Maxillofacial Surgeon Dr. S.M. Balaji performed the cleft rhinoplasty to correct the nose shape. Rib graft was taken and used to raise the base of the nose through an intraoral approach. Also the height of the columella was increased and the graft was used to reconstruct the alae and nasal dorsum. Immediately following surgery the nose appeared sharp, symmetrical and pristine greatly improving her appearance. The girl is very happy to have an attractive look without any scar.