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Tag: rhinoplasty

26Jun

One of the most common questions patients ask before booking rhinoplasty is not about the surgery itself — it is about what comes after.
How long will I be swollen? When can I go back to work? When will I actually see the result? What happens at the one-week mark when the splint comes off?
These are exactly the right questions to ask. Rhinoplasty recovery is a process that unfolds over months, not days. Understanding that process in advance — what is normal, what is a warning sign, what to expect at each stage — makes an enormous difference to how comfortably and confidently you move through it.
This is the complete rhinoplasty recovery guide from Dr. Jyoshid R. Balan, Senior Consultant Plastic Surgeon at Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala. It covers every stage from the day of surgery to the point at which your final result has fully settled.This page is different. As one of the most experienced rhinoplasty surgeons in Kerala, Dr. Jyoshid R. Balan believes patients deserve complete transparency about what they will pay before they even book a consultation. Below you will find a full breakdown of rhinoplasty costs in Kerala in 2025–26 — what is included, what drives prices up or down, and why patients from across India and the Middle East choose Thrissur for nose surgery.

What Is Gynecomastia and Who Needs Surgery?

Gynecomastia is the benign (non-cancerous) enlargement of glandular breast tissue in males. It is caused by an imbalance between oestrogen and testosterone — either too much oestrogen, too little testosterone, or increased sensitivity to oestrogen at the breast tissue level.
It is important to distinguish true gynecomastia from pseudogynecomastia (also called lipomastia), which is fatty tissue accumulation in the chest area without glandular enlargement. This distinction matters because the two conditions require different surgical approaches.
Common causes of gynecomastia include:
• Hormonal changes during puberty (the most common cause in teenagers)
• Age-related hormonal shifts in men over 50
• Anabolic steroid use (a significant and growing cause in young men)
• Certain medications — including some antihypertensives, antidepressants, and proton pump inhibitors
• Conditions affecting the liver, kidneys, or thyroid
• Idiopathic (no identifiable cause — accounts for approximately 25% of adult cases)
Who needs surgery?
Not every man with gynecomastia needs an operation. Mild pubertal gynecomastia in teenagers often resolves on its own within one to two years. However, surgery is appropriate when:
• The enlargement has persisted for more than two years with no sign of spontaneous resolution
• The underlying hormonal cause has been identified and treated, but the breast tissue has not regressed
• The condition is causing significant psychological distress or social avoidance
• The enlargement is large enough to cause physical discomfort or postural changes
• The patient is an adult with stable weight and realistic expectations

Grades of Gynecomastia: Which Stage Are You?

  • Gynecomastia is classified into grades based on the degree of breast enlargement and the amount of excess skin. Understanding your grade helps determine which surgical technique is most appropriate.
    Grade I — Minor enlargement, no excess skin A small mound of glandular tissue around the nipple-areola complex. Often not visible under a T-shirt but noticeable when shirtless. Treatment: glandular excision alone or combined with minimal liposuction.
    Grade IIa — Moderate enlargement, no excess skin More visible breast mound extending beyond the areola. The chest has a female breast appearance when examined but there is no skin laxity. Treatment: liposuction and/or glandular excision through a small periareolar incision.
    Grade IIb — Moderate enlargement with minor excess skin Similar to Grade IIa but with some degree of skin redundancy. The skin may appear slightly loose after tissue removal if this grade is not addressed surgically. Treatment: liposuction plus glandular excision; occasionally a small skin adjustment.
    Grade III — Marked enlargement with excess skin Significant breast enlargement with considerable skin excess and ptosis (sagging). Often resembles female breast morphology. Treatment: more extensive surgery including skin excision in addition to glandular and fatty tissue removal. This grade may leave more visible scarring.
    The importance of correct grading
    Grade directly determines technique. A surgeon who performs only liposuction on a Grade I patient with a firm glandular disc will leave behind a hard residual lump — one of the most common causes of patient dissatisfaction after gynecomastia surgery. Correct clinical assessment before surgery is non-negotiable.
    Dr. Jyoshid R. Balan performs a thorough clinical examination at consultation, including assessment of glandular tissue consistency, skin quality, nipple position, and fat distribution, before recommending any surgical approach.

What the Surgery Involves: Liposuction, Gland Excision, or Both?

Gynecomastia surgery is not a single, standardised operation. The correct technique depends entirely on what is driving the chest enlargement in your specific case.
Liposuction alone
Suitable for pseudogynecomastia (pure fatty enlargement) or Grade I–IIa cases where the glandular component is minimal. A thin cannula is inserted through two tiny incisions (usually 3–4mm) in the chest. Fat is removed by suction, contouring the chest to a flat, masculine profile. Scarring is minimal and inconspicuous.
Liposuction alone is not sufficient for true gynecomastia with a firm glandular disc. If you can feel a hard or rubbery lump directly beneath the nipple, that is glandular tissue — it cannot be suctioned out and must be excised.
Glandular excision alone
For Grade I cases with primarily glandular enlargement and little excess fat, the glandular disc is removed through a small incision along the lower border of the areola (the periareolar approach). This incision heals well and becomes almost invisible within 6–12 months as it follows the natural colour transition of the areola.
Combined liposuction and glandular excision
The most commonly performed technique for Grade IIa and IIb gynecomastia. Liposuction addresses the fatty component and chest contouring, while direct excision removes the firm glandular disc. The result is a flat, well-contoured, masculine chest. This is the approach Dr. Jyoshid uses for the majority of his gynecomastia patients.
Skin excision (Grade III)
For patients with significant skin excess — most commonly seen after massive weight loss or in older men with Grade III gynecomastia — skin removal is required in addition to tissue excision. This leaves more visible scarring (typically a scar around the areola and sometimes a vertical scar below it), which fades considerably over time but is a necessary trade-off for a flat, lifted chest contour.
A note on technique selection: Dr. Jyoshid will recommend the technique most appropriate for your grade and chest anatomy at your consultation. Beware of clinics that offer a single one-size-fits-all approach — the correct operation varies from patient to patient.

Gynecomastia Surgery Cost in Kerala: Full Breakdown

 
 

At Dr. Jyoshid’s centre — Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur — gynecomastia surgery costs are as follows:
Procedure Type
What It Involves
Approximate Cost
Liposuction only (pseudogynecomastia)
Fat removal via cannula, no gland excision
₹60,000 – ₹85,000
Glandular excision only (Grade I)
Periareolar incision, gland removal
₹75,000 – ₹1,00,000
Combined liposuction + excision (Grade IIa/IIb)
Most common approach
₹95,000 – ₹1,30,000
Grade III with skin excision
Tissue + skin removal
₹1,30,000 – ₹1,80,000
All prices are approximate and include surgeon’s fee, anaesthesia, operation theatre charges, one night of hospital stay (if required), compression garment, and follow-up appointments. A personalised quote is given at consultation.
What is included in the cost:
• Surgeon’s fee (Dr. Jyoshid R. Balan, MCh Plastic Surgery)
• Anaesthesiologist’s fee
• Operation theatre charges at Elite Mission Hospital
•Day-care or overnight hospital stay as clinically required
• Compression vest/garment for the recovery period
•Dressings and post-operative review appointments
What is billed separately:
• Pre-operative blood tests and investigations (typically ₹2,000–₹5,000)
• Post-operative medications (approximately ₹500–₹1,200)
Comparison with other cities:
Location
Typical Gynecomastia Surgery Cost
Mumbai / Delhi (reputed clinic)
₹1,50,000 – ₹3,00,000
Bangalore
₹1,20,000 – ₹2,50,000
Kochi (Kerala)
₹90,000 – ₹1,80,000
Thrissur (Dr. Jyoshid)
₹60,000 – ₹1,80,000

