Rhinoplasty for correction of cleft nose defect

A girl with unilateral cleft lip and palate came to our hospital seeking to correct her nose defect to enhance her appearance. She was previously operated elsewhere for cleft lip and palate defect. Her nose appeared collapsed on the right side and the asymmetry gave an unpleasant look.

Maxillofacial Surgeon Dr. S.M. Balaji successfully corrected her nose defect with rhinoplasty surgery. A columellar strut graft obtained from costochondral rib was used to reconstruct the collapsed ala of nose. The deviated nasal dorsum was corrected with lateral osteotomy giving an enhanced, symmetric appearance. Immediately following surgery, the nose appeared reshaped and defined giving the face a more attractive appearance. 

Preoperative view showing deviated dorsum of the nose and depressed alar towards left side due to cleft defect

Preoperative view showing collapsed right alar base and shape of the nose due to unilateral cleft defect

During procedure columellar strut graft harvested from the rib and shaped and adapted to the ala of the nose

Postoperative view showing correction of the deviated dorsum of the nose and reconstructed shape and size of the ala of the nose

Postoperative view showing corrected alar base and shape of the ala of the nose without much surgical marks