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Broad flattened nose correction without any scars

8/1/2015

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This is a case of saddle nose where the bridge of the nose was flat and alar base was broad giving an unattractive appearance. Maxillofacial Surgeon Dr S. M. Balaji corrected the saddle nose by augmenting the dorsum of the nose with costochondral graft harvested from the rib cartilage. Dr Balaji has done the entire surgery by closed rhinoplasty technique to avoid scar formation. After surgery the facial appearance was greatly enhanced.
Broad flattened nose with ill defined nasal bridge
Profile view showing depressed nasal bridge giving saddle nose appearance
Augmented dorsum of nose without any scars
Enhanced nose profile giving pristine appearance
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Cosmetic nose correction for saddle nose without any scars

8/1/2015

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A 20 year old girl reported to our hospital seeking cosmetic correction of her broad, flattened nose. Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected her nose by closed augmentation rhinoplasty.  The dorsum of nose was raised using costochondral autograft obtained from rib cartilage. Patient is very happy to have her nose corrected and made pristine without any scars on her face. 
Broad flattened nose with ill defined bridge of the nose
Profile view showing saddle nose with everted nose tip
Augmented dorsum of nose giving pristine appearance without any scars
Profile view showing prominent bridge of the nose giving enhanced appearance
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Cosmetic correction of shape of the nose with alar defect

3/12/2014

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A 13 year old girl from Dubai was brought to our hospital with the complaint of defective shape of the nose due to birth defect. Her parents consulted many plastic surgeons for cosmetic correction of her nose, but they were not convinced. Finally she was brought to our hospital for correction of the nose defect.

Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected her nose defect by following Denonvilliers technique. The left alar rim of the nose was reconstructed by rotating the “Z” shaped flap from the superior portion of ala of the nose. Results are immediate and her nose had a pleasing attractive appearance. Patient and her parents are happy to have the entire nose correction without any scars on her face.

Congenitally defective left ala of nose with soft tissue tag giving asymmetric appearance of the nose
Intraoperative view showing removal of tissue tag and adjusting the ala shape
By following Denonvilliers technique ala of the nose was reshaped and made symmetric
3 weeks postoperative view showing enhanced appearance of the nose without any scars
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Successful cleft rhinoplasty and lip scar revision

17/11/2014

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A girl with unilateral cleft lip and palate previously operated elsewhere came to our hospital wanting to correct her deformed nose shape and remove the scar on her lip to enhance her appearance.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed a combined surgery to correct the lip and nose defects. Using a transcolumellar approach, a columellar strut from a rib graft, was interpositioned between lateral nasal cartilage to straighten the columella, raise the nose height and reconstruct the collapsed left ala of the nose. Thus deviated nasal tip was brought to the midline of the face. Scar on the upper lip left side was also revised. Following the surgery, the girl’s facial profile was enhanced with the reshaped nose and corrected lip scar. 
Preoperative view showing defective shape of the nose with broad asymmetrical nose tip and unsightly scar on the upper lip
Preoperative view showing deformed ala of the nose towards left side due to cleft defect
Columellar strut graft obtained from rib cartilage and interpositioned between lateral nasal cartilage through transcolumellar approach
Immediate postoperative view showing corrected ala of the nose and deviated nasal tip giving enhanced appearance
Postoperative image showing symmetrical nostrils and alar base and lip scar revision
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Orthognathic surgery to correct unpleasant appearance of the face

16/11/2014

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Orthognathic surgery or corrective jaw surgery is done to reshape the jaws and achieve a more balanced alignment. This improves the teeth alignment & facial profile and enhances one’s appearance and confidence. Moreover this surgery is done from inside the mouth so there are absolute no scars on the face. When the jaws are realigned, the soft tissues in the chin, cheeks, lip and tip of the nose move accordingly.

Immediate results are seen following this type of jaw correction. Also there is no relapse. Once the jaws are correctly positioned, the architecture of the facial skeleton is changed and a harmony between the facial features is achieved giving a more pleasing, attractive appearance.
Protruding upper jaw and teeth causing unpleasant appearance
Drastically improved appearance after corrective jaw surgery
Disproportionately large upper jaw causing protruding teeth, inability to close the mouth normally giving unpleasant appearance
Jaws sculpted and made proportionate with orthognathic surgery for a pleasant appearance
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Orthognathic surgery for jaw correction

29/10/2014

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When the lower jaw is severely protruding and not in proper alignment with the upper jaw, it causes difficulty in biting, chewing, speaking and also affects the facial appearance. With corrective jaw surgery or orthognathic surgery, the jaws can be reshaped and aligned in normal balanced occlusion.