Recovery: What to Expect in the First 4 Weeks

Gynecomastia surgery has a manageable recovery for most patients. Here is a realistic week-by-week picture.
Day of surgery and day 1 The procedure is performed under general anaesthesia and typically takes 1–2 hours. Most patients go home the same day or after one night of observation. Expect moderate swelling, bruising, and chest tightness. A compression garment is applied before you leave the OT — you will wear this continuously for the first 3–4 weeks.
Days 2–7 (Week 1) Soreness and tightness in the chest are normal and well managed with prescribed pain relief. Most patients are mobile and comfortable by day 3. Avoid lifting your arms above shoulder height. You can shower after 48 hours, being careful around the dressings. Swelling will look worse before it improves — this is normal.
Weeks 2–3 Bruising fades. Swelling begins to subside, though it will not be fully gone. Many patients return to sedentary desk work at 7–10 days and light office work by 2 weeks. Strenuous activity, gym, and upper body exercise are off-limits. The chest will still look swollen — do not judge your results at this stage.
Week 4 The compression garment is typically worn for 4 weeks, then transitioned to a firm compression undershirt for another 2–4 weeks. Most patients are back to normal daily activity. Light lower-body exercise (walking, cycling on a static bike) is usually permitted. Upper body exercise and chest workouts should wait until 6 weeks minimum.
Months 1–3 Residual swelling gradually resolves. The chest contour continues to refine. Scars begin to fade — they go through a reddish phase before lightening to skin tone. By month 3, the improvement is dramatic and clearly visible.
Months 3–6: Final results The final chest contour is typically visible by 3–6 months. Scars continue to mature and lighten for up to 12–18 months. The results are permanent, provided weight remains stable and anabolic steroid use (if applicable) is discontinued.

Why You Need a Plastic Surgeon — Not a General Surgeon — for This Procedure

 
 

This is one of the most important points in this entire guide, and one that is frequently overlooked.
Gynecomastia surgery is offered by a wide range of practitioners in India — general surgeons, cosmetic surgeons without plastic surgery qualifications, and even dermatologists running laser clinics. The procedure sounds straightforward. In reality, it demands a sophisticated combination of surgical skills that only a trained plastic surgeon reliably possesses.
Aesthetic judgment, not just technical removal. Removing tissue is only half the job. The surgeon must sculpt a natural, masculine chest contour — taking enough tissue to flatten the chest, but not so much that the nipple becomes inverted or the chest looks hollowed. This requires the aesthetic eye and experience of a plastic surgeon.
Liposuction technique for chest contouring. Chest liposuction for gynecomastia is different from standard body liposuction. The skin of the chest must retract smoothly over the new contour. Aggressive or technically poor liposuction leads to surface irregularities, waviness, and visible dimpling. Plastic surgeons who routinely perform body contouring procedures have the skills to avoid these outcomes.
Management of complications. Haematoma (blood collection), seroma (fluid accumulation), nipple retraction, asymmetry, and contour irregularities are known complications of gynecomastia surgery. A qualified plastic surgeon has the training to prevent and manage all of them. A general surgeon operating outside their specialist area may not.
Revision capability. If a result is not ideal, revision gynecomastia surgery is even more technically demanding than the primary procedure — because of fibrosis, altered anatomy, and the need to correct the previous surgeon’s work. Dr. Jyoshid performs revision gynecomastia cases and is qualified to do so precisely because of his plastic surgery training and experience.
Dr. Jyoshid R. Balan holds an MCh in Plastic Surgery and is a member of the Association of Plastic Surgeons of India (APSI). His practice at Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur covers the full spectrum of body contouring procedures — giving him the breadth of experience that gynecomastia surgery demands.

Is Gynecomastia Surgery Covered by Insurance?

In most cases, no. Because gynecomastia surgery is primarily a cosmetic procedure addressing appearance and quality of life, it is classified as elective and excluded from standard Indian health insurance plans.
However, if gynecomastia is causing documented physical symptoms — chronic pain, tenderness, or skin irritation — some insurers may consider partial coverage. Your surgeon can provide clinical documentation if applicable. Check your policy terms and speak to your insurer before assuming it is not covered.

Frequently Asked Questions (FAQ)

Is gynecomastia surgery permanent?

Yes, in the vast majority of cases. Once the glandular tissue is surgically removed, it does not grow back under normal circumstances. The fatty
component can return if you gain significant weight. Men who used anabolic steroids must permanently discontinue them to maintain results — ongoing steroid use can cause recurrence.

Will there be visible scars?

For Grade I and IIa cases, incisions are placed along the lower edge of the areola (periareolar incision) and/or as 3–4mm liposuction ports in inconspicuous locations. Scars are minimal and typically invisible in most lighting within 6–12 months. Grade III cases involve more extensive incisions; scarring is more noticeable but continues to fade over 1–2 years.

Can I see before and after photos of real patients?

Yes. Dr. Jyoshid maintains a portfolio of before-and-after photographs from actual patients. These are shown during your consultation (not published online for patient privacy reasons). Ask to see results from patients with a similar grade and chest type to your own.

How long do I need to take off work?

For desk-based or sedentary work, most patients return at 7–10 days. Jobs involving physical exertion, heavy lifting, or upper body work require 3–4 weeks off. Discuss your specific occupation at your consultation.

 

Will I need to wear a compression garment?

Yes. A compression vest is worn continuously for the first 3–4 weeks after surgery, then as a firm undershirt for a further 2–4 weeks. This controls swelling, supports skin retraction, and helps the chest contour set correctly. It is an important part of recovery, not optional.

At what age can I have gynecomastia surgery?

Surgery is generally recommended only once breast development has stabilised — typically after age 18 for most patients, though cases are assessed individually. Pubertal gynecomastia in teenagers is usually observed for 1–2 years before surgery is considered, as spontaneous resolution is common.

What if I have had gynecomastia surgery elsewhere with poor results?

Dr. Jyoshid performs revision gynecomastia surgery for patients who have had unsatisfactory results elsewhere — including cases of residual glandular tissue, contour irregularities, asymmetry, and nipple retraction. A detailed consultation is required to assess what revision is possible and what the realistic outcome would be.

How can i book appointment

Gynecomastia is a sensitive issue and every patient’s situation is different. A consultation with Dr. Jyoshid is completely confidential. You will receive a clinical assessment, grade classification, a recommended treatment plan, and a transparent quote — with no pressure and no obligation.
Sushrutha Institute of Plastic Surgery Elite Mission Hospital, Thrissur, Kerala
📞 +91 8113005557 ✉️ drjosh4u@gmail.com 🌐 www.drjosh.in

20Jun

Before You Start: What Shapes Your Recovery

No two rhinoplasty recoveries are identical. Several factors influence how quickly you heal, how much swelling you experience, and when your final result becomes visible.
Skin thickness. Patients with thicker nasal skin — common in South Indian nasal anatomy — tend to retain swelling for longer than patients with thin skin. This is because the extra layers of soft tissue above the reshaped framework take more time to shrink down and conform to the new structure. Thick-skinned patients often find that their final result continues to refine for 12–18 months post-surgery.
Scope of surgery. A tip rhinoplasty involves less disruption than a full rhinoplasty combining hump reduction, tip reshaping, and septoplasty. More extensive surgery means more post-operative swelling and a longer timeline to the final result.
Primary vs revision rhinoplasty. Revision rhinoplasty recovery is typically longer and more variable than primary surgery recovery due to existing scar tissue and the more extensive nature of the procedure.
Individual healing biology. Genetics, immune response, nutritional status, and lifestyle factors all influence healing speed. Patients who follow post-operative instructions carefully — particularly around avoiding pressure on the nose, sleeping position, and sun exposure — consistently have smoother recoveries.
With that context established, here is what to expect at each stage.

rhinoplasty

One of the most common questions patients ask before booking rhinoplasty is not about the surgery itself — it is about what comes after.
How long will I be swollen? When can I go back to work? When will I actually see the result? What happens at the one-week mark when the splint comes off?
These are exactly the right questions to ask. Rhinoplasty recovery is a process that unfolds over months, not days. Understanding that process in advance — what is normal, what is a warning sign, what to expect at each stage — makes an enormous difference to how comfortably and confidently you move through it.
This is the complete rhinoplasty recovery guide from Dr. Jyoshid R. Balan, Senior Consultant Plastic Surgeon at Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala. It covers every stage from the day of surgery to the point at which your final result has fully settled.This page is different. As one of the most experienced rhinoplasty surgeons in Kerala, Dr. Jyoshid R. Balan believes patients deserve complete transparency about what they will pay before they even book a consultation. Below you will find a full breakdown of rhinoplasty costs in Kerala in 2025–26 — what is included, what drives prices up or down, and why patients from across India and the Middle East choose Thrissur for nose surgery.

