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Reshape Your Nose With An Affordable Cleft (Lip & Nose) Rhinoplasty Surgery In Mumbai, India

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Cleft Rhinoplasty

Cleft rhinoplasty surgery is a plastic surgery used to repair and reconstruct the nose of someone born with a cleft lip or palate. Cleft deformities can cause a wide range of physical and functional deformities that can be difficult to correct. Cleft nose surgery helps to correct the aesthetic and functional deformities caused by a cleft lip or palate.

A cleft lip is a congenital disability that occurs when the tissue in a baby's upper lip does not grow together properly, resulting in an opening in the upper lip area. A cleft palate is a congenital disability that occurs when the tissue in the roof of the mouth does not grow together properly, resulting in an opening in the top of the mouth. Both cleft lips and palates are caused by a disruption in normal development in the early stages of pregnancy.

Cleft lip and palate are the kinds of craniofacial deformities. Cleft lip can be basically of two types: unilateral and bilateral cleft lips. A cleft lip can also be a complete one or an incomplete one. In an incomplete cleft lip, the nose is not involved. In a complete cleft lip either a unilateral or bilateral cleft, the nose is also involved, and a cleft in the nose is seen.

Unilateral Cleft Nasal Deformity Characteristic Features Include

    Disturbance of the muscle ring covering the nasal sill,

  • A splayed cleft-sided medial crus.
  • Malpresentation and hypoplasia of the lower lateral cartilage.
  • A flattened nasal dome.
  • Pathologic tethering of the accessory chain of the lower lateral cartilage to the piriform aperture, and
  • Soft tissue deficiency of the nasal floor.

Characteristic structural deformities on the cleft side include

  • A retrusive maxillary segment,
  • A septum that deviates posteriorly,
  • Abnormal insertions of the lip and cheek musculature to the alar base, and vestibular lining deficiency.
  • Malfunction of the cleft ala external valve culminates from alar base malposition,
  • An imbalanced muscular pull, and
  • Unusual attachment of the cheek muscles to the lateral crus,
  • Tip projection is further compromised by a foreshortened columella, which lies obliquely, with its base directed away from the cleft side.

The characteristic features of a bilateral cleft nose consist

  • A shortened or absent columella, a deficient or absent anterior nasal spine,
  • A flattened nasal tip laterally and posteriorly displaced alar bases with accessory chain tethering to the piriform,
  • Splayed nasal alae.
  • Retrusive maxillae, and
  • The recession of the medial crural footplates.
  • Often a protrusive premaxilla accentuates the relative flattening of the nasal tip and shortened columella.

Timings

    For unilateral cleft lip deformity, the timeline is as follows

  • Presurgical orthopedics (nasoalveolar molding) from 0 to 3 months of age.
  • Primary cleft nasal repair at the time of cheiloplasty (at approximately 3 months of age).
  • Secondary cleft rhinoplasty at the time of skeletal maturity (at approximately 14 to 16 years of age for girls and 16 to 18 years of age for boys).

The surgical goals of the primary cleft nasal repair include the following

  • Recreation of the nasal sill.
  • Release and repositioning of the affected ala.
  • Augmentation of the nasal lining deficiency on the cleft side.
  • A three-point release of the lower lateral cartilage.
  • Balancing of the nasal domes.

The timeline for bilateral clefts is similar, with the exception that the primary nasal repair is divided into two stages

  • At the time of the primary cheiloplasty, the nasal repair is limited to alar repositioning and lateral nasal lining augmentation.
  • At approximately 18 months of age, the columella is lengthened (as modified from Cronin and Upton), and the nasal domes are unified.
  • At Dr. Mohan Thomas Aesthetics, we delay the definitive adult/adolescent rhinoplasty until the post pubertal growth spurt in the bony dorsum and the anterior septum is complete. This occurs roughly after 14 years in females and 16 years in males. We avoid repeating rhinoplasty procedures throughout the patient’s childhood because the associated scarring can compromise the final long-term.

What Does Cleft Rhinoplasty Surgery Entail?

    Cleft rhinoplasty surgery is a complex procedure that requires a combination of techniques to achieve the desired results. The surgeon will make incisions inside the nose to access the underlying cartilage and bone during the surgery. These incisions allow the surgeon to reshape and rearrange the cartilage and bone to form a more aesthetically pleasing shape. The surgeon may also use sutures to close gaps or defects in the nose.

