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

1/2/2016

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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
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Corrective jaw surgery (orthognathic surgery) for gummy smileĀ 

27/12/2014

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A 22-year-old boy came to our hospital for expert correction of his protruding upper jaw. The boy was about to begin his career and he was very self-conscious about his appearance.

Clinical and radiological investigation showed his upper jaw or Maxilla was disproportionately larger as compared to the lower jaw and his upper teeth were severely protruding. Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the corrective jaw surgery or orthognathic surgery with Le Fort I osteotomy. The upper jaw was set back, reshaped & realigned to his perfect facial harmony. The entire procedure was done from inside the mouth so there were no scars. Immediately following surgery the boy’s appearance was greatly enhanced and his more attractive profile boosted his confidence.
Preoperative facial view showing inability to close upper lip due to lengthened upper jaw - short lip
Postoperative view showing enhanced appearance by reducing the length of the upper jaw without any scars
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Successful profile enhancement giving pleasant appearance without any scars

3/9/2014

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A 30 year old lady reported to our hospital with the complaint of inability to close her lips and protruding upper front teeth due to forwardly placed upper jaw. Because of her appearance she was very self conscious and not social. Her parents too feel bad regarding her appearance.

Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected her appearance with orthognathic surgery. Results are immediate and both the patient and her parents are happy. Her profile view also enhanced dramatically without any scars on her face. 
Preoperative view showing protruding upper teeth & inability to close the lips due to disproportionately large upper jaw
Preoperative profile view showing severely protruding upper jaw affecting appearance
Postoperative view showing enhanced appearance after corrective surgery of upper jaw
Postoperative profile view showing enhanced appearance of the face without any scars
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Corrective jaw surgery (orthognathic surgery) for gummy smile

25/7/2014

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An 18-year-old girl from Bangalore was brought to our hospital by her parents for expert correction of her protruding upper jaw that caused an unattractive “gummy smile”. The girl was about to begin her college education and she was very self-conscious about her appearance.

Her facial bones were analyzed using digital x-rays. Her upper jaw or Maxilla was disproportionately larger as compared to the lower jaw and her upper lip was short causing too much of the gums to be visible while smiling. Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the corrective jaw surgery or orthognathic surgery with Le Fort I osteotomy. The upper jaw was set back, reshaped & realigned in perfect facial harmony. The entire procedure was done from inside the mouth so there were no scars. Immediately following surgery the girl’s appearance was greatly enhanced and her more attractive, pleasing smile boosted her confidence.
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