Rhinoplasty
in Islamabad
Open, closed and ethnic rhinoplasty by board-certified surgeons. Dorsal hump, bulbous tip, alar base, septorhinoplasty — tailored to South Asian facial anatomy.
The Most Technically Demanding Procedure in Facial Surgery
Rhinoplasty — the surgical reshaping of the external nose — modifies the nasal bones, upper lateral cartilages, lower lateral (alar) cartilages, nasal septum or soft tissue to alter the size, shape, projection or symmetry of the nose.
When combined with correction of a deviated nasal septum, the procedure is called septorhinoplasty — simultaneously improving both appearance and nasal airway function.
The nose sits at the centre of the face and exists in three dimensions. Its final result depends on the interaction between the bony-cartilaginous framework and the overlying skin envelope — which varies significantly with ethnicity and makes experience with South Asian anatomy essential.
Which Approach Is Right for You?
The right technique depends on what needs to change, your skin thickness, whether breathing is affected and whether this is a primary or revision procedure.
Open Rhinoplasty
Most VersatileA small incision across the columella (skin bridge between nostrils) gives full visibility of all nasal structures — cartilage, bone and soft tissue. Preferred for complex reshaping, tip work and revision cases where maximum precision is required.
Dorsal hump, bulbous tip, significant asymmetry, revision rhinoplasty
Closed (Endonasal) Rhinoplasty
No External ScarAll incisions placed entirely inside the nostrils — zero visible scarring. Surgical access is more limited, making it best suited for moderate dorsal reduction and minor tip adjustments in straightforward cases with thinner skin.
Mild hump reduction, minor tip refinement, faster recovery preference
Septorhinoplasty
Functional + AestheticCombines aesthetic reshaping with correction of a deviated nasal septum — the cartilage and bone partition dividing the nasal airway. Resolves nasal obstruction, mouth breathing and chronic congestion while improving external appearance in a single procedure.
Crooked nose, deviated septum, breathing impairment, snoring
Ethnic Rhinoplasty
South Asian ExpertisePreserves ethnic identity while addressing concerns specific to South Asian and Middle Eastern noses — wide alar base, under-projected tip, thick skin envelope. Uses cartilage grafts to build structure rather than simply reduce. We do not westernise — we refine.
Wide nostrils, flat or under-projected tip, thick nasal skin, South Asian patients
Revision Rhinoplasty
Secondary CorrectionCorrects unsatisfactory outcomes from previous rhinoplasty — polly beak deformity, over-resected dorsum (saddle nose), pinched tip, asymmetry or breathing problems. Often requires costal (rib) cartilage grafts due to depleted septal cartilage from prior surgery.
Failed primary rhinoplasty, breathing problems post-surgery, aesthetic dissatisfaction
Non-Surgical Rhinoplasty
No AnaesthesiaHyaluronic acid filler injected at precise anatomical points to camouflage dorsal humps, lift a drooping tip or improve nasal symmetry. Results are immediate and reversible with hyaluronidase. Does not reduce nose size — it reshapes with volume.
Mild hump camouflage, drooping tip correction, those not ready for surgery
Six Concerns Surgery Resolves
Dorsal Hump
A bump on the nasal bridge formed by excess bone and cartilage along the nasal dorsum. Corrected via osteotomy and dorsal reduction — spreader grafts maintain the nasal valve to preserve breathing.
Bulbous or Wide Tip
Caused by large, widely spaced lower lateral (alar) cartilages. Refined with tip suturing techniques, cephalic trim and a columellar strut graft to define and support the nasal tip.
Wide Nostrils (Alar Flaring)
Excess width at the alar base — the soft tissue base of each nostril. Corrected with alar base reduction using a Weir excision — a small wedge removed at the nasal sill, leaving a hidden scar.
Deviated or Crooked Nose
Caused by a deviated nasal septum, crooked nasal bones or asymmetric cartilage. Septorhinoplasty repositions the nasal bones via bilateral osteotomies and corrects the underlying septal deviation simultaneously.