Day of Surgery and Day 1–3: Immediately After Rhinoplasty

You will wake from general anaesthesia with a nasal splint or cast on the outside of your nose, internal dissolvable sutures or soft nasal packs, and moderate swelling across the nose and cheeks. Some patients also have bruising around the eyes, ranging from mild discolouration to more visible black-eye bruising — this varies widely between individuals and is not predictive of the final result.
Pain level: Most patients describe the discomfort after rhinoplasty as moderate rather than severe — more of a tight, pressured sensation than sharp pain. It is well managed with prescribed oral pain relief. The nose feels blocked, similar to a heavy cold, because of internal swelling. This is normal and expected.
Bleeding: A small amount of blood-tinged fluid draining from the nostrils in the first 24–48 hours is normal. You will have a small gauze drip pad taped beneath the nostrils to catch this. Heavy or continuous bleeding beyond the first few hours should be reported to the clinic immediately.

What you should do in the first 3 days:

  • Sleep with your head elevated on two or three pillows at a 30–45 degree angle. This is the single most effective thing you can do to reduce swelling — gravity works for you or against you depending on your sleeping position.
     Apply cold compresses gently to your cheeks (not the nose directly) to reduce periorbital bruising.
     Take all prescribed medications as directed — antibiotics, pain relief, and anti-inflammatory.
    Eat soft foods that require minimal chewing. Avoid anything that requires you to open your mouth very wide.
     Do not blow your nose under any circumstances for the first two weeks.
     Rest at home. No physical activity, no bending, no lifting, no straining.
    What you will feel: It is common to feel congested, slightly anxious about the splinted appearance, and uncertain about whether the swelling is normal. It is. The nose looks dramatically different under a splint than it will when the splint is removed and swelling reduces. Try not to assess results at this stage.

Week 1: Splint, Swelling, and the Hard Part

The first week is the most challenging part of rhinoplasty recovery — not because it is severely painful, but because you look and feel quite different from normal, you cannot breathe well through your nose, and you have to be careful about almost everything.
Swelling peaks at around days 3–5 before beginning to slowly reduce. The nose and surrounding area will look their most swollen and bruised at this point. This is entirely normal and no indication of the eventual result.
Bruising around the eyes is at its worst in the first week and will typically progress through yellow-green shading before fading. Arnica gel applied gently to the cheeks (away from incision sites) and arnica supplements may help speed this process. Most bruising is well concealed with makeup (if applicable) by the 10-day mark.
Breathing: You will be breathing through your mouth for most of this week because internal swelling reduces nasal airflow significantly. This improves noticeably after the splint comes off and continues to improve over the following weeks as internal swelling subsides.
Activity: You are largely resting at home during week one. Short gentle walks around the house or garden are fine — and actually helpful for circulation — but nothing more strenuous. Avoid bending down at the waist, lifting anything heavier than a light bag, or any activity that raises your blood pressure and heart rate significantly.
Work: Most patients take 7–10 days off work entirely. If you have a fully desk-based job with no video calls and no need to be presentable, some patients return at day 7. For roles involving face-to-face interaction or video presence, the 10–14 day mark is more realistic.
Social media and photographs: Most patients choose to wait until at least the 3-week mark before appearing on camera. The 1-week stage is not representative of your result — swelling and bruising are at or near peak.

Week 2: Splint Removal and Your First Reveal

 
 

The splint or external cast is typically removed at your one-week or ten-day post-operative appointment. For many patients, this is the moment they have been most looking forward to — and it is important to set expectations correctly.
What you will see at splint removal: Your nose will be visibly reshaped. The hump that was there before will be gone (if that was the goal). The tip will look more refined. The overall proportions will be different. However — and this is important — the nose will still be very swollen. It will look wider, blunter, and less defined than it will ultimately appear. The skin has been lifted off the underlying framework and is in the process of re-draping. What you are seeing at week two is not your result.
The week-two “reality check” is one of the most common sources of patient anxiety in rhinoplasty recovery. Many patients worry at this stage that their nose looks too wide, that the
tip is too big, or that they can’t see the changes they wanted. This is almost universally a function of swelling, not of the surgical outcome. Trust the process and give it time.
What changes in week two:
 Bruising fades significantly and is largely gone by the end of the week for most patients
 Swelling begins a slow but steady decline
 Nasal breathing improves noticeably as internal swelling reduces
 The tight, pressured feeling in the nose begins to ease
 Most patients feel much more like themselves by the end of week two
Activity in week two: Light, gentle daily activities are fine. Continue sleeping with your head elevated. No exercise, no heavy lifting, no activities with a risk of impact to the nose.
Glasses: If you wear glasses, this is an important point. Glasses must not rest on the nose for at least 6–8 weeks after rhinoplasty (and up to 3 months if bones were fractured and repositioned). The weight of the frames can indent and reshape healing bone and cartilage. Contact lenses are the solution during this period. If you cannot wear contacts, glasses can be taped to the forehead or supported by a headband — your surgeon will advise you.

Weeks 3–4: Returning to Daily Life

By weeks three and four, most patients feel largely normal in terms of daily function. The dramatic swelling and bruising of the first two weeks has resolved. The nose still has residual swelling — particularly at the tip — but the overall shape is beginning to give a clearer picture of what the result will look like.
Work: Virtually all patients are back to full desk and office work by the end of week three. If your job involves physically demanding tasks, heavy lifting, or contact sports, week four is the earliest most surgeons would consider clearing you to return — and only after a review appointment.
Social life: Most patients feel comfortable going out socially by weeks 3–4. Residual swelling is noticeable to the patient but not always to others — friends and family often describe the nose as looking “slightly swollen” or “a little different” rather than obviously post-operative.
Makeup and sun exposure: Foundation and concealer can typically be applied around (not on) the nose from week two, and more broadly from week three. Sun exposure is an important consideration — UV radiation can darken healing scars and prolong swelling. A high SPF sunscreen over and around the nose should be worn every day when outdoors for the first six months. Avoid direct sun to the nose as much as possible in the early months.
Nasal massage: Some surgeons recommend gentle nasal massage during this period to help manage swelling, soften scar tissue, and improve skin retraction over the reshaped framework.
Dr. Jyoshid will advise you specifically on whether massage is appropriate for your procedure, the correct technique, and when to start — do not begin massage without specific instruction, as incorrect massage can shift healing structures.
Sleeping: You can transition to sleeping on your back without strict elevation by weeks 3–4, but sleeping face-down or on your side should be avoided for at least 6 weeks to protect the healing nose from pressure and asymmetric force.

