects the internal organs. once of the most common reasons for having trouble breathing normally or being aware of the breathing cycle is a deviated septum. A deviated septum reduces the size of the airways. Septorhinoplasty can correct this obstruction, giving the patient a better quality of life and letting them participate in different sports and other activities more comfortably.

Reduction in snoring/ correcting obstructive sleep apnea: Snoring has ruined the personal life of many people. It is a common problem that keeps millions worldwide and their partners awake at night. Snoring is an indication of OSA or obstructive sleep apnea. This is caused because of restricted airflow as it becomes hampered by relaxed soft tissues in the back of the throat. In worse conditions, the air gets blocked so much that a person cannot sleep. A simple rhinoplasty can correct this issue and decrease the risk of chronic health conditions such as diabetes, depression, heart disease, high blood pressure, stroke, etc. In addition, the nose job gives immediate relief from the issue of snoring and dramatically improves the patient’s personal life.

Easy and relaxed sleep: better sleep quality benefits a person in many ways. Breathing difficulties when we are sleeping can make us sluggish all through the day. It can be an allergy, a cold, a flat nose, or a blocked airway. Rhinoplasty can clear the blockages and ensure you get restful sleep and wake up refreshed daily.

Correction of birth defects: many people are born with birth defects such as a cleft nose or palate or can have birth injuries causing deviated septum and obstructed airways. This can be because of a problem with the nose’s shape or function. Breathing and nose shape are deeply interrelated. Suitable rhinoplasty surgery gives the dual benefit of correcting internal birth defects by improving the nose’s nasal shape, size, proportion, and function.

Gives relief from sinuses: Clogged sinuses are very suffocating, especially when you have a cold or an allergic reaction in your respiratory tract. Lack of drainage only worsens the sinus. Rhinoplasty can enable better drainage for the sinus and give you greater comfort.

Your nose, your surgery: A nose job is never defined by a series of particular steps. The surgery is designed to suit the work that best suits your facial features. For example, a patient with a prominent hump on the nose will have a different surgery than one with a bulbous tip. Rhinoplasty is a complex surgery that needs the surgeon’s expertise to change your appearance and still improve and restore your ability to breathe.

Gives a jump to the confidence: when everything is fine, and we know we are looking good, there is a different bounce to our stride. Rhinoplasty improves the overall quality of life and gives them a significant boost to their self-confidence and self-image. This also means more career success and as well as relationships.

Rhinoplasty is a life-changing decision; you must consider all the good and evil before cosmetic surgery. This will help you understand what you want and how much your expectations can be met. A nose job will change your appearance and lifestyle, whether surgical or non-surgical. Therefore, it is essential to understand the procedure and find the best nose specialist doctor in Mumbai to get the best results.
Recovery from rhinoplasty is also an essential part of the procedure. Healing takes some time, and swelling and tenderness are a common part of the process. However, the side effects usually subsidize within a week of the procedure, and you can slowly return to everyday life.

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Jawline without surgery

How to get an attractive jawline without surgery?

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Trends never end they just reinvent themselves. This is very true in the modern day world where a photo speaks so much more than voice and words, having the perfect facial features have become more important than ever. The harmony between the shape and size of eyes, nose, cheeks, jawline and the chin affect how your appearance is.  The latest trend in facial augmentation is having a well-defined jawline.

What is a jawline and what does it do?

The area of the face from the chin to the gonial angle is called the jawline. It does the important job of framing the face. The bone and the skin over it, defines the shape of the jawline. A lose jawline can give an appearance of having heavy cheeks and even look like a heavy double chin even though rest of your body is slim.

The jawline supports the entire dental structure and separate your neck from the face. The way the jawline is shaped plays an important role in making a face appear masculine or feminine. Jawline definition is affected by several individual genetic factors and ageing. as we age the skin starts to droop or become lax. This makes the jaw look puffy and undefined.  Some people are born with the prefect jawline while other struggle with maintaining one using exercises and other tools.

Not taking proper care of your skin, lack of regular exercise, too much junk and laziness to get up and move about can cause your face to swell up and give the appearance of a wide jaw, or a double chin. A well-defined jawline creates a more youthful overall appearance.