Drooping Nasal Tip
An acute nasolabial angle (below 90° in men or 95° in women) creates a downward-pointing tip. Corrected with tip rotation suturing, the tongue-in-groove technique and a columellar strut to support the new position.
Saddle Nose / Over-Resected Bridge
A collapsed or concave nasal dorsum — often a result of over-aggressive prior rhinoplasty or trauma. Corrected with dorsal augmentation using septal, auricular (ear) or costal (rib) cartilage grafts.
Your Surgical Journey
Consultation & Imaging
Detailed facial analysis measuring nasofrontal angle, nasolabial angle, tip projection and rotation. 3D digital imaging simulates post-operative results. Nasal airway assessed for septal deviation, turbinate hypertrophy and nasal valve competence. Skin thickness evaluated — thicker skin requires longer for tip definition to emerge.
Anaesthesia & Incisions
General anaesthesia or deep sedation with local anaesthesia block administered. Open technique: columellar incision plus bilateral marginal incisions. Closed technique: bilateral intracartilaginous incisions only. Nasal skin carefully elevated off the osteocartilaginous framework.
Structural Reshaping
Dorsal reduction with rasp or piezoelectric device. Lateral osteotomies narrow wide nasal bones. Tip cartilage refined with suturing techniques, cephalic trim and cartilage grafts as required. Cartilage harvested from nasal septum, ear concha (auricular) or rib (costal). Alar base reduction performed if indicated.
Closure & Splinting
Incisions closed with fine absorbable sutures intranasally; columellar closed with non-absorbable sutures removed at day 7. External nasal splint applied for 7–10 days. Internal silicone splints (if septoplasty performed) removed at 48 hours. Full discharge with written aftercare instructions.
Month by Month Recovery
Rhinoplasty recovery has predictable phases. Understanding each phase prevents unnecessary anxiety — especially during the swelling-heavy early weeks. The tip takes the longest to refine.
Swelling and bruising peak. Nasal splint in place. Sleep with head elevated at 30–45°. Cold compresses reduce periorbital bruising. Mild pressure and congestion — managed with paracetamol.
External splint and columellar sutures removed. Presentable to return to desk work. Residual swelling present but dramatically improved from peak.
Most bruising resolved. Tip still swollen and stiff — this is expected. Avoid contact sports, glasses on the bridge and direct sun exposure.
60–70% of swelling resolved. Nasal shape becoming clearly apparent. Steroid micro-injections occasionally used to accelerate tip de-puffing in thick-skinned patients.
Refinement phase. Swelling continues to resolve slowly. Nasal tip definition improving each month as skin re-drapes over the refined framework.
Final result fully assessable. Tip definition in thick-skinned patients may continue improving through 18 months. Surgical results are permanent.
Good Candidates & Who Should Wait
Ideal Candidates
- Nasal growth complete — typically 17+ (women) or 18+ (men)
- Dorsal hump, bulbous tip, wide nostrils or asymmetry causing concern
- Breathing impairment from deviated septum or nasal valve collapse
- Realistic expectations — significant improvement, not perfection
- Non-smoker or willing to stop 4 weeks before and after surgery
- In good general health with no uncontrolled medical conditions
- Unhappy with a previous rhinoplasty result (revision candidate)
Better to Wait If
- Under 17 — nasal growth may still be incomplete
- Seeking surgery to please someone else, not yourself
- Expecting to exactly match a celebrity nose — anatomy differs
- Active acne or skin infection over the nasal area
- Blood thinning medications that cannot be safely paused
- Suspected body dysmorphic disorder (BDD) — surgery worsens, not helps
- Heavy smoker unwilling to quit — impairs wound healing and graft survival
A consultation will confirm whether rhinoplasty is appropriate for your situation — or whether a different approach is recommended first.
Rhinoplasty FAQs
Have a question we have not answered here? Message our team on WhatsApp — we will give you a direct, honest answer with no sales pressure.
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Ready to Reshape Your Nose?
Book a no-obligation surgical consultation at Elore Aesthetics, Islamabad. We will assess your nasal anatomy, discuss the right technique for your concerns, and show you simulated results — before you make any decision.