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Nasal surgery
18Aug

Nasal surgery — whether for cosmetic reshaping, functional breathing correction, or both — is one of the most technically demanding procedures in plastic surgery. The nose sits at the center of the face, plays a critical role in breathing, and heals differently in every patient.
Because of this, the decision to go ahead with rhinoplasty deserves more thought than most other cosmetic procedures. Dr. Jyoshid R Balan, widely regarded as the best rhinoplasty surgeon in Kerala, walks every patient through these considerations in detail before recommending a surgical plan.
Here are the key factors worth evaluating before committing to nasal surgery.

Dr. Jyoshid R Balan, a plastic and cosmetic surgeon based in Thrissur, Kerala, regularly guides patients over 40 through these options as part of a personalized, non-surgical rejuvenation plan.

Here’s a practical breakdown of the most effective non-surgical facelift alternatives, what each one actually does, and how to know which combination is right for you.

Nasal surgery
Nasal surgery
Nasal surgery
nasal surgery

1. Your Goals: Cosmetic, Functional, or Both

The first and most important step is being clear about what you want the surgery to achieve.

Cosmetic goals might include a straighter bridge, refined tip, reduced hump, or better overall facial balance.

Functional goals address breathing problems, often caused by a deviated septum, enlarged turbinates, or nasal valve collapse.

Combined goals are common — many patients seeking a better-looking nose also have an underlying structural issue affecting airflow that should be corrected at the same time.

Being specific about your goals — and being realistic about what surgery can and can’t change — helps your surgeon design the right procedure and helps you evaluate results fairly afterward.

Best for: Hollowed cheeks, deep smile lines, a less-defined jawline, and thinning lips.

Downtime: Minimal—mild swelling or bruising for a few days.

Longevity: Typically 9–18 months, depending on the product and treatment area.

 

2. Your Nasal and Facial Anatomy

Not every technique suits every nose. Skin thickness, cartilage strength, the shape of the nasal bones, andthe proportions of the rest of your face all influence what’s surgically possible and what will look naturalonce healed.
This is especially relevant for Indian patients, who often have thicker skin and less rigid cartilage than theWestern anatomy that many standard rhinoplasty techniques were originally developed for. A surgeonneeds to adapt technique to your specific anatomy rather than applying a one-size-fits-all approach.

3. Timing of Nasal Growth and Development

The nose typically finishes growing by around age 15–16 in females and 17–18 in males.

Surgery performed before nasal growth is complete can lead to unpredictable results as the nose continues developing. Surgeons generally recommend waiting until growth is finished, except in cases of trauma or significant functional impairment that needs earlier correction.

This is especially relevant for Indian patients, who often have thicker skin and less rigid cartilage than the Western anatomy that many standard rhinoplasty techniques were originally developed for. A surgeonneeds to adapt technique to your specific anatomy rather than applying a one-size-fits-all approach.

4. Overall Health and Medical History

A thorough medical evaluation before surgery should cover:

  • Bleeding disorders or blood-thinning medications, which increase surgical risk.
  • Smoking status, since smoking significantly impairs healing and increases complication rates.
  • Allergies or chronic sinus conditions, which may need to be addressed alongside structural surgery.
  • Previous nasal trauma or surgery, which changes the anatomy a surgeon has to work with and often makes revision cases more complex than first-time procedures.

Being upfront about your full medical history — including any prior nose surgeries, even minor ones — helps your surgeon anticipate challenges before they happen in the operating room.

5. Realistic Expectations

  • Rhinoplasty results are influenced by biology, not just surgical skill.

    Final results take time to fully settle — commonly 6–12 months for thinner skin and 12–18 months for thicker skin — as swelling resolves gradually.

    Photos taken a few weeks after surgery rarely represent the final outcome. A good surgeon will show you a realistic timeline and set expectations about the degree of change that’s achievable given your specific anatomy, rather than promising a dramatic transformation that isn’t anatomically realistic.

6. Surgeon Experience and Approach

Because rhinoplasty has one of the highest revision rates among cosmetic procedures, choosing an experienced surgeon matters more here than almost anywhere else in cosmetic surgery.

