Balaji Dental and Craniofacial Hospital - Dr. S.M Balaji, Maxillofacial Surgeron, India - Best Dental Clinic in Chennai : Best Dental Implant Center in India

Augmentation rhinoplasty for flat nose

30/5/2016

A 26-year-old girl reported to our hospital seeking to correct the appearance of her nose. Her nose was much flat and she wanted to have a sharp nose to improve her appearance.
Maxillofacial surgeon Dr. S. M. Balaji expertly performed the augmentation rhinoplasty. A costochondral cartilage graft was harvested and used to reconstruct the depressed dorsum of the nose. The surgery was done from inside the nose (closed rhinoplasty) so there is no scarring. The patient is very happy to have a sharp, defined & pristine nose immediately after surgery, which improved her appearance.

Preoperative facial view showing broad flat depressed dorsum of the nose

Depressed dorsum of the nose giving asymmetric profile view

Costochondral rib graft obtained to reconstruct the dorsum and columella of nose

Augmented dorsum of the nose intranasally using costochondral graft giving enhanced appearance

Postoperative profile view showing augmented dorsum with defined tip and columella of nose

Augmentation rhinoplasty for saddle-shaped nose

19/3/2016

Surgical correction of nose deformities also known as the “Nose Job” requires expertise and experience. The surgeons estimate the type of defect - either excess or deficit of the height, deviations, depressions, slants and abnormally angled noses. The patient’s expectation of his/her nose is understood after careful examination.
Shown is a case with of a deficiency of the bridge portion of nose with bulky tip. Note the midlevel of the nasal bone, where there is a deficiency creating a huge impact on the patient’s facial profile. This gives the nose a saddle-shape. Maxillofacial Surgeon Dr. S.M. Balaji planned a closed rhinoplasty technique wherein the surgical approach is through the nose to prevent unsightly scars.Appropriate measurement of nose was made and the amount of augmentation needed was noted. Autologous graft (rib graft) was harvested, shaped and positioned to improve the aesthetics of the nose. Bulky tip of the nose was also corrected intranasally by removing excessively curved lower lateral nasal septal cartilage. The patient was very happy with the surgery outcome and her enhanced appearance.

Preoperative facial view showing depressed dorsum of nose with bulky tip

Profile view showing saddle nose appearance

Bulky tip of the nose with depressed dorsum of nose

Immediate postoperative view showing augmented dorsum without any visible surgical marks on the face

Augmented dorsum of nose

Corrected tip of the nose without any visible surgical marks on the face

Augmentation rhinoplasty for flat nose

20/2/2016

A 22-year-old man reported to our hospital seeking to correct the appearance of his nose. His nose was much flat in the middle portion and he wanted to have a sharp nose to improve his appearance.
Maxillofacial surgeon Dr. S. M. Balaji expertly performed the augmentation rhinoplasty. A costochondral cartilage graft was harvested and used to reconstruct the depressed dorsum of the nose. Defined tip of the nose was achieved by removing the excessively curved portion of lower lateral nasal septal cartilage. The surgery was done from inside the nose (closed rhinoplasty) so there is no scarring. The patient is very happy to have a sharp, defined & pristine nose immediately after surgery, which improved his appearance.

Preoperative facial view showing broad flat depressed dorsum of the nose

Costochondral rib graft harvested to augment the dorsum of the nose

Lower lateral nasal septal cartilage removed to have defined tip of the nose

Augmented dorsum of the nose intranasally using costochondral graft giving enhanced appearance

Augmentation rhinoplasty for flat nose - BALAJI DENTAL

10/8/2015

A 22-year-old man reported to our hospital seeking to correct the appearance of his nose. His nose was much flat in the middle portion and he wanted to have a sharp nose to improve his appearance.
Maxillofacial surgeon Dr. S. M. Balaji expertly performed the augmentation rhinoplasty. A costochondral cartilage graft was harvested and used to reconstruct the depressed dorsum of the nose. The surgery was done from inside the nose (closed rhinoplasty) so there is no scarring. The patient is very happy to have a sharp, defined & pristine nose immediately after surgery, which improved his appearance.

