Low cost Rhinoplasty

Every day I get so many messages and emails inquiring about cost of Rhinoplasty .Rhinoplasty is not a commodity and no two noses are same .The cost varies with the complexity of individual case .

Rhinoplasty is 2 -3 hours of operation complex cases may take more time ,it requires general aesthesia and 2-3 days of hospital all these add to cost.

Every hospital has different class of patient the economy category (general ward),Private ward and deluxe ward where cost moves up

Cost also depends on which city the operation is planned like we operate in Mumbai, Bangalore and Indore  so it is just not possible to give a exact price quote like a commodity price, also you may by a camera or mobile from the cheapest vendor but surgeons experience and qualification means a lot so the cheapest may not be the best option. The average cost of Rhinoplasty in Mumbai may vary from 1 to 3 lakh Rs in a private room ,Government  taxes are extra  while the cost of Rhinoplasty is much less in Indore where we have our own hospital .

Good news for Bargain Hunters we are giving a special discount package for our Annual Rhinoplasty course 6-8th April ,2018  where doctors come from all over the world to learn about Rhinoplasty surgical technique. All cases are operated by national and International experts Renowned names in field of Rhinoplasty and the good news is we offer a hefty discount for operations in this workshop. So if you are on budget and  looking for an opportunity for Low cost Rhinoplasty by renowned expert Rhinoplasty surgeons this is the time.

We can  not operate unlimited numbers in these 3 days so number will be restricted to 8 patients selected by experts. so get in touch with us




Oh God what happened to my Nose-Post Traumatic nasal deformity can be devastating

Picture1Out of all the facial features the nose out stand and so as Nasal deformities.Some people are born with bad nose some have a deformed nose after a trivial trauma in Childhood  but those who had a good looking face and nose ,when they get a unexpected nasal disfigurement it is sever Psychological Shock.

At the time of initial trauma bleeding, head injury and other life threatening conditions have priority ,Nose is not very important at that time usually managed by Junior on call doctors or not so experienced doctors, after the initial period these otherwise normal persons when they see themselves in mirror they have severe psychological disturbances.When all the wounds heal the Nasal disfigurement remains and affects the over all personality,many times functional problems such as Nasal blockage and sinusitis which the patient never experienced can appear.This man with a post traumatic nasal deformity covers his face whenever goes out of house.

Case 1-One soft ware engineer had a accident head injury facial trauma was hospitalized for several days recovered from head injury ,the nasal fracture was reduced ,after the healing completed ,he had a sever saddle nose deformity hated himself for the disfigured face , left job and confined himself inside house,

Case -2 A house wife survived in a major Car accident lost a closed family member  ,primary care was given at the site and moved to a large hospital several days of hospitalization ,attempted Fracture nasal bone reduction  but left with a ugly depressed nose. She adopted a deep silence and stopped talking to any one except the bare minimum .Otherwise a beautiful  lady disfigured nose after accident seeing a psychiatrist and taking anti depressant

Case 3-A factory worker injured his nose on work deep cut and multiple fracture ,sever bleeding ,fracture reduction with repair of lacerated wound done but left with a sever depressed crooked nose with nasal obstruction

Case 4- A young man had a sever facial trauma with scared forehead and totally collapsed nose-He was ridiculed by his friends and family even his wife used to pass nasty comments ,He was considered as unlucky man by the villagers so much that he considered committing suicide but stopped short because of young children.A  gave him his life back

Nasal reconstruction

Secondary Rhinoplasty in these cases have limitation ,a thorough counselling is required and they should understand they may not achieve the pre injury nose, the scars may be less visible but they cannot disappear

Steps of surgery-

1)Exposure-Even if there is a scar on dorsum try to expose the nasal frame work through a External Rhinoplasty Exposure

2)Open up the septum and assess the abity of the septum to support the nose,partly damaged septum can be restrenthen  if there are multiple fractures it is important to  build a nasal frame work which is strong and stable,the pieces of septal cartilage/Ethmoid/vomer are very useful graft material and can be used to built up the entire nose,a rib cartilage provides a strong and stable foundation and is used a invisible graft for making the nasal frame work

