Binder’s Syndrome Nose deformity-Rhinoplasty

Rhinoplasty in Naso Maxillary Hypoplasia or Binders syndrome
– It is an uncommon condition and although we are a tertiary referral centre we get quite a few cases of Binders syndrome.
It is a  congenital disease affecting the face. Also called Nasomaxillary hypoplasia or maxilla-facial dysplasia, the condition results in undergrowth of the central face and may include elements of the nose and upper jaw.
The primary physical characteristic of Binder Syndrome is a flat, underdeveloped midface (midfacial hypoplasia) and flattened nose associated with the absence of the anterior nasal spine that supports the nose in normal development. Your child may appear to have an underdeveloped upper jaw and facial imbalance.

The nasal deformity is characterised by a shortened columella and underdeveloped nasal bridge. The nostrils in children with Binder syndrome are characteristically comma-shaped and the bony tissue at the base of the columella (the anterior nasal spine) is absent.
Over the years we realised that the classic Binders with sever deformity is rare but the milder form with short coumella is fairly common My technique of correcting Nasal deformity in Hypo plastic Nose – Pictures tell a lot more than words and you can see my technique to produce natural and stable results here.


Crooked Nose Correction – Externally deformed nose with breathing problem

Better Rhinoplasty

Be  watchful  before you  select your surgeon

Crooked nose functional Crooked nose requires both internal and external correction

A two team approach is the perfect recipe for disaster

In India it is a very common practice for one surgeon to perform the external correction and another to do the septum work. In many cases the 2nd surgeon is a ‘ghost surgeon’, he comes in to the operating theatre at the time of surgery and never sees the patient after that, patients are made to believe that since two doctors are involved they will get best of both worlds when in fact the reality is just the opposite.

When I met world famous Rhinoplasty surgeon Prof Gubisch from Germany in Iran he said

“Only a surgeon who can do complete septal correction should be allowed to do Rhinoplasty”

Correction of a crooked nose is one of the more difficult and challenging aspects of Rhinoplasty…

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Rhinoplasty workshop at Akash Hospital Indore

This was the 20th Workshop for training of Doctors in art and  science of Rhinoplasty  or commonly called as Nose plastic surgery .ENT/Plastic/Maxillofacial surgeons from all over India and abroad cam to Indore for this unique experience. The delegates were trained by lectures/video presentation and Live surgery demonstration of  Rhinoplasty opreations.The faculty for the workshop were prof Ignazio  Taska from Italy .Prof.Migul from Portugal,prof.Brajendra Baser,Dev Roy &Dr.Prahalad from India.

The 3 day academic feast was enjoyed by all Doctors. It was a good time for patients as well as they got their treatment at nominal cost


Rhinoplasty at Discounted rates -Rhinoplasty workshop April 7-9th 2017

Good opportunity for those who want Rhinoplasty at discounted rates -Our Annual Rhinoplasty workshop will be held from 7th  to 9th April at Akash Hospital ,Indore

,8 selected cases will be operated in the workshop ,No surgeons fee only Hospital charges .Send your photos for consideration to Dr.Pragati Shubha at or consult personally between 5 to 7 P.M on working days at Akash Hospital ,Rajendra Dharkar Marg ,Bicholi Mardana Opposite Agrawal public school