In some instances, along with the lip defect, there is also a disparity in the size of the jaws. If the upper jaw is retruded and lower jaw is protruding, then Abbe-flap is combined with upper jaw advancement to restore form & balance of the face. Defective nose shapes also require surgical correction to enhance the appearance & make the face more attractive.
In cleft patients, over time the scar of the upper lip thickens & the upper lip becomes very thin. This lip incompetence can be treated with specialized Abbe-Flap technique. A tissue from the lower lip is sutured together with the upper lip making both the lips proportionately similar. In males, the flap is taken with the hair follicles to ensure mustache growth. Once blood supply is established, the flap is divided improving the form & function of the lips. In some instances, along with the lip defect, there is also a disparity in the size of the jaws. If the upper jaw is retruded and lower jaw is protruding, then Abbe-flap is combined with upper jaw advancement to restore form & balance of the face. Defective nose shapes also require surgical correction to enhance the appearance & make the face more attractive.
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Some defects of the nose may be acquired as a result of trauma or accident injury. Nose defects affect the facial appearance making the person self-conscious about their looks. Maxillofacial Surgeon Dr. S.M. Balaji performs an augmentation rhinoplasty to reconstruct the nose giving it a more defined, sharp form. A pristine nose makes the face more attractive boosting the person’s appearance & confidence. Balanced facial features enhance the facial profile and make the face attractive. An improved appearance will also boost self esteem and enhance the personality. Maxillofacial Surgeon Dr. S.M. Balaji performs a simultaneous correction of the protruding upper jaw & nose defect. The jaw bone is sculpted and realigned in a more appropriate position & the nose is made sharp & pristine improving both smile and appearance. Since the surgery is approached from inside the mouth & inside the nose, there is no scarring. CASE ICASE IIPortions of the jaw bone can be lost due to tumors, infections, accident injuries or other diseases. One of the advanced techniques for jaw reconstruction is transport distraction.
In this, the remaining normal jaw bone is cut and a device called transport distractor is fixed. The screw attached to the distractor is turned about 1 mm per day which pushes the bone segments apart and new, healthy bone is formed in the resultant gap. Maxillofacial surgeon Dr. S.M. Balaji achieves immense success in the complete reconstruction of jaw using this technology. The overgrowth of the lower jaw (mandible) causes a “long face”. Disproportionate jaws may cause problems in speaking, biting, chewing, swallowing and breathing, undue stress on the jaw joint (TMJ) and facial muscles, and also affects facial appearance.
Obwegeser’s bilateral sagittal split osteotomy is done to surgically reduce excess bone in the lower jaw and create more balanced facial features. Results are immediate and there is no scarring as the procedure is done inside the mouth. When the appearance is enhanced, it also boosts self esteem. Such surgeries hold the key for youngsters who go through a lot of psychological stress over their facial appearance. Deformities of the external ear may make the person extremely self-consciousness leading to low self esteem issues. Ear deformities can be corrected with specialized reconstructive surgeries. Maxillofacial Surgeon Dr. S.M. Balaji with his skilled expertise and precision has successfully performed several complex ear reconstruction surgeries.
A facial cleft is an opening or gap in the face. A facial cleft positioned horizontally on the face is called lateral facial cleft. When the cleft occurs from the corner of the mouth & extends across the cheek towards the ear, it gives an impression that the mouth is unusually large (macrostomia).
Lateral facial clefts may occur alone or in combination with other anomalies like hemifacial microsomia. This is characterized by facial asymmetry as a result of decreased growth of one side of the face. Maxillofacial Surgeon Dr. S.M. Balaji excels in the surgical correction of lateral facial clefts with minimal scarring. He successfully employs the advanced technique of simultaneous Maxillary & Mandibular distraction osteogenesis to restore facial symmetry and enhance facial appearance & function. The shape, size & proportion of the nose define the attractiveness of the face to a large extent. Defects of the nose affect the appearance and can make the person to become embarrassed about their looks.
Rhinoplasty or nose surgery is done to correct nasal defects. Maxillofacial Surgeon Dr. S.M. Balaji is credited with achieving great results in enhancing the aesthetics of the nose & in-turn the face with rhinoplasty. Seen here are photographs of a patient who had a humped nose. Following reduction rhinoplasty, the nose was reshaped & given a sharper, natural form improving the profile. The surgery done from inside the nose caused no scarring. Dental implants are the best option for replacing missing teeth. These require good quality & quantity of bone available in the jaw. Dr. S.M. Balaji applies advanced technologies & surgical techniques to successfully create new bone in the jaws to facilitate implant placement. Alveolar distraction osteogenesis is one technique used to increase the vertical height of the jaw bone. As a result of the distraction process, the volume of both bone & soft tissue is increased. The reconstructed area of the jaw is then suitable for further rehabilitation with implants.
If the upper jaw is disproportionately large & protruding, it greatly affects the facial profile giving an unpleasant appearance. There is inability to close the mouth normally & also a “gummy smile”. This can be corrected with orthognathic surgery or corrective jaw surgery. The bony excess of the upper jaw is removed & repositioned in alignment with the lower jaw. The results are immediate & the appearance improves greatly. The face is given a more balanced form and that too without any scars since the surgery is done from within the mouth. |
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