Months 1–3: Subtle Changes You Will Notice

After the dramatic changes of the first few weeks, the month 1–3 period is one of gradual, ongoing refinement. Changes are subtle month-to-month but significant when compared over the full three-month period.
Swelling timeline: Roughly 70–80% of the initial post-operative swelling resolves within the first 4–6 weeks. The remaining 20–30% — concentrated particularly at the nasal tip — reduces very slowly over the following months. Patients are often surprised to find that their nose still looks slightly different at month 2 than it did at month 1. This is the healing process working as it should.
The tip is always last. The nasal tip is the area of the nose that retains swelling the longest after rhinoplasty. This is because the tip has the highest concentration of soft tissue and the thickest skin. Tip swelling can persist as a subtle puffiness, a slight ball-like appearance, or reduced definition for 6–12 months — and even longer in thick-skinned patients. Understanding this prevents unnecessary anxiety at the 2–3 month mark when the tip still looks different from the bridges and sides of the nose that have already settled.
Activity resumption: Light cardiovascular exercise (walking, light jogging) is typically permitted at 3–4 weeks, with clearance from your surgeon. Full gym use, weight training, and upper body exercise can usually resume at 6 weeks. Contact sports — anything with a risk of a blow to the nose — should be avoided for a minimum of 3 months, and ideally 6 months.
Scar maturation: For patients who had open rhinoplasty, the columellar scar (the small incision across the strip of tissue between the nostrils) will be pink, slightly raised, and noticeable during this period. This is normal scar maturation. Silicone gel or sheeting applied to the scar from week 3–4 can accelerate fading. By month 3, the scar is typically flat and beginning to blend. By month 6–12, it is virtually invisible in most patients.
Psychological adjustment: The 1–3 month period is when most patients begin to genuinely appreciate their result. The drama of the early weeks has passed, the nose looks clearly different and better, and the changes are settling into something that looks natural. Some patients go through a brief period of continued anxiety in months 1–2 when swelling has not fully resolved — this is normal and almost always resolves as final results emerge.

Months 6–12: Final Results Settling

 
 

This is the stage most patients find hardest to be patient about — and the stage that is most worth waiting for.
Month 6 marks the point at which most patients have a clear, stable picture of their rhinoplasty result. The majority of swelling has resolved. The skin has re-draped over the reshaped framework. The nose looks like the nose you will have for life.
For patients with thinner skin, final results may be fully visible even earlier — by months 4–5. For patients with thick nasal skin — particularly common in South Asian and Middle Eastern nasal anatomy — the full result may continue to refine until month 12 or beyond. This is not a sign that something went wrong. It is simply the biological reality of how thicker skin responds to the underlying structural changes.

What “final result” actually means:
 Swelling has completely resolved
 The nasal framework (bone and cartilage) is fully healed and stable
 The skin has fully conformed to the reshaped underlying structure
Scarring (if open rhinoplasty) has fully matured and is at its lightest
 Nasal breathing, if improved by the surgery, is at its optimal state
At month 12, Dr. Jyoshid schedules a final review appointment to assess the settled result and discuss any further observations or questions the patient may have.
Long-term care:
 Continue applying SPF to the nose and surrounding skin daily — UV exposure affects skin quality and aging regardless of surgery
 Avoid nose piercings through healing tissue for at least 12 months
 If you play contact sports, continue wearing appropriate nose protection
 Maintain a stable weight — significant weight changes affect facial fat distribution and can subtly change how the nose relates to the rest of the face

Rhinoplasty Recovery Do’s and Don’ts

A quick reference for the full recovery period.
Do’s
Do sleep with your head elevated for the first 3–4 weeks — this is the most effective way to reduce swelling.
Do take all prescribed medications exactly as directed, even if you feel well.
Do keep all follow-up appointments — changes that are normal can look alarming to an untrained eye, and check-ups provide important reassurance.
Do wear SPF 50 sunscreen over and around your nose every day from week three onwards for at least six months.
Do use saline nasal spray as directed to keep the nasal passages moist as healing progresses.
Do tell your surgeon if you are a glasses wearer before surgery — planning the post-operative period around this makes a significant difference.
Do be patient. The final result takes months, not weeks. Judge nothing before month 3, and ideally month 6.
Don’ts
Don’t blow your nose for the first two weeks. Sneezing, if unavoidable, should be done with your mouth open to reduce pressure through the nasal passages.
Don’t wear glasses resting on the nose bridge for 6–8 weeks minimum (longer if osteotomies were performed).
Don’t expose your nose to direct sun without protection for at least six months.
Don’t engage in strenuous exercise, heavy lifting, or any activity that significantly raises your heart rate and blood pressure for the first 3–4 weeks.
Don’t touch, press, or manipulate your nose between scheduled massage sessions — even light habitual touching slows healing.
Don’t smoke. Smoking dramatically impairs wound healing, increases infection risk, and reduces the quality of your final result. Patients are asked to stop smoking at least 4 weeks before surgery and maintain this through the full recovery period.
Don’t judge your result before month 3. The rhinoplasty recovery process rewards patience.
When to Call the Clinic
Most symptoms during rhinoplasty recovery are normal and expected. A few are not. Contact Dr. Jyoshid’s clinic immediately if you experience:
 Heavy or uncontrolled bleeding from the nose (beyond the light draining expected in the first 48 hours)
 Fever above 38.5°C
 Severe or worsening pain that is not controlled by prescribed pain relief
 Sudden and significant increase in swelling on one side of the nose
 Discharge that is cloudy, green, or foul-smelling (signs of possible infection)
 Any concerns that feel unusual — when in doubt, call

Frequently Asked Questions (FAQ)

How long does rhinoplasty recovery take?

The majority of visible swelling and bruising resolves within 2–3 weeks. Most patients are socially presentable at 2 weeks and back to normal daily activity by week 3–4. However, complete recovery — including the resolution of all residual swelling and full settling of the final result — takes 6–12 months. For thick-skinned patients, refinement continues up to 18 months.

When can I go back to work after rhinoplasty?

For desk-based, non-public-facing roles: 7–10 days. For office and client-facing roles: 10–14 days. For physically demanding or contact-risk roles: 3–4 weeks minimum.

When can I exercise after rhinoplasty?

Light walking is fine from day 3–5. Light cardio (gentle jogging, cycling) at 3–4 weeks with surgical clearance. Full gym and weight training at 6 weeks. Contact sports at 3 months minimum.

When can I fly after rhinoplasty?

Short domestic flights are generally permitted after 2 weeks. Long-haul international flights are best avoided for 4–6 weeks — cabin pressure changes and the risk of congestion can be uncomfortable and potentially affect early healing. NRI patients travelling back to the Gulf or abroad should discuss timing with Dr. Jyoshid directly.

 

When can I wear glasses after rhinoplasty?

Glasses must not rest on the nasal bridge for 6–8 weeks after rhinoplasty, and up to 3 months if osteotomies (bone fractures for repositioning) were performed. Contact lenses are the recommended solution during this period. Glasses can be taped to the forehead or supported with a headband if contacts are not an option.

When will my nose look normal after rhinoplasty?

Most patients look “normal” — not visibly post-operative — by 2–3 weeks. The nose continues to refine and improve from there. The clearest picture of your final result emerges at 3–6 months, with full settling by 12 months.

Is rhinoplasty recovery painful?

Most patients rate the discomfort as moderate — a tight, pressured, congested sensation rather than acute pain. It is well managed with oral medications.
The first 3–5 days are the most uncomfortable; most patients feel significantly better by the end

How can i book appointment

If you are considering rhinoplasty in Kerala, Dr. Jyoshid R. Balan offers detailed pre-operative consultations that walk through the entire process — surgical plan, expected changes, recovery timeline, and realistic outcomes — so you know exactly what to expect before you commit to surgery.
Sushrutha Institute of Plastic Surgery Elite Mission Hospital, Thrissur, Kerala
📞 +91 8113005557 ✉️ drjosh4u@gmail.com 🌐 www.drjosh.in

9Jun

If you have been researching rhinoplasty in Kerala, you have probably noticed that most surgeons and hospitals either don’t publish their prices at all, or give a range so wide it tells you almost nothing — “₹80,000 to ₹3,00,000” is not a useful answer when you are trying to make a considered decision.
This page is different. As one of the most experienced rhinoplasty surgeons in Kerala, Dr. Jyoshid R. Balan believes patients deserve complete transparency about what they will pay before they even book a consultation. Below you will find a full breakdown of rhinoplasty costs in Kerala in 2025–26 — what is included, what drives prices up or down, and why patients from across India and the Middle East choose Thrissur for nose surgery.

What Is the Rhinoplasty Cost in Kerala?

At Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur — rhinoplasty costs between ₹1,20,000 and ₹1,50,000 for a primary (first-time) cosmetic rhinoplasty.
This is an all-inclusive figure that covers:
• Surgeon’s fee
• Anaesthesiologist’s fee
• Operation theatre charges
• Hospital stay (typically 1 night)
• Post-operative dressings and splint
• One-week and two-week follow-up consultations
There are no hidden add-ons sprung on you at discharge. The quoted price is the price you pay.
For more complex procedures — revision rhinoplasty, septorhinoplasty, or cases involving significant cartilage grafting — the cost will be higher. See the breakdown table below.

Rhinoplasty Cost Table: Procedure by Procedure

Procedure
What It Involves
Approximate Cost
Primary cosmetic rhinoplasty
Reshaping bone, cartilage, or soft tissue for the first time
₹1,20,000 – ₹1,50,000
Septorhinoplasty
Cosmetic reshaping combined with septal correction for breathing
₹1,40,000 – ₹1,70,000
Procedure Revision rhinoplasty Tip rhinoplasty
What It Involves Correcting or refining results from a previous nose surgery Reshaping the nasal tip only (limited scope)
Approximate Cost ₹1,60,000 – ₹2,20,000 ₹90,000 – ₹1,20,000

All figures are approximate and subject to individual assessment. A personalised quote is provided at your consultation.

 

Dr. Jyoshid R. Balan, Senior Consultant Plastic Surgeon specializing in rhinoplasty at Elite Mission Hospital, Thrissur, Kerala, India

Dr. Jyoshid R. Balan

Dr. Jyoshid R. Balan, MCh (Plastic Surgery)

Senior Consultant Plastic Surgeon · Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala · Member, Association of Plastic Surgeons of India

Quick answer

Dr. Jyoshid R. Balan (MCh Plastic Surgery), Senior Consultant at Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala, is one of India’s most experienced rhinoplasty surgeons. He performs cosmetic, functional, and revision rhinoplasty for patients from India and abroad. Rhinoplasty cost in India . Consultations: +91 8113005557.

What Is Included in the Rhinoplasty Package?

Understanding exactly what your quoted price covers is as important as the number itself. Here is a detailed breakdown of what is included at Dr. Jyoshid’s centre:
Surgical fees The surgeon’s fee covers the entire procedure — pre-operative marking, the surgery itself, and immediate post-operative review. At Elite Mission Hospital, rhinoplasty is performed exclusively by Dr. Jyoshid R. Balan (MCh Plastic Surgery). It is never delegated to a registrar or junior doctor.
Anaesthesia General anaesthesia is administered and monitored by a dedicated, qualified anaesthesiologist. This is included in the package — it is not billed separately as it is in some clinic settings.
Operation theatre and hospital stay The procedure is performed in a full hospital OT with ICU backup, emergency protocols, and nursing support. One night’s hospital admission is included in the package cost for procedures requiring general anaesthesia.
Post-operative care Dressings, the nasal splint, and scheduled follow-up appointments at one week and two weeks post-surgery are included. If you travel from outside Thrissur, follow-up by video call can be arranged.

Why Kerala Is Cheaper Than Mumbai, Delhi, or Bangalore for Rhinoplasty

The same rhinoplasty procedure performed by a similarly qualified plastic surgeon in Mumbai or Delhi typically costs ₹2,00,000 to ₹3,50,000 — sometimes more in premium metro clinics.
Kerala offers a genuine cost advantage for several structural reasons:
Lower overheads. Operating costs for hospitals in Thrissur are significantly lower than in Mumbai or Delhi. Land, staff salaries, and facility costs are all cheaper — and those savings are passed on to patients.
No “brand premium.” Large metropolitan cosmetic surgery chains charge for their name and marketing spend. A highly experienced surgeon at a tertiary care centre in Kerala does not need to build that cost into every patient’s bill.
No hidden consultation fees. In many metro cities, the initial consultation itself costs ₹2,000–₹5,000. At Dr. Jyoshid’s centre, consultation fees are nominal and credited toward your surgery if you proceed.
No compromise on standards. Elite Mission Hospital is a nationally recognised multi-speciality hospital. The anaesthesia team, nursing staff, and OT infrastructure are equivalent to any top-tier facility in India. Lower cost does not mean lower quality — it means lower overheads.

Hidden Costs to Watch Out For

 
 

Transparency cuts both ways — it also means being honest about costs that can arise outside the package.
Pre-operative investigations. Blood tests, an ECG, and sometimes a nasal CT scan are required before surgery. These are ordered by Dr. Jyoshid based on your individual health profile and typically cost ₹3,000–₹8,000 depending on which tests are needed.
Additional nights of stay. Most patients are discharged after one night. If your recovery requires an extra night of observation (rare, and only for clinical reasons), this will be charged at the hospital’s standard room rate.
Medications. Post-operative antibiotics, anti-inflammatories, and saline nasal sprays are prescribed on discharge. A typical course costs ₹800–₹1,500 at a pharmacy.
Travel and accommodation. If you are travelling from outside Thrissur or from abroad, budget for this separately. The hospital is located centrally in Thrissur with good connectivity by road, rail, and from Cochin International Airport (approximately 70km away).
No surprise revision charges. If a minor touch-up is needed in the early recovery period — which is rare — this is assessed on a case-by-case basis and not a routine cost.

Does Insurance Cover Rhinoplasty in India?

For most patients, no. Here is the distinction that matters:
Cosmetic rhinoplasty — surgery performed purely to improve the appearance of the nose — is considered an elective cosmetic procedure and is not covered by health insurance in India.
Functional rhinoplasty or septoplasty — surgery to correct a deviated septum or structural problem causing genuine breathing difficulties — may be partially covered by some health insurance policies, depending on your policy terms and the insurer’s assessment.
Septorhinoplasty — which combines cosmetic reshaping with functional correction — is a grey area. Some insurers will cover the functional component (the septal correction) while the patient self-pays for the cosmetic portion. Dr. Jyoshid’s team can provide the necessary clinical documentation to support your insurance claim for the functional element where applicable.
If you have a corporate health insurance plan or a Mediclaim policy, it is worth checking your policy document or calling your insurer directly before your consultation.

Rhinoplasty Cost for NRI and Gulf Patients

 
 

A growing proportion of Dr. Jyoshid’s rhinoplasty patients travel from the Middle East — particularly the UAE, Saudi Arabia, Kuwait, Qatar, and Oman — as well as from the UK, Australia, and Southeast Asia.
The appeal is straightforward: rhinoplasty by a highly experienced specialist in Kerala costs a fraction of what the same procedure costs abroad.
Approximate comparison:
Location
Typical Rhinoplasty Cost
UAE (Dubai / Abu Dhabi)
AED 18,000 – AED 35,000 (approx. ₹4,00,000 – ₹7,80,000)
UK
GBP 5,000 – GBP 9,000 (approx. ₹5,30,000 – ₹9,50,000)
Australia
AUD 8,000 – AUD 15,000 (approx. ₹4,40,000 – ₹8,20,000)
What NRI patients receive:
Pre-operative virtual consultation before travelling, so everything is planned in advance
Airport pickup assistance guidance and accommodation recommendations near thehospital
Video call follow-ups after returning home, so there is no need to stay in India for weeks
Complete medical documentation for insurance or records in your home country
To plan your surgery trip, contact the clinic at +91 8113005557 or email drjosh4u@gmail.com.

