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

Cosmetic rhinoplasty for devaited nose without scars

14/7/2016

A 23 year old woman reported to our hospital seeking to correct her deviated nose which greatly affected her facial appearance. She was very much disappointed as her nose was completely deviated to the right side giving asymmetric facial appearance.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the cosmetic rhinoplasty. Costochondral rib graft obtained to augment the dorsum of the nose. Vertically nasal septal cartilage height was trimmed by medial osteotomy to reduce the height of the nose. Deviated nasal bone was corrected by lateral osteotomy technique. Thus deviated nose and size of the framework of the nose was corrected from inside the nose to avoid any scars on the face (closed rhinoplasty technique).

A balance between the nose shape and facial profile was achieved for a more pleasing appearance. The patient was very happy to have a narrower, shapely nose that enhanced her facial profile with absolutely no scarring.

Preoperative facial view showing deviated nose

Complete deviation of nasal bone and cartilage towards left side

Costochondral rib graft obtained to reconstruct the dorsum of nose

Medial osteotomy done intranasally to correct the nasal bone deviation

Rib graft approximated for dorsal augmentation

Immediate postoperative view showing pristine nose shape without any surgical marks on face

Bulky nose correction using closed rhinoplasty technique

28/12/2015

32 year old American women reported to our hospital seeking to correct the shape of her nose. Her nose was disproportionately large and which affected her appearance. She sought to enhance the appearance of her nose for a more pleasing look.

Maxillofacial surgeon Dr. S.M. Balaji successfully performed the reduction rhinoplasty using closed rhinoplasty technique to reduce the size of the nasal framework. Intranasally, bulky tip of the nose was reduced by removing the caudal portion of nasal septal cartilage and asymmetrical nostrils were corrected by removing the footplate of medial crus on the left side. Lateral and medial osteotomy was done to reduce the width of the nose. The surgery was done from inside the nose to avoid scarring. Immediately following surgery the nose appeared proportionate greatly enhancing the facial appearance.

Bulky nose with ill-defined bridge of the nose

Asymmetrical nostrils due to prominent medial crus footplate on left side

Depressed dorsum with drooping tip of the nose

Intranasally footplate of medial crus removal on left side

Medial osteotomy done

Following lateral osteotomy prominent bridge of the nose seen

Nostrils look symmetrical

Profile view showing enhanced dorsum of the nose without any visible scars on the face

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

Reduction rhinoplasty without any scars

1/8/2015

The patient came with a complaint of a hump in the middle portion of his nose with bulky tip. The excess bone and excess cartilage that was causing the hump was trimmed. Following lateral and medial osteotomy, lower lateral nasal septal cartilage was removed thus nose was made pristine. There were no visible scars as the entire cosmetic procedure was performed through the nose. Following surgery, the patient had an ideal sharp nose that best suited his face.

Pre operative profile view showing large nose with huge dorsal hump

Vertically nasal septal cartilage height was reduced surgically

Medial osteotomy done to reduce the height of the nose

Post operative profile view showing enhanced appearance of the nose front image

Combined nose and chin reduction surgery for enhanced appearance

22/6/2015

A 23-year-old girl came to our hospital seeking to correct the shape of her nose and chin to improve her appearance. Her nose appeared very long & the nose tip was very drooping and her chin was disproportionate & protruding. This gave her an unattractive appearance and was making her very self-conscious.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed a combined reduction rhinoplasty and reduction genioplasty. The caudal portion of the lower lateral nasal septal cartilages were trimmed. Nose was reshaped making it sharp and pristine. Excess chin bone was also trimmed. Immediately following surgery the girl’s facial profile was enhanced and she was happy to have more attractive facial features without any scar on the face.

Preoperative facial view showing long nose with elongated tip of the nose

Preoperative profile view showing long dorsum of nose with drooping tip and prominent chin

Intraoperative view showing removal of caudal portion of nasal septal cartilage to reduce the length of the nose

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

Postoperative profile view showing corrected nose and chin profile giving pristine appearance

Combined nose and chin correction for improved appearance

8/6/2015

A 23-year-old girl came to our hospital seeking to correct her nose and chin defect. Her chin was very retruded and the tip of her nose was very bulky. She was very self-conscious about her appearance and wanted to improve her facial features.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed a combined nose and chin correction. Advancement genioplasty was done to correct the retruded chin. The chin bone was sectioned, brought forward and fixed in a more balanced position. The bulbous nose tip was corrected with reduction rhinoplasty. Foot plate of the medial crus and lower lateral nasal cartilages were removed giving the nose a more slender and sharp. With these combined procedure the patient was very happy to have a more enhanced facial profile without any surgical scars.

Bulky tip of the nose giving unpleasant appearance

Misshapen nose affecting the facial appearance

Profile view showing severely retruded & improperly aligned lower jaw

Advancement genioplasty - chin bone sectioned, brought forward and fixed in more balanced position

Postoperative profile view showing augmented chin profile without any visible surgical marks on the face

Improved appearance of the nose enhancing appearance without scar

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

Cosmetic rhinoplasty for broad nose with depressed nostril on left side without any scars

29/4/2015

A 32 year old lady from Andhra Pradesh reported to our hospital seeking for cosmetic correction of her nose shape. Her nose was deviated towards right side and flat dorsum of the nose made her feel conscious about her facial appearance. She had consulted many surgeons before for the correction of her nose without any visible surgical marks on her face. She was not convinced.