    In addition to reshaping the nose, the cleft nose rhinoplasty procedure also includes the placement of grafts to support the reshaped nose structure. Grafts may be taken from other parts of the body or donor tissue. These grafts help to fill in any gaps or defects and provide additional structural support for the nose.

Benefits Of Cleft Rhinoplasty Surgery

    Cleft rhinoplasty surgery can help to improve both the aesthetic and functional deformities associated with cleft lip and palate. For those born with a cleft lip or palate, the procedure can help to improve facial symmetry, correct any breathing or speech problems, and restore the natural shape of the nose. Ultimately, cleft rhinoplasty surgery can help to restore confidence and self-esteem for those born with a cleft lip or palate.

  • Improve Aesthetics
    Cleft rhinoplasty can help to improve the aesthetics of the nose. For those born with a cleft lip or palate, the nose may be distorted or disfigured, making it difficult to achieve a symmetrical and aesthetically pleasing facial appearance. Cleft rhinoplasty surgery can help to restore the natural shape and size of the nose, providing a more balanced facial appearance.
  • Correct Breathing and Speech Problems
    Cleft rhinoplasty can help to correct any breathing or speech problems associated with a cleft lip or palate. These deformities can interfere with normal speaking and breathing, making it difficult to communicate or even breathe properly. Cleft rhinoplasty surgery can help to correct any structural deformities in the nose that may be causing these problems.
  • Restore Confidence and Self-Esteem
    Cleft rhinoplasty can help to restore confidence and self-esteem for those born with a cleft lip or palate. Cleft deformities can be difficult to conceal and lead to feelings of self-consciousness or insecurity. Cleft rhinoplasty surgery can help to improve facial symmetry and appearance, making it easier to feel more confident and secure in one’s appearance.
  • Improved Facial Symmetry
    One of the most significant benefits of cleft rhinoplasty is improved facial symmetry. Cleft deformities can cause the nose to appear asymmetrical or misshapen, affecting the face's overall symmetry. Cleft rhinoplasty surgery can help to reshape the nose, making it appear more even and balanced.
  • Improved Self-Esteem
    Cleft deformities can be difficult to conceal and lead to feelings of self-consciousness or insecurity. Cleft rhinoplasty surgery can help to improve facial symmetry and appearance, making it easier to feel more confident and secure in one’s appearance.
  • Improved Quality of Life
    Cleft deformities can cause many physical and functional deformities that can interfere with everyday activities. Cleft rhinoplasty cosmetic surgery can help to correct any structural deformities in the nose that may be causing breathing and speech problems, making it easier to speak and breathe properly. Ultimately, cleft rhinoplasty surgery can help to improve the quality of life for those born with a cleft lip or palate.

Risks Associated With Cleft Rhinoplasty Surgery

    As with any surgery, cleft rhinoplasty cosmetic surgery carries certain risks, such as infection, bleeding, and scarring. In addition, there is a risk of nerve damage or numbness in the area around the nose. Cleft rhinoplasty is a reliable and effective procedure that can help to improve facial symmetry, correct any breathing or speech problems, and restore the natural shape of the nose. It is essential to talk to the surgeon about the procedure's potential risks and benefits before deciding. As the best rhinoplasty surgeon in India, Dr. Mohan Thomas guides the process from consultation to post-surgery care.

    1. Infection: Cleft rhinoplasty can help to correct any breathing or speech problems associated with a cleft lip or palate. These deformities can interfere with normal speaking and breathing, making it difficult to communicate or even breathe properly. Cleft rhinoplasty surgery can help to correct any structural deformities in the nose that may be causing these problems.
    2. Bleeding: Bleeding is a common side effect of cleft rhinoplasty surgery. The surgeon may use sutures to reduce the risk of bleeding.
    3. Scarring: Scarring is another potential side effect of cleft rhinoplasty surgery. The scarring is usually minimal and fades over time.
    4. Nerve Damage: There is a risk of nerve damage or numbness in the area around the nose. It is essential to talk to the surgeon about the procedure's potential risks and benefits before deciding.
    5. Unsatisfactory Results: There is a risk that the surgery results may differ from what was expected. This may be due to several factors, such as the size and shape of the nose, the amount of tissue available, or the surgeon's skill.
    6. Revision Surgery: In some cases, revision surgery may be necessary to correct any unsatisfactory results of the original cleft rhinoplasty surgery.

Why Is Cleft Rhinoplasty Reliable And Effective?

