#leftlipsurgery

Cleft Palate Repair in Child with Pierre Robin Syndrome This child was born with Pierre Robin syndrome along with an accompanying isolated wide cleft palate deformity. Children with Pierre Robin syndrome developed obstructive sleep apnea due to their mandibular micrognathia. His parents were extensively counseled regarding his condition and it was decided to perform cleft palate repair at 11 months of age. The Wardill-Kilner palatal pushback technique was used to surgically repair this. As his cleft palate was very wide, greater palatine osteotomy was performed for better mobilization of the greater palatine artery to enable better closure of the cleft defect. Using Delaire’s principle, the abnormal attachment of the levator palati and tensor palati were detached and a hammock was form with the muscle fibers. This recreated normal palatal structure. There was also perfect recreation of the uvula. He would need to undergo distraction osteogenesis of the mandible at a later date to correct his mandibular micrognathia. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #PierreRobinSyndrome #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CGXbHJAHzPU/?igshid=juyzpsny2s9r

Completely Collapsed Columella of the Nose – Open Rhinoplasty with Reconstruction of Prolabium This young girl was born with a bilateral cleft lip and palate deformity and had undergone surgical repair as an infant. She now has a collapsed columella and a shortened prolabium that has led to a whistling deformity with exposure of her anterior teeth. The bridge of her nose is also extremely flattened. Costal rib grafts were harvested and used to augment the bridge of her nose through an open rhinoplasty. A double-decker graft was used due to the extreme flatness of her nasal bridge. This gave her a raised and esthetic nasal form. She then underwent a prolabium flap repositioning to reconstruct the shortened columella. An Abbe flap reconstruction of the residual prolabium defect was then performed. This resulted in complete correction of her deformities. Her entire facial appearance was transformed by her surgery. She expressed her happiness at the results of her surgery, which has given her a beautiful smile. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #prolabium #openrhinoplasty #rhinoplasty #cosmeticrhinoplasty #plasticsurgery #plasticsurgeon #cosmeticsurgery #facilcosmeticsurgery #cosmetic #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CGAazWFgfBl/?igshid=1l1yntzcztf7r

Closed Rhinoplasty and Lip Scar Revision Surgery This gentleman had been born with a unilateral cleft lip and palate deformity, which had been surgically corrected as an infant. He now presented to our hospital complaining of nasal asymmetry and an unsightly lip scar. A closed rhinoplasty was performed with augmentation of his nasal bridge and correction of his nasal deformity with a costal rib graft harvested at the time of surgery. This was followed by lip scar revision. There was nasal asymmetry following the surgery. He was very happy with the results of the surgery and thanked the surgical team before final discharge from the hospital. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #rhinoplasty #cosmeticrhinoplasty #plasticsurgery #plasticsurgeon #cosmeticsurgery #facilcosmeticsurgery #cosmetic (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFrtTqYgZns/?igshid=j7w6vfl3baxt

Unilateral Cleft Lip Surgery This little girl was born with a unilateral cleft lip and palate. Her parents were counseled regarding the difficulties encountered by children born with this defect. She had subsequently undergone cleft lip surgery at the age of 3 months. It was decided to perform a modified Millard’s technique. The floor of her nose and nasal sill were reconstructed using a C-flap. This was followed by reapproximation of the vermillion border. There was meticulous reapproximation of the cleft lip with a three layer closure. The orbicularis oris, subcutaneous tissue and skin had been perfectly aligned under the magnification of a surgical loupe. Her parents expressed their total satisfaction with the results of the surgery and were extremely happy at the time of discharge from the hospital. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFR-TjWgIqf/?igshid=o719si0oueml

Premaxillary Setback Procedure This little girl presented to us with a bilateral cleft lip and palate deformity. She underwent cleft lip repair at 3 months and cleft palate repair at 11 months of age. Her parents brought her back for premaxillary setback surgery. It was decided to proceed with this surgery even though she was only 4 years old as she was facing a lot of teasing at school. Her premaxillary segment was completely mobile. It was decided to harvest a graft from the ribs as her hip bone would be predominantly cartilaginous at this age. Excess vomerine bone was removed and also utilized for the graft. Her premaxillary segment was aligned with the maxilla on either side. The space between the maxillary segments and the premaxillary segment was closed with bone grafts. She had very good functional and cosmetic results from the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #PremaxillarySetback (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFPthUUANG2/?igshid=pkkaps1euqx7

Rhinoplasty with Graft for Lifting up Collapsed Nose This young woman was born with a unilateral cleft lip and palate deformity, which had been surgically corrected at 3 months and 11 months respectively. She now has a nasal deformity with a collapsed columella and a bony deficiency at the left alar base. She presented to our hospital for surgical correction. Treatment planning was explained to her and she consented to surgery. She underwent straightening of the buckled alar cartilage with a costal graft along with bone grafting at the region of the bony deficiency at the left alar base followed by placement of a strut graft to straighten out her collapsed columella. This resulted in good cosmetic correction of her deformities. She was extremely pleased with the results of the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #rhinoplasty #cosmeticrhinoplasty #plasticsurgery #plasticsurgeon #cosmeticsurgery #facilcosmeticsurgery #cosmetic #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFKbYfMAWxC/?igshid=2bwquyce0uhj

Unilateral Cleft Lip Surgery This little girl was born with a unilateral cleft lip and palate. Her parents were counseled regarding the difficulties encountered by children born with this defect. She had subsequently undergone cleft lip surgery at the age of 3 months. It was decided to perform a modified Millard’s technique. The floor of her nose and nasal sill were reconstructed using a C-flap. This was followed by reapproximation of the vermillion border. There was meticulous reapproximation of the cleft lip with a three layer closure. The orbicularis oris, subcutaneous tissue and skin had been perfectly aligned under the magnification of a surgical loupe. Her parents expressed their total satisfaction with the results of the surgery and were extremely happy at the time of discharge from the hospital. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #unilateralcleftlip #cleftlip #leftlipsurgery #cleftlipandpalate #cleftpalatesurgery #cleftsurgery #bilateralcleftlip #facialdeformity #birthdefect #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CFHrjA1A9LP/?igshid=22kzuyvaa109