Maxillofacial Surgeon Dr. S. M. Balaji skillfully planned to correct her nose using closed rhinoplasty technique. Due to severe cleft defect, nasal septum was deviated towards right side and columellar base was buckled and depressed on left side of face. Intra nasally, the deviated nasal septum was dissected and made straight. Depressed lower left ala was lifted up by placing the shaped costal graft and the cartilaginous strut graft was positioned between the medial crura that make up the columellar base and thus the nose was reshaped to normal size. Both the nasal septum and columellar base was adjusted in such a way the nose was made more pristine to her face. Results are immediate and both the patient and her parents were very happy to have her defective nose corrected without any scars.