Nasomaxillary hypoplasia surgery and its role in patients with Binder syndrome (or a significant concave / dished in face with a flat nose)

Have you or someone you know been diagnosed with Binder syndrome, or have facial features consistent with the upper jaw and nose underdevelopment? Or are you curious to learn more about this condition? Dr. Derek Steinbacher of Guilford, Connecticut, is an expert in correcting these areas and can take time to educate you on this condition and how nasomaxillary hypoplasia surgery can be used to correct it.  You may not have “True” Binder syndrome, but your central face appears flat or underdeveloped.  This can appear as a “Concave” facial profile with a flat nose.  

What is Binder syndrome, and what can it cause?

Binder syndrome, also known as maxillonasal dysplasia, is a rare congenital condition that primarily affects midface development. Patients diagnosed with this condition often experience nasomaxillary hypoplasia, meaning the nose / nasal and upper jaw regions are underdeveloped. This can lead to noticeable facial imbalances and challenges with breathing or difficulty with oral function. The good news is that advancements in modern medicine, particularly nasomaxillary hypoplasia surgery with Dr. Steinbacher, can effectively address these abnormalities, creating functional and aesthetic improvements for those pursuing it.  Orthognathic jaw surgery and rhinoplasty are some of the procedures pursued to address these issues. 

What are the signs of Binder syndrome?

Binder syndrome is characterized by several distinct features, including a flat nose bridge, an underdeveloped upper jaw, and, in some cases, misaligned teeth or bite issues. These physical traits can significantly impact one’s confidence and quality of life, but surgical intervention can make all the difference.  A flat or concave midface – with a poorly supported upper lip, no or minimal upper tooth show on smile, a flat nose, and nasal deformity are some of the hallmarks of this condition.  

What can be done to address the problems often associated with a diagnosis of Binder syndrome or other causes of flat midface and undersupported nose, lip, upper jaw, and smile?

Nasomaxillary hypoplasia surgery, a sophisticated procedure, is key in correcting the underdeveloped midface. Dr. Steinbacher of Guilford, Connecticut, performs this surgery, carefully reconstructing the nasomaxillary area to ensure better facial symmetry, improved airway passage, and enhanced overall facial proportions. By restoring balance to the midface, his patients experience functional benefits and a boost in self-esteem and confidence in their appearance.  We typically set the foundation with orthognathic (double jaw) surgery or a Le Fort procedure to optimally position the upper jaw.  This is the only way to show the appropriate amount of teeth in a smile.  At times, facial implants (or bone grafting) can be used, either alone or together with Le Fort maxillary orthognathic surgery, but again, orthognathic is the only way to increase upper tooth show on smile, and correct bite abnormalities.  Subsequent to bone and jaw repositioning with or without augmentation and fat grafting, a sophisticated rhinoplasty is required.  This is similar to the type of rhinoplasty Dr. Steinbacher performs for cleft patients and patients with very poor nasal tip and bridge support.  Dr. Steinbacher uses septal grafting, and at times, rib grafts are also required.  

Why choose Dr. Steinbacher of Guilford, Connecticut?

If you are considering treatment options for Binder syndrome, or other scenarios where your midface is flat, you show no teeth when smiling, and your nose is flat and not projecting properly, it is essential to consult with a skilled and compassionate surgeon who understands the complexity of this condition. Dr. Steinbacher specializes in craniofacial and aesthetic facial surgery and rhinoplasty, with extensive experience in addressing nasomaxillary hypoplasia. He is one of the few trained in orthognathic and Maxillofacial surgery. Craniofacial surgery. Plastic surgery and rhinoplasty. He exquisitely brings together form, function, and hard and soft tissues. And the nose and jaws together. He is dedicated to helping patients in and around Connecticut and sees patients from all over the country and all over the world for this condition and many procedures.  He achieves remarkable results tailored to their unique needs based on their conditions. 

Where can I find out more about nasomaxillary hypoplasia surgery for Binder syndrome?

Don’t wait to take the next step toward improving your health and confidence. Contact Dr. Derek Steinbacher’s office today to schedule a consultation appointment. Discover how his expertise and patient-focused approach can help you or your loved one live a fuller, happier life. We see patients from across the United States and all over the world.  Our office can be reached by dialing (203) 453-6635 and visiting 5 Durham Road, Suite 1-8 in Guilford, CT.  Or email us at info@dereksteinbacher.com. 

Actual Before & After Results

Binder Syndrome Before & After Results Animation - 1
Binder Syndrome Before & After Results Animation - 2

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Dr. Derek Steinbacher MD, DMD, FACS

Dr. Derek Steinbacher has devoted his life to aesthetic and life-changing surgery. He is an artistic and meticulous surgeon who draws patients from around the world due to his perspective, unmatched skill, and exceptional results. He is able to uniquely address the face (facelift + rejuvenation), jawline (orthognathic; chin; contouring; implants), nasal (rhinoplasty), eyelids, profile, neck, breast, and body with one-of-a-kind results.

He is a multiple Board-Certified, Fellowship-Trained Plastic, Cosmetic, and Cranio-Maxillofacial Surgery. He is Fellow of the most prestigious surgical organizations, including the Society of Plastic Surgeons, the American College of Surgeons, the Royal College of Surgeons of Edinburgh, the Academy of Facial Plastic Surgery, Societies of Craniofacial and Maxillofacial Surgery, the Aesthetic Society, and the Rhinoplasty Society. He has served as Full-Professor of Plastic Surgery at Yale, including Director of the Cleft and Craniofacial Program, and Chief of Oral and Maxillofacial Surgery. Dr. Steinbacher has unparalleled training at premier institutions, including Harvard and Johns Hopkins. His perspective brings together the best aspects of many distinct – but related fields – and it is this intersection of scope and expertise, in addition to an artistic eye, which enables excellent comprehensive results.

Dr. Steinbacher's approach: technical acumen, meticulousness, and penchant for combining art and science, together with his eye for balance, beauty, and harmony, helps achieve outcomes that greatly improve a person's confidence, health, and overall quality of life. Patients can trust that they are always in good hands!