Here, the upper jaw required greater than 10mm of advancement to correct his occlusion.

Cleft Rhinoplasty (Cleft Nose Surgery) Before & After Photo. Surgery performed in Dallas, TX at Law Plastic Surgery.

The timing and techniques used for our patients with clefts are tailored to each patient.

Thus, we performed a Le Fort 1 internal distraction: the maxilla was mobilized, and hardware placed to gradually bring the bone and teeth forward 0.5mm at a time.

This incremental movement stretches the scar tissue, blood vessels, and nerves, giving them a chance to catch up a little bit every day and adapt. Otherwise, the advancement in a single surgery can be limited, and the maxilla is at risk of collapsing back.

Once the new bone solidifies, we return to retrieve the hardware and double-check stability of the new bone.

Here, he had continued difficulty breathing through his nose, and desired improved symmetry and contour.

Given his ongoing nasal obstruction — a closed septorhinoplasty was performed at the same time as the hardware removal.

MTF rib cartilage was used as a dorsal onlay graft, cantilevered with a septal extension graft. Tip grafts and diced cartilage helped provide some further tip definition and contour.

He is healing wonderfully at one month, with the swelling already much improved.

For more, visit our Cleft Rhinoplasty page or call us at (214) 241-1997.

💻 lawplasticsurgery.com
👨‍⚕️ Dr. Huay-Zong Law⁠
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX
🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠ ⁠

Cleft Rhinoplasty (Cleft Nose Surgery) Before & After Photo. Surgery performed in Dallas, TX at Law Plastic Surgery.

Case Details
I thought I had sleep apnea. My wife tells me my snoring went away… I’m just sleeping a lot better. Now I feel more rested and just breathing a lot better.

Slow process of trying to actually breathe correctly for the first time in my life, through my nose instead of through the mouth.

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