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 broad nose deformity

3/12/2020

This young man had always been dissatisfied with the shape of his nose. He had always felt it was very broad and had a hump. This made him feel depressed and socially withdrawn. His parents therefore decided to seek surgical correction of his nasal deformity.

It was explained to him that a closed rhinoplasty would be performed to correct the imperfections in his nose. There would be no visible scarring from this procedure.

A transcartilaginous incision was made and dissection was done to the lower lateral cartilages. The lateral cruces were excised to reduce the breadth of his nose. Dissection was then done to the dorsum of his nose. His nasal hump was rasped down to give his nose a straight profile.

Bilateral Weir excisions were then performed to reduce the breadth of his alar base. This resulted in a nasal structure that was in harmony with the rest of his face.

The patient and his parents were very happy with the results of the surgery. They expressed their satisfaction before final discharge from the hospital.

Cosmetic Rhinoplasty and Augmentation of Alveolar Defect with Bone Graft

1/12/2020

This young man had been born with a unilateral cleft lip and palate defect, which had been corrected when he was an infant. He now presents with a depressed right alar base arising from a maxillary alveolar bone defect and fistula. Treatment planning was explained to him and he consented to surgery.

Lyophilized bone grafts were utilized to augment his alveolar bone defect and fistula. The bone graft was then utilized to augment the bridge of his nose through an intercartilaginous incision after excision of the lower part of his medial nasal cartilage.

Bilateral lateral osteotomies were finally performed resulting in esthetic correction of his nasal deformity. He expressed his delight at the result of the surgery.

Surgery Video

Correction of broad and flat nose without any scars on the face

12/1/2018

A 33-year-old woman reported to our hospital with the complaints of a broad and flat nose; stating that it gave her an aged appearance. The patient was psychologically disturbed and requested a nose correction.
Under the skillful hands of Maxillofacial Surgeon Dr. S. M. Balaji, successfully nose correction was done by Augmentation Rhinoplasty technique. The costochondral graft was harvested from the ribs, shaped and used to reconstruct the nose to increase the height. The entire surgery was performed within the nose (closed rhinoplasty technique) with no visible scars on the face. The result was immediate and the patient was elated to see her enhanced profile of the nose without any scars.

Preoperative facial view showing a broad nose

Profile view showing flat dorsum of nose

Rib graft approximated to augment the dorsum of nose

Immediate postoperative view showing corrected dorsum of nose

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

Cleft rhinoplasty without scars

26/8/2016

25-year-old men reported to our hospital seeking specialized treatment to correct his cleft nose defect. He was previously operated for cleft lip and palate elsewhere. Due to the cleft defect his nose was collapsed on the left side and it affected his facial appearance.
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 was no scar. Secondary lip repair was also done to correct the vermillion defect. Immediately after surgery, the nose appeared sharp and definite giving a more pleasing appearance. The patient was very happy to have his nose defect corrected without any visible surgical marks on the face.

Preoperative facial view showing broad nose with deviated nose tip towards right side due to cleft defect

Columellar view showing depressed nasal tip with ill defined columella and asymmetric nostrils

Costochondral rib graft harvested to reconstruct the shape of the nose

Immediately after suturing showing corrected dorsum of the nose with cleft lip revision

Columellar view showing corrected shape of the nostrils using rib graft intranasally 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 flat nose

30/5/2016

A 26-year-old girl reported to our hospital seeking to correct the appearance of her nose. Her nose was much flat 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 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 her appearance.

Preoperative facial view showing broad flat depressed dorsum of the nose

Depressed dorsum of the nose giving asymmetric profile view

Costochondral rib graft obtained to reconstruct the dorsum and columella of nose

Augmented dorsum of the nose intranasally using costochondral graft giving enhanced appearance

Postoperative profile view showing augmented dorsum with defined tip and columella of nose

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

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

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

Flat nose with bulbous drooping tip correction without any scars

8/2/2016

A 26-year-old girl reported to our hospital seeking to correct the appearance of her nose. Her nose was much flattened from the middle. And she wanted to have a sharp nose with defined tip to improve her appearance.
Maxillofacial surgeon Dr. S. M. Balaji expertly performed the augmentation rhinoplasty. A costochondral cartilage graft was obtained and used to reconstruct the depressed, collapsed dorsum of the nose following medial and lateral osteotomy. Bulbous and drooping tip of the nose was corrected by removing the lower lateral nasal septal cartilage. The surgery was done from inside the nose (closed rhinoplasty) so there was no scarring. The patient feels very happy to have a sharp, defined & pristine nose immediately after surgery, which improved her appearance.

Broad flat nose with bulbous tip

Costochondral rib graft obtained to enhance the dorsum of the nose

Lower lateral nasal septal cartilage removed intranasally to reduce the bulbous nasal tip

Immediately after surgery showing enhanced appearance of the nose without any visible surgical marks on the face

Postoperative view following seven days after surgery showing enhanced appearance without any visible scars on the face

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

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

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

Cleft rhinoplasty without scars - BALAJI DENTAL

27/6/2015

A 22-year-old boy 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 left side and it affected his facial appearance.
Maxillofacial Surgeon Dr. S.M. Balaji expertly 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 was no scar. Immediately after surgery, the nose appeared sharp and definite giving a more pleasing appearance. The patient was very happy to have his nose defect corrected without any scars.

Facial view showing flat ala on the left side due to cleft defect

Flat dorsum with depressed columella due to cleft defect

Depressed columella with alar defect due to cleft deformity

Harvested costochondral rib graft used to augment the dorsum of the nose

Immediate postoperative view showing corrected alar defect

Corrected profile view showing augmented dorsum of the nose

Corrected alar shape with nostrils and columellar length raised without any visible scars 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

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

Nose correction & Abbe flap procedure for lip correction in cleft patient

8/6/2015

A 25-year-old man came to the hospital wanting to correct his lip and nose defect to improve his appearance. He was born with bilateral cleft lip and palate which was previously operated elsewhere. His upper lip was very thin and his nose appeared deformed making him very self-conscious about his appearance.

Maxillofacial Surgeon Dr. S. M. Balaji successfully performed an abbe flap procedure for lip correction and nose correction. A flap of tissue was taken from the lower lip, rotated across the mouth and used to reconstruct the upper lip with the base of the flap still attached to the lower lip to maintain blood supply. The flap was taken with hair follicles to ensure moustache growth. Once blood supply was established, the flap was divided giving the upper lip a more natural, improved form. The broad nose was reshaped to make it more proportionate and balanced. Following surgery the man was very happy to have an improved facial profile.

Preoperative facial view showing defective cleft nose and lip

Preoperative profile view showing depressed nasal tip due to missing columella and missing upper lip prominence

Immediately after suturing with columella enhancement and upper lip correction

Immediately after suture removal following Abbe division showing enhanced appearance of nose and upper lip without much surgical marks

Profile view showing augmented nose profile and columella and proportionate lips were obtained giving enhanced appearance