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 deviated nose without scars

13/3/2017

22 year old men reported to our hospital seeking to correct his deviated nose which greatly affected his facial appearance. He gave a history of road traffic accident 2 years back where he had severe injury on the nasal bones. He was very much disappointed as his nose was completely deviated to the right side giving asymmetric facial appearance.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the cosmetic rhinoplasty. Vertically nasal septal cartilage height was trimmed by medial osteotomy to reduce the height of the nose. Deviation along with the width of the nose was reduced 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 his facial profile with absolutely no scarring.

Facial photograph showing severe deviation of nasal bridge towards right side due to trauma

Lateral osteotomy done to correct the nasal bridge deviation

Medial osteotomy done to reduce the bulkiness of dorsum of the nose

Immediate postoperative view showing complete correction of nasal bridge deviation without any visible surgical marks on the face

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

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

Bulky nose correction using closed rhinoplasty technique

8/2/2016

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

Reduction Rhinoplasty for improved facial appearance

8/2/2016

A 26-year-old man came to our hospital seeking to correct the shape of his nose to enhance his appearance. His nose was very large and bulbous.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the reduction rhinoplasty to correct the nose shape. Lateral osteotomy was done and lower lateral nasal septal cartilage was removed to reduce the bulky nose and decrease the size of the nose tip. Weir excision was done to narrow the wide nostrils. Immediately following surgery the reshaped nose greatly enhanced his appearance and he is very happy that the procedure was done without visible scars.

Preoperative view showing bulky nose with broad nasal base

Preoperative view showing bulbous nose tip with broad base of the nose

Lower lateral nasal septal cartilage was removed intranasally

Immediate postoperative view showing reduced bulkiness of the dorsum of the nose

Wide alar base was reduced by Weir excision

Reduction rhinoplasty for cleft nose with lip revision

5/2/2016

A 22-year-old girl came to our hospital with 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. Intranasally lower lateral nasal septal cartilage was removed. The surgery was done from inside the nose so there were no scars. Secondary cleft lip revision was also done and missing left upper lateral incisor tooth was replaced with dental implant. Immediately following surgery, the girl’s appearance improved greatly and she was very happy with the surgery outcome.

Preoperative view showing broad nose with asymmetrical ala and defective lip due to cleft

Bulky tip of the nose with asymmetrical nostrils

Intraoperative view showing implant fixed in the missing tooth region with good stability

Lower lateral nasal septal cartilage was removed intranasally

Immediate postoperative view showing corrected tip of the nose and symmetrical ala without any visible surgical marks

Corrected tip and nostrils shape with secondary cleft lip revision

Bulky nose correction using closed rhinoplasty technique and orthognathic surgery to enhance facial profile

1/2/2016

28 year old women reported to our hospital seeking to correct the shape of her nose and jaw. Her nose was disproportionately large and which affected her appearance and her jaw was prominent with retruded chin. She sought to enhance the appearance of her face 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. Lateral osteotomy was done to reduce the width of the nose. Everted tip of the nose was corrected by augmenting the dorsum of the nose using the cartilage obtained from the lateral nasal septal cartilage. The surgery was done from inside the nose to avoid scarring. Intraorally mandibular setback done and chin advancement done using advancement genioplasty. Immediately following surgery the nose appeared proportionate greatly enhancing the facial appearance.

Broad nose with bulky tip and protruding maxilla and mandible with retruded chin

Long nose with everted tip and protruding maxilla and mandible with retruded chin

Maxillary prominence was corrected by Lefort I osteotomy

Intraoperative view showing correcting the lower jaw alignment and advancement genioplasty

Caudal portion of nasal septal cartilage removed intranasally

Excess cartilage utilized to augment the dorsum of the nose

Immediate postoperative view showing corrected dorsum and tip of the nose without any visible surgical marks on the face

Postoperative profile view showing corrected dorsum and tip of the nose

Enhanced appearance of the nose and chin without any scars on the face

Enhanced appearance of the nose and jaw following corrective jaw surgery

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

Cosmetic nose correction for broad flat nose with bulky tip

1/7/2015

A 25 year old male reported to our hospital with the complaint of depressed nasal bridge and broad base of the nose with bulky tip of the nose.
Maxillofacial Surgeon Dr. S.M. Balaji corrected his nose by following Augmentation Rhinoplasty technique. Cartilage graft has been harvested and sculpted for the correction of depressed nasal bridge. The surgery was done within the nose so there are no scars on the face. Asymmetrical alar shape was corrected by adjusting the shape of it using harvested rib cartilage. Results are immediate and he is happy to have a renewed confidence to have a pristine nose with a new, improved look.

Depressed dorsum of nose with bulky nose tip and defective alar shape

Asymmetrical ala shape with depressed appearance of nostrils

Harvested rib graft used to augment the dorsum of the nose

Intranasally the graft was inserted into the dorsum of the nose

Alar shape was reconstructed with the chondral graft harvested from rib

Immediate postoperative view showing augmented dorsum of nose with corrected nasal tip

Corrected alar shape giving pristine appearance without any visible surgical marks on the face

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

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

15/6/2015

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

Footplate of the medial crus removed

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

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

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

Cosmetic rhinoplasty for devaited nose without scars

4/2/2015

A 22 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 skillfully performed the cosmetic rhinoplasty. Vertically nasal septal cartilage height was trimmed by medial osteotomy to reduce the height of the nose. Width of the nose was also reduced by lateral osteotomy technique. Caudal portion of lateral nasal septal cartilage was removed to correct the nose tip. 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 view - deviated nose towards right side

During procedure - lower lateral nasal septal cartilage removed intranasally

Medial osteotomy of the nose to reduce the height of the nose

Lateral osteotomy to correct the deviated nasal bridge

Immediate postoperative view showing straightened nasal septum giving pristine look without any visible surgical marks