Question 1

What is a septoplasty and how does Dr. Dugar perform it?

Accepted Answer

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.

Question 2

Is mouth taping safe or recommended?

Accepted Answer

Dr. Dugar advises against mouth taping unless you are certain you have clear nasal breathing.

Question 3

When should I consider treatment for a deviated septum or nasal breathing issues, and what are the non-surgical options?

Accepted Answer

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.

Question 4

Are the results of Dr. Dugar's nasal bone contouring permanent?

Accepted Answer

Yes, nasal bone contouring performed with Endonasal Scarless Nose® Rhinoplasty provides permanently contoured results.

Question 5

Is there an age limit for rhinoplasty, and what are the trends for older patients?

Accepted Answer

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.

Question 6

What are the health benefits of nasal breathing compared to mouth breathing?

Accepted Answer

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.

Question 7

What is the difference between open and closed rhinoplasty, and which does Dr. Dugar perform?

Accepted Answer

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.

Question 8

What is Dr. Dugar's philosophy on rhinoplasty aesthetics and results?

Accepted Answer

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.

Question 9

What is the recovery like after Dr. Dugar's closed scarless rhinoplasty?

Accepted Answer

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'.

Question 10

How does Dr. Dugar approach the correction of crooked noses?

Accepted Answer

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.

Question 11

What is the main difference between endonasal and open rhinoplasty, and why is 'scarless' considered better?

Accepted Answer

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.

Question 12

Is mouth taping ever safe, or is it always a bad idea? Are there specific conditions where it might be recommended by a doctor?

Accepted Answer

Dr. Dugar advises against mouth taping unless you are certain you have clear nasal breathing.

Question 13

If my nose looks crooked, does that automatically mean I have a deviated septum, or could it be something else?

Accepted Answer

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.

Question 14

What is the difference between a natural nose job and one that looks 'done'? How do you achieve that natural look?

Accepted Answer

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.

Question 15

How long is the typical recovery process for a rhinoplasty, including swelling and bruising?

Accepted Answer

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'.

Question 16

What does Dr. Dugar say about their approach?

Accepted Answer

Michelangelo famously said “The sculpture is already complete within the marble block, before I start my work. It is already there, I just have to chisel away the superfluous material.” This is how I look at every patient and every nose. Restraint in surgical change is a source of power and effectiveness for the practice.

Question 17

What does Dr. Dugar say about their techniques?

Accepted Answer

The practice utilizes a closed, scarless rhinoplasty approach that involves no external cuts or scars. The practice performs septoplasty by making small cuts on the inside of the nose. The practice performs a scarless tongue in groove technique.

Question 18

What does Dr. Dugar say about recovery?

Accepted Answer

Rapid recovery and the best results COMBINED is mandatory for my patients. Closed scarless rhinoplasty at the practice involves no taping and no steroid shots. Most patients feel back to normal after 2-3 days following their procedure.

Question 19

What does Dr. Dugar say about their training and credentials?

Accepted Answer

The doctor has performed over 3,500 rhinoplasties.

Question 20

What does Dr. Dugar say about results?

Accepted Answer

I don't have any noses that look the same. They all look different. The doctor's patients demand the best results, scarless outcomes, natural appearance, lifelong results, and the best breathing humanly possible.

Question 21

What does Dr. Dugar say about what they specialize in?

Accepted Answer

Dr. Dugar exclusively performs Closed Scarless Nose® Rhinoplasty.

Dr. Deepak Raj Dugar, MD

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