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

Nose correction to enhance appearance after failed treatment done elsewhere

11/2/2016

A 24 year old girl reported to our hospital seeking cosmetic correction of her nose. She had undergone nose correction operation elsewhere to correct her crooked nose shape and blocked nose but they had used open rhinoplasty technique which resulted in an unsightly scar. She was not at all satisfied with the results. She felt the dorsal surface of her nose was flat which gave her an aged look. She wanted to correct her nose profile cosmetically.
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. Enlarged turbinates were also trimmed. Results are immediate, patient is very happy to have a sharp, pristine nose without any surgical marks, which suits her facial profile. Also she is happy that she no longer has blockage of the nose and can breathe easily.

Preoperative facial view of the nose showing broad and ill-defined dorsal bone giving asymmetrical appearance

Preoperative profile view showing defective dorsal bone giving wavy appearance

Costochondral rib graft harvested used to augment the dorsum of the nose

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

Corrected dorsum of the nose giving pristine appearance

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

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

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

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

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

Flat nose correction without any scars

13/1/2015

A 20-year-old girl reported to our hospital seeking to correct the appearance of her nose. Her nose was much flattened in the middle 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, collapsed dorsum of the nose. The surgery was done from inside the nose (closed rhinoplasty) so there was no scarring. The patient was very happy to have a sharp, defined & pristine nose immediately after surgery, which improved her appearance.

Flattened dorsum of the nose .

Harvested costochondral graft used to augment the dorsum of the nose

Immediate postoperative view showing augmented dorsum of the nose giving pristine look without any scars

Cosmetic nose correction for broad flattened nose without any scars

9/1/2015

A 25 year old male reported to our hospital with the complaint of depressed nasal bridge and broad base 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. Results are immediate and he is happy to have a renewed confidence to have a pristine nose with a new, improved look.

Preoperative facial view showing broad, flattened nose with ill defined nasal bridge

Preoperative profile view showing depressed dorsum of the nose giving saddle like appearance

Intra operative view showing harvested costochondral graft placed on the dorsal surface of the nose to show the dorsal defect

Immediate postoperative view showing augmented dorsum of the nose giving pristine look without any scars on the face

Postoperative profile view showing augmented nasal bridge giving enhanced profile view

Rhinoplasty (nose correction) for improved facial appearance

17/10/2014

A 26-year-old woman came to our hospital seeking to correct the shape of her nose to enhance her appearance. Her nose was very large and bulbous. Also there was a mole on her nose which she wanted to be removed.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the 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. Also the unsightly mole on her nose was removed. Immediately following surgery the reshaped nose greatly enhanced her appearance and she was very happy that the procedure was done without scars.

Preoperative view showing bulky nose with broad nasal base

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

Lower lateral nasal septal cartilage was removed intranasally

Mole on the dorsum of the nose was excised by superficial dermal incision

Lateral osteotomy was performed to reduce the width of the nose

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

Wide alar base was reduced by Weir excision