Introduction

The nasal dorsum—or bridge of the nose—plays a vital role in both facial aesthetics and nasal function. Irregularities like humps, scoops, asymmetries, or deviations can affect appearance and breathing. This guide covers types and causes of nasal dorsum deformities, effective surgical corrections, recovery expectations, and cost insights. Learn how Dr. Milan Doshi reshapes the nasal bridge for natural, balanced, and long-lasting results.

What Are Nasal Dorsum Deformities?

The nasal dorsum (nasal bridge) is central to facial harmony and nasal function. Deformities—congenital, post-traumatic, or post-surgical—can impact both aesthetics and airflow.

Who Needs Nasal Dorsum Correction?

• Individuals with humps, depressions, deviations, or asymmetry of the nasal bridge.
• Patients experiencing breathing issues due to structural deformities.
• People needing revision after an unsatisfactory previous rhinoplasty.

Types of Nasal Dorsum Deformities

• Dorsal hump deformity
  Cause: Excess bone/cartilage, genetics, trauma.
  Appearance: Visible bump on the bridge.
  Correction: Bone and cartilage reshaping (hump reduction).
• Saddle nose deformity (nasal collapse)
  Cause: Trauma, over-resection, septal perforation.
  Appearance: Sunken/collapsed bridge (scooped look).
  Correction: Cartilage grafting (septum/ear/rib) to restore height and structure.
• Crooked nasal dorsum
  Cause: Trauma, congenital asymmetry, prior surgery.
  Appearance: Off-center/deviated bridge.
  Correction: Osteotomy (bone repositioning) and cartilage realignment.
• Open roof deformity
  Cause: Excessive hump removal without proper bone closure.
  Appearance: Flat, widened, or irregular dorsum.
  Correction: Osteotomy and spreader grafts to reconstruct the bridge.
• Wide nasal dorsum
  Cause: Broad nasal bones/genetics.
  Appearance: Wide or bulky bridge.
  Correction: Nasal bone narrowing (osteotomy).
• Polly beak deformity
  Cause: Inadequate cartilage reduction, technical issues.
  Appearance: Convex profile resembling a parrot’s beak.
  Correction: Cartilage reduction and tip refinement.

How Are Nasal Dorsum Deformities Corrected?

Correction is customized based on the deformity and overall nasal anatomy.

• Dorsal hump reduction: Controlled removal of bone/cartilage for a smoother profile.
• Cartilage grafting: Augmentation for saddle nose, open roof, or polly beak using septal/ear/rib cartilage.
• Osteotomy (bone repositioning): Straightens crooked bridges and narrows wide nasal bones.
• Spreader grafts: Rebuilds support after open roof or to improve internal valve function.
• Tip refinement with dorsum correction: Combines tip work when needed (e.g., polly beak).

Nasal Dorsum Rhinoplasty: Cost & Considerations

Estimated ranges (indicative):

• India: ₹1,00,000 – ₹2,50,000
• Mumbai (premium clinics): ₹2,00,000 – ₹5,00,000

What influences cost: Surgeon’s expertise, extent of correction, type of grafts (autologous/synthetic), and hospital/clinic location.

Post-Operative Care for Nasal Dorsum Surgery

• Apply cold compresses as advised to reduce swelling.
• Avoid excessive facial movements for ~2 weeks.
• Sleep with head elevated to minimize swelling.
• Take prescribed medications as directed.
• Avoid glasses resting on the bridge for 4–6 weeks (use taping/support if needed).

Possible Complications

• Swelling and bruising (often resolves in 2–4 weeks).
• Infection (rare with proper care).
• Breathing difficulties if internal structures are over/undercorrected.
• Asymmetry that may require minor revision.
• Delayed healing (higher risk in smokers/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 techniques for natural, long-lasting results. He has 25+ years of experience and has performed 1,500+ rhinoplasty procedures.