Plastic surgeon examining a patient's nasal anatomy before rhinoplasty surgery at a hospital in Kerala

What Determines the Final Cost of Your Rhinoplasty?
Every

Every nose is different, and rhinoplasty is one of the most customised procedures in cosmetic surgery. Several factors influence where your quote falls within the range:
Complexity of the surgery. A straightforward tip refinement is simpler than a full rhinoplasty involving hump reduction, tip reshaping, and base narrowing. More complex procedures require more operative time and skill, which is reflected in the price.
Whether cartilage grafting is required. Some patients — particularly those undergoing revision rhinoplasty or those with weak cartilage — need grafts taken from the ear or rib. This adds surgical time and complexity.
Primary vs revision. Revision rhinoplasty is always more technically demanding than primary surgery. Scar tissue, altered anatomy, and the need to correct previous results mean the surgeon must work harder and take more time. This is reflected in the higher cost range.
Functional component. If you have a deviated septum and want it corrected at the same time as your cosmetic rhinoplasty (septorhinoplasty), the procedure will cost slightly more than cosmetic rhinoplasty alone — but considerably less than having the two procedures done separately.
Skin type and thickness. Patients with very thick nasal skin (common in South Indian nasal anatomy) sometimes require modified techniques to achieve definition. Dr. Jyoshid will assess this at your consultation.
Why

Why the Cheapest Quote Is Rarely the Best Choice

 
 

It is tempting to choose a surgeon based on the lowest quoted price. For rhinoplasty specifically, this logic can be costly in the long run.
Rhinoplasty is the most technically demanding cosmetic surgery procedure. The results are visible, permanent, and difficult to reverse. A poorly executed primary rhinoplasty may require an expensive and far more complex revision procedure to correct. The cost of a revision rhinoplasty — in money, recovery time, and emotional stress — almost always exceeds what was saved by choosing the cheaper surgeon the first time.
When evaluating a rhinoplasty surgeon, the right questions are:

• Is this surgeon a qualified plastic surgeon with an MCh in Plastic Surgery?

• How many rhinoplasty procedures have they performed, and can they show me aportfolio of before-and-after photos?
• Do they perform revision rhinoplasty? (A surgeon confident enough to take on revisionshas advanced skills.)
• Is the surgery performed in a properly equipped hospital OT — not a clinic procedureroom?
Dr. Jyoshid R. Balan answers yes to all of the above. His rhinoplasty portfolio covers primary, revision, functional, and ethnic rhinoplasty across hundreds of patients from across India and abroad.

Frequently Asked Questions (FAQ)

What is the average rhinoplasty cost in India?

Rhinoplasty costs in India vary widely by city and surgeon. In metro cities like Mumbai and Delhi, prices range from ₹1,50,000 to ₹4,00,000 at reputable centres. Rhinoplasty costs in India vary widely by city and surgeon. In metro cities like Mumbai and Delhi, prices range from ₹1,50,000 to ₹4,00,000 at reputable centres. In Kerala, a highly qualified specialist like Dr. Jyoshid performs rhinoplasty at ₹1,20,000–₹1,50,000 without any reduction in surgical quality.

Is rhinoplasty cost negotiable?

The quoted price at Dr. Jyoshid’s centre reflects the actual cost of the procedure — surgeon fees, anaesthesia, hospital stay, and follow-up. It is not inflated for negotiation. What you are quoted is what it costs.

Can I pay in instalments?

Payment plans are not offered directly by the clinic. Some patients arrange medical loans through third-party providers. Speak to the clinic team for current guidance.

Does the cost include post-operative medications?

Post-operative medicines (antibiotics, anti-inflammatories, saline spray) are prescribed on discharge and purchased separately from a pharmacy. A typical course costs ₹800–₹1,500.

 

How much does revision rhinoplasty cost in Kerala?

Revision rhinoplasty at Dr. Jyoshid’s centre costs approximately ₹1,60,000–₹2,20,000 depending on the complexity of the corrections needed. Revision cases require a detailed consultation to assess the previous surgery before a precise quote can be given.

Is the initial consultation free?

Consultation fees at Dr. Jyoshid’s clinic are nominal and credited toward your surgery cost if you proceed with the procedure. Contact the clinic directly for current details.

How can i book appointment

If you are considering rhinoplasty in Kerala and want a transparent, personalised quote from one of India’s most experienced facial plastic surgeons, the next step is a consultation with Dr. Jyoshid R. Balan.
Sushrutha Institute of Plastic Surgery Elite Mission Hospital, Thrissur, Kerala

📍 Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala
📞 +91 8113005557
✉️ drjosh4u@gmail.com
🌐 www.drjosh.in

Book your consultation today and get a clear, honest answer about what your rhinoplasty will cost — and what results you can realistically achieve.

rhinoplasty-in-india
23May

Best Rhinoplasty Surgeon in India: Dr. Jyoshid R. Balan, MCh — Thrissur, Kerala

Dr. Jyoshid R. Balan (MCh Plastic Surgery) is widely regarded as one of the best rhinoplasty surgeons in India. Senior Consultant at Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala, he specializes in cosmetic, functional, and revision rhinoplasty and treats patients from across India and the Middle East.

This guide covers everything about rhinoplasty in India — costs, recovery, surgeon selection, and why patients travel to Thrissur, Kerala for nose surgery with Dr. Jyoshid.

Are you considering rhinoplasty in India? Whether you want to reshape your nose for cosmetic reasons, correct a breathing problem, or fix an injury, choosing the right rhinoplasty surgeon in India can make all the difference between a result you love, and one you regret.

 

This guide covers everything — what nose surgery in India involves, what to expect during rhinoplasty recovery, how to choose the best rhinoplasty surgeon in India, and why patients from across India and abroad travel to Thrissur, Kerala for nose reshaping surgery in India with Dr. Jyoshid R. Balan.

What is rhinoplasty?

 

Rhinoplasty — commonly called a “nose job” — is one of the most technically demanding procedures in cosmetic surgery. It involves reshaping the bone, cartilage, or soft tissue of the nose to improve its appearance, function, or both.

Cosmetic rhinoplasty

Focuses on improving the shape, size, or proportions of the nose. Patients may want to reduce a nasal hump, refine a wide or bulbous tip, correct asymmetry, or bring the nose into better balance with the rest of the face.

Functional rhinoplasty

Corrects structural problems inside the nose — such as a deviated septum — that cause breathing difficulties, snoring, or chronic nasal congestion. Many patients combine cosmetic and functional goals in a single surgery.

Revision rhinoplasty

Performed to correct or refine results from a previous nose surgery. It is more complex than primary rhinoplasty and requires a surgeon with advanced skills and deep anatomical knowledge.

Dr. Jyoshid R. Balan, Senior Consultant Plastic Surgeon specializing in rhinoplasty at Elite Mission Hospital, Thrissur, Kerala, India

Dr. Jyoshid R. Balan

Dr. Jyoshid R. Balan, MCh (Plastic Surgery)

Senior Consultant Plastic Surgeon · Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala · Member, Association of Plastic Surgeons of India

Quick answer

Dr. Jyoshid R. Balan (MCh Plastic Surgery), Senior Consultant at Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala, is one of India’s most experienced rhinoplasty surgeons. He performs cosmetic, functional, and revision rhinoplasty for patients from India and abroad. Rhinoplasty cost in India . Consultations: +91 8113005557.

Plastic surgeon examining a patient's nasal anatomy before rhinoplasty surgery at a hospital in Kerala

Why rhinoplasty results depend entirely on your surgeon

No two noses are the same. Rhinoplasty is not a copy-paste procedure — it requires the surgeon to understand your individual facial anatomy, your ethnic features, your skin type, and your personal goals. A skilled rhinoplasty surgeon blends surgical precision with an artistic eye to create results that look completely natural.

This is why experience matters enormously. A surgeon who has performed hundreds of rhinoplasty procedures — including complex revisions — will anticipate challenges, avoid complications, and deliver consistent outcomes. A surgeon who dabbles in rhinoplasty occasionally cannot offer the same level of expertise.

Dr. Jyoshid R. Balan has dedicated a significant portion of his plastic surgery career to facial procedures, with rhinoplasty as a primary focus. Practising at Sushrutha Institute of Plastic Surgery, Elite Mission Hospital in Thrissur, Kerala, he has built a reputation for achieving natural-looking nose reshaping results that honour each patient’s unique features.