Luckily you don’t have to change the shape of your entire face or go under the knife to get a beautiful jawline. Modern Jaw augmentation procedures are simple and give you the best results in no time. Non-surgical jawline treatments can add definition, symmetry, contour and balance to the entire face in no time. Non-surgical cosmetic procedures for jawline treatment have low recovery times, are done under local anaesthesia and still can give the desired results.

Correcting the jawline is not an easy task for the cosmetic surgeon because the chin and neck affect its looks. Hence a neck lift, chin augmentation also helps in correcting the jaw line. A weak chin needs different treatment than a bony chin. So, if you too are worried about the jawline taking the attention away from your face then talk to your cosmetic surgeon about the best options. The surgeon will take into account the fat, muscle, lose skin and boniness of the facial structure to get the right outcome

Non-surgical jawline correction options

Men and women have different kinds of jaws. In men, a square jaw is more desirable and women prefer a more chisel and heart shaped facial features.  Jawline collection treatments are suitable for men and women who

  • Have an under formed jaw
  • Have a receding chin
  • Have prominent jowls and a wavy jawline because of fat deposits.
  • Have no clear transition zone between neck and the face and the neck appears to be too heavy

Non-surgical jawline definition treatment takes less than one hour to complete and show almost immediate results. Here are some simple and popular treatments that will help you get a sculpted look sans the surgery

  • CoolSculpting: This is a popular treatment used to reduce the appearance of fatty deposits under the skin. This treatment focuses on dissolving the excess fat from the chin that is making the jaw look lumpy and lacking shape. This treatment is an outpatient procedure. CoolSculpting is an FDA approved technology and uses a cooling technology to freeze the fat cells in the problem areas of the body. The cold temperature kills the targeted fat cells and they are flushed out of the body through its normal system. In a few days you will notice that your face looks smaller, the chin more sculpted and jaw well defied. The results will start to show in about 10 days from the procedure and last for up to one year.
  • Ultherapy: This new age procedure is kind of a mini facelift that harness the tightening and firming powers of ultrasound waves. These ways reach the deep layers of the skin and stimulate the cells in to life. The result is visibility smooth and tightening skin around neck and jowls thus lending the jaw a tight and firm look. Ultherapy will give a smooth look to the skin and since the skin starts to heal it self the results will continue to improve for two to three months and you will notice a dramatic change in your appearance. You can enjoy the benefits for up to two years.
  • Thread lift: A jaw lift with threads is become one of the popular methods of adding more definition to the jawline. This method is recommended for people who have skin hanging from their jawline. The threads are completely safe, painless and dissolvable way to create a perfect jaw lifting effect. They can change the entire look of your face. Threads are inserted in the nasolabial folds and near the ear zone so that the lift looks natural and contours the lower face the best. There are different types of treads available but PDO treads are generally most preferred because of their positivity and strength. The poly-L-lactic acid in the threads helps build the collagen in the skin for longer results. Depending on the result you want the surgeon will decide on the number of threads. The results last for about 18-24 months.
  • Fraxel lasers for skin tightening: lasers give the similar results like the ultrasound techniques. Laser treatment on the jaw helps in growth of new collagen and which gives excellent anti-aging effect to the skin by reducing wrinkles and hyperpigmentation. The results last longer than the ultrasound treatment.
  • Using neurotoxins at the right angles: The neck and the jaw muscles tend to become lose as we age or if you have a prominent jaw, precisely place Botox shots can help slim the lower face. Neurotoxins can be safely used to render a slender effect to the round face. Botox is also traditional used to correct the platysma muscle that sometimes hangs from the jaw to the collar bone. It takes about a week to see the results and they last for about 3-4 months.
  • Jaw fillers: A well augmented chin is the base for a beautiful jawline. Jaw fillers give a multi-pronged benefit to the lower face. They help improve the collagen and elastin production under the skin which in turn tightens and firms up the skin. There is no downtime and you will see amazing results instantly. The most commonly used filler is the Hyaluronic acid filler, although your doctor can use other fillers to. They are non-toxic and the body can easily adapt to them. Fillers add a clear definition between the face and the neck. Fillers can last from about six moths to one year comfortably.

