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
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 .
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
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
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
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
Prof. Dr.Brajendra Baser
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.