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Cleft Lip Surgery – Balaji Dental and Craniofacial Hospital, Chennai, India
+91-44-42947222 smbalaji@smbalaji.com
Lower Incisor Over Show Recorrection Genioplasty

Lower Incisor Over Show Recorrection Genioplasty

by | Oct 21, 2021 | Cleft Lip Surgery, Surgery

A patient opts for surgical creation of a more prominent chin

The patient is a 45-year-old male from Bhopal in Madhya Pradesh, India. Ever since he was a young man, he had always felt that he had a very small chin. He had always been dissatisfied with the shape of his chin. His desire was to have a prominent chin, which he felt would be more masculine looking.

Around a year ago, he finally decided to undergo chin enhancement surgery. He, therefore, got in touch with a facial cosmetic surgeon. Without any presurgical planning, the surgery had been performed on the very same day.

Dissatisfaction with the results of the surgery

A genioplasty had been performed with osteotomy of the chin. To his dismay, the patient realized that he could not close his lips fully. There was an unsightly excessive lower incisor overshow. He could not appose his lips.

Feeling distressed by this, he realized that his surgery needed to be redone. He began an exhaustive search for the best surgical facility to address his issue. His search repeatedly led him to our hospital.

Our hospital is a specialty surgical center for cosmetic resurgery. Many patients with botched cosmetic surgery elsewhere have undergone surgery with us with the optimal restoration of esthetics. Cosmetic lip surgery and redo rhinoplasty (revision rhinoplasty or nose job) are specialty procedures performed at our hospital.

Facelift surgery is routinely performed in our hospital. Facial plastic surgery procedures have helped many people lead fulfilling lives. Facial implants are used for correcting bony defects by plastic surgeons. Chin implant surgery is performed for enhancing retruded chins. This results in optimal chin augmentation.

Our hospital follows all the protocols laid down by the American Society of Plastic Surgeons. Head and neck surgery had rigorous guidelines that need to be followed for optimal results.

Treatment planning explained to the patient in detail

Dr SM Balaji, facial cosmetic surgery specialist, examined the patient and obtained imaging studies including a 3D CT scan. This revealed an enormous gap between the osteotomized chin and the mandible. It was explained to the patient that this gap needed to be closed as there was no new bone formation.

Care was taken to explain to him that the best course of treatment would be to reverse the previous surgery. The patient contemplated the findings presented to him and consented to surgery.

Successful reversal of his previous advancement genioplasty surgery

Under general anesthesia, a vestibular incision was made in the anterior mandibular region. The previous chin surgery with the titanium plates was exposed. There was extensive granulation tissue formation at the site of the bony gap in the chin.

The granulation tissue was carefully debrided. The titanium plates and screws holding the chin were removed and the chin was placed back into its original position. There was a good approximation of the osteotomized segment with the mandible. The incision was then closed and the patient was taken to the recovery room.

Patient happy with regaining previous facial dimensions after reversal of chin surgery

The patient’s chin had been placed back in its original position. Overshow of lower incisors was completely eliminated. He was extremely happy with the results of the surgery and thanked the surgical team before being discharged from the hospital.

Surgery Video

 


Facial Plastic Surgery – Unilateral Cleft Lip Repair

Facial Plastic Surgery – Unilateral Cleft Lip Repair

by | Jun 6, 2021 | Cleft Lip Surgery

Incidence of Cleft Lip and Palate Deformity in India

India is the second-most populous country in the world. Cleft lip and palate deformities are amongst the most common congenital deformities found in Indian children. It is found in approximately 1 in every 1000 live births. The absolute number of children with clefts is very large taking into consideration the enormous population of our nation.

Many hospitals offer surgical repair of cleft lip and palate deformities. Cleft lip and palate repair is a highly specialized procedure. Deformities of the palate involve both the hard and the soft palate. The best cleft lip hospital in India is one that provides surgical excellence in results on a consistent basis. The experience of the surgeon is paramount in determining the outcome of the surgery.

We are considered to be the best cleft lip hospital in India. Children with cleft lip and palate deformity have been undergoing successful rehabilitation in our hospital for over 30 years now. We have a dedicated cleft team led by Dr. SM Balaji who is considered to be the best cleft lip surgeon in India by his peers. Cleft lip surgery is a superspecialty feature at our hospital.

Definition of Cleft Lip and Palate Deformity

This is a congenital deformity where there is nonfusion of the two halves of the upper lip and palate during pregnancy. The cleft lip deformity can either be incomplete and involve only the lip or be a complete cleft with involvement of the nasal cavity. The lip and the palate play a very important role in normal speech development.