Benefits of jaw treatments

Non-surgical treatment of the jaw line is done as an outpatient procedure in a doctor’s office. There is hardly any downtime. The trick to best results is finding the top cosmetic surgeon for the procedures. Best results show up when the right amount of treatment is used. For example, too much filler can make the skin look lumpy and too little number of threads cand disturb the facial symmetry. Therefore, consider going to the best cosmetic and plastic surgeon as your top priority when considering any cosmetic procedure. Jaw definition or jaw sculpting treatments can

  • Greatly reduce the ageing effect in the lower half of the face.
  • Give more oval and softer jawline in females
  • Reduce the hanging jowls
  • Create a more shaper and defined jawline in males
  • Reduce the appearance of double chin and a thick neck
  • Make the nose less prominent
  • Correct asymmetry in the jaw and chin areas
  • Provide a clear frame to the face.

Post procedure care for jaw contouring

Most jaw contouring treatments don’t involve the use of anaesthesia or bandages or have the risk of scarring and hence the downtime and recovery time is minimal. You can go back to work almost the same day and resume normal activities. Some bruising, swelling and redness is normal and goes away on its own. You can help with the recovery and results by

  • Avoiding wearing makeup on the skin
  • Sleeping with your head elevated on a pillow
  • Staying away from alcohol and nicotine
  • Avoiding strenuous exercises for a few days
  • Using sunscreen regularly
  • Moisturizing the skin in the correct manner
  • Drinking good amount of water and taking a regular diet
  • Keeping the stress away
  • Exercising regularly

Keep in mind that non-surgical options for jaw contouring in India are temporary. They will go away in some time and you will need maintenance treatments regularly. These treatments do not carry the risks associated with surgery and hence very safe.

Cost of jaw contouring

The cost of the non-surgical treatment is much less than those of the surgical treatments. The price of jaw contouring varies greatly by the type of treatment opted by you. The older you are the more is the tissue and bone loss and the cosmetic surgeon will need to use more fillers, Botox or threads to give the desired results which will increase the cost of jaw contouring. Since these are cosmetic procedures, your insurance might not cover them. The other factors include the surgeon’s fees and the location of the clinic. Most jaw treatments are often combined with other chin and neck treatments for the best results which can further influence the cost of jaw contouring.

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Perfect Indian Nose

What type of nose is considered as Perfect Indian Nose?

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The small and unassuming nose is an organ that plays a vital role in the perception of the beauty of the face. Different cultures and nationalities have noticeable differences in the structure and appearance of the nose. Your nose can tell much about your origins, i.e., your ancestors and ethnicity. This is because of the weather conditions, the type of work, and even the eating habits. People with wider noses usually come from humid and warm climates, and those in cold areas have narrow noses. The nose also plays a vital role in controlling body temperature. Narrow noses make it possible for inhaled air to be warmer. The race classifies the nose shape. Africans have predominantly flat noses (platyrrhine), Caucasians have narrow noses, and Asians have mesorrhine noses.

Indians have a wider set of eyes, and the mid-face is smaller and generally have small noses with high tip rotation (mesorrhine noses), small ears, and a larger mouth. Indians have thick nasal skin, a sloping nasal structure, and a high nasal bridge. The nose measurements with the body’s proportion are essential when planning a cosmetic or aesthetic rhinoplasty. Indian nose is different from other populations, so surgeons need to modify the surgery techniques to match the perfect Indian nose. India is a vast country, and the shape and size of the nose also differ by the region that people live in. For example

  • People residing in north India have long and narrow noses
  • South Indians have broader noses
  • People in Himalayan regions have narrow nostrils and short noses

The nasal analysis is the most crucial step in nose surgery. Therefore, it is essential to understand how much the nose deviates from the ideal norm to plan a nose surgery with a favorable result that blends harmoniously with other facial features. In the past, rhinoplasty surgeries used to follow one set pattern and created only one ideal shape. Still, a modern nose job is tailored to give a great result to people of oriental ethnicity and Indian ethnicity even rigid the facial structure of the two are entirely different.

