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

Thick facial scar adhered to underlying bone corrected for enhanced appearance

15/3/2016

This is a case of huge dermal scar revision. Due to road traffic accident the patient had a skin abrasion 5 months back. He was very unhappy due to a depression in the lower jaw and upper neck region on the left side with absence of hair growth in the affected region, and a thick scar that was adherent to the underlying bone, which was affecting his appearance. He wished to have the complete scar revision to enhance his facial appearance.
Maxillofacial Surgeon Dr. S.M. Balaji successfully removed the thick scar tissue which was strongly adherent to the underlying bone. The depression was reconstructed by the mobilization of platysma and skin by following double layer closure. The patient was happy that his appearance was greatly improved.

Preoperative view showing thick scar adherent to the underlying bone

Intraoperative view after complete removal of scar tissue and platysma flap mobilized and raised

Platysma flap used to cover the bone and reconstruct the depression

Immediately after double layer closure

Postoperative view immediately after suture removal following seven days of surgery

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

Surgical correction of defective helix of the ear

8/2/2016

25 year old man reported to our hospital seeking for cosmetic correction of his right ear defect. He consulted many plastic surgeons for the surgical correction but was not satisfied.
On examination, the helix of the right ear was defective. Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected his ear defect using wedge closure technique without much visible scars. Results are immediate. He is very happy to have single stage ear defect correction.

Cosmetic surgical correction of ear lobule

5/2/2016

Cosmetic ear correction needs precise skills and that too without any visible scarring. This is a case of left ear lobule detached from the facial skin where the right ear lobule was in correct shape and position. The girl was very keen to wear fashionable earrings but could not do so because the ear lobule shape was different in one ear as compared to the other side. Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected the lobule shape and position without any visible scarring. Thus the patient’s ear shape was made symmetrical as per her wish and she was happy to have the ear correction without any scars on the 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

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

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

Combined lower jaw and chin correction for enhanced appearance

16/5/2015

A young man came to our hospital seeking corrective jaw surgery to enhance his appearance. His lower jaw was excessively protruding causing an incorrect teeth occlusion that caused difficulties in biting and chewing. Additionally his chin bone was deviated away from the midline giving his face an asymmetric, crooked appearance.
Maxillofacial surgeon Dr. S.M. Balaji planned to correct the jaw defect with a combined bilateral Obwegeser’s sagittal split osteotomy and genioplasty. The mandible was set back to correct the alignment and bite using bilateral Obwegeser’s sagittal split osteotomy. With genioplasty, the deviated chin bone was corrected. The procedure was done from inside the mouth so there were no scars. Immediately after this corrective jaw surgery, the man’s appearance was greatly improved and he is very happy with the enhanced aesthetics.

Preoperative profile view showing long lower jaw giving asymmetric profile

Preoperative 3DCT scan showing long lower jaw and reverse bite

Intraoperative view showing corrected occlusion by following bilateral sagittal split osteotomy with reduction genioplasty

Corrected facial profile following surgery without any scars on the face

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

Surgical facial enhancement for forehead depression and deep nasal bridge

23/4/2015

A 32 year old man from Bangladesh reported to our hospital for his forehead depression correction. Due to a road traffic accident few months back he had frontal bone fracture and posterior displacement of the bone. He wanted to correct the forehead defect.

After thorough clinical and radiological assessment, Maxillofacial Surgeon Dr S M Balaji diagnosed that due to fracture of the outer table of the forehead (frontal) bone he had a depression and there was a deep nick in the nasal bridge also which required surgical correction. Surgery was done through the previous scar in the forehead and costochondral rib graft was used to augment the defect. Bridge of the nose was also enhanced using rib graft through the same incision. Patient feels very happy to have both forehead and nose correction done in the same surgery improving his appearance without much surgical marks on the face.

Preoperative 3DCT scan view showing forehead depression due to RTA

Facial view showing forehead depression between the brows and depressed nasal bridge

Harvested costochondral rib graft used to augment the forehead defect and nasal bridge

Nasal bridge also raised using rib graft

Through the previous scar the harvested rib graft was placed

Immediately after suture removal

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

Complete jaw reconstruction of missing left side Mandibular ramus, condyle and temporomandibular joint to correct face asymmetry

10/4/2015

A 13-year-old girl was brought to our hospital by her parents for specialized jaw reconstruction surgery. The girl’s lower jaw was deviated to the left side causing asymmetry of the face. Since birth the back portion of the left side lower jaw (Mandibular ramus and condyle) was missing causing difficulty in speaking and chewing. Also the lower jaw deviated to the left side while opening the mouth. The girl’s appearance was also affected making her self-conscious.