Bilateral sagittal split osteotomy (Obwegeser’s) is done for surgical correction of the skeletal defect of protruding lower jaw. In this the lower jaw is reshaped and set in precise alignment to enhance the appearance and achieve proper bite. This procedure is done from inside the mouth so there are no scars.

Profile view showing protruding lower jaw giving disproportionate appearance
Postoperative profile view showing corrected jaw alignment by orthognathic surgery without any scars on the face
Maxillofacial Surgeon Dr. S. M. Balaji examining the Seychelles boy after surgery
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Surgical correction of macroglossia (enlarged tongue)

29/10/2014

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Macroglossia is a condition in which the tongue is abnormally enlarged beyond the normal resting position. Causes include genetic factors or medical conditions like hormone disturbances, infections etc. The enlarged tongue causes difficulties in breathing, chewing, swallowing, speaking and also disturbs teeth position. Due to the protruding tongue, the mouth remains open causing repeated throat infections and drooling of saliva. Moreover the appearance also affects the psychological and social well-being of the child. If there is an underlying cause, that should be treated first. If the problem is genetic or syndromic, tongue reduction surgery or glossectomy is done. 

Maxillofacial Surgeon Dr. S.M. Balaji performs tongue reduction surgeries ensuring preservation of taste sensation and tongue functions. After surgery, breathing, chewing and swallowing becomes easier, it becomes easier to close the mouth and facial appearance improves. 
Abnormally large and long tongue before surgery
Surgical reduction of large tongue preserving taste sensation
Normal tongue form following surgery
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Orthognathic surgery or jaw correction for protruding upper jaw

23/10/2014

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When the upper jaw is disproportionately larger than the lower jaw, it affects the facial profile and gives an unattractive appearance. Also the upper teeth are excessively protruding and there is inability to close the mouth & bite normally. This can be surgically corrected by orthognathic surgery. Using specialized Le Fort I technique the upper jaw is made proportionate and more accurately aligned with the lower jaw. This is done from inside the mouth so there are no scars. The results are immediate and the patients get a renewed confidence with their enhanced appearance. 
Preoperative view showing lengthened upper jaw giving short lip appearance
Postoperative view showing corrected upper jaw giving pristine appearance without any scars on the face
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Surgical correction of incomplete cleft lip

18/10/2014

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Cleft lip occurs when parts of the face forming the lip fail to fuse normally before birth. Incomplete cleft lip is when the gap in the lip does not extend up to the nose. Cleft lip correction is done usually when the baby is about 3 months old using modified Millard’s surgical technique. Maxillofacial Surgeon Dr. S.M. Balaji has successfully treated innumerable patients from all over the world born with cleft lip and cleft palate.  
Baby girl with incomplete cleft lip
Several weeks after primary cleft lip repair
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Complete smile makeover with implants and ceramic crowns

11/10/2014

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A pleasant, attractive smile enhances a person’s appearance and boosts his confidence. Complete smile makeover solutions involve replacing missing teeth, restoring lost tooth structure with natural-colored fillings  or recreating the tooth using ceramic or porcelain crowns.

Dental implants are the best solution to replace missing teeth. Implants together with ceramic crowns, look, feel and function just like natural teeth greatly enhancing one’s smile and appearance. 
Missing upper front teeth causing unsightly gap
Implants placed in jaw bone in missing teeth region
Ceramic crowns of exact color match fixed to implants for complete smile makeover
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    Categories

    All
    Abbe Flap
    Alveolar Distraction
    Augmentation Rhinoplasty
    Broad Flattened Nose Correction
    Ceramic Crown
    Cleft Lip And Palate
    Cleft Nose Defect
    Cleft Rhinoplasty
    Corrective Jaw Surgery
    Cosmetic Dentistry
    Cosmetic Nose Surgery
    Cosmetic Surgery
    Cupped-ear
    Deviated Nose Correction
    Enlarged Tongue
    ICPF Conference
    Implant
    Incomplete Cleft Lip
    Jaw Correction
    Jaw Deformity Correction
    Jaw Reconstruction
    Lateral Facial Cleft
    Lip Correction
    Macroglossia
    Nose Correction
    Nose Job
    Orthognathic Surgery
    Rhinoplasty Surgery
    Scar Revision
    Smile Makeover
    Unilateral Cleft Lip

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