Features that make a perfect Indian nose

Many of us often look in the mirror and wonder if our nose is crooked, too big, too short, etc. So, what is an ideal nose? Ideally, the nose should be in perfect proportion to the face i.e., it should not look ‘out of place’ or overshadow other facial features. Generally, 104-108 degrees orientation is considered ideal for the nose.

It is a proven fact that humans are naturally attracted to symmetry. We naturally gravitate towards ideas or other people who have balanced proportions. When it comes to calculating facial symmetry, it is done in many ways

  • it is calculated by dividing the nose into three parts horizontally. The forehead to eyebrows is the first upper third, eyebrows to the bottom of the nose is the middle third, and the lower third is the bottom of the nose to the chin.
  • When you look at it vertically, ideally, the nose should be perfectly in the middle third of the face.
  • If you look from the side view, the ideal nose’s parameters are that the side length should be equal to the width of the nose in the side view.
  • When using the rule of fifths, the ideal nose is when the nasal width equals the width of the person’s eyes.
  • One more way of measurement is looking from under the nose. A triangle should form with the area inside the nostrils (vestibules) making up two third of the triangle.

The definition of the perfect nose is individualistic. Some features might be considered ideal. Rhinoplasty is one of the most popular plastic and cosmetic surgeries worldwide; its outcome depends on the surgeon’s knowledge of nose proportions from different ethnicities.

Features of a perfect Indian Nose

The nose plays a large part in defining the shape of your face. In all cultures, an ideal primary nose is

  • when the wideness of the nose comes in a fifth of the face
  • Draw two imaginary vertical lines from the corner of your eyes and check if the nose’s width falls between those two lines.

Most rhinoplasty surgeons take the help of  Fibonacci’s sequence to calculate the width and height of the nose for a face. The golden ratio is the standard when altering the nose shape through rhinoplasty to enhance one’s natural beauty. The perfect nose

  • is in proportion with the rest of the facial features
  • has a smooth profile
  • has a smaller tip
  • has symmetrical nostrils
  • is straight

Nose features that are not considered to be perfect or ideal

Noses are categorized into different nose types, but there are some features that are not regarded as perfect, such as

  • bump or the dorsal hump on the nose
  • wide nose
  • a nose that bulges out from the rest of the face
  • bulbous tip
  • large and wide nostrils

Indian nose rhinoplasty

Indian rhinoplasty is a specific rhinoplasty that demands expert knowledge and technique from the doctor. Since it is a type of ethnic rhinoplasty, the rhinoplasty surgeon has to ensure that the organ’s ethnicity is maintained while still making natural-looking improvements in the shape and function of the nose. Here are some standard features of the Indian nose that make Indian rhinoplasty a specialization on its own

  • Indian noses have a thicker skin layer. Thus, any alterations in the bone and cartilage need to be fore definite to show through the thick overlayer of the skin. Conservative alterations do not give the desired new shape.
  • Drooping tip. A ptotic nasal tip in the side profile characterizes Indian noses. This makes the Indian nose appear longer, and the face look aged.
  • Dorsal hump. This is also a joint deformity in the Indian nose. A bump on the nose makes the look longer than desired, and combined with the droopy tip it makes the overall appearance of the nose even more elongated.

Rhinoplasty for the Indian nose can be done in an open or closed method. This depends on the type of reconstruction the doctor is aiming for.

Are you a good candidate for Indian rhinoplasty?

Any healthy male or female is a good candidate for Indian rhinoplasty. Also

  • If you are past your teens, then you can opt for rhinoplasty
  • If you do not smoke or are willing to give up smoking for a long time
  • You are of Indian descent and have a concern about the appearance and structure of your nose
  • You have realistic goals

India is one of the top five countries with a maximum number of rhinoplasties performed in a year with a more than 97% success rate.

What to expect in an Indian Rhinoplasty surgery?

Rhinoplasty can be done in two ways.

  • Liquid rhinoplasty uses filler and threads to contour the shape of the nose. The fillers and treads are used to correct the tip orientation and reduce the bump on the nose. the results of this type of rhinoplasty last for 18-24 months.
  • Surgical nose job: A surgical nose job is done under general anesthesia. Since every nose has an individual characteristic, every rhinoplasty is tailored so that the final appearance is harmonious with the rest of the face and still maintains the unique ethnic identity. The surgeon will discuss the detailed plan with you before the surgery and discuss the implants or grafts needed to define the nose. A surgical nose job takes about 2-3 hours to complete, and the results are more or less permanent.

