Honour for our contribution in Nose surgery

No person was ever honoured for what he received. Honour has been the reward for what he gave.
I feel blessed and humbled that my efforts to popularise Rhinoplasty and Facial plastic surgery in India has been appreciated . The Honour bestowed on me by the 500 year old ,The Royal college of surgeons of Edinburgh by admitting me as a Fellow , Sign on the College Register and bestowed on me the prestigious honorary FRCS degree ,will strengthen and improve my belief and the work I do.
It is really humbling to receive the award in the presence of the August gathering of so many fellows who studied hard for months and years to earn this prestigious degree, in a graceful ceremony held in Edinburgh on 6th of July 2018.
I will be eternally grateful to the college and I am sure this honour will give me more strength to continue my efforts in learning and spreading knowledge in India and all over the world

Crooked nose and deviated nasal septum

Yesterday I gave a talk in Mumbai which was telecasted to 45 centres live to hundreds of ENT surgeons across India.The point I was highlighting that in Nose surgery form and function are inseparable ,and the correct way to tackle these problem is to correct both septal deformity and external deviation in one sitting by the  same surgeon

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The problem-

1)Patient says he just want to breath well not interested in any aesthetic procedure

2)Most ENT surgeons can do good septal surgery but are not so well trained in Rhinoplasty ,do not want to loose a patient and goes ahead and do a septoplasty operation

3) The lower part of the Nasal dorsum is actually the upper part of nasal septum and without correcting the dorsal deviation ,any septal surgery the results are suboptimal

4)Though initially there may be  improvement but later on symptoms recur and many times the nasal shape gets deformed because of the surgery itself .The problems starts now

5)The revision operation in these cases is very complex and may not give a perfect results .A opportunity to correct a good looking breathing well nose has been lost

6)Two Team approach -Many times the ENT surgeon says I will call aplastic surgeon or vice versa to help in the operation ,the lay mind thinks the more the marries ,this is a perfect recipe for disaster. One nose one surgeon ,one philosophy .Very often the surgeons blame each other .This approach is condemned worldwide but unfortunately still widely prevalent in India .

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