Maxillofacial surgeon Dr S. M. Balaji successfully corrected her nose shape without any visible surgical marks on her face. By following closed rhinoplasty technique the severely curved caudal portion of nasal septal cartilage was removed and by lateral osteotomy technique the broad nasal bridge was narrowed. Thus her nose was made pristine and she feels very happy to have her complete nose correction without any scars on her face.

Facial view showing deviated nose towards right side with flat dorsum

Asymmetrical nostril shape due to septal deviation

Caudal portion of nasal septal cartilage was exposed

Excessively curved nasal septal cartilage was removed

Immediate postoperative view following lateral osteotomy showing prominent nasal bridge

Corrected shape of the nostrils without any visible surgical marks on the face

Combined nose and jaw correction for enhanced appearance

16/3/2015

A young man came to our hospital wanting to correct the shape of his broad, bulky nose that gave his face an unattractive appearance. Also his lower jaw was severely protruding making it difficult for him to bite, chew and speak well. He wanted to correct his jaw defect also.

Maxillofacial Surgeon Dr. S.M. Balaji performed a combined nose correction and jaw correction surgery. The large bulky nose was reduced and made more proportionate and sharp with reduction rhinoplasty. Using Obwegeser’s sagittal split osteotomy the protruding lower jaw was set back and into proper alignment with the upper jaw thereby correcting his bite. Nose and jaw correction was done from inside the nose and mouth respectively so there were no scars. The man was very happy that his appearance improved greatly and that both his nose and jaw defect were corrected simultaneously.

Preoperative view showing broad nose with bulky nose tip

Incorrect bite before surgery due to disproportionate and protruding lower jaw

Improved postoperative view following reduction rhinoplasty without any scars on the face

Accurate bite after corrective jaw surgery

Successful cosmetic cleft nose correction with lip revision

18/2/2015

A 28-year-old man from Kolkata reported to our hospital seeking specialized treatment to correct his cleft nose defect. He was previously operated for cleft lip and palate elsewhere in his childhood. Due to the cleft defect his nose was collapsed on the right side and it affected his facial appearance. He wanted to have unsightly lip scar correction also in the same surgery.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the rhinoplasty or nose correction. A costochondral graft (rib graft) was harvested and used to reconstruct the collapsed nasal framework. The surgery was approached from inside the nose so there will be no scar formation. Alar base on the right side was at a lower level compared to other side due to cleft defect. This was corrected by raising the floor of nose intraorally using costochondral graft thus nose was made symmetrical on either side.

Huge unsightly lip scar defect which was formed due to previous lip surgery done elsewhere also corrected and shape of the vermillion was reconstructed. Immediately after surgery, the nose appeared sharp and definite giving a more pleasing appearance. The patient was very happy to have his nose and lip defect corrected without much visible surgical marks.

Preoperative facial view showing asymmetric nose profile and depressed alar base on the left side due to cleft defect

Preoperative view showing depressed alar base on the left side due to cleft bone defect in the base of the nose

Harvested costochondral rib graft to augment the defective cleft nose

Costochondral rib graft used to raise the depressed dorsum of the nose

Cleft lip revision and augmented dorsum of the nose giving enhanced appearance

Alar base on the left side of the nose was raised and approximated to the right side without any visible surgical marks

Deviated nose correction without any scars

11/2/2015

A 21-year-old man reported to our hospital seeking to correct his deviated nose which greatly affected his facial appearance. He was very much disappointed as his nose was deviated to his left side which was very obvious in photographs.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the closed rhinoplasty technique. Deviated nasal septum was corrected by lateral osteotomy technique and resection of caudal portion of nasal septal cartilage on the right side. Thus entire surgery was done from inside the nose to avoid any scars on the face (closed rhinoplasty technique).

A balance between the nose shape and facial profile was achieved for a more pleasing appearance. The patient was very happy to have a corrected nose that enhanced his facial profile with absolutely no scarring.

Preoperative view showing deviated nose towards left side with prominent lower lateral nasal septal cartilage

Cosmetic nose correction for broad flat nose without any scars

30/1/2015

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 and abnormally angled noses. The patient’s expectation of his/her nose is understood after careful examination.

Shown is a case with a 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. Tip of the nose appears bulky and everted in the profile view; base of the nose appears broad. 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 nose tip was corrected by removing the prominent lower lateral nasal septal cartilage and Weir excision done to reduce the width of the alar base. Results are immediate. The patient is very happy with the surgery outcome and his enhanced appearance without any visible surgical marks

Preoperative view showing broad nose with bulky nasal tip

Costochondral graft harvested from the ribs used to augment the dorsum of the nose

Intranasally costochondral graft inserted into the dorsum of the nose

Immediate postoperative view following nasal bridge augmentation and Weir excision giving enhanced appearance