The patient is a 14-year-old boy from near New Delhi, India who was born with a cleft defect and proboscis lateralis. This involved gross deformity of the soft tissues of the nose. He was operated by a board certified plastic surgeon in Delhi shortly after birth for the cleft defect along with primary correction for proboscis lateralis. A cleft alveolar reconstruction/alveolar cleft defect reconstruction was also performed at the same hospital before he completed one year.

However, the results of the plastic surgery were unsatisfactory and the patient has always been depressed about his facial deformities. Seeing how this was affecting their son’s life, the parents took him to Kolkata for consultation with a plastic surgeon. After a thorough examination, the plastic surgeon explained to the parents that this was a complex deformity that had to be addressed by a maxillofacial surgeon who…