Beauty arises from symmetric, balanced, and harmonious proportions of facial parts. The growing demand for rhinoplasty in south india clearly reflects the importance of a beautiful nose. Because the nose is the most prominent part of the face, nasal parameters are the most important determinants of the attractiveness of any face. The typical characteristics of an Indian nose are a little wider alar base in general, acute nasolabial angulation, less pointed nasal tip. The acute nasolabial angulation and the less pointed tip together make the Indian nose look less projected from the face than the whites.
The average orientation of the nostrils in the Indian population is horizontal making the tip appear more flared than other races. In most patients, the nasal dorsum is also not well pronounced. The studies show that in general the width of the alar base in Indian population is slightly wider than the intercanthal distance. Thus in surgical correction of the nose, this feature should be well maintained without narrowing of the alar base too much. Aggressive reduction of the alar base also changes the orientation of the tip in the Indian population. Thus these features should be kept in mind while performing the surgery.
The acute nasolabial angulation can also be attributed to the smaller length of the upper lip in Indian population compared to other races. A more prominent dorsum can be created in the Indian population by augmentation with cartilage.
An open structure rhinoplasty is performed and cartilage harvested from the patient’s ribs is chopped into fine pieces and placed over the nasal dorsum to increase its prominence. In some cases, osteotomy on either side of the nasal dorsum is required to shape the dorsum to the desired shape.
A pressure dressing is placed over the nose for one week which acts as a splint to help the cartilage settle down and adaptation of the new shape of the nose. The projection of the tip can be increased by placing cartilage or Medpore and suturing in its position. Patients are closely monitored for one week and kept on medications before they are discharged. The changes in their nose structure can be appreciated by the patients when all the swelling subsides.
RICHARDSONS dental and Craniofacial Hospital, Nagercoil is located 68 kilometres from Trivandrum (Thiruvananthapuram), Kerala’s capital. It is well connected by air from India’s business capital Mumbai and also New Delhi. The local Nagercoil railway station is well concerted to various South Indian large cities like Chennai, Hyderabad, Bangalore and Cochin. Madurai is the largest and nearest city in south Tamilnadu.