Preoperative facial view showing broad flat depressed dorsum of the nose

Depressed dorsum of the nose giving asymmetric profile view

Costochondral rib graft harvested to augment the dorsum of the nose

Augmented dorsum of the nose intranasally using costochondral graft giving enhanced appearance

Postoperative profile view showing augmented dorsum of the nose

Augmentation rhinoplasty for improved appearance

24/6/2015

An 18-year-old girl was brought to our hospital by her parents to correct the shape and appearance of her nose. Her nose was flattened and ill-defined that gave her an unattractive appearance. She was very depressed about her looks.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the augmentation rhinoplasty. A costochondral graft was harvested from the girl’s rib and used to reconstruct the nasal dorsum. The procedure was done from inside the nose so there were no scars. Immediately following surgery the nose appeared sharp, defined and pristine that made her look more attractive. The girl and her parents were very happy with the outcome of the surgery.

Preoperative facial view showing flat dorsum of the nose

Profile view showing flat dorsum of nose with illdefined bridge of the nose

Illdefined bridge of the nose

Costochondral rib graft harvested to reconstruct the dorsum of nose

Intranasally the harvested rib graft inserted into the dorsum of the nose

Immediate postoperative view showing corrected nose profile without any visible surgical marks on the face

Augmented dorsum of the nose giving pristine appearance

Raised bridge of the nose

Cosmetic augmentation rhinoplasty without any scars

16/5/2015

A 24 year old girl reported to our hospital seeking cosmetic correction of her nose. She felt the dorsal surface of her nose was flat which gave her an aged look. She wanted to correct her nose profile cosmetically without any scar.

Maxillofacial Surgeon Dr. S. M. Balaji planned to correct her flattened nose by following closed augmentation rhinoplasty. Costochondral rib graft was harvested which was used to augment the dorsum of nose. To prevent scarring, the graft was inserted through intranasal approach. Bulky nose tip was corrected by removing caudal portion of nasal septal cartilage. Results are immediate, patient is very happy to have a sharp, pristine nose without any surgical marks, which suits her facial profile.

Preoperative facial view showing broad flat nose with ill defined nasal bridge and bulky tip

Costochondral rib graft harvested

Harvested rib graft used to augment the dorsum of the nose

Lower lateral nasal septal cartilage removed to reduce the bulky nose tip

Immediate postoperative view showing augmented dorsum of the nose giving pristine appearance without any visible surgical marks on the face

Augmentation rhinoplasty for saddle-shaped nose - Dr. S.M Balaji

14/5/2015

Surgical correction of nose deformities also known as the “Nose Job” requires expertise and experience. The surgeons estimate the type of defect - either excess or deficit of the height, deviations, depressions, slants and abnormally angled noses. The patient’s expectation of his/her nose is understood after careful examination.

Shown is a case with deficiency of the bridge portion of nose. Note the midlevel of the nasal bone, where there is a deficiency creating a huge impact on the patient’s facial profile. This gives the nose a saddle-shape. Maxillofacial Surgeon Dr. S. M. Balaji planned a closed rhinoplasty technique wherein the surgical approach is through the nose to prevent unsightly scars.

Appropriate measurement of nose was made and the amount of augmentation needed was noted. Autologous graft (rib graft) was harvested, shaped and positioned to improve the aesthetics of the nose. The patient was very happy with the surgery outcome and his enhanced appearance.

