A 30-year-old man from Bangladesh reported to our hospital seeking to correct his nose and lip defect to improve his appearance. He was previously undergone multiple surgeries elsewhere for his cleft defects. His nose appeared deviated to the left side, his nostrils appeared collapsed and his upper lip was short and thin that gave him an unattractive appearance.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed a combined correction of the nose & lip defect. The nasal septal deviation was corrected. Dome binding sutures were strategically placed to narrow the lower lateral nasal cartilage, thus making the nose tip less bulbous. The nostrils were reshaped and this enhanced the appearance of the nose instantly.
The lip defect was corrected with Abbe-flap technique. A flap of tissue was taken from the lower lip, rotated across the mouth & sutured to 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. After 3 weeks once blood supply is established, the flap will be divided, giving the lips an enhanced form, function & appearance.
Maxillofacial Surgeon Dr. S.M. Balaji successfully performed a combined correction of the nose & lip defect. The nasal septal deviation was corrected. Dome binding sutures were strategically placed to narrow the lower lateral nasal cartilage, thus making the nose tip less bulbous. The nostrils were reshaped and this enhanced the appearance of the nose instantly.
The lip defect was corrected with Abbe-flap technique. A flap of tissue was taken from the lower lip, rotated across the mouth & sutured to 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. After 3 weeks once blood supply is established, the flap will be divided, giving the lips an enhanced form, function & appearance.
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