The Esthetic Clinics- The Best Plastic, Cosmetic Surgery and Skin Treatment Clinics in Mumbai, India


Endoscopic DCR Surgery

Best Endoscopic DCR Surgery in India

The Endoscopic Dacryocystorhinostomy or DCR surgery is a surgical intervention, performed at our clinics in Mumbai to treat patients who are diagnosed with an obstruction in their lacrimal sac. A patient diagnosed with such a condition can have the problem from birth or acquired later. Endoscopic DCR surgery is performed by our expert cosmetic surgeons to restore the flow of tears into the nose from the lacrimal sac due to nasolacrimal duct dysfunction in patients.

Obstruction of nasal ducts in patients can lead to health conditions like epiphora or dacryocystitis. Term epiphora denotes the secretion of excessive tear fluid caused by an obstruction inside the lacrimal sac or tear ducts. Dacryocystitis, on the other hand, is a condition where the lacrimal sac has infection causing an obstruction in the tear ducts of the patient.


Endoscopic DCR surgery in Mumbai can help a patient to have their tear ducts obstruction-free. This minimally invasive surgery is performed by our expert ophthalmologists and top plastic surgeons to clear any infection or obstruction of the passage. Our best cosmetic surgeon can correct obstructions or infections of the nasal cavities and passages of the patient. Generally, endoscopic DCR surgery works better for patients who already had tried alternate therapies like massages or hot compresses to alleviate the symptoms. 


What Is The Need For DCR?

Abnormal episodes of Epiphora or condition of watery eyes can occur with natural drainage system obstruction of the tear ducts of a patient. Obstruction may disable the normal functioning of the nasal drainage of the tear. Therefore, the situation can give way to stagnation of normal drainage of tear fluid, and recurring drainage infection of the fluid.


The endoscopic DCR surgery, which involves creating an opening directly through the lacrimal sac to go in the nasal cavity, also known as fistulisation may get rid of the symptoms. Following a surgical approach to treat the condition is through endoscopy in the nasal cavity. 


What Are The Types Of DCR Surgery?

Following are the two types of DCR surgery approach for patients in India:


  1. External Dacryocystorhinostomy: 

Our expert cosmetic surgeon would make a tiny incision on the outside of the nose close to the eye for making the link of the drain. These drains are then left inside so that the gap does not close, to be removed later following the procedure. 


  1. Endonasal Dacryocystorhinostomy: 

The endoscopic Dacryocystorhinostomy surgical approach as the name suggests is done through the inside of the nose without any external scars or incision marks. Our best cosmetic surgeon would create a route to make way for the lacrimal sac. However, normally the success rate of endonasal is lesser than the external route of surgery. Endoscopic DCR surgery requires specialized expertise to perform the procedure in India. 


What Are The Advantages Of Endoscopic DCR Surgery in India?

Following are the plus points of the endoscopic DCR surgery route to fix the watery eyes condition of a patient at our clinics in India:


  • Endoscopic DCR surgery allows the patient to have a single painless procedure to rectify any additional related to nasal pathology.
  • Endoscopic DCR surgery does not require the patient to get hospitalized for the treatment. 
  • Endoscopic DCR surgery provides a much desirable aesthetic look as there is no visible scar formation after the procedure.
  • The pumping mechanism stays intact following the surgery without affecting the orbicularis muscles mechanism.
  • Patients stay safe from any trauma to their medial canthus as well as any scars to the area. 


What Are The Disadvantages Of DCR Endoscopic Surgery?

The disadvantages of endoscopic surgery are as follows:


  • Not every cosmetic surgeon can perform this surgery as it requires expertise and skilful specialized nasal endoscopy training.
  • Endoscopic DCR surgery equipment is significantly expensive.
  • Endoscopic route success rates of DCR surgery are lower than external DCR surgeries. 


What Is The Endoscopic DCR Surgery Procedure?

The endoscopic DCR surgery is performed by a surgeon under local anesthesia at a clinic near you or our clinics in Mumbai. A decongestant is given to the patient to clear the passage of the nasal cavity to get ready for the surgery. Our top cosmetic surgeon would numb the area by inserting a gauze that is soaked in anesthesia. Following which the surgeon would insert an endoscope into the nose of the patient following through the lacrimal sac.


The cosmetic surgeon ensures the nature and details of the nasal obstruction. Once the obstruction is identified by the expert, the mucous membrane of the nose of the patient is incised and removed at our clinics in Mumbai. The procedure allows a gap formation inside the lacrimal sac to link the tear drainage. A part of the bone is removed to make the gap using a blade by the surgeon. Inserting silicone tubes to keep the drainage working can prove to be beneficial for long-term remedies.


