Maxillofacial surgeon Dr. S. M. Balaji skillfully planned to correct the nose by following reduction rhinoplasty technique and alar base shaped by using weir excision. Bilateral incisions are made inside the nose and connected by transfixation intercision. Deviated nasal septum was exposed and dissected in such a way that the anterior part was excised in a triangular manner. Both lower lateral cartilages (cephalic portion- foot plate of medial crus) were excised and removed leaving the caudal portion intact.
Both side upper nasal cartilages were divided in the midline through a cut made in the superior part of upper cartilage of the septum (medial osteotomy). Dorsum of the nasal bone was osteotomized by lateral osteotomy technique and rough surface of the nasal bone was smoothened with the rasp. Weir excision was made to shape the ala of the nose. And the flaps were approximated in layers. Results are immediate. The surgery was done within the nose resulting scar less appearance and the nose was shaped to normal size and shape which well blended to his facial appearance and also enhanced the profile of the face.