Patients researching the best rhinoplasty surgeon in Kerala should look beyond marketing claims and evaluate real experience and outcomes.

Before deciding, it’s worth reviewing:

  • Before-and-after cases with anatomy similar to yours.
  • Whether the surgeon has specific experience with both cosmetic and functional (breathing-related) nasal surgery.
  • How clearly they explain their surgical plan and the reasoning behind it.
  • Whether they discuss risks and limitations honestly, not just the potential upside.

7. Recovery Planning

Recovery from nasal surgery generally involves:

  • Splinting for about a week.
  • Swelling and bruising, most visible in the first 1–2 weeks.
  • Activity restrictions, including avoiding strenuous exercise, sun exposure, and glasses resting on the nose for several weeks.
  • Gradual refinement of the final shape over many months.

Planning time off work, arranging help at home if needed, and understanding that visible results take time can reduce stress and unrealistic expectations during recovery.

8. Combining Procedures

Some patients choose to combine rhinoplasty with septoplasty to correct a deviated septum.

Others may consider chin augmentation to improve overall facial balance, since chin projection can significantly affect how the nose appears in profile.

Discussing whether a combined procedure makes sense for your goals is worth raising during consultation.

Making the Decision

Nasal surgery is not a decision to rush.
Take time to research, ask detailed questions during consultation, review before-and-after results relevantto your anatomy, and make sure you feel confident in your surgeon’s experience and communication — notjust the potential outcome.
Dr. Jyoshid R Balan, recognized as the
best rhinoplasty surgeon in Kerala
, encourages patients to take thetime they need, including a second consultation if useful, before moving forward with surgery.

rhinoplastic surgeon in kerala
rhino

Frequently Asked Questions (FAQ)

1.How do I know if I need functional or cosmetic rhinoplasty?

If you have trouble breathing through your nose, especially on one side, or a history of nasal trauma, you may have a functional issue that should be evaluated alongside any cosmetic concerns during consultation.

2. What’s the minimum age for nasal surgery?

The minimum age for nasal surgery (rhinoplasty) depends on why the surgery is needed and whether facial growth is complete.

For cosmetic rhinoplasty, surgeons generally wait until the nose has nearly finished growing—often around 15–16 years for girls and 16–17 years for boys. Some surgeons may recommend waiting until 17–18, depending on individual development and emotional readiness.

For functional or reconstructive nasal surgery, such as treatment for breathing problems, significant injury, congenital deformity, or severe nasal obstruction, surgery may sometimes be performed at a younger age when medically necessary.

There is therefore no single minimum age that applies to everyone. A qualified ENT, facial plastic, or plastic surgeon should assess facial growth, nasal development, the reason for surgery, and overall readiness before recommending an operation.

3. Does smoking really affect rhinoplasty results?

Yes. Smoking can significantly affect rhinoplasty results and recovery.

Nicotine causes blood vessels to narrow, reducing blood and oxygen supply to healing nasal tissues. This can increase the risk of delayed wound healing, infection, poor scarring, skin or tissue complications, and prolonged swelling. Smoking may also make the final cosmetic result less predictable.

This includes not only cigarettes but also vaping and other nicotine-containing products. Second-hand smoke exposure is also best minimized during recovery.

Many surgeons advise stopping smoking and nicotine for several weeks before and after rhinoplasty, but the exact period should be determined by your surgeon based on the procedure and your health.

4. How long before I see my final results?

Swelling resolves gradually. Most patients see significant improvement within a few months, but full final results — especially in thicker skin — can take 12–18 months to fully settle.

5. Can rhinoplasty fix breathing problems?

Yes. Rhinoplasty can help correct certain breathing problems, particularly when they are caused by structural issues inside the nose.

A surgeon may combine cosmetic rhinoplasty with functional rhinoplasty or septoplasty to address problems such as a deviated septum, narrowed nasal passages, nasal valve collapse, or structural problems following an injury.

However, not every breathing problem requires rhinoplasty. Conditions such as allergies, sinus inflammation, or other medical causes may need different treatment. An ENT, facial plastic surgeon, or plastic surgeon can examine the nose and determine whether surgery is likely to improve airflow.

When performed for both appearance and function, the goal is to improve nasal breathing while maintaining or improving the shape of the nose.