3)Septal perforation can be repaired at this stage

4)A floating columellar strut gives mobility to tip as well improves tip projection

5)Dorsum Augmentation-can be done by cartilage/diced cartilage/facia-A scarred skin can be expanded only up to a limit resit the temptation to achieve the perfect nose.You can augment only as much the skin permit avoid using dorsal rib cartilage grafts they very often curls and give a crooked appearance to the dorsum

6)Facial blanket below the skin-Temporalis fascia/Fascia Lata used underlying a severely scarred and damaged skin helps in giving a smooth contour ,masks graft outline which might be visible several months after the initial surgery

7)Scar Revision -If required should be done in the end

see the VDO on You tube




Most of these patients are very grateful if we can bring them even close to their appearance before the accident.One of the most exciting moment of my life when the Husband of one of my patient called me in late evenning ,saying doc thanks After many months I saw a smile on my wifes face.Thanks for giving back her real life

Our website-www.cosmeticrhinoplastyindia.com

Akash Nose clinic Bicholi Mardana ,Indore,India Tel-91-731-2496038,4064080,09926564989

Rhinoplasty clinic by Dr.Baser at Bhatia Hospital Tardev Mumbai

We are pleased to inform you that Dr.Brajendra Baser ,MS(AIIMS),FRCS(Edin),DNB -Will be available  for consultation an operations on every alternate Thursday 10 to 11.30 a.m

Contact details

Mumbai clinic-Bhatia Hospital ,Tardev Mumbai
every 1st & 3rd Thursday ​of the month 10 to 12 a.m
Bhatia Hospital | T. J. Road, Tardeo, Mumbai 400 007
for appointment Mr.Vasu-022-66660045

Greetings from Dr.Brajendra Baser ,MS(AIIMS),FRCS(Edin)

Dear friends 2017 is ending soon,
it was indeed a year full of happenings.
Two most important things happened in the beginning and end of the year 2017, beginning by having been selected for the L.H .Hiranadani oration in AOICON 2017 in Kolkata(the National ENT conference) .This was a long cherished dream to deliver this prestigious oration .In this national conference my book written with Dr.Priya Chaube -Cadaveric dissection in Rhinoplasty was released .It was my 4th book on the subject and I sincerely hope it contributes to learning process of my junior colleagues .
The 2nd Most important thing happened in the end of the year is the Royal College of surgeons of Edinburgh ,conferred me with the coveted Honorary FRCS degree and My designation changed from Dr.Baser To Mr.Baser as per tradition in the UK
A lot of thing happened in between I was given the Rhinoplasty surgeon of the year award under the heath care excellence award by Radio My FM ,same month I was invited as faculty in the Rhinoplasty workshop along with Dr.Aireza Mesabhai (Iran)&Mr Santdeep Paun ,UK by Dr.Sunil Tanwar in the Pink city Jaipur memorable course and hospitality .
In march I was invite in Bahrain to operate on some challenging Rhinoplasty cases at the Royal Bahrain hospital by my friend Dr.Ghareeb
In April I was invited at the Dhaka medical college Bangladesh for a international Rhinoplasty workshop ,this was my 4th Visit to Bangladesh and I operated on large number of cases from morning 9 a.m to evening 8.30 p.m ,the patience of the delegates for the exhaustive sessions was appreciable.
I enjoyed operating and teaching in the workshop at the Dhaka medical college after 3 visits now I rember most hospital staff by name , thanks to Prof.Mohiuddin Khan for organising this excellent course ,
In April only we had our Annual Rhinoplasty and Facial plastic surgery workshop at Akash Hospital ,Indore nearly 100 delegates from 6 countries participated and we had the privilege to host Prof Igniazo Taska from Italy and Prof.Migul from Portugal in Indore
In the hot summer of June we organised A live surgery workshop on Cochlear Implant by veria Technique -Incidentally Akash Hospital is a recognised centre for CI program of Govt of India and MP government ,thanks to my colleague and associate Dr.Pragati Shubha for her active interest in running the program .
In the month of July I was invited as faculty in 6th Pan Asia Academy conference in Shiraz Iran where I delivered 4 guest lecture. It was memorable conference well organised by My friend Dr.Alireza .
In august I was invited by well known plastic surgeon Prof.Balakrisnan from Chennai we were 3 faculty ,Prof,Gilbert(Holland),Prof .Jung (Korea),Brajendra Baser,(India),3 of us operated 18 challenging Rhinoplasty cases in 3 days,15 guest lecture, 120 delegates (117 Plastic surgeons & 3 ENT surgeons),
The Doyen of Indian ENT Prof.K.K.Ramalingam was the Chief guest in the inauguration ceremony .
In August I celebrated my birthday with 25 deaf mute kids who had their Cochlear Implant operation at the Akash Hospital ,it was very satisfying to see smile on faces of these children ,gave a great sense of satisfaction ,