Indian Rhinoplasty cost

Since the perfect Indian nose has some distinct features and the results can be life-altering, it is essential to choose a qualified plastic or cosmetic surgeon over the surgery cost to get the desired results. The cost of an Indian nose job includes fees of the specialist, the surgical costs, hospital, and other allied charges. The price of Indian nose rhinoplasty varies with the nature and type of the procedure. Cosmetic rhinoplasties are not covered by insurance costs, whereas functional rhinoplasties are covered by insurance.

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open rhinoplasty vs closed rhinoplasty

Is closed rhinoplasty more desirable than open?

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The first rhinoplasty done was an open nose job, performed in 600 BC in India. The surgery aimed to restore breathing function in a woman who had lost her nose in a battle. In 1800, French surgeon Dr. Joseph Bartholomew started using skin grafts from the patient’s forehead and ears. In the early 1900s, Dr. Harol Gilles introduced the innovation of the nasal flap, which is still popular today but in a more advanced form. Since then rhinoplasty surgery has made significant progress in terms of techniques and innovations.

Rhinoplasty is also known as nose job or nasal surgery and can be done in both surgical and nonsurgical ways. It can correct many issues with the nose, such as a crooked nose, drooping or upturned tips, prominent nose, small nose, bump or dip in the bridge and breathing functions, nasal polyps, injury abnormalities, inflammations, symmetry balance, and nostril correction. It often involves cutting the bone and reducing the thickness of nasal skin. In some cases, the surgeons also use grafts to augment the nose. The surgery is usually done under anesthesia and takes about 2-3 hours to complete depending on the technique used by the surgeon. Rhinoplasty can be done using the open or closed procedure. Both aim to improve the form and function of the nose. Still, open rhinoplasty is usually done for reconstructive purposes such as repairing a trauma nose, etc.; closed rhinoplasty is done to correct minor flaws and a deviated septum.

Open rhinoplasty

As the name suggests, this type of nose job is done by exposing the nose’s framework so that the rhinoplasty surgeon can see the structures inside the nose. this is one of the common approaches to performing a nose job as it gives the surgeon more space to maneuver around the nose. Incisions are made in the columella (tissues inside the nose ) and sides of the nose. Incisions are generally hidden inside, but the one across the columella might be visible for some time. This nose surgery technique gives the surgeon the freedom to lift the nose’s skin providing access to the tip, sides, back, septum, cartilage, and external nostrils of the nasal structure. Open rhinoplasty is done in cases of

  • Wide bridge or nasal hump that is curved and runs in the vertical length of the nose
  • The difficulty of breathing through the nose
  • People suffering from nasal tumors
  • Congenital disabilities in the nose, e.g., cleft lip
  • Revision rhinoplasty
  • Rotated tip
  • Asymmetric nose

Pros of open rhinoplasty

Open rhinoplasty is a widespread technique, but it has advantages and disadvantages. The pros include

  • The surgeon can see the anatomy underneath. This way, the surgeon can more accurately measure and analyze the nasal structures in open-nose surgery. In addition, the things that would have been missed in the external examination, such as abnormalities causing crooked shapes, can be seen clearly. This way, the surgeon does more detailed and accurate work to reshape the nose according to your preferences.
  • There is less chance of nasal asymmetry as the surgeon can be more precise in correcting bone, cartilage, and skin tissues.
  • The better and more accurate placing of grafts and prostheses: Cartilage Grafts and prostheses are needed to reconstruct the nose to its most natural contours. The surgeon can place these more accurately with open rhinoplasty because of full access to the nasal skeleton. These grafts or prosthetic devices are usually used on the nose’s bride or tip to improve or reinforce the nose structure or increase the septum length.
  • It is more accessible to the stability of the nasal elements, which results in fewer chances of nasal collapse or weakening, and it means the rhinoplasty will last longer.
  • It is more suitable for complicated surgeries: People with a bad previous or first rhinoplasty benefit more from open rhinoplasty. This is because the surgeon can eliminate most nasal defects in one go.
  • Fewer chances of scarring, bruising, and swelling: With greater surgical flexibility comes less swelling, bruising, and scaring than closed rhinoplasty.