Preoperative profile view of nose showing depressed dorsum with everted tip of the nose

Costochondral rib graft harvested to augment the dorsum of the nose

Intranasally the rib graft used to raise the height of the nose

Immediately after suturing augmented dorsum of nose without any visible surgical marks on the face

Postoperative profile view showing augmented dorsum of nose giving pristine appearance

Augmentation rhinoplasty for cleft nose correction

20/4/2015

A 22-year-old girl from Bihar was brought to our hospital by her parents for expert correction of her cleft nose & lip defect to enhance her appearance. Her nose was flattened and collapsed on the left side and there was an unsightly scar on the lip which affected her appearance. She was previously operated elsewhere for her unilateral cleft lip and palate in her childhood.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the cleft rhinoplasty & cleft lip revision. A costochondral rib graft was harvested and used to augment the dorsum of the nose. The surgery was done from inside the nose so there were no scars. Lip revision was also done in the same procedure. Immediately following surgery, the girl’s appearance improved greatly and she was very happy with the surgery outcome.

Facial view showing asymmetrical nose due to cleft defect

Profile view showing depressed dorsum of the nose

Due to cleft defect there was depressed left alar base with altered nostril shape

Harvested costochondral graft used to augment the dorsum of nose and straighten the nasal bridge and secondary lip repair done

Immediately after suturing the lip defect and corrected dorsum of the nose without any surgical marks

Augmented dorsum of the nose giving pristine appearance without any visible surgical marks on the face

Augmentation rhinoplasty for saddle nose defect

23/1/2015

A 30-year-old man reported to our hospital seeking to correct the appearance of his nose. His nose was much flat in the middle portion and he wanted to have a sharp nose to improve his appearance.

Maxillofacial surgeon Dr. S. M. Balaji expertly performed the augmentation rhinoplasty. A costochondral cartilage graft was harvested and used to reconstruct the depressed dorsum of the nose. The surgery was done from inside the nose (closed rhinoplasty) so there is no scarring. The patient is very happy to have a sharp, defined & pristine nose immediately after surgery, which improved his appearance.

Preoperative facial view showing broad flat depressed dorsum of the nose

Depressed dorsum of the nose giving asymmetric profile view

Harvested costochondral graft placed on the dorsum of the nose

Augmented dorsum of the nose intranasally using costochondral graft giving enhanced appearance

Postoperative profile view showing augmented dorsum of the nose

Cosmetic augmentation rhinoplasty without any scars

15/12/2014

A 24 year old girl reported to our hospital seeking cosmetic correction of her nose. She felt the dorsal surface of her nose was flat which gave her an aged look. She wanted to correct her nose profile cosmetically without any scar.

Maxillofacial Surgeon Dr. S. M. Balaji successfully planned to correct her flattened nose by following closed augmentation rhinoplasty. Costochondral rib graft was harvested which was used to augment the dorsum of nose. To prevent scarring, the graft was inserted through intranasal approach. Results are immediate, patient is very happy to have a pristine nose without any surgical marks, which suits her facial profile.

Depressed dorsum of the nose with ill defined nasal bridge

Harvested costochondral rib graft used to augment the dorsum of the nose

Immediate postoperative view showing augmented nasal bridge giving pristine look without any surgical marks

Defective nose profile corrected by Closed Augmentation Rhinoplasty

12/12/2014

A 35 year old lady from Tiruppur came to our hospital with a complaint of deficient bridge portion of nose. The midlevel of the dorsum of the nasal bone, where there was a deficiency created a huge negative impact on the facial profile. This gave her an aged appearance too. Maxillofacial Surgeon Dr. S.M. Balaji planned a closed rhinoplasty technique wherein the surgical approach is through the nose to prevent unsightly scars.

Appropriate measurement of nose was made and the amount of augmentation needed was noted. Autologous costochondral graft (rib graft) was harvested, shaped and positioned to improve the aesthetics of the nose. Width of the alar base was corrected by Weir excision. The patient was very happy with the surgery outcome and to have an enhanced appearance.

Postoperative profile view showing augmented nose without any visible surgical marks

Immediate postoperative view showing reduced width of the nose with alar base width reduced using Weir excision

Preoperative view showing broad flattened nose with wide alar base

Preoperative profile view of nose showing deformed nasal bridge with everted nasal tip