Nasal Dorsum Deformities
March 28, 2025

What Are Nasal Dorsum Deformities?

The nasal dorsum, or nasal bridge, plays a crucial role in facial harmony and function. A deformity in the nasal dorsum can affect both aesthetics and breathing. These deformities may be congenital, post-traumatic, or post-surgical.

Who Needs Nasal Dorsum Correction?

  • 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

Types of Nasal Dorsum Deformities

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

How Are Nasal Dorsum Deformities Corrected?

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

Nasal Dorsum Rhinoplasty: Cost and Considerations

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

What is Post-Operative Care for Nasal Dorsum Surgery?

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

What are Possible Complications of Nasal Dorsum Surgery?

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

Why Choose Dr. Milan Doshi for Nasal Dorsum Rhinoplasty in Mumbai?

Dr. Milan Doshi is a leading cosmetic and rhinoplasty surgeon in Mumbai, specializing in nasal dorsum deformity correction using advanced surgical techniques for natural, long-lasting results.He HAS MORE THAN 35YEARS OF EXPIRIENCE AND DONE 1500+ RHINOPLASTY