Binder Syndrome

Binder Syndrome

Binder Syndrome: A Solution

Binder syndrome also referred to as nasomaxillary hypoplasia, is a rare congenital disease. It affects the mid-face, nose and upper jaw. An individual who has this disease usually has a short, wide and flat nose and an indented upper jaw. Namely, there are varying levels of severity, therefore, a doctor should do a thorough, customized evaluation and consultation.

At VIP, our head doctor, Dr. Lee, is a specialist with Binder Syndrome treatment. Particularly, he specializes in rhinoplasty and mid-face augmentation. He carefully considers each person affected by this disease and customizes a treatment plan. Only an experienced doctor should perform this surgery since it is difficult.

Characteristics of Binder Syndrome

The tell-tale sign of this syndrome is a flat, underdeveloped mid-face and flat nose. In addition, there are other characteristics depending on the level of severity. This may include recessed upper jaw, facial imbalance, cleft palate, and underbite. The nasal deformity is a shortened columella and underdeveloped nose bridge. The nostrils appear as comma-shaped and the bony tissue that is usually present at the base of the columella is absent. It is interesting to note that some of these characteristics can be present in other diseases as well. 

Surgery for Binder Syndrome

binder syndrome


At VIP, we have a holistic approach to this surgery. In order to successfully correct this issue, Dr. Lee does so from the top of the face to the bottom. This entails a full reconstructive surgery which includes three procedures. These procedures are mid-face augmentation, premaxilla augmentation, and rhinoplasty. Dr. Lee uses 100% rib cartilage for these procedures.

Mid-face Augmentation

An integral step in correcting binder syndrome is mid-face augmentation surgery. This surgery is relatively minor and helps to drastically improve the sunken mid-face area. A doctor incises the inside of the mouth or nostril in order to insert the rib cartilage implant. The implant is anchored with medical thread and incision is closed by suture. After undergoing this procedure, a user has an improvement in the mid-face area and the originally protruded mouth.

Mid-face augmentation is a great option for people who want to have a more youthful and elegant appearance.  This step is integral for creating a beautiful mid-face area. 

Click here to find more information about mid-face augmentation

Premaxilla Augmentation

With a premaxilla augmentation, a doctor augments the nasal base, upper lip, and nasolabial angle. In order to successfully treat Binder Syndrome, we utilize rib cartilage to increase tip projection, improve the nasolabial angle, and lengthen the upper lip. This results in a more attractive and structured appearance.


Because one of the main characteristics of Binder Syndrome is a flat nose, it is imperative for a doctor to perform rhinoplasty. Consequently, a doctor would need to completely reshape the nose. The best method to restructure the nose is a rib cartilage rhinoplasty.  Rib cartilage is extremely safe and very flexible. Also, rib cartilage is often preferable over ear cartilage because it tends to be stronger and more plentiful. 

Binder Syndrome is very rare and difficult to treat. Above all, it is important to find a doctor who is experienced with this issue.  This is the only way you will get good results.

For more information on how we can treat your binder syndrome, contact us. 



 VIP Plastic Surgery Center Korea


Whatsapp / Kakao: +82 10-5059-6626


RealSelf Patient Reviews of Myung Ju Lee, MD, PhD




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