Category Archives: Rhinoplasty

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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 narrowest part of the nasal airway and play a key role in ensuring that your breathing is normal. 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.

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What are the advantages of having a 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.

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How to get an attractive 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 has become more important than ever. The harmony between the shape and size of eyes, nose, cheeks, jawline, and chin affects 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, define the shape of the jawline. A loose jawline can give an appearance of having heavy cheeks and even look like a heavy double chin even though the rest of your body is slim.

The jawline supports the entire dental structure and separates 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 aging. 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 perfect jawline while others 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 rhinoplasty 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 anesthesia, 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 and chin augmentation also help in correcting the jawline. 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, loss of 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 medi facial features.  Jawline collection treatments are suitable for men and women who

  • Have an undeformed jaw
  • Have a receding chin
  • Have prominent jowls and a wavy jawline because of fat deposits.
  • There is no clear transition zone between the 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 shows 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 that uses 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 harnesses the tightening and firming powers of ultrasound waves. These ways reach the deep layers of the skin and stimulate the cells into life. The result is visibility smooth and tightening skin around the 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 itself 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 a 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 similar results like ultrasound techniques. Laser treatment on the jaw helps in growth of new collagen which gives an 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 placing 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 traditionally 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. The best results show up when the right amount of treatment is used. For example, too much lip 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 reduces 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 anesthesia 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 a 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 are 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 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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What type of nose is considered as 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 (morphine 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 ideal 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, best rhinoplasty surgeon in india 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 structures 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 nose, 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, the 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-thirds 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

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 foredefinite 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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Is closed rhinoplasty more desirable than open?

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 rhinoplasty or closed rhinoplasty 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, nosebleeds, 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 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 the 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 closed 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 in india 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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