Rehabilitation of cleft lip and palate is performed through surgical correction of these deformities. Both these surgeries are extremely technique sensitive and the best results are provided by experienced surgeons. The best cleft lip surgeon in India is one who has successfully rehabilitated every form of cleft lip and palate deformity.

The mildest manifestation of this defect is the unilateral incomplete cleft lip deformity. The most severe presentation is the bilateral cleft lip and palate deformity with a free-floating premaxillary segment. Normal eruption of teeth is impeded by increasing severity of this defect and there is the congenital absence of multiple teeth in the most severe presentations of cleft lip and palate.

Importance of Adhering to Prescribed Time Schedule for Surgeries

The ideal time for performing the surgical procedures of cleft lip surgery is at 3-1/2 months old and the ideal time for cleft palate surgery is at 10 months old. Repair of a cleft alveolus defect is ideally performed between 4 to 4-1/2 years old. This utilized bone grafting for closing the alveolar defect. It is very important that the parents bring in the child at the correct time for surgical correction of the aforementioned deformities.

Effect of Cleft Lip and Palate Deformity on Speech and Feeding

Speech and ingestion of food are the two most important functions performed by the mouth. Babies begin to speak very early at around 10-12 months old. Normal oral anatomy is vital for the normal development of speech and good ingestion of food. It is imperative that the cleft lip and palate deformities are surgically repaired before the baby begins to speak.

Food intake is also impeded to a great degree as the baby is not able to create a vacuum that is needed for the sucking reflex. Difficulty with the intake of food leads to retardation of developmental parameters and nutrition is extremely important for normal development. There is a hole in the roof of the mouth in a cleft palate defect. Food is regurgitated into the nasal cavity through this defect.

Centre of Surgical Excellence in Cleft Lip Surgery and Cleft Palate Surgery

Our hospital has been delivering yeomen service to children with the aforementioned defects for over 30 years now. Utmost dedication and devotion are shown by the medical and paramedical staff towards our pediatric patients. This has earned us the distinction of being the best cleft lip surgery hospital in India.

Our hospital is also an international referral center for babies with cleft deformities from all over the world. We have won numerous awards for our outstanding services towards humanity for restoring the lives of scores of children to complete normalcy following surgery at our hospital. Oral and maxillofacial surgeons also perform surgeries that overlap with procedures performed by plastic surgeons.

Our hospital is the regional affiliate of the International Cleft Lip and Palate Foundation of Japan and the Dallas-based World Craniofacial Foundation of the USA. Our surgical team has had the distinction of having achieved the best results for any surgical center in India for cleft lip and palate surgeries.

The Best Cleft Lip Surgery Hospital in India

We are the best cleft lip hospital in Chennai. Chennai is considered to be the healthcare capital of India and it is our dedication and diligence towards our patients, which has earned us this reputation. We provide very good results for cleft upper lip and nose repair surgery.

Parents who come to us for treatment of their babies undergo extensive counseling. This trains them on how to care for their child. These parents develop deep bonds with staff members who provide them with invaluable emotional and moral support.

Parents Present with their Infant Daughter to our Hospital for Management

This infant girl who is 3-1/2 months of age is from Nagpur in Maharashtra India. She was born with a unilateral cleft lip and palate deformity. Her parents were immediately referred to our hospital and got in touch with our hospital manager. Many referrals are made to us as we are considered to be the best cleft lip hospital in India.

The counseling team spoke with the parents and provided them with expert guidance regarding their daughter’s condition. A concise handbook for parents written by Dr. SM Balaji, which explains advanced treatment for cleft lip and palate was sent to the children. This well-written book provides parents with all the information that they need to know about this condition.

Services such as this add value to undergoing treatment at the best cleft lip hospital in India. The parents were then instructed to present to our hospital when she was 3-1/2 months old.

Treatment Planning and Surgical Correction of Cleft Lip Deformity

Dr. SM Balaji who is considered to be the best cleft lip surgeon in India examined the patient. She had a very wide unilateral cleft lip and palate deformity. Treatment planning was presented to the parents and they expressed understanding following which they provided the consent for surgery.

The surgery would be performed under general anesthesia. We are a children’s hospital as we deal with many infants with congenital defects and have specialized consultant pediatric anaesthesiologists attached to the hospital.

It was decided to use the modified Millard’s technique to address her deformity. A C-flap was raised and utilized to rebuild her nasal floor and nasal sill. Meticulous reapproximation of her cleft lip was next performed with a three-layer closure. The orbicularis oris, subcutaneous tissue and skin were perfectly aligned under the magnification of a surgical loupe.