In September I was invited as faculty in the European Academy of Facial Plastic surgery annual conference in Lisbon Portugal where I delivered 3 guest lectures and chaired 2 sessions .met many friends specially Mr. Munish Shandilya facial plastic surgeon from Ireland who hired a Mercedes and took me and Santddep Paun for a Lisbon sight seeing tour ,Santeep was bit upset after the election and this trip was stress buster for him .Thanks Munish for the hospitality .
September only I visited the Royal Baharin hospital again to operate some interesting noses.
In November I was invited by the AOI Lucknow branch for a CME on Rhinoplasty ,It was a hurricane task to speak alone for 3 hours and keep the audience binding but great audience and the hall was full till late night. Thanks to the receptive audience and their interest in Rhinoplasty and Facial Plastic surgery
I have two associates now at the Akash Hospital Indore and 3 of us are running 4 clinics and the CI program. Dr.Pragati Shubha is with us for a while but Dr.Sandeep Bhukar Joined us recently and he is a useful addition to Akash Hospital .
This year I have an additional responsibility to work as Visiting consultant Bhatia Hospital ,Mumbai where I will be doing Facial Plastic clinics and operative work regularly
Though it was difficult to balance between private practice, running a Hospital, Responsibilities of professorship in the SAIMS medical college, Family responsibility and travelling but I enjoyed every bit of it.
I hope the new year 2018 brings more Joy and happiness to all friends
Wishing you all a very happy new year
Brajendra Baser

Prof. Dr.Brajendra Baser

Binder’s Syndrome Nose deformity-Rhinoplasty

Rhinoplasty in Naso Maxillary Hypoplasia or Binders syndrome
– It is an uncommon condition and although we are a tertiary referral centre we get quite a few cases of Binders syndrome.
It is a  congenital disease affecting the face. Also called Nasomaxillary hypoplasia or maxilla-facial dysplasia, the condition results in undergrowth of the central face and may include elements of the nose and upper jaw.
The primary physical characteristic of Binder Syndrome is a flat, underdeveloped midface (midfacial hypoplasia) and flattened nose associated with the absence of the anterior nasal spine that supports the nose in normal development. Your child may appear to have an underdeveloped upper jaw and facial imbalance.

The nasal deformity is characterised by a shortened columella and underdeveloped nasal bridge. The nostrils in children with Binder syndrome are characteristically comma-shaped and the bony tissue at the base of the columella (the anterior nasal spine) is absent.
Over the years we realised that the classic Binders with sever deformity is rare but the milder form with short coumella is fairly common My technique of correcting Nasal deformity in Hypo plastic Nose – Pictures tell a lot more than words and you can see my technique to produce natural and stable results here.

Crooked Nose Correction – Externally deformed nose with breathing problem

Better Rhinoplasty

Be  watchful  before you  select your surgeon

Crooked nose functional Crooked nose requires both internal and external correction

A two team approach is the perfect recipe for disaster

In India it is a very common practice for one surgeon to perform the external correction and another to do the septum work. In many cases the 2nd surgeon is a ‘ghost surgeon’, he comes in to the operating theatre at the time of surgery and never sees the patient after that, patients are made to believe that since two doctors are involved they will get best of both worlds when in fact the reality is just the opposite.

When I met world famous Rhinoplasty surgeon Prof Gubisch from Germany in Iran he said

“Only a surgeon who can do complete septal correction should be allowed to do Rhinoplasty”

Correction of a crooked nose is one of the more difficult and challenging aspects of Rhinoplasty…

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