Reconstructive Surgery Procedures

The Aesthetic Surgery Institute is dedicated to offering the safest and most effective cosmetic and reconstructive surgical procedures and aesthetic skin & body care services possible by performing newly available procedures, along with refinement of current treatments and services.

Current Reconstructive Surgery procedures offered by The Aesthetic Surgery Institute include:

Scar Revision
A scar resulting from traumatic injury may widen, become depressed, or develop hyperpigmentation or keloid. Special reconstructive techniques are applied to remove and reconstruct the scar, so that its appearance is camouflaged and blended into other lines and contours of the face. Sometimes, tissue flaps or grafts are required to remove large scars or diminish the appearance of depressions or defects. Surgical revision may be combined with laser or other resurfacing techniques.

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Facial, Head & Neck Cancer Surgery
with Immediate Reconstruction
Because of the special residency training of the Otolaryngologist-Head & Neck Surgeon-Facial Plastic and Reconstructive Surgeon, removal of facial and neck cancers is possible, followed by immediate defect reconstruction. Suspicious skin lesions will be biopsied, and appropriate removal and reconstruction will be performed once the full extent of the lesion has been determined.

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Facial Paralysis
Facial paralysis involves total loss of the voluntary muscle movement of one side of the face. Paralysis of the face often causes a drooping mouth, difficulty eating, drooling, and excessive tearing from one eye. Paraylsis of the face can be caused by Bell's palsy, stroke, brain tumor, sarcoidosis, Lyme disease, infection, and trauma. Treatment depends on the cause of the paraylsis, and how long it has been present. The physical examination will include a detailed neurological examination. Options for surgical reconstruction may include sling suspension, brow, lid, mid-face or nasolabial fold lift, or nerve grafts. We will discuss these with you.

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Facial Trauma
Injury to the face caused by blunt or penetrating trauma can lead to difficulty breathing through the nose, changes in sensation and feeling over the face, limited vision, double vision, and missing teeth. A physical exam after injuries to the face often includes a CT scan of the facial bones to evaluate for a "baseball fracture" or orbital rim / blow-out fracture; nasal and septal fractures; cheek, or "tripod" malar fractures; and jaw fractures. Tiny plates are applied across fracture lines after the bones have been re-aligned. In most instances, the patient returns quickly to daily activities without limitations to eating or talking. Complicated lacerations, skin and soft tissue loss, and "road rash" require special plastic surgical techniques to camouflage, prevent, and treat scars. Multiple procedures, including laser scar resurfacing, may be required to restore pre-injury skin integrity.

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Cleft Palate Surgery; cleft lip revision surgery
Children and adults may have never had a cleft palate repaired, or had a repair that did not result in acceptable speech or swallowing ability. A cleft lip may have been repaired with resulting residual tethering and asymmetry of the upper lip. Surgical flaps and injectable fillers can be used to improve appearance and function for these patients.

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