Sourced directly from Dr. Deepak Raj Dugar,'s social posts and replies.
What is a septoplasty and how does Dr. Dugar perform it?
Septoplasty is a procedure to correct a deviated septum, which is a common reason for nose surgery and can hinder proper breathing. Dr. Dugar performs septoplasty using small internal cuts to remove crooked cartilage, with no external incisions or scars. The goal is to straighten the patient's original septum to improve breathing.
Is mouth taping safe or recommended?
Dr. Dugar advises against mouth taping unless you are certain you have clear nasal breathing.
When should I consider treatment for a deviated septum or nasal breathing issues, and what are the non-surgical options?
Not all deviated septums require intervention; the decision depends on individual anatomy and how much it bothers you. If you experience trouble breathing from your nose, an evaluation is recommended. Minor deviations may not need surgery. Non-surgical management for nasal breathing issues can include antihistamine sprays or pills, nasal steroid sprays, a humidifier, or oil in the nose. Swollen turbinates, often allergy-related, can also cause breathing issues.
Are the results of Dr. Dugar's nasal bone contouring permanent?
Yes, nasal bone contouring performed with Endonasal Scarless Nose® Rhinoplasty provides permanently contoured results.
Is there an age limit for rhinoplasty, and what are the trends for older patients?
Age 45 and older represents the second largest demographic of rhinoplasty patients. Dr. Dugar notes a trend towards more natural and discreet rhinoplasty options, moving away from 'Barbie Nose' or 'cookie cutter' designs.
What are the health benefits of nasal breathing compared to mouth breathing?
Dr. Dugar highlights that nasal breathing is significantly more beneficial for airway health, oxygen uptake, and overall physiology. The nose filters, humidifies, and warms air, and nasal passages produce nitric oxide (NO), which dilates blood vessels, improves circulation, and boosts immune function, increasing oxygen absorption by about 18%. Conversely, chronic mouth breathing is linked to changes in facial structure, narrower airways, dental problems, and increased risk of sleep apnea and asthma.
What is the difference between open and closed rhinoplasty, and which does Dr. Dugar perform?
Open rhinoplasty involves an external cut at the base of the nose and often uses grafts to structure the tip, which can lead to varied outcomes. Dr. Dugar exclusively performs closed, scarless rhinoplasty, which involves no external cuts or scars. This approach refines the existing nose rather than reconstructing it, aiming for the 'cutest version' of the patient's natural anatomy, not a 'Barbie nose' template.
What is Dr. Dugar's philosophy on rhinoplasty aesthetics and results?
Dr. Dugar is not a 'trendy' surgeon; he prefers timeless, iconic aesthetics that look natural and endure for decades, like Marilyn Monroe's. His philosophy emphasizes restraint in surgical change, designing a nose in proportion to the patient's face, and revealing the existing form rather than imposing a new one. This approach, rooted in principles of preservation and balance, ensures results remain natural for years.
What is the recovery like after Dr. Dugar's closed scarless rhinoplasty?
With Dr. Dugar's closed scarless rhinoplasty, patients typically look 'back to normal' in one week. The technique is designed to minimize trauma, and patients usually do not require taping of the nose for months or mandatory steroid shots, which can be common with other rhinoplasty techniques that may cause 'balloon-like tip swell'.
How does Dr. Dugar approach the correction of crooked noses?
Dr. Dugar notes that crooked noses are rarely just cosmetic, often reflecting deeper structural imbalances like septal displacement or nasal bone asymmetry, which can also cause breathing difficulties. His approach involves structural correction with careful judgment, utilizing a closed, preservation-based technique within the Scarless Nose® framework to realign the nasal framework without external incisions. This protects vascular supply, soft tissue integrity, and ensures long-term stability, aiming to improve breathing, restore balance, and deliver a natural result without visible surgical signatures.