5 things to look for in a rhinoplasty surgeon in Kerala

Choosing the right surgeon is the single most important decision you will make. Here is what to look for:

  1. Specialisation in plastic and cosmetic surgery. Rhinoplasty should be performed by a qualified plastic surgeon — not a general surgeon or ENT practising cosmetic procedures on the side.
  2. A strong rhinoplasty portfolio. Ask to see before-and-after photos of real patients. Results should look natural, not overdone.
  3. Revision rhinoplasty experience. A surgeon confident enough to take on revision cases has advanced skills. This is a mark of genuine expertise.
  4. Transparent communication. A good surgeon will tell you honestly what is achievable and what is not, rather than simply agreeing with everything you request.
  5. A fully equipped, accredited facility. Surgery should be performed in a proper hospital setting with experienced anaesthesia and nursing teams.

Dr. Jyoshid meets all five criteria. He practises at a tertiary care plastic surgery centre within a reputed multi-speciality hospital, with a dedicated team and full surgical infrastructure.

Patient consultation before rhinoplasty nose surgery at Elite Mission Hospital Thrissur Kerala with Dr Jyoshid R Balan

Who travels to Dr. Jyoshid for rhinoplasty?

 
 

Patients travel from across Kerala — Kochi, Kozhikode, Palakkad, Kottayam — as well as from Tamil Nadu, Karnataka, and Goa. Dr. Jyoshid also welcomes international patients from the Middle East, Europe, and Southeast Asia who seek world-class cosmetic surgery in India at a fraction of the cost they would pay abroad.

For international patients, the team assists with travel planning, accommodation guidance, and follow-up consultations via video call after the patient returns home.

Frequently Asked Questions (FAQ)

Is rhinoplasty painful?

The procedure is performed under anaesthesia, so you will feel nothing during surgery. Post-operative discomfort is manageable with prescribed medication. Most patients are comfortable within a few days and return to desk work within 7–10 days.

 

Will there be visible scars after rhinoplasty?

In open rhinoplasty, a small incision is made across the columella (the strip of tissue between the nostrils). This scar fades to become virtually invisible over time. Closed rhinoplasty leaves no external scars at all.

What is the cost of rhinoplasty in India?

Rhinoplasty in India at Dr. Jyoshid’s centre costs between ₹1,20,000 and ₹1,50,000 depending on the complexity of the procedure, technique used, and individual requirements. This includes surgeon fees, anaesthesia, hospital stay, and post-operative care. Contact us at +91 8113005557 or drjosh4u@gmail.com for a personalised quote.

Can I get rhinoplasty and septoplasty together?

Yes. Combining cosmetic reshaping with septal correction — called septorhinoplasty — allows both goals to be achieved in a single anaesthesia and recovery period. Dr. Jyoshid routinely performs septorhinoplasty at Elite Mission Hospital, Thrissur.

 

Who is the best rhinoplasty surgeon in India?

Dr. Jyoshid R. Balan is widely regarded as one of the best rhinoplasty surgeons in India. A Senior Consultant Plastic Surgeon at Sushrutha Institute of Plastic Surgery, Elite Mission Hospital in Thrissur, Kerala, he specialises in cosmetic, functional, and revision rhinoplasty.

Does Dr. Jyoshid see international patients for rhinoplasty?

Yes. Dr. Jyoshid R. Balan welcomes international patients from the Middle East, Europe, and Southeast Asia. His team assists with travel planning, accommodation, and follow-up via video call. Contact: +91 8113005557 or drjosh4u@gmail.com.

How can i book appointment

If you are considering rhinoplasty in Kerala and want to speak with one of India’s leading facial plastic surgeons, Dr. Jyoshid R. Balan offers consultations at Elite Mission Hospital, Thrissur.

📍 Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Kerala
📞 +91 8113005557
✉️ drjosh4u@gmail.com
🌐 www.drjosh.in

Book your consultation today and take the first step towards the result you have always wanted.

4Feb

The rise of weight-loss medications like Ozempic, Wegovy, and Mounjaro has sparked a global health revolution. For many, these GLP-1 agonists have been the key to shedding stubborn pounds and improving metabolic health. However, this rapid transformation often comes with an unexpected side effect that has taken social media by storm: “Ozempic Face.”

While your body becomes leaner and healthier, you may notice your face looking gaunt, tired, or older than before. As a Plastic & Cosmetic Surgeon, I frequently see patients who are thrilled with their body weight but unhappy with their facial reflection.

In this guide, we will explore the science behind facial hollowness after weight loss and compare the most effective medical solutions—from dermal fillers to facial fat grafting—to help you regain a youthful, vibrant look.

What Causes ``Ozempic Face``?

Non-Surgical Options: A Quick Fix for Mild Cases

For patients with mild volume loss who still possess good skin elasticity, surgery may not be necessary. Non-invasive treatments can offer immediate improvement.

Dermal Fillers for Hollowing

Hyaluronic Acid (HA) dermal fillers (such as Juvéderm® or Restylane®) are the first line of defense. By injecting filler deep onto the bone structure of the cheeks and temples, we can essentially “re-inflate” the face. This restores the light reflection and curvature associated with youth.

Biostimulators (Sculptra & Radiesse)

Unlike standard fillers that strictly add volume, biostimulators work by triggering your body’s own collagen production. This is an excellent option for improving skin quality and thickness, which often suffers after significant weight loss.

The Gold Standard: Facial Fat Grafting

When a patient has lost 10kg, 15kg, or more, fillers are often insufficient or cost-prohibitive. In these cases, Autologous Fat Transfer (Fat Grafting) is the gold standard for post-weight loss facial rejuvenation.

How The Procedure Works

Harvesting: We use gentle liposuction to take fat from areas where you still have deposits (like the abdomen or thighs).

Purification: The fat is processed to ensure only healthy, viable fat cells remain.

Injection: The fat is meticulously injected into facial hollows to restore natural contours.

Why Choose Fat Grafting?

Permanence: Unlike fillers which dissolve after 12–18 months, transplanted fat that “takes” is permanent.

Natural Results: It is your own tissue, so it moves and feels exactly like a natural face.

Stem Cell Benefits: Adipose tissue is rich in stem cells, which often improves the texture and glow of the overlying skin.

Frequently Asked Questions (FAQ)

Q: Is "Ozempic Face" permanent?

A: Visible swelling decreases significantly within 2 weeks after rhinoplasty. However, subtle internal swelling, especially at the nose tip, can take 6 to 12 months to fully resolve.

https://www.instagram.com/drjosh_plasticsurgeon

Q: Will fillers make my face look puffy or "overfilled"?

This phenomenon, often called “pillow face,” only happens when fillers are placed superficially or in excessive amounts. My approach focuses on placing small, precise amounts in the structural anchor points of the face to restore the natural V-shape, not to stuff the face with volume.

Q: Can I get these treatments while I am still on Ozempic?

It is generally recommended to wait until you have reached your goal weight and maintained it for at least 3 months. If we place fat grafts or fillers while you are still actively losing weight, the results may be unpredictable.

Q: Why should I see a Plastic Surgeon instead of an aesthetician?

reating “Ozempic Face” is about reconstructing the 3D architecture of the face, not just filling a wrinkle. As a Plastic Surgeon, I can offer the full spectrum of solutions—from non-invasive injectables to complex surgical reconstruction (like Facelifts)—ensuring you get the right treatment for your anatomy, not just the most convenient one.

Q: What is the downtime for Fat Grafting?

You can expect swelling in the face for about 7-10 days. The donor site (where fat was taken) will feel like a bruise. Most patients feel comfortable returning to social activities within 2 weeks.

Q: What is the downtime for Fat Grafting?

You can expect swelling in the face for about 7-10 days. The donor site (where fat was taken) will feel like a bruise. Most patients feel comfortable returning to social activities within 2 weeks.

Ready to Restore Your Facial Harmony?

Don’t let facial hollowness detract from your weight loss success. Whether you need the subtle refinement of fillers or the long-term restoration of fat grafting, expert help is available.

Contact Dr. Jyoshid Balan today for a personalized assessment of your skin elasticity and bone structure. Together, we will design a treatment plan that brings the “you” back to your mirror.

