Expert: Hello. According to the information you have provided, you are seeking treatment for a three-month-old baby with a “deformed nose”. Nasal plastic surgery can choose hidden nostril incision, pediatric deformity of plastic repair need for its future tissue structure development of long-term consideration, please provide a more detailed description of the condition. Patient: my child is missing a quick on the nose, please ask Dr. Huang fontanel premature closure of your hospital can be operated? Patient: Dr. Huang, I’ll send you a photo of my child Expert: According to the photo of the local observation, there is no obvious trauma traces If it exists at birth, it is a congenital defect of the whole layer of nasal cartilage and soft tissues, and the orbital spacing is wide, and we must exclude the possibility of craniomandibular fissure deformity and abnormal development of the nasal passage, and the partial external nasal deformity can be repaired by plastic surgery. Surgery is generally divided into several steps: first, the initial surgery is performed in infancy, preserving the excess elevated tissue and initially repositioning the structures that may be misaligned, and then repairing the appearance of the nose as the child grows and develops until the age of schooling, together with tissue grafting to reconstruct the affected side of the nose to be as close as possible to the contralateral side, and then further fine-tuning is done after the external appearance of puberty has been finalized. Note: Any hasty and indiscriminate surgery may result in greater tissue loss and make repair difficult, so hasty treatment is not recommended and room for manoeuvre is essential. Specialist: The premature closure of the fontanel may be caused by premature closure of the cranial sutures, which may be associated with hydrocephalus and other congenital anomalies, as well as pressure on the brain that may interfere with development. Consult our Pediatric Neurosurgery Department for specific timing and options.