Cons of open rhinoplasty

  • It is more invasive
  • It takes longer to heal
  • Leaves a small but visible scar
  • Has a more extended recovery period, i.e., more than two to three weeks
  • It can cause scarring on the side of the incision, but they fade away with time
  • This rhinoplasty takes about 1.5 to 3 hours

Recovery after open rhinoplasty surgery

The initial recovery time is about four to seven days, but the time might be extended if it is a functional open rhinoplasty. The surgeon will place bandages or a splint on your nose and give you something to stop the bleeding. The surgeon will tell you when the dressings can be removed, usually four to six days after the surgery. It is normal to experience nasal congestion, swelling, bruising, pressure inside the nose, headache, and nausea. This will go away in 10-14 days.

Closed rhinoplasty

In this nose job, the surgeon makes small incisions inside the nose to make the desired changes. Although it does not give much visibility, it still lets the surgeon work with great precision. This is a more common type of rhinoplasty in cosmetic nose surgery procedures. The rhinoplasty surgeon can sculpt and shape the tissue of the nose with ease to give a natural and aesthetic outcome that suits the facial features. This is a more complicated procedure that needs finer techniques on the surgeon’s part and cannot be used for making significant structural changes in the nose. Closed technique for nose surgery is done for

  • Narrowing the width of the nose
  • Reshaping the bridge and removing the hump
  • Redefining the tip
  • Reshaping the nostrils

Pros of closed rhinoplasty

  • Less and hardly visible incisions: since closed rhinoplasty is used to do only minor changes, there is no need to make visible or large incisions. The incisions are endonasal and do not show on the skin.
  • Shorter time in the operating theatre: It only lasts 30 to 90 minutes and requires less anesthesia and incision.
  • Faster and shorter recovery period: Full recovery takes about five to seven days, and the patient can return to everyday life within a week of the operation. The bruising and swelling are minimal because the blood vessels are not damaged during the procedure.
  • Fewer chances of complications because the entire method is less invasive and does not require open changes. Also, there is no open wound and hence fewer chances of infection.

Cons of closed rhinoplasty

It is an invasive surgery and, therefore, not without some disadvantages because it gives the surgeons a little less visibility than open rhinoplasty.

  • There is a slight possibility of damage to the structure of the nose because of limited access and inside incisions.
  • The surgeon can make fewer correct because of less access
  • It cannot be used for revision or secondary rhinoplasty
  • Results can change because of aging
  • It requires more delicacy to perform and can make limited changes
  • You might have breathing problems for a few days post-surgery because of swelling in the nose.

Recovery post-closed rhinoplasty

This surgery recovers faster than open rhinoplasty, about 7-10 days. The surgeon will instruct you to lubricate the nose and use nasal sprays to reduce the congestion and remove mucus as the nose heals. Inflammation, nosebleed, minor swelling, and internal infection are common problems post-closed rhinoplasty.

How to choose between open and closed rhinoplasty?

Many factors affect this decision, mainly based on what needs to be technically done inside the nose. The surgeon will check the framework of the nose and its strength of it to decide which technique will suit the best. Each structure, including the cartilage and tip, can be manipulated using open or closed rhinoplasty, depending on the complexity of the surgery. The other factors affecting the selection include

  • Your expectations
  • The natural shape of your nose and ethnicity
  • The number and severity of defects
  • The balance between the number of changes you desire and possible

It is not possible to state which method is better. You must discuss all your expectations with the surgeon and ask about his surgical expertise and recommendations.

The cost of open Rhinoplasty

The cost of open rhinoplasty is higher than that of close rhinoplasty, but it depends on how many procedures or corrections. In addition, the surgeon fees, experience, and location also affect the cost of rhinoplasty suitable for you.

Whether you choose to have open or closed rhinoplasty, you must consult the best surgeon with the experience and expertise to address your concerns regarding your nose. have a detailed discussion with your surgeon before deciding on the best option. This is the only way to know which rhinoplasty you are suited for. Your doctor will discuss your concerns and goals and then determine the best treatment for the particular case.

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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