Indian and Pakistani Rhinoplasty in London | Mr. Ivo Gwanmesia Skip to main content

While all noses share certain characteristics, some anatomical traits vary between ethnicities. Because of these variations, the techniques used in rhinoplasty must be altered to meet the needs of the patient. While it is impossible to generalize nasal concerns, patients of Indian and Pakistani descent often share similar nasal insecurities and aesthetic goals. Many Indian and Pakistani patients have a shorter and narrower midface than other ethnicities. This causes the surrounding facial features, such as the nose, to appear larger than they are. Combine that with characteristics, such as a prominent hump and a drooping tip, and nasal insecurities can emerge. Mr Gwanmesia performs hand-tailored rhinoplasty for Indian and Pakistani patients to adjust the appearance and balance of the nose while maintaining ethnic identity.


The benefits of Indian and Pakistani rhinoplasty include:

  • Upholds South Asian ideals of beauty: Many Indian and Pakistani patients fear that rhinoplasty will provide too much of a change. South Asian rhinoplasty enhances the features of the face without changing the ethnic appearance.
  • Tailors techniques to anatomical needs: Many Indian and Pakistani patients have thick skin and strong cartilage. Techniques are tailored to these traits.
  • Enhanced precision: Indian and Pakistani rhinoplasty brings about facial harmony and balance by targeting specific nasal concerns in moderation.

Ideal Candidates

Ideal candidates for Indian and Pakistani rhinoplasty will meet the following criteria:

  • Are of South Asian descent
  • Dissatisfied with the balance and proportion of their nose
  • Wish to reduce a prominent nasal hump
  • Want to adjust the nasal tip
  • Physically healthy and do not smoke

Indian and Pakistani Rhinoplasty Procedure

Your consultation with Mr Gwanmesia is one of the most critical aspects of your rhinoplasty journey. During this consultation, Mr Gwanmesia will examine your nose, discuss your nasal insecurities with you and determine your anatomical traits such as skin and cartilage thickness. In addition, 3D imaging will be performed, and together with Mr Gwanmesia, you will participate in assessing your nasal and facial features as well as simulate a potential nasal outcome. From these notes and 3D images, an appropriate surgical approach will be determined. Indian and Pakistani rhinoplasty can be performed using either an open or closed approach.

Indian and Pakistani rhinoplasty is an inpatient procedure performed under general anaesthesia. While the procedure depends on the type of correction desired, most include the adjustment of a large nasal hump, a drooping tip, and flared nostrils. The bone of a protruding nasal hump is often filed down to reduce its prominence. In many patients, however, a small hump is left to maintain ethnic identity. Another common request among Indian and Pakistani patients is an adjustment to the nasal tip. The nasolabial angle (the angle between the nose and upper lip) is often lower in many Indian patients, which leads to the appearance of a drooping or hanging tip. For patients desiring the adjustment of this, a columellar strut or septal extension graft made from the nasal septum is placed at the base of the nose to rotate the tip upwards. From here, excess cartilage may be trimmed from flaring nostrils to achieve the appearance of a thinner nose and a more refined appearance.

Indian and Pakistani Rhinoplasty

What can I expect during my recovery?

Following your surgery, you will be fitted with a nasal cast to help maintain your nasal structure. This cast will also promote healing by reducing nasal swelling. Bruising and swelling is normal after rhinoplasty and can last up to several months. Oral pain medication remedies any discomfort and patients may return to work within one week. Most rhinoplasty patients resume all activities within four weeks.

How does ethnic rhinoplasty differ from traditional rhinoplasty?

When surgeons first began performing rhinoplasty, they did so with a one-size-fits-all approach. This was detrimental to many ethnicities because the surgeons based their techniques on the anatomical structure of a Caucasian nose. A Caucasian nose traditionally consists of thinner skin and thicker cartilage. Not every ethnicity shares these traits, and when these differences are disregarded results can be unflattering. Ethnic rhinoplasty tailors the techniques used to the anatomical structures of each ethnicity to ensure that the results you receive are the ones you expect.

Why should I seek out an ethnic rhinoplasty surgeon?

A skilled ethnic rhinoplasty surgeon such as Mr Gwanmesia has the knowledge and skill to match each patient with the correct techniques while preserving the cultural nuances that make the patient who they are. Ethnic rhinoplasty surgeons wish to enhance balance and harmony between the nose and surrounding facial features while maintaining a nasal shape that will align with the patient’s cultural identity.

Why do I need to be a non-smoker?

Smoking and other tobacco use inhibit blood flow by reducing the amount of oxygen in the blood. Due to this, there is an increase in the risk of complications during and after the procedure. Healing may take longer and results may be altered.

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Dr Ivo Gwanmesia

Dr Ivo Gwanmesia is one of Harley Street’s most experienced and renowned craniofacial plastic surgeons. With over a decade of professional experience, he has transformed the lives of countless patients from all over the UK & abroad.

Due to his vast and hands-on training in the UK and the US, Dr Ivo now specialises in more than a dozen different aesthetic, craniofacial and transgender procedures. Some of them include face, neck, and brow lifts, upper and lower blepharoplasty, breast reduction & breast uplift as well as facial feminisation surgery, to name a few.

Dr Gwanmesia has also conducted pioneering research, which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. He was also part of a study comparing the efficacy of the Sheen Spreader Graft and the Fulcrum Spreader Graft. The study has since been published on PubMed and the Journal of the American Society of Plastic Surgeons.