Implant Rhinoplasty — Depressed Nasal Bridge & Downturned Tip Correction
Dr. Harikiran Chekuri, a Plastic & Reconstructive Surgeon in Hyderabad, performed implant rhinoplasty to correct a depressed nasal bridge and downturned nasal tip. The procedure involved placing a nasal implant and refining the tip through a closed or open approach, resulting in a higher, more defined nasal bridge and a lifted tip. The patient achieved a natural profile with high satisfaction, and recovery was uneventful with standard post-operative care. No complications were reported.
PATIENT PROFILE
THE PROBLEM
The patient presented with two distinct but related nasal concerns: a depressed nasal bridge and a downturned nasal tip. A depressed or flat nasal bridge — sometimes referred to clinically as nasal bridge hypoplasia — describes a nose where the dorsum lacks sufficient projection, creating a profile that appears low, flat, or insufficiently defined when viewed from the side. In this patient’s case, the bridge sat noticeably below the level that would be considered harmonious with her other facial features. Compounding this, the nasal tip pointed downward rather than forward or with a gentle upward angle, which shortened the appearance of the nose in profile and created a degree of heaviness at the base. Together, these two features resulted in a nasal shape that drew attention for the wrong reasons — not overtly unusual, but consistently out of proportion with the surrounding face, and something the patient had been aware of for most of her adult life.
For a 27-year-old working professional, the nose is often the feature a person is most acutely aware of — both in photographs and in the mirror. The patient had carried this concern since her teenage years, which is not unusual for individuals with congenital nasal asymmetry or under projection. What made this case particularly relatable was the modesty of her request: she was not looking for a dramatically different nose, but simply one that felt proportionate and natural — a nose that finally matched how she saw herself. The combination of a flat bridge and drooping tip had affected her confidence most acutely in profile photographs and social settings, and by the time she consulted Dr. Harikiran Chekuri at Redefine, Hyderabad, she had a clear, grounded idea of what she hoped to achieve.
CONSULTATION & TREATMENT PLAN
WHAT WAS ASSESSED DURING THE CONSULTATION
Dr. Harikiran Chekuri conducted a comprehensive nasal and facial assessment before finalising the surgical plan:
- Nasal bridge projection and height — assessed from frontal and lateral views using standard anthropometric landmarks
- Nasal tip position and rotation — degree of ptosis and the nasal tip angle relative to the upper lip measured
- Skin thickness and quality — important for determining how the implant will look and feel through the skin envelope
- Nasal width and base measurements — to ensure the augmentation would remain proportionate and not create an overly narrow or pinched appearance
- Facial proportions and harmony — the nose was assessed in the context of the full face including chin projection and midface balance
- Patient’s aesthetic goals — clear preference for a natural result with a higher bridge and lifted tip
- Medical fitness for surgery under appropriate anesthesia
WHY IMPLANT RHINOPLASTY WAS CHOSEN
- A nasal implant provides consistent, predictable augmentation of the dorsum — unlike cartilage grafts, the height and shape of the implant can be selected with precision before surgery
- For this patient’s degree of bridge depression, an implant offered the most reliable route to a defined, elevated bridge with a smooth, natural contour
- Tip correction was incorporated into the procedure to address the downward rotation and ensure the final nasal shape read as balanced rather than simply heightened
- Implant rhinoplasty is well-suited to patients with adequate skin thickness — sufficient to conceal the implant edges and maintain a natural surface appearance
- The technique allows the surgeon to achieve meaningful improvement in a single procedure with a straightforward recovery and no donor site required
PRE- & POST-OPERATIVE PHOTOS
The image below shows the patient before surgery (pre-op, top panel, with surgical cap) and following recovery (post-op, bottom panel — frontal and lateral views). The improvement in nasal bridge height, tip projection, and overall facial profile is clearly visible. Patient identity has been protected in compliance with confidentiality guidelines.
PROCEDURE DETAILS
STEP-BY-STEP OVERVIEW
- Pre-operative markings completed — right facial atrophy zones mapped with the patient upright to account for gravity-dependent tissue distribution
- Donor site prepared — fat harvested from an appropriate donor zone (typically abdomen or thigh) using a blunt-tipped cannula and low-pressure liposuction technique
- Harvested fat processed — centrifuged and decanted to separate viable adipocytes from oil, blood, and debris
- Prepared graft loaded into fine injection cannulas for multi-plane placement
- Fat injected in small aliquots across multiple tissue depths — deep, subcutaneous, and subdermal — into the right cheek, mid-face, and perioral zones
- Volume distributed incrementally to achieve symmetrical contour matching the unaffected left side
- Over-correction applied at a conservative margin to account for expected partial resorption in the weeks following the procedure
- Micro-entry points closed; dressings applied
PROCEDURE FACTS
POST-OPERATIVE RESULTS
The post-operative result demonstrated a clear and natural improvement in nasal appearance. The bridge showed a well-defined, elevated profile that added structure and projection without looking augmented or artificial. The tip correction delivered a noticeable upward rotation, lightening the overall nasal silhouette and improving the nasal-labial angle. Viewed both frontally and in profile, the nose appeared balanced, proportionate, and consistent with the patient’s facial features. The patient herself noted the change in her profile immediately following the resolution of post-operative swelling, describing the result as feeling natural — which is exactly the outcome Dr. Harikiran Chekuri designs toward.
OUTCOMES AT A GLANCE
PATIENT FEEDBACK
“ I’m extremely happy with the result. My nose looks more defined, the bridge looks higher, and the tip has a nice lift without looking artificial. The whole experience was comfortable, and I feel much more confident with my profile now. ”
- Profile: Female · 27 years · Working Professional · Hyderabad
- Procedure: Implant Rhinoplasty · Redefine, Gachibowli, Hyderabad · January 2026
- Surgeon: Dr. Harikiran Chekuri · Redefine
POST-PROCEDURE CARE & RECOVERY
INSTRUCTIONS GIVEN TO PATIENT
- Prescribed antibiotics for 5–7 days to prevent infection at the implant site
- Analgesics as required for post-operative pain and discomfort — typically mild after rhinoplasty
- Medicated ointment applied to incision sites as directed — promotes healing and reduces scar formation
- Nasal splint or cast worn for 7–10 days — protects the implant position and maintains the new nasal shape during early healing
- No pressure, rubbing, or sunglasses resting on the nose for 6 weeks
- Avoid strenuous exercise and activities that risk nasal trauma for minimum 4 weeks
- Sleep with head elevated for the first 2 weeks to reduce swelling
- Follow-up at Day 7 (splint removal), Week 2, Month 1, and Month 3 for healing and result assessment