Risk & Complications

Tear drainage reconstruction surgery or Endoscopic DCR surgery procedure is one with lesser complication and involved risks. The infection rate is very low, therefore possible in some rare cases. Some patients might experience nasal bleeding for a couple of days after the surgery, although minimizes with time. As with any other surgery, scarring of the surgical incision is possible in some cases. Yet the surrounding skin and wound would normally heal well.


In several patients, tearing might still continue despite successfully performed endoscopic DCR surgery. Cases like these require the patient to work closely with their doctor to find a lasting solution.


Complication During The Surgery:

The patient might have the risk of the following complications during their endoscopic DCR surgery:

  • Injury or damage to the incision made internally when creating a window in the lacrimal sac of the patient.
  • Haemorrhage. 
  • Injury or trauma to the inside of the nasal cavity because of improper poking at the time of the surgery.
  • Fluid leakage related to the brain and spine.
  • Cuts or damage to the nasal mucosa because of improper procedure of bone removal. 
  • Trauma or injury to the orbit.
  • Inadequate drainage and removal of fluids.
  • Inability to make lacrimal sac opening in the nasal cavity.


After The Surgery:

  • Trauma or infection of the nasal cavity.
  • Haemorrhage
  • Silicone tube loss before time.
  • Incomplete improvement in the symptoms or persistent tearing watery eyes of the patient.
  • Synechiae condition of the middle turbinate or the nasal septum of the patient.
  • Fibrosis occlusion. 
  • Sinusitis symptoms. 
  • Need for extra corrective surgery for the condition.



Post-operative care of a patient is a crucial aspect of timely recovery from the surgical procedure. Patients at our clinics in Mumbai will be instructed with a comprehensive post-operative guide and instructions. Moreover, the aftercare following endoscopic DCR surgery is fairly easy for most of the cases in India. Almost all patients are given a medication prescription for eye drops along with nasal spray after the surgery. Most of the patients will require to consult The Esthetic Clinics in a week after the surgery to follow up.


Our experts at The Esthetic Clinics suggest the patient undergoing endoscopic DCR surgery make sure to follow the aftercare guideline discussed with them. Following are some of the crucial aspects of the patient’s aftercare:


  • Patients after the surgery are often allowed to go back home a few hours after the procedure.
  • Nasal drops course for a minimum period of 5 days is prescribed to the patient after the surgery.
  • Eye drops antibiotics are suggested for a period of two weeks or more by the doctors of The Esthetic Clinics.
  • Cleaning of nasal cavity using saline water. 
  • Patients should make a visit to the clinic to get their nose cleaned for crusts or check the early closure of the drain

What To Expect From The Doctor?

Endoscopic DCR surgery is often performed in a hospitalization setting at our clinics in Mumbai under local anesthesia to numb the treatment area. The surgery would typically take around an hour generally and the endoscopic DCR surgery is not a painful procedure. After the surgery at our clinics in Mumbai, a silicone tube-type stent will be put to form a new drainage system of the tears. This stent insertion generally will not cause any discomfort or pain to the patient. Moreover, there is no harm to the vision from the stent either.

The silicone tube is often removed after around 3 months of the surgery in a minor procedure at our clinics in India. It is a painless procedure. The cosmetic surgeon at The Esthetic Clinics will vigilantly evaluate the case of the tearing in the patient to make the diagnosis. Our experts may perform some examinations to evaluate the appearance of a baggy lower eyelid, dry eye, or a hindered tear duct for a correct diagnosis. Based on this analysis of the symptoms and reports of the patient, our specialists will give alternatives for improvement in symptoms.

Our clinics in Mumbai are well equipped with the best in industry equipment to perform endoscopic DCR surgery. The Esthetic Clinics in Mumbai have the best hands to perform various types of surgery and cosmetic treatments in India. Dr. Debraj Shome heads the team of expert surgeons to discuss the problems of the patient and suggest the best line of treatment to them. The patient will have to consult the team at The Esthetic Clinics to get in touch with a top cosmetic surgeon to consult their conditions.

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About Doctor
Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India

Dr. Debraj Shome

Best Plastic, Cosmetic & Oculoplastic Surgery in Mumbai, India

Dr. Debraj Shome is Director and Co founder of The Esthetic Clinics. He has been rated amongst the top surgeons in India by multiple agencies. The Esthetic Clinics patients include many international and national celebrities who prefer to opt for facial cosmetic surgery and facial plastic surgery in Mumbai because The Esthetic Clinics has its headquarters there.

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Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India
Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India
Dr Debraj Shome- Best Plastic, Cosmetic & Oculoplastic Surgeon in Mumbai, India
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Dr Rinky Kapoor - Best Dermatologist, Skin Specialist Doctor in Mumbai, India
Dr Rinky Kapoor - Best Dermatologist, Skin Specialist Doctor in Mumbai, India

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