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One-Sided Bony Enlargement, A Resolved Outcome
Dr. Monisha Kapoor Aesthetics | Saket, New Delhi
01 · Patient Profile
Patient identity withheld per confidentiality guidelines; name used is illustrative.
02 · The Problem
Condition
The patient presented with swelling on one side of the face and a noticeably enlarged facial bone that disturbed overall symmetry.
The enlargement was confined to one side, giving the face an uneven contour when viewed from the front.
The concern was primarily structural and aesthetic, with the asymmetry becoming more apparent over time. A careful clinical and imaging assessment was needed to confirm the extent of the bony enlargement before planning correction.
Emotional and Psychological Impact
For a long time the asymmetry affected how he felt about his appearance.
He had been following Dr. Monisha Kapoor on YouTube and Instagram for nearly three years, watching her content closely and reviewing the information she shared before deciding to act.
By the time he travelled to Delhi for a consultation, he had done extensive research and felt confident in the surgeon and the approach.
He was looking for a clear diagnosis and a realistic plan to restore balance to his face.
03 · Consultation and Treatment Plan
What Was Assessed
- Facial symmetry – comparison of both sides, contour, and the degree of asymmetry
- Bony anatomy – extent and location of the enlarged facial bone
- Soft tissue and swelling – to distinguish bony from soft-tissue contribution
- Imaging review – to confirm the structure and plan precise correction
- Facial proportions – overall balance with the rest of the face
- Patient goals – a balanced, natural-looking facial contour
- General medical fitness for surgery under anaesthesia
Why This Approach Was Chosen
- Surgical bone reduction and recontouring was selected to address the enlarged segment directly and restore symmetry.
- A conservative reduction was planned to preserve a natural facial profile rather than over-correcting.
- An intraoral or well-hidden approach was preferred where suitable to avoid visible scarring.
- Realistic counselling: the patient was told that swelling settles gradually and the final contour becomes clear over the following weeks.
04 · Procedure Details
Step-by-Step Overview
Pre-operative markings and imaging reviewed with the patient.
Anaesthesia administered with continuous monitoring.
Access made through a discreet approach to reach the enlarged bone.
The excess bony segment carefully reduced and recontoured for symmetry.
Intraoperative checks comparing both sides for balance.
Bleeding controlled and the area irrigated.
Layered closure with fine sutures; dressing or support applied as required..
05 · Post-Operative Results
At follow-up, the swelling had settled and the facial contour was visibly more balanced.
The previously enlarged side matched the other far more closely, and the asymmetry that had bothered the patient was resolved.
He described the outcome as very good and reported a smooth recovery over roughly ten days.
He was satisfied and happy with both the result and the overall experience at the clinic.
Note: Residual swelling after facial bone surgery can take several weeks to fully resolve, with the final contour settling over that period.
06 · Patient Feedback
“I had swelling on one side and the bone had enlarged. I first saw Dr. Monisha on YouTube and Instagram and had been following her for three years. I watched all of her videos carefully, and after seeing the facts and information she shared, I came to Delhi to consult her. She examined me and performed my surgery, and the whole visit took about ten days. Now the problems I had have been resolved very well. The staff here is very, very good. This is not just a clinic, it is a home, and the staff are not just staff, they are a family. My experience with them was very good. They are very cooperative, and anyone with a problem can visit without hesitation. I am satisfied and very happy.”
Profile: Male · 34 years · Working Professional · Lucknow, Uttar Pradesh | Procedure:: Facial Bone Reduction · Dr. Monisha Kapoor Aesthetics, Saket, New Delhi | Surgeon: Dr. Monisha Kapoor
07 · Post-Procedure Care and Recovery
Instructions Given to the Patient
- Take prescribed antibiotics and anti-inflammatory medication
- Apply cold compresses as advised managing early swelling
- Sleep with the head elevated for the first weeks
- Maintain a soft diet and good oral hygiene if access was intraoral
- Avoid strenuous activity until cleared
- Avoid direct pressure or trauma to the treated side
- Attend scheduled follow-up visits
Recovery Timeline
08 · Frequently Asked Questions
Q1. What causes one-sided facial bone enlargement?
It can arise from a benign bony overgrowth on one side of the facial skeleton, causing visible asymmetry and sometimes localised swelling.
Q2. How is it corrected?
Through surgical bone reduction and recontouring, where the excess bone is carefully reduced to restore balance with the opposite side.
Q3. How long is the recovery?
The main visit took about ten days, with most swelling settling over the following two to four weeks and the final contour over a few months.
Q4. Why choose Dr. Monisha Kapoor?
Over 25 years of practice, 10,000+ procedures, and recognised expertise in facial contouring and aesthetic surgery.
Q5. Will there be a visible scar?
A discreet, well-hidden approach is used wherever possible to keep any scarring minimal and out of sight.
A consultation at Dr. Monisha Kapoor Aesthetics in Saket gives you the chance to ask questions and understand what is realistic for your face.
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