Usually we wait until after skeletal maturity and jaw surgery before offering a cleft rhinoplasty.
However, if nasal obstruction and symptoms are severe, nasal reconstruction before jaw surgery is sometimes done, knowing that a second surgery may be needed after the maxilla is moved forward.
Here, septal deviation and airway collapse led to nasal obstruction, sleep apnea, and difficulty with daily activities.
Also, her upper lip balance had room for improvement of the skin height, white roll continuity, muscle continuity for playing a brass instrument, and rolling in of the exposed wet mucosa (which otherwise cracks, bleeds, and is painful if chronically exposed).
The lip was fully taken down and re-repaired similar to a primary cleft lip repair.
Her nose reconstruction included septoplasty (reset, and resection of cartilage and bone), spreader grafts, columellar strut, tip and alar grafts, and dermal-fat graft.
She has made tremendous progress after 5 weeks, breathing well and excited to return to playing her instrument!
For more, visit our Rhinoplasty page or call us at (214) 241-1997.
👨⚕️ Dr. Huay-Zong Law
☎️ (214) 241-1997
📍 Dallas, TX
📍 Plano, TX
🏥 Board-Certified Plastic Surgeon
🎓 Craniofacial Fellowship Trained