Sushrutha Institute of Plastic Surgery Elite Mission Hospital, Thrissur, Kerala.

Call Action: Ready to restore your natural look? Contact us today: 8113005557 Email: drjosh4u@gmail.com

Are you ready to lift your profile? Consult with a board-certified expert to see if suture tip plasty is right for you.

 

 

best cosmetic surgeon for rhinoplasty surgery
14Jan
rhinoplasty

Best Rhinoplasty Surgeon in India

Your nose is the central pillar of your face. It dictates the balance of your profile, the symmetry of your smile, and even the character of your gaze. Because it sits center stage, even a millimeter of change can dramatically alter your appearance. This is why rhinoplasty (nose surgery) is widely considered one of the most complex and artistic procedures in plastic surgery.

When considering such a transformative journey, the question isn’t just about “getting a nose job”—it’s about entrusting your face to the right hands. As a specialist in facial plastic surgery, I, Dr. Jyoshid Balan, have witnessed firsthand how the right surgical approach can reconstruct not just a nose, but a patient’s entire self-image.

Whether you are seeking a subtle refinement or a complex reconstruction, understanding why your choice of surgeon matters is the first step toward the result you deserve.

The Art and Science of Nose Reshaping

Rhinoplasty is unique because it demands a dual mastery: the precision of an engineer and the eye of a sculptor. Unlike other cosmetic procedures that often focus solely on tissue reduction or tightening, rhinoplasty involves reshaping bone, cartilage, and skin while preserving—or often improving—the vital function of breathing.

1. Nose Shape and Facial Harmony

There is no “one-size-fits-all” nose. A nose that looks perfect on a celebrity might look unnatural on your face. The best cosmetic surgeon creates a customized surgical plan based on your unique facial anatomy, chin projection, and forehead width.

  • Aesthetic Balance:The goal is a natural look where the nose shape blends seamlessly with your features, rather than drawing attention to itself.
  • Ethnic Sensitivity:Preserving your cultural identity while enhancing aesthetic appeal is a hallmark of modern, high-quality rhinoplasty.

2. Functional Rhinoplasty: Breathing Matters

Many patients come to me assuming they need purely cosmetic changes, only to discover during our rhinoplasty consultation that they have a deviated septum or enlarged turbinates. Functional rhinoplasty addresses these internal structural issues to improve airflow. A skilled surgeon ensures that after rhinoplasty, you don’t just look better—you breathe better.

rhinoplasty
Rhinoplasty-in-Men
rhinoplasty

Specialized Approaches in Rhinoplasty

The complexity of the nose requires a surgeon who is versatile in various techniques.

Male Rhinoplasty

Male rhinoplasty requires a distinct approach. Men typically desire a stronger, straighter bridge and a less rotated tip compared to women. Over-refining a male nose can feminize the face, which is rarely the goal. An experienced surgeon understands these subtle gender differences to maintain masculine facial harmony.

Closed Rhinoplasty vs. Open Rhinoplasty

  • Closed Rhinoplasty:All incisions are made inside the nostrils. This “scarless” technique is excellent for patients needing bridge reduction or minor tip refinements. It typically offers a faster recovery.
  • Open Rhinoplasty:A small incision is made across the columella (the strip of skin between the nostrils). This allows the surgeon to lift the skin and see the underlying structure directly. This is often essential for complex cases, significant tip work, or reconstructive surgery.

Revision Rhinoplasty

Perhaps the most challenging aspect of this field is revision rhinoplasty—correcting the results of a previous, unsuccessful surgery. Scar tissue, depleted cartilage, and altered anatomy make these cases difficult. It requires a surgeon with deep expertise in nose reconstruction, often utilizing cartilage grafts from the ear or rib to rebuild the nasal structure.

The Consultation

Your journey begins with a detailed rhinoplasty consultation. This is not just a formality; it is a critical planning session.

  • Evaluation:We assess your skin thickness, cartilage strength, and breathing function.
  • Simulation:We discuss realistic goals. I often use digital imaging tools to help patients visualize potential outcomes.
  • Entities Before and After:We review a portfolio of before and after photos of previous patients with similar nose shapes to yours. This transparency builds trust and aligns expectations.

 

Surgery and Recovery

Patients often worry about rhinoplasty recovery. While the immediate phase after rhinoplasty involves splints and some swelling, modern techniques have significantly reduced downtime.

  • Week 1:You will wear a nasal splint to protect the new shape. Most patients describe the feeling as “congestion” rather than acute pain.
  • Week 2:The splint is removed. Bruising usually fades, and you can return to social activities with some concealer.
  • The “Long Haul”:While you look great after a few weeks, subtle swelling takes months to fully resolve. The final definition of your nose tip may take up to a year to reveal itself.
rhinoplasty

The Cost Factor

Surgery cost is a valid concern, but it should never be the primary driver for plastic surgery. In India, and specifically here in Kerala, we offer world-class medical infrastructure at a fraction of the cost found in the West or Middle East. However, “bargain” surgery can lead to costly revisions later.

The cost of rhinoplasty varies based on:

  1. Complexity:A simple bridge reduction costs less than a complex rib-graft reconstruction.
  2. Anesthesia and Facility:Safety is paramount. We operate in fully accredited, hospital-grade facilities.
  3. Surgeon’s Expertise:You are paying for the surgeon’s years of training, aesthetic eye, and ability to handle complications.

Why Choose Dr. Jyoshid Balan?

As a Board Certified Plastic Surgeon operating at the Elite Mission Hospital in Thrissur, my philosophy is simple: Patient safety first, followed by natural, harmonious results.

I specialize in both cosmetic and reconstructive rhinoplasty. My practice attracts patients from across India and abroad who seek the “best rhinoplasty surgeon in India” because they value a meticulous, transparent, and personalized approach.

  • Holistic Care:From the initial email to the final post-op checkup, my team provides comprehensive support.
  • Honesty:If a procedure won’t benefit you, or if your expectations are unrealistic, I will tell you. Integrity is the foundation of our doctor-patient relationship.
  • Advanced Techniques:I utilize the latest preservation rhinoplasty techniques to minimize trauma and speed up recovery.

Frequently Asked Questions (FAQ)

Q1: How long does swelling last after rhinoplasty?

A: Visible swelling decreases significantly within 2 weeks after rhinoplasty. However, subtle internal swelling, especially at the nose tip, can take 6 to 12 months to fully resolve.

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Q2: Is rhinoplasty painful?

A: Most patients report discomfort (like a severe cold) rather than sharp pain. We provide medication to manage any discomfort during the first few days of rhinoplasty recovery.

Q3: Can rhinoplasty fix my sinus problems?

 A: Rhinoplasty primarily reshapes the nose structure. However, if combined with sinus surgery (FESS) or septoplasty, we can address sinus and breathing issues in the same operation (known as functional rhinoplasty).

Q4: What is the difference between open and closed rhinoplasty?

A: Open rhinoplasty uses a tiny external incision for better visibility, ideal for complex reshaping. Closed rhinoplasty uses only internal incisions, leaving no visible scar, and is best for minor adjustments.

Q5: Am I too old for rhinoplasty?

A: There is no strict upper age limit as long as you are in good general health. Many patients in their 40s, 50s, and 60s undergo rhinoplasty for aesthetic rejuvenation or functional correction.

Q6: Does insurance cover rhinoplasty?

A: Purely cosmetic rhinoplasty is generally not covered. However, if the surgery is functional (e.g., correcting a deviated septum for breathing issues) or reconstructive (post-trauma), a portion of the surgery cost may be covered. We can help you check with your provider.

How To Book Appointment

Take the Next Step

Ready to reshape your future? Schedule your personalized consultation with Dr. Jyoshid Balan today.

Sushrutha Institute of Plastic Surgery Elite Mission Hospital, Thrissur, Kerala.

Call Action: Ready to restore your natural look? Contact us today: 8113005557 Email: drjosh4u@gmail.com

Are you ready to lift your profile? Consult with a board-certified expert to see if suture tip plasty is right for you.

 

 

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