    Cleft rhinoplasty is a reliable and effective procedure for those born with a cleft lip or palate. The procedure can help improve the aesthetic and functional deformities associated with cleft lip and palate. It can help to improve facial symmetry, correct any breathing or speech problems, and restore the natural shape of the nose. Ultimately, cleft lip rhinoplasty surgery can help to restore confidence and self-esteem for those born with a cleft lip or palate.

    While the procedure can help to improve facial symmetry, correct any breathing or speech problems, and restore the natural shape of the nose, there are specific potential side effects associated with the procedure. These side effects include infection, bleeding, scarring, nerve damage, unsatisfactory results, and the need for revision surgery. It is essential to talk to the surgeon about the procedure's potential risks and benefits before deciding.

How To Prepare For Cleft Rhinoplasty Surgery?

    1. Consult with the Surgeon: It is essential to consult with the surgeon to discuss the procedure and any potential risks or benefits. The surgeon can answer any questions and provide information on preparing for the surgery.
    2. Get Medical Tests: The surgeon may require you to have specific medical tests before the surgery, such as blood tests, X-rays, or an EKG. These tests ensure that you are healthy enough for the surgery.
    3. Stop Smoking: Smoking can increase the risk of complications during and after surgery, so it is essential to stop smoking for at least two weeks before the surgery.
    4. Avoid Certain Medications: Certain medications, such as aspirin, can increase the risk of bleeding during and after surgery, so it is essential to avoid these medications before the surgery.
    5. Follow Pre-Operative Instructions: the surgeon will provide pre-operative instructions, such as fasting before the surgery and avoiding certain foods. It is essential to follow these instructions to ensure a safe and successful surgery.

    Cleft rhinoplasty surgery is a complex procedure that can help to correct the aesthetic and functional deformities caused by a cleft lip or palate. The process involves incisions inside the nose and reshaping the cartilage and bone to form a more aesthetically pleasing shape. Grafts may fill gaps or defects and provide additional structural support for the nose. Although there are risks associated with the procedure, the benefits of cleft rhinoplasty surgery can help to restore confidence and self-esteem for those born with a cleft lip or palate. However, consulting with a top cosmetic surgeon in Mumbai is essential to ensure desired results. With a team of the best plastic surgeons in Mumbai, Dr. Mohan Thomas Aesthetics assures a quality experience.

FAQ's

Frequently Asked Questions

We like to assist our clients with a knowledgeable and in-depth collective approach to answer for all your queries and fears with our FAQ mega-base.

Total Time for Surgery 2-3 hours
Anesthesia Type General
Pain Level during the surgery Minimal
How many days hospital stay is required after the treatment/surgery? 1-2 days
Flyback Time 7 Days After Surgery
Success Rate of the Treatment/Surgery 95-99%
Result - How long does it take for the results to show? Best results in 3 months
Dietary Restrictions if any? Liquid and soft diet for 1 week
Complication Rate of the surgery/treatment? 5-10%
Sugery Cost INR 2,00,000 onwards
Side Effects Swelling, deviation, bulbous look, asymmetry

Cleft nose deformity is a congenital and developmental deformity caused by the unequal pull of muscles of expression around the opening of the mouth. Harelip or cleft lip is an abnormal birth condition in which the upper lip is deformed. This is usually associated with a deformity of the nose called a cleft lip nose deformity.

Open rhinoplasty, which involves exposing structures of the nose entirely, is the preferred method. The reason is that a cleft lip causes a deformity in the nose tip, septum, bones, and cartilage. The lip also has to be recorrected often because of the widening of the scar.

Cleft rhinoplasty cost depends on the surgical plan and the complexity of the procedure. Since these procedures are customized, costs can be provided only after a treatment plan is made.

The results of cleft rhinoplasty surgery are usually visible within a few weeks of the procedure. However, it can take several months for the full effects to become apparent. The final results of the surgery may take up to a year to become completely visible.

Good candidates for cleft rhinoplasty surgery are typically those who have had a cleft lip or palate since birth. The surgery is not recommended for those who have had a previous rhinoplasty procedure or have other underlying medical conditions. It is essential to consult with an experienced and qualified plastic surgeon to determine whether you are a good candidate for the procedure.

The recovery process after cleft rhinoplasty surgery will vary depending on the individual and the extent of the procedure. Most patients experience swelling, bruising, and tenderness for several weeks after the surgery. During this time, it is essential to take special care to protect the nose from further trauma. The surgeon may also recommend using a splint to help protect the nose during the healing process.

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