Nasal Dorsum Deformities: Types, Causes, Surgical Corrections, and Aftercare & cost

• Individuals with humps, depressions, deviations, or asymmetry of the nasal bridge
• Patients experiencing breathing issues due to nasal deformities
• People who have had unsuccessful previous rhinoplasty and require revision surgery

Nasal dorsum deformities vary in shape, size, and cause. Below are the most common types:

i. Dorsal Hump Deformity

• Cause: Excess bone and cartilage growth, genetics, trauma
• Appearance: A visible bump on the nasal bridge
• Correction: Bone and cartilage reshaping through hump reduction rhinoplasty

ii. Saddle Nose Deformity (Nasal Collapse)

• Cause: Trauma, over-resection of cartilage, septal perforation
• Appearance: A sunken or collapsed bridge, giving a scooped appearance
• Correction: Cartilage grafting (from septum, ear, or rib) to restore height and structure

iii. Crooked Nasal Dorsum

• Cause: Trauma, congenital asymmetry, previous surgery
• Appearance: The nasal bridge appears off-center or deviated
• Correction: Osteotomy (bone repositioning) and cartilage realignment

iv. Open Roof Deformity

• Cause: Excessive dorsal hump removal without proper closure of the nasal bones
• Appearance: A flat, widened, or irregular dorsum
• Correction: Osteotomy and spreader grafts to reconstruct the nasal bridge

v. Wide Nasal Dorsum

• Cause: Genetic factors, broad nasal bones
• Appearance: A wide, broad, or bulky bridge
• Correction: Nasal bone narrowing (osteotomy)

vi. Polly Beak Deformity

• Cause: Inadequate reduction of cartilage, poor surgical technique
• Appearance: A convex shape resembling a parrot’s beak
• Correction: Cartilage removal and tip refinement

Nasal dorsum correction involves customized rhinoplasty techniques based on the specific deformity.

Surgical Techniques for Nasal Dorsum Correction

i. Dorsal Hump Reduction

• Used for: Dorsal hump deformity
• Method: Controlled removal of bone and cartilage to create a smoother profile

ii. Cartilage Grafting

• Used for: Saddle nose, open roof, and polly beak deformities
• Method: Augmentation using septal, ear, or rib cartilage

iii. Osteotomy (Bone Repositioning)

• Used for: Crooked and wide nasal dorsum
• Method: Controlled bone cutting and repositioning for improved symmetry

iv. Spreader Grafts

• Used for: Open roof deformity, post-surgical complications
• Method: Cartilage grafts placed along the nasal dorsum to improve support

v. Tip Refinement with Dorsum Correction

• Used for: Polly beak deformity
• Method: Reshaping the nasal tip along with bridge adjustments

Estimated Cost Range:

• India: ₹1,00,000 – ₹2,50,000
• Mumbai (Premium Clinics): ₹2,00,000 – ₹5,00,000

Factors Affecting Cost:

• Surgeon’s expertise
• Extent of correction needed
• Type of grafts used (autologous or synthetic)
• Hospital/clinic location

Essential Aftercare Tips:

• Apply cold compresses to reduce swelling
• Avoid excessive facial movements for 2 weeks
• Sleep with head elevated to minimize swelling
• Follow prescribed medications to manage pain
• Avoid wearing glasses that rest on the nasal bridge for 4-6 weeks

While nasal dorsum correction is safe, some potential risks include:

• Swelling and bruising – Typically resolves within 2-4 weeks
• Infection – Rare but can occur if proper care is not taken
• Breathing difficulties – If internal structures are overcorrected
• Asymmetry – May require revision surgery
• Delayed healing – More common in smokers and diabetics