Understanding Rhinoplasty in Indian Noses – A Unique Challenge

Rhinoplasty (nose surgery) for Indian patients is more complex than for others. That’s because Indian noses vary a lot in shape, structure, and skin thickness, so one standard surgical method doesn’t work for everyone.

Unlike Western (Caucasian) noses, which are usually large and benefit from size reduction, many Indian noses are smaller or appear large only because of thick skin and soft tissue. The internal bone and cartilage (skeletal support) are often weak. Trying to reduce these structures can lead to poor results since the thick skin doesn’t shrink well to fit the new shape.

Instead of reducing size, Indian noses often need to be built up (augmented) for better shape and support. This is especially true even for noses that look big on the outside.

Also, when working on the bridge of the nose (dorsum), techniques used for Western noses—like breaking and rebuilding the nasal roof—are often not needed for Indian noses. Simple cartilage grafts can usually achieve the desired look unless there are breathing issues.

In short:

• Every Indian nose needs a custom approach.

• Thick skin plays a big role in planning the surgery.

• Removing too much cartilage is risky.

• Building support is often more important than reducing size.

• Only in certain regions, like Kashmir, do noses resemble Western types where reduction may work better.