All Rhinoplasty procedures are not the same. The procedure differs from case to case depending upon individual requirement.

Rhinoplasty is a technically demanding surgery and there is no tailor made steps to be followed in every case. To achieve optimal result, a surgeon should be well versed with the different techniques involved in Rhinoplasty.

After the initial decision to undergo Rhinoplasty, the next step is to decide which type of Rhinoplasty procedure is best in your case.

There are four types of Rhinoplasty described briefly as under:

1. Closed Rhinoplasty

All incisions are hidden inside the nose with no external scars.


  • No external visible incision or scar.
  • Less post operative oedema
  • Less surgical time
  • Faster recovery

  • Major changes in the nasal tip and the septal cartilage cannot be done.
  • Used only for minor dorsal corrections.

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2. Open Rhinoplasty

A small external incision is made at skin between nostrils called as columella. This incision is extended inside nostrils on each side.

The skin flap is elevated and a surgeon gets a good exposure of the bony and cartilaginous framework underneath and modify them under direct vision.

  • It is the preferred method for Rhinoplasty in cases where extensive work is to be done to alter nasal framework.
  • It is used for major and precise nose reshaping.
  • It allows a surgeon to perform many useful techniques with more accuracy such as nasal tip modifications, spreader flap technique, harvesting of septal cartilage etc. and much more.

3. Secondary or Revision Rhinoplasty

  • It is a corrective Rhinoplasty done to change the form and / or function of nose after previous Rhinoplasty.
  • The patients opt for a revision rhinoplasty if they are unhappy with the results or they seek further changes not originally desired.
  • Sometimes a patient desires a “touch up” for minor issues.
  • Most trained surgeons have a revision rate of about 10%.

4. Liquid Rhinoplasty or Non-Surgical Rhinoplasty

It is a non surgical method done by a plastic surgeon or a dermatologist for minor imperfections.

No incisions are made and a Hyaluronic Acid Filler injection is used. The most common type of filler used is Juvederm.

The drawback of choosing filler Rhinoplasty is that the results are not permanent. Over the time, the fillers eventually absorb reversing the changes and may require an additional procedure.

The extensive list of commonly performed techniques in Rhinoplasty by Dr. Vikas Gawri:

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Reduction of Dorsum

  • Minor Hump Reduction with Power Drill
  • Hump reduction with Component Technique
  • Lowering the Dorsum plus Spreader Flaps
  • Over projected Dorsum combined with under projected tip
  • Reduction Rhinoplasty combined with extracorporeal septal correction.

Augmentation of Dorsum

  • Augmentation of a severe Saddle Nose with simultaneous Bulbous Tip correction
  • Augmentation of cephalic Portion of LLC
  • Doral reconstruction by Extracorporeal Septal reconstruction
  • Dorsal reconstruction with Diced Cartilage

Osteotomies in Rhinoplasty

  • Wide nasal bridge
  • Deviated wide nasal bridge
  • Asymmetrical nasal bridge with severe Septal Deviation
  • Inverted V deformity

Tip Modification in Rhinoplasty / Bulbous Nasal tip / Wide Nasal tip

  • Projection of the tip
  • Rotation of the tip
  • Debulking of the Tip
  • Contouring in a thick LLC by Dome Division Technique
  • De-projection by medial and lateral Sliding
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Functional aspects in Rhinoplasty

  • Septoplasty
  • Spreader Grafts and Upper Lateral Cartilage (ULC) – Infolding Suture Technique
  • Reduction of columellar width
  • Turbinate Reduction
  • Balancing Airway cross section and NASAL AESTHETICS

Call us or Whatsapp us at +91 80548 02500 – Dr. Rajni or +91 81466 66880



1. How do I know which type of Rhinoplasty is suitable for me?
2. Which is the more affordable type of Rhinoplasty?
3. Is Open Rhinoplasty better than Closed Rhinoplasty?
4. How long does it take to complete any Rhinoplasty surgery, and what is the recovery time?
5. Are any of the types of Rhinoplasty covered by insurances?
6. How long does the effect of different types of Rhinoplasty last?
7. Are there specialists for Open and Closed Rhinoplasty?
8. Can a surgeon in regular hospitals perform Cosmetic Rhinoplasty?
9. Do scars of Open Rhinoplasty disappear over a period?


Rhinoplasty, Sonia

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Fat Grafting to Face

My face always looked very old and gloomy. I consulted at Kyra Aesthetic Clinic and met a Skin Specialist and plastic surgeon. They advised me Fat grafting cosmetic procedure. I saw the previous cases and made up my mind.
Today, i get many compliments for my new look. Thanks Dr. Gawri

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