Facial cosmetic surgery

What is Facial Reconstructive Surgery?

Facial reconstructive surgery is different from facial cosmetic surgery. Facial cosmetic surgery is performed to reshape normal structures of the face, head, and neck to improve the patient's appearance and self-esteem. Reconstructive surgery is performed on abnormal structures of the face, head, and neck, caused by birth defects, developmental abnormalities, trauma or injury, infection, tumors, or disease. It is generally performed to improve function and quality of life for a patient, but may also be done to approximate a normal appearance.

There are many different reconstructive procedures that an otolaryngologist – head and neck surgeon perform:

Cancer reconstruction

Repair of facial cancer defects that have been created using the Mohs technique often utilize healthy adjacent skin flaps or skin grafts. Large facial cancers occasionally need to be repaired using free tissue transfer, ie skin, muscle, and/or bone from a different part of the body brought to fill the facial defect.

Cleft lip repair

Surgical correction of the cleft lip birth deformity. Typically, this procedure is performed around 3-6 months of age, and commonly involves repairing nostril asymmetry (tip rhinoplasty) as well as the lip deformity.

Cleft palate repair

Surgical correction of the cleft palate birth defect. The procedure is usually performed around 9-12 months of age. In addition to repairing the cleft in the roof of the mouth, ear tubes are commonly placed during the procedure to help prevent ear infections.

Facial paralysis

Surgery to improve the facial deformity caused by facial paralysis. Various methods are utilized with the goal of improving facial symmetry and restoring facial animation. Small weights are frequently placed in the upper eyelid to help prevent eye dryness.

Facial trauma reconstruction

Correction of facial fractures and/or facial lacerations, commonly suffered during motor vehicle accidents, fights, domestic violence, athletic events, animal bites, etc....Traumatic facial fractures frequently involve the jawbone, cheekbone, the eye socket, or the brow and require realignment of the bone segments and fixation for proper healing. Traumatic facial lacerations can cause scarring, facial nerve damage, salivary duct transection, tear duct injury, or even loss of a body part (ear avulsion).

Microtia repair

Surgical correction of a congenital missing ear. An ear is created using a cartilaginous framework fashioned from rib cartilage (stage I), and subsequently refined by creation of an ear lobe (stage II), and creation of a crease behind the new ear (stage III).

Scar revision

Surgery to camoflauge facial scars.

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