There were very good results from the surgery with very minimal scarring at the site of surgery when they returned on the seventh day for suture removal. Her appearance was completely transformed by the surgery. Instructions were given to her parents to return for cleft palate surgery when she was 10 months old.

They expressed understanding of the instructions and thanked the surgical staff for restoring their baby’s life before discharge from the hospital.

Surgery Video


Unilateral cleft lip surgery using Modified Millard’s technique

Unilateral cleft lip surgery using Modified Millard’s technique

by | Nov 28, 2018 | Cleft Lip Surgery, Surgery

Cleft Lip Surgery in India

Initially, Indian Plastic Surgeon Dr. Sushruta performed cleft lip surgery in India in the 8th century B.C. He is considered the “Father of Plastic Surgery”,

A Cleft lip is a birth defect:

  • A cleft lip may only be a tiny notch in the lip. There may also be a complete split in the lip that goes all the way to the base of the nose.
  • The cleft palate may be on one or both sides of the roof of the mouth. It may be the entire length of the palate.
  • Your child may have either or more of these birth conditions.

Procedure of Cleft Lip Surgery in India

Cleft lip repair is typically performed when the infant is 3 to 6 months old.

Your child will have general anesthesia for cleft lip surgery (asleep and not feeling pain). The surgeon will trim the tissues and stitch the lips together. The stitches are going to be very small so that the scar is as small as possible. Many stitches will be absorbed into the tissue when the scar heals, so they won’t have to be removed later.

Procedure of Cleft palate Surgery in India

Cleft palate repair is typically performed when the child is older, between 9 months and 1 year of age. This causes the palate to shift as the child grows. Doing the repair when the child is this age will help prevent further speech problems as the child develops.

In cleft palate repair, your child will have general anesthesia (asleep and not feeling pain). Tissue from the roof of the mouth may be moved over to cover the soft palate. Often a child may require more than one surgery to close a palate.

The surgeon may also need to repair the tip of your child’s nose during these procedures. The surgery is called rhinoplasty.

Baby girl from Mathura

This is a 3-month old baby girl from Mathura born with unilateral cleft lip. She also had a hole in the roof of the mouth involving the upper jaw (hard and soft palate). The patient’s mother was a known case of cleft lip and palate. There was also a familial history of clefts running through the generations.

Unilateral cleft lip

Cleft lip is a congenital split in the upper lip on one side often associated with cleft palate. Babies with cleft lip usually have difficulty in feeding. They may develop ear infections which may lead to hearing loss.

Cleft lip surgeon in India

Though aware of the condition the parents were very depressed. They felt that the lip and nose deformity might affect her future. The parents were planning to do cleft lip surgery in India. They were searching far and wide for the best cleft lip surgeon in India. A local physician referred them to our hospital. Dr. SM Balaji one of the leading cleft lip and palate surgeons in India examined the patient. He planned to perform surgical repair of the cleft lip at 3 months of age.

Primary cleft lip repair

Cleft lip and palate surgeon Dr. S.M. Balaji planned to perform primary lip repair at the age of 3 months. Unilateral cleft lip surgery is done using Modified Millard’s technique under general anesthesia. The cleft and plastic surgeons usually prefer this surgical procedure for children with cleft.

Surgical Results:

The result of the surgery was as expected. She looked like any other baby girl of her age with minimal to no scar. The parents were very pleased with the results. Cleft palate repair (cleft palate surgery) will be done at about 9 months of age. Alveolar Cleft defect reconstruction surgery with bone grafts will be planned at 3.5 years of age.

best cleft lip surgeon in india
best cleft lip surgeon in chennai
Immediately after suturing using modified Millard's technique- Worm's view
Post-operative view following 7 days after surgery showing negligible scar formation with well defined nostrils- Straight view
Post-operative view following 7 days after surgery showing negligible scar formation with well defined nostrils - Worm's view

Primary Incomplete Unilateral Cleft Lip and Palate Surgery

Primary Incomplete Unilateral Cleft Lip and Palate Surgery

by | Feb 27, 2018 | Cleft Lip Surgery, Surgery

A 3-month old baby girl was brought to our hospital seeking the best possible treatment for incomplete unilateral cleft lip and palate. The parents were greatly worried about their baby girl’s present condition and also complained about the difficulty in feeding her.

Cranio-Maxillofacial Surgeon Dr. S.M. Balaji performed the primary incomplete lip repair surgery for unilateral cleft lip using Modified Millard’s technique. Following surgery, the baby appeared as any other normal baby of her age and was able to feed well. The parents were very pleased with the results.