Maxillofacial Surgeon Dr. S. M. Balaji skillfully planned to correct her nose by following Augmentation Rhinoplasty technique. Costochondral graft was harvested from the ribs, shaped and used to reconstruct the nose to increase the height. Thus proper shape of the nose was achieved. Maxillary prominence was also corrected by following Lefort I osteotomy. Entire nose correction was made within the nose (closed rhinoplasty technique); there are no scars on the face. Results are immediate and the patient was very happy to see her enhanced profile of the nose without any scars. This dramatically improved her appearance and self confidence.
A 22 year old girl reported to our hospital wanting to correct her nose profile which was very broad and flat to her face and ill-defined dorsum gave her more aged appearance. On addition her prominent upper jaw on side view gave unsightly appearance. Due to her defective nose profile and disproportionate jaw alignment she was very self conscious about her appearance. Maxillofacial Surgeon Dr. S. M. Balaji skillfully planned to correct her nose by following Augmentation Rhinoplasty technique. Costochondral graft was harvested from the ribs, shaped and used to reconstruct the nose to increase the height. Thus proper shape of the nose was achieved. Maxillary prominence was also corrected by following Lefort I osteotomy. Entire nose correction was made within the nose (closed rhinoplasty technique); there are no scars on the face. Results are immediate and the patient was very happy to see her enhanced profile of the nose without any scars. This dramatically improved her appearance and self confidence.
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A 15-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. 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. 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. A 32 year old lady from Andhra Pradesh reported to our hospital seeking for cosmetic correction of her nose shape. Her nose was deviated towards right side and flat dorsum of the nose made her feel conscious about her facial appearance. She had consulted many surgeons before for the correction of her nose without any visible surgical marks on her face. She was not convinced. Maxillofacial surgeon Dr S. M. Balaji successfully corrected her nose shape without any visible surgical marks on her face. By following closed rhinoplasty technique the severely curved caudal portion of nasal septal cartilage was removed and by lateral osteotomy technique the broad nasal bridge was narrowed. Thus her nose was made pristine and she feels very happy to have her complete nose correction without any scars on her face. 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. 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. 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 A 30-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. 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.
A 55 year old woman reported to our hospital seeking for cosmetic nose correction. She was very particular to reduce the size of the nostrils which gave her an asymmetric appearance on her facial profile view. Maxillofacial Surgeon Dr. S. M. Balaji successfully planned to correct the nose shape by following closed reduction rhinoplasty technique. Excessive caudal portion of nasal septal cartilage was removed intranasally to avoid scar formation. Results are immediate. Patient was happy to have corrected nose profile and nose tip without any visible scarring. A 35 year old lady from Tiruppur came to our hospital with a complaint of deficient bridge portion of nose. The midlevel of the dorsum of the nasal bone, where there was a deficiency created a huge negative impact on the facial profile. This gave her an aged appearance too. 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 costochondral graft (rib graft) was harvested, shaped and positioned to improve the aesthetics of the nose. Width of the alar base was corrected by Weir excision. The patient was very happy with the surgery outcome and to have an enhanced appearance. A man with Tessier nose defect came to our hospital wanting to surgically change the shape of his nose to improve his appearance. His nostrils were asymmetrical with the left side being at a higher level than the right. The nasal septum was deviated. Maxillofacial surgeon Dr. S.M. Balaji successfully performed the rhinoplasty to correct the alar deficiency. Deviated septum was corrected. Footplate of the medial crus on the left side was removed. Using Denonvillier’s Z-plasty technique lower lateral cartilage was brought down to reduce the columellar show on the left side. Both nostrils were made symmetrical improving the appearance of the nose and enhancing the facial profile. A 23 year old man reported to our hospital seeking to correct his nose defect. He was previously operated for unilateral cleft lip and palate elsewhere. Also he had undergone multiple surgeries elsewhere to correct his nose defect but they were unsuccessful. Patient was very conscious about his facial appearance.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the rhinoplasty to enhance the appearance of the nose. Nasal septal graft was harvested. Bent nasal septum was straightened using the graft as batten and the collapsed alar rim was reconstructed. Immediately following surgery the nose appeared more symmetric and the facial appearance was enhanced greatly. The patient is very happy with the surgery outcome. 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. A 25-year-old man reported to our hospital seeking to correct his cleft nose defect and lip scar to improve his appearance. He was previously operated elsewhere for cleft lip and palate. He had an unsightly scar of the cleft lip repair. His nose appeared bulky and deviated. Also the large, unpleasant hump of the nose affected the facial profile making his face unattractive. Maxillofacial Surgeon Dr. S.M. Balaji successfully performed reduction rhinoplasty to decrease the overall bulk of the nose and to correct septal deviation. The lower lateral nasal septal cartilages were removed. Medial and lateral osteotomy was done with dorsal hump reduction. Cleft lip scar revision was also done. Immediately following surgery the nose appeared more proportionate and sharp. The nose profile appeared smoother & reshaped. This along with the revised lip scar greatly enhanced the facial appearance. The man was very happy with the surgery outcome and to have a more pleasing appearance. A 25-year-old girl came to our hospital seeking to correct the defects in her nose and upper lip to enhance her appearance. She was born with unilateral cleft lip and palate for which she was operated in her childhood. Now her nose appeared collapsed & flattened and there was an irregular scar on her upper lip. Maxillofacial Surgeon Dr. S.M. Balaji successfully performed a combined augmentation rhinoplasty and lip revision to correct the defects and improve her appearance. A costochondral rib graft was harvested and used to reconstruct the nasal framework. Dorsum of nose was augmented and alar base reconstruction was done through weir incisions. With this the nose was reshaped to a sharper, pristine form. Upper lip scar revision was also done in the same surgery. Immediately following correction of the nose & lip defect, her appearance improved greatly and she was very pleased with the surgery outcome. A 24-year-old female reported to our hospital seeking to correct the shape of her nose to enhance her appearance. The tip of her nose was very bulky & stout that gave an unattractive look.