6. What increases the risk of needing revision surgery?

Choosing a surgeon without adequate experience in your specific anatomy type, unrealistic expectations, and inadequate post-surgical care are listed as common contributors to revision cases.

7. Should I get a second opinion before deciding?

To schedule a consultation with Dr. Jyoshid R Balan,
please reach out through the clinic contact details below.
It’s a reasonable step for any surgery this significant. A second consultation can help confirm your surgical plan or raise questions you hadn’t considered.

8. How can i book appointment Dr. Jyoshid R Balan?

You can book a consultation with Dr Jyoshid R Balan by contacting his clinic directly.

Sushrutha Institute of Plastic Surgery
Elite Mission Hospital, Koorkenchery, Thrissur, Kerala – 680007
Phone / WhatsApp: +91 81130 05557
Email: drjosh4u@gmail.com

You can also use the Book Now option on his official website:

Book an appointment with Dr. Jyoshid R Balan

facelift surgery
12Aug
facelift

Not everyone in their 40s or 50s wants to go under the knife—and today, they don’t have to. Advances in injectables, energy-based devices, and skin resurfacing have made it possible to address sagging skin, volume loss, and fine lines without surgery or significant downtime.

Dr. Jyoshid R Balan, a plastic and cosmetic surgeon based in Thrissur, Kerala, regularly guides patients over 40 through these options as part of a personalized, non-surgical rejuvenation plan.

Here’s a practical breakdown of the most effective non-surgical facelift alternatives, what each one actually does, and how to know which combination is right for you.

Why Your 40s Change the Game

In your 40s, three things typically happen at once: collagen production slows significantly, facial fat pads that once gave youthful contour begin to shift and deflate, and skin elasticity decreases. This is why a single treatment rarely solves everything—most effective non-surgical facelift plans combine two or three approaches that each target a different layer of aging.

Dermal-Fillers
ultratherapy
Chemical Peels
Thread Lifts
Botox and Muscle Relaxants

1. Dermal Fillers

What they do: Hyaluronic acid fillers restore lost volume in the cheeks, temples, and jawline, and can soften nasolabial folds and marionette lines. Because volume loss—not just sagging—drives much of the “tired” look after 40, fillers are often the fastest way to visibly restore a fuller, more rested appearance.

Best for: Hollowed cheeks, deep smile lines, a less-defined jawline, and thinning lips.

Downtime: Minimal—mild swelling or bruising for a few days.

Longevity: Typically 9–18 months, depending on the product and treatment area.

 

2. Ultherapy (Micro-Focused Ultrasound)

What it does: Ultherapy uses focused ultrasound energy to stimulate collagen production deep within the skin’s foundational layers—the same layer surgeons address in a facelift—without cutting or injecting anything. It gradually tightens the skin over 2–3 months as new collagen forms.

Dr. Jyoshid R Balan often recommends this as a starting point for patients who want visible tightening without significant downtime.

Best for: Mild to moderate skin laxity in the lower face, jawline, and neck; patients who aren’t ready for surgery but want lifting rather than just volume.

Downtime: Little to none—most patients return to normal activities the same day.

Longevity: Results build over 3–6 months and typically last 12–18 months.

3. Chemical Peels

What they do: Peels use controlled exfoliation to remove damaged outer skin layers, triggering fresh cell turnover. Medium-depth peels can noticeably improve texture, pigmentation, fine lines, and sun damage—all of which can become more pronounced after 40.

Best for: Uneven skin tone, sun spots, rough texture, and fine surface lines.

Downtime: Ranges from none for light peels to 5–7 days of visible peeling for medium-depth peels.

Longevity: Ongoing results are best maintained with a series of treatments and good skincare in between.

 

4. Thread Lifts

What they do: Peels use controlled exfoliation to remove damaged outer skin layers, triggering fresh cell turnover. Medium-depth peels can noticeably improve texture, pigmentation, fine lines, and sun damage—all of which can become more pronounced after 40.

Best for: Uneven skin tone, sun spots, rough texture, and fine surface lines.

Downtime: Ranges from none for light peels to 5–7 days of visible peeling for medium-depth peels.

