What if beauty wasn’t about chasing fleeting trends, but a journey of rediscovering one's best self? In a global landscape saturated with filters, facial symmetry applications, and influencer-driven aesthetics, cosmetic surgery in India is experiencing a quiet yet profound revolution. This transformation seamlessly integrates scientific advancements with individual identity and deep cultural nuances. Far from being a taboo subject, aesthetic procedures are increasingly becoming mainstream, particularly among India’s urban middle class. India Today engaged with Dr. Debraj Shome, Co-founder and Director of The Esthetic Clinics, a prominent multi-city chain, to explore how personalized cosmetic interventions are fostering a more confident and self-aware generation, one subtle refinement at a time. This new paradigm of beauty, ranging from advanced skin boosters to facial architecture meticulously tailored to Indian features, is characterized by its subtlety, preventative approach, and deeply personal nature.

According to Dr. Shome, the past two decades have witnessed a monumental shift in perception. He notes that “Today’s urban middle class views cosmetic procedures not as an act of vanity, but as a shrewd self-investment.” His extensive patient base spans from young professionals proactively seeking enhancements to older individuals aiming for natural-looking results. The demand for preventative treatments has seen a significant surge. Dr. Shome elaborates, “Individuals in their twenties and thirties are increasingly opting for early interventions—such as Botox, sophisticated skin boosters, thread lifts, and our unique proprietary hair restoration therapy—with the aim of delaying the onset of aging, rather than seeking to reverse it later in life.”

A foundational principle in Dr. Shome’s practice is facial architecture, which necessitates a comprehensive understanding of bone structure, soft tissue dynamics, and proportional harmony. Given his diverse patient demographic from across India’s varied regions, he has cultivated a highly culturally sensitive approach. “Aesthetic ideals fluctuate dramatically throughout the country. From the classic sculptural elegance frequently observed in North Indian features to the delicate angularity prominent in the Northeast, we steadfastly avoid a one-size-fits-all methodology,” he asserts. “Every treatment plan is meticulously customized, not to conform to Western beauty standards, but to inherently highlight and enhance the unique beauty within each individual.”

Treating Indian skin types, which are typically rich in melanin, requires specialized protocols due to their unique characteristics. Dr. Shome explains, “Our skin is inherently more susceptible to hyperpigmentation and scarring.” Consequently, he has meticulously tailored protocols for various treatments, including lasers, chemical peels, and injectables, to precisely accommodate these specific needs. “From IPL and precisely targeted fillers to bespoke rejuvenation therapies, every single procedure is meticulously adjusted to ensure both safety and optimal efficacy. When contouring distinct Indian features, we deliberately consider elements such as broader mandibles or fuller cheeks—our approach is consistently structural and deeply considered, never superficial.” The prevailing demand for subtle, non-surgical procedures has now eclipsed the interest in traditional, more invasive cosmetic surgeries. Dr. Shome notes, “Previously, patients often desired dramatic transformations—whereas now, their preference leans towards minor adjustments that meticulously preserve their authentic identity.” Among the most frequently requested procedures are Botox, dermal fillers, thread lifts, and under-eye rejuvenation. Furthermore, his signature hair therapy, a US-patented innovation specifically developed for hair restoration, is also experiencing robust demand. “Our ultimate objective is to refresh and rejuvenate, not to erase. This philosophy is centered on fostering long-term confidence, rather than merely providing short-term correction.”

Respecting cultural identity forms the core of Dr. Shome’s practice. Consultations extend far beyond mere medical assessments; they encompass in-depth discussions about a patient’s heritage, regional beauty ideals, and personal values. “For instance, we meticulously design rhinoplasties that thoughtfully preserve ethnic contours while simultaneously offering subtle refinement. In the realm of facial contouring, the overarching aim is not standardization, but rather a profound celebration of individuality. We know we’ve achieved our goal when someone remarks, ‘You look amazing,’ without being able to pinpoint exactly what has changed.” Technological advancements, such as sophisticated 3D facial scanning and cutting-edge AI-powered skin diagnostics, have ushered in an unprecedented era of precision. “We utilize high-resolution imaging and intelligent injectable systems to meticulously plan treatments with millimeter-level accuracy,” states Dr. Shome. His patented hair treatment, the result of rigorous and extensive research, has already positively impacted patients in over ten countries. “Technology now empowers us to seamlessly blend artistic vision with data-backed safety, thereby ensuring that our results are not only aesthetically pleasing but also consistently reliable.”

With social media profoundly influencing contemporary beauty ideals, Dr. Shome often finds himself in the role of an educator for his patients. “Many individuals arrive with filtered selfies or the latest viral trends that are simply not harmonious with their inherent facial structure,” he explains. He places significant emphasis on thorough consultation and patient education. “We are committed to guiding patients toward realistic and achievable goals. Whether it involves our refined jawline contouring techniques or our precise nose reshaping methods, the ultimate outcome should invariably be enhancement, not a complete transformation. Authenticity, in this context, far outweighs the fleeting nature of trends.” Indian beauty ideals have historically cherished grace, inherent proportion, and subtlety—qualities that seamlessly align with modern surgical principles. “We assist patients in understanding how even small, well-placed refinements can significantly amplify their traditional features,” Dr. Shome explains. This profound philosophy, he believes, serves to bridge generational expectations. “A mother might desire her daughter to retain cherished family features, while the daughter simultaneously seeks subtle enhancements—we expertly find a harmonious balance that respectfully honors both perspectives.”

The demand for advanced cosmetic care is rapidly expanding beyond metropolitan areas into smaller cities. “Patients from Tier 2 and Tier 3 cities are increasingly well-informed, self-assured, and deeply committed to their aesthetic journeys. The powerful influence of word-of-mouth success and verifiable social proof are key drivers behind this growing acceptance,” he observes. In response, his clinic network has strategically expanded, maintaining consistent quality and protocols across all locations. “We are now successfully reaching regions where sophisticated cosmetic care was once considered unattainable. It is no longer perceived as an exclusive luxury—it has definitively become an integral component of self-care.” For those contemplating aesthetic treatment for the first time, Dr. Shome’s advice is unequivocal: “Begin with the right motivations. Undertake this journey for yourself—not for the validation of others. Diligently choose certified professionals, thoroughly comprehend all associated risks, and exercise patience throughout the entire process.” With over two decades of extensive global training, a robust portfolio of research publications, and numerous clinical innovations to his credit, he views every treatment as a collaborative journey between patient and practitioner. “Ultimately, it is not about slavishly following trends—it is fundamentally about empowering individuals to become more confident, more authentically themselves.”