The 3D CT scan revealed complete absence of the posterior portion of the lower jaw left side. The left side jaw joint or temporomandibular joint was also absent. Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the jaw reconstruction surgery. A costochondral rib graft was harvested and used to reconstruct the missing left mandibular ramus, condyle and temporomandibular joint. Immediately following jaw reconstruction, the face appeared symmetrical improving her appearance. The girl will require post-surgery physiotherapy to rehabilitate the jaw joint function.

Preoperative facial view showing complete shifting of mandible towards left side leading to facial asymmetry

Preoperative digital orthopantomogram showing absence of mandibular ramus and condyle on left side

3DCT scan view showing complete congenital absence of ramus and condyle on left side

Preoperative mouth opening with jaw deviation towards left side

Costochondral rib graft harvested to reconstruct the structural and functional component of condyle

Harvested costochondral rib graft stabilized with the rest of the mandible

Immediate postoperative digital orthopantomogram showing reconstructed left condyle and ramus using rib graft

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

Cosmetic correction of misaligned left eyebrow due to a trauma treatment done elsewhere

14/2/2015

A 22 year old man reported to our hospital seeking cosmetic correction of his left eyebrow. One year back, due to an accident he had a cut injury in the left eyebrow for which he had a first aid at some hospital elsewhere. The cut ends of the eyebrow were misaligned which made him very conscious about his facial appearance. And also he wanted to correct the scar which was wide and unsightly formed due to previous surgery.

Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected the defect as well as the wide scar formed due to previous surgery. Dr. Balaji approximated the misaligned ends of the eyebrow and corrected the unsightly scar by removing the thick scar tissue. Patient is happy to have cosmetic correction of his eyebrow which enhanced appearance significantly.

Splitted and misaligned left eyebrow due to previous surgery done elsewhere

Immediate postoperative view where the eyebrow was corrected and the ends were sutured to its correct position

Immediately after suture removal following seven days from surgery showing enhanced appearance

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 correction of frontal bossing without any scars

9/2/2015

A 25 year old man from Bangladesh reported to our hospital seeking cosmetic correction of his forehead bossing. He had this prominence from his childhood itself. He was very upset of his profile view where the forehead prominence was very obvious. He wanted to reduce this cosmetically without any scars.

After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji diagnosed that due to frontal sinus enlargement the frontal bone was bulged out. Dr. Balaji corrected this defect by raising bicoronal flap and the outer table of frontal bone prominence was reduced. The frontal sinus cavity was explored and to maintain the forehead flatness titanium mesh was placed. Results are immediate and the patient is happy to have entire correction done without any scars on the face.

Sagittal view showing increased frontal sinus space leading to bossing

Facial profile view showing prominent frontal bossing

Intraoperative view where prominent frontal plate was exposed

After reducing the frontal bone excess to maintain the shape of the forehead the frontal sinus cavity was raised with titanium mesh

Postoperative profile view showing flat forehead giving enhanced appearance without any scars

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

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

Cosmetic rhinoplasty - bend nose correction without any scars

5/1/2015

This is a case of deviated nasal septum and depressed dorsum of the nose. Maxillofacial Surgeon Dr. S. M. Balaji cosmetically corrected the deviated nose by closed rhinoplasty technique. Deviated nasal septum was straightened and dorsum of the nose was augmented by costochondral autograft obtained from the rib cartilage. Postoperative view enhanced her facial appearance by having pristine nose profile. She was very happy to have the entire nose correction without any scars.

Deviated nasal septum with depressed dorsum of the nose

Corrected nasal septal deviation and augmented dorsum of the nose without any scars on the face

Successful removal and reconstruction of huge cystic lesion of lower jaw enhancing the functional stability

23/12/2014

A 20 year old boy reported to our hospital with the complaints of swelling in right side lower half of the face. He also said that this swelling was there for a very long period with occasional numbness in the right side.

After thorough clinical, radiological and histopathological examination, Maxillofacial Surgeon Dr. S. M. Balaji diagnosed it as odontogenic keratocyst (OKC) involving right body and ramus of the mandible. He planned to remove the entire lytic lesion and reconstruction of the affected portion of the mandible in the same surgery. Costochondral graft was harvested from the ribs to reconstruct the mandible. Through intraoral approach, after raising gingivomucoperiosteal flap extending distally, the entire lesion along with the affected portion of mandible was removed in toto. Harvested rib graft was used to reconstruct the defective region of mandible. Patient is very happy to have both removal of lesion and reconstruction of the affected portion of mandible in the same surgery.

Preoperative digital orthopantomogram showing large osteolytic lesion involving entire right half of the mandible

Preoperative 3DCT scan view showing erosion of the cortical bone with expansion of the body and ramus of mandible

Harvested costochondral graft used to reconstruct the mandible

Affected portion of the mandible with sufficient marginal clearance was cut and removed intraorally

Affected portion of jaw showing complete osteolysis with wide spread was removed in toto

Harvested costochondral graft used to reconstruct the huge defect

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