Longevity: Ongoing results are best maintained with a series of treatments and good skincare in between.

 

5. Botox and Muscle Relaxants

What they do: While not a “lift” in the tissue-tightening sense, Botox softens dynamic wrinkles caused by repeated muscle movement—such as forehead lines, crow’s feet, and frown lines—and can subtly lift the brow when placed strategically.

Best for: Expression lines, brow position, and a softer overall look when combined with volume treatments.

Downtime: None.

Longevity: 3–4 months.

 

6. PRP (Platelet-Rich Plasma) Therapy

What it does: PRP uses growth factors from your own blood to stimulate collagen and improve skin quality, tone, and radiance. It is often combined with other treatments rather than used alone for lifting.

Best for: Overall skin quality, fine lines, and as a complement to fillers or Ultherapy.

Downtime: Mild redness for 1–2 days.

Longevity: Cumulative—best results are generally achieved with a series of sessions.

 

How to Choose: A Simple Framework

  • Mostly volume loss (hollow cheeks, flat midface) → Start with fillers.
  • Mostly skin laxity (jowls, loose jawline, sagging neck) → Consider Ultherapy or a thread lift.
  • Mostly texture and tone concerns (sun damage, dullness, uneven pigmentation) → Consider chemical peels, with PRP for additional skin-quality improvement.
  • Mostly expression lines (forehead lines, crow’s feet) → Consider Botox, often paired with one or more of the above treatments.

Most patients over 40 get the best results from a combination—for example, Ultherapy for tightening, fillers for volume, and Botox for expression lines—rather than relying on a single treatment.

Dr. Jyoshid R Balan typically builds a layered treatment plan during consultation based on which aging factors are most prominent in each patient’s face.

What to Expect at a Consultation

A good non-surgical facelift plan starts with an honest assessment of what surgery could achieve versus what non-surgical options can realistically deliver.

If skin laxity is significant, non-surgical treatments can provide improvement but cannot fully replicate the results of a surgical facelift. An experienced surgeon should explain this upfront rather than overselling injectables or devices as a complete substitute.

As a plastic surgeon trained in both surgical and non-surgical facial rejuvenation, Dr. Jyoshid R Balan can discuss both pathways during consultation, helping patients understand what non-surgical treatments can and cannot achieve before committing to a treatment plan.

 

Frequently Asked Questions (FAQ)

1.What’s the best non-surgical facelift option after 40?

There is no single “best” treatment. It depends on whether volume loss, skin laxity, expression lines, or skin texture is your primary concern. Many patients benefit from combining two or more treatments, such as fillers with Ultherapy.

2. How long do non-surgical facelift results last?

It varies by treatment. Botox typically lasts 3–4 months, fillers around 9–18 months, and the effects of Ultherapy or thread lifts may last approximately 12–18 months. Individual results vary.

3. Is Ultherapy as effective as a surgical facelift?

No. Ultherapy produces a subtler, gradual tightening effect and is generally suited to mild to moderate skin laxity. A surgical facelift can provide more substantial correction for significant sagging.

4. Do these treatments hurt?

Discomfort varies depending on the procedure and individual sensitivity. Topical numbing or other comfort measures may be used where appropriate. Fillers and Botox involve injections, while Ultherapy may produce temporary heat or tingling sensations during treatment.

5. At what age should I start non-surgical treatments?

There is no fixed age. Treatment should be based on your skin, facial anatomy, concerns, and goals rather than age alone.

6.Can I combine non-surgical treatments?

Yes. Combination treatment plans are common because different procedures address different aspects of facial aging. The appropriate combination and timing should be determined after a professional assessment.

7. How much do non-surgical facelift treatments cost?

To schedule a consultation with Dr. Jyoshid R Balan,
please reach out through the clinic contact details below.
Phone: 8113005557
Email: drjosh4u@gmail.com
Clinic/Hospital: Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala
This article is authored by Dr. Jyoshid R Balan.

7. How can i book appointment?

To schedule a consultation with Dr. Jyoshid R Balan, please reach out through the clinic contact details below.
Phone: 8113005557
Email: drjosh4u@gmail.com
Clinic/Hospital: Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala
This article is authored by Dr. Jyoshid R Balan.

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