Aesthetic Plastic Surgery

, Volume 33, Issue 4, pp 661–665

Correction of Septal and Midface Hypoplasia in Maxillonasal Dysplasia (Binder’s Syndrome) Using High-Density Porous Polyethylene


    • Medical FacultyBaskent University
  • Beyza Hancioglu Kircelli
    • Department of Orthodontics, Faculty of DentistryBaskent University
  • Baris Caglar
    • Department of Plastic and Reconstructive SurgeryBaskent University
Case Report

DOI: 10.1007/s00266-009-9312-5

Cite this article as:
Seyhan, T., Kircelli, B.H. & Caglar, B. Aesth Plast Surg (2009) 33: 661. doi:10.1007/s00266-009-9312-5



Maxillonasal dysplasia (Binder’s syndrome) is a congenital malformation characterized by an extremely flat and retruded nose.


This report describes an 18-year-old woman with maxillonasal dysplasia (Binder’s syndrome). The septal deficiencies and maxillary retrusion of the patient were corrected by using an L-shaped implant and a crescent-shaped high-density porous polyethylene implant through the oral vestibular sulcus via an external rhinoplasty approach.


After the operation, the tip of the nose had moved 5.5 mm anteriorly in the sagittal plane and 11.9 mm coronally in the vertical plane. Also, the nasolabial angle had increased after the surgery. Follow-up evaluation at 24 months showed good correction of the nasal and midface projection.


High-density porous polyethylene implants are a good alternative for patients with Binder’s syndrome, especially those who will not accept costal cartilage grafts or orthognathic surgery and who have tendency for hypertrophic scarring.


Binder’s syndrome Midface retrusion Porous polyethylene

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2009