Nose/nasal plastic surgery

It is thought that the ancient Egyptians and Romans performed plastic cosmetic surgery.  There is the Smith papyrus in a museum describing in interesting detail manipulation of a fractured nose.  It was also thought the Romans performed simple techniques on damaged ears, possibly from the gladiatorial events at around the 1st century BC.

nose job historyMore importantly it is often quoted that the first procedure of note involving plastic surgery was carried out in India at around 2,000 BC. Sushruta was considered the father of the so called Indian forehead flap. The penalty for adultery and other serious crimes was amputation of the nose, often known as rhinokopia, which left a horrific disfigurement. 

The Indian caste system found this deformity too horrendous to bear and the use of a forehead skin graft would then apply to covering the nose. 

Surgeons discovered this technique much later at the time of the Indian Raj.  Joseph Constantine Carpue spent two decades in India studying local methods often carried out by the Potters cast and there are descriptions of this in the gentleman’s magazine  published in 1794. The so called Indian flap is still alive and kicking today and used to reconstruct traumatic and tumour deformities of the nose with great success both under local and general anaesthetic.

Carpue performed the first major surgery of this type in the Western world by 1815.  He had performed an operative procedure on a British military officer who had lost his nose due to the toxic effects of mercury treatment (this mercury treatment was often given for syphilis).  It has been amusingly quoted; one night with Venus and the rest with Mercury).  These procedures were the forerunner of the famous rhinoplasty better known today as the nose job.



The Indian Rhinoplasty



You may perhaps know from my many articles that cosmetic nasal surgery and indeed the foundation of all cosmetic surgery originated from India shrouded in the mists of time. It now remains one of the most popular and difficult of all cosmetic procedures and is unlikely to be superseded by the use of fillers etc..see article by myself on the  ”Non surgical nose job”.



Now by Indian I am also including the clients from Pakistan who have strong ethnic features . Often third generation and westernised, they seek a subtle variant of rhinoplasty that needs great skill and experience . It is paramount not to offer the “one size fit all ” or “cookie cutter” type rhinoplasty that will often result in disappointment and worse still embarrassment by the client.

Take a good look at the Bollywood scene and spot the Rhinoplasty... good and bad alike. Artistic appreciation with scientific principles can greatly enhance the aesthetic of these attractive racial features!

Call now on 01909 563 000

Luke Durham

Consultant ENT Rhinoplasty Surgeon

Principal Surgeon and Clinical Director
Aesthetika Surgika Sheffield