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the nose correction. The lower lateral nasal cartilage was removed from both sides to reshape the bulky nose-tip. Immediately following surgery, the structure of the nose appeared sharp & pristine. Since the surgery was done from inside the nose there were no scars. The patient was very happy that the surgery gave her the desired results & made her face look very attractive & pleasing. A 26-year-old man came to our hospital seeking to enhance his appearance by correcting the shape of his nose. His nose was flattened & broad that affected his facial profile.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the augmentation rhinoplasty procedure. A costochondral rib graft was harvested. The dorsum of the nose was augmented using the harvested graft. Immediately after surgery the nose appeared sharp & defined which greatly enhanced his looks. The patient was happy with the enhanced cosmetic results achieved without any scars since the surgery was done from within the nose. A 16-year-old girl from Chennai 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 collapsed left nostril was reconstructed with a strut graft. The surgery was done from inside the nose so there were no scars. Lip revision was also done simultaneously. Immediately following surgery, the girl’s appearance improved greatly and she was very happy with the surgery outcome. A 26-year-old girl came to our hospital seeking to correct the shape of her nose. Her nose was parrot-beaked shaped which deflected from an attractive appearance. She was to get married in a few months and wanted to cosmetically correct the shape of her nose without any scars.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the reduction rhinoplasty. A medial & lateral osteotomy was performed and the nasal septal cartilage was reduced correcting the nasal framework. The procedure was done from inside the nose so there was no scarring. Immediately following surgery the shape of the nose was enhanced greatly improving her appearance. She was very happy to have her nose restructured without any scars. A 25-year-old man reported to our hospital seeking to correct the shape of his nose. His nose was disproportionately large and bulky that affected his appearance. He sought to enhance the appearance of his nose for a more pleasing look. Maxillofacial surgeon Dr. S.M. Balaji successfully performed the reduction rhinoplasty to reduce the size of the nasal framework. A horizontal, medial & lateral osteotomy was performed to reduce the nose height along with weir excision for narrowing the alar base. The surgery was done from inside the nose to avoid scarring. Immediately following surgery the nose appeared sharp & proportionate greatly enhancing the facial appearance. A 20-year old man reported to our hospital seeking to correct the shape of his nose. His nose was very elongated that gave the face an unattractive appearance.
Maxillofacial surgeon Dr. S.M. Balaji successfully performed the rhinoplasty to enhance the appearance of the nose. The caudal end of the alar cartilage was reduced. Also the length of the septum and vestibular mucosa were reduced and the nose was shortened. The procedure was done from inside the nose to avoid scars. Immediately following rhinoplasty, the nose now made proportionate & sharp greatly enhanced the facial appearance & the patient was very happy to have a more attractive, scarless look. A 35-year-old woman reported to our hospital seeking to improve the structure of her nose to improve her facial appearance. The bridge of the nose was depressed and appeared excessively concave in the profile view. Also the tip of her nose was very stout & bulky.
Maxillofacial surgeon Dr. S.M. Balaji successfully performed the augmentation rhinoplasty. A costochondral cartilage graft was harvested from the rib and used to reconstruct the depressed dorsum of the nose. Excessive fat was removed from the nose tip to make it proportionate & pristine. The procedure was done inside the nose so there was no scar. Following rhinoplasty, the patient was very happy to have a sharp, defined nose making her face more attractive. A 22 year-old girl reported to our hospital seeking to correct the shape of her nose. Her nose was broad, flattened and appeared humped in the profile view. She wanted a more attractive nose that would enhance her appearance. Maxillofacial Surgeon Dr. S.M. Balaji skillfully performed the augmentation rhinoplasty. A costochondral cartilage graft was harvested and used to reconstruct the deformed dorsum of the nose. The graft was placed from inside the nose so there was no scarring. The nose was made sharp, defined and pristine which greatly enhanced her facial appearance. The girl was very happy with the surgery results. A 20-year-old man reported to our hospital seeking to correct the appearance of his nose. His nose was much flattened in the middle 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, 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 his appearance. An 18-year-old boy reported to our hospital seeking to correct his cleft nose defect that affected his appearance. He was operated elsewhere in his childhood for bilateral cleft lip and palate. Due to the cleft defect his nose was deformed and beak shaped. Maxillofacial surgeon Dr. S.M. Balaji skillfully performed the cleft rhinoplasty. A costochondral cartilage graft was harvested and the dorsum of the nose was augmented using the graft. The prominent lower lateral nasal cartilage was removed on both sides to correct the ala defect and reconstruct the structure of the nostrils. The surgery was done from inside the nose so there was no scar. Immediately after surgery, the nose appeared sharp and defined and the boy was very happy with the scarless results. |
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