Syndromic Rhinoplasty: Binder Syndrome & Complex Structural Reconstruction

Syndromic noses — such as Binder syndrome (maxillonasal dysplasia) and other congenital midface underdevelopment patterns — require advanced structural rhinoplasty to restore projection, support, and proportion.

Key Challenges

  • Underdeveloped septum

  • Weak or absent dorsal support

  • Retruded midface

  • Soft tissue deficiency

  • Airway compromise

My Approach

These cases require augmentation-based structural reconstruction:

  • Rib cartilage grafting for dorsal height and tip support

  • Septal extension grafts when the septum is hypoplastic

  • Midface and premaxillary augmentation

  • Strategic projection to restore natural facial balance

These cases demand strength and stability — my focus is creating a durable framework that harmonizes the nose with the rest of the face.

ARI HYMAN