Facial Reconstruction
Before & After Photos

Ear Keloid

BeforeAfter

This patient presented with an auricular (ear) keloid. A keloid is an abnormal wound healing response where scar tissue takes on tumor like characteristics, growing and distorting normal tissue. It often starts after an injury such as an ear piercing. It was disfiguring and painful. The patient was treated with complete excision followed by steroid injections.

Microtia

BeforeAfter
This patient was born with a rudimentary left external ear (microtia) . He was reconstructed in a series of stages. In the first stage, a cartilage graft was harvested from his rib and shaped into a framework resembling an ear. It was then buried under the skin in the location where his new ear was constructed. In the second stage, the ear framework was elevated from the scalp and the back surface was grafted with skin. Additional stages will include opening up the ear canal and creating a tragus, the prominence in front of the ear canal that offsets it from the face.

Distraction

BeforeAfter
This newborn was born with Pierre Robin Sequence, which is a condition characterized by a small lower jaw, cleft palate and breathing difficulties. We had tried all sort of conservative measures to improve her breathing including placing her on her stomach, inserting a nasal breathing tube, all of which were unsuccessful. At this point, the parents were faced with the option of a surgical airway (tracheotomy) or distraction osteogenesis, and elected to proceed with the later. This is a procedure where bone cuts are made on either side of the jaw, which are then stabilized with a small plates with an adjustable screw. The bone segments are gradually pulled apart (distracted) by turning an external screw several times a day which enables new bone to form across the gap. The result is to effectively lengthen the jaw and eliminate breathing and feeding difficulties in a short period of time, as little as one week.

Vascular Birthmark

BeforeAfter
This patient presented with a Port Wine Stain on the right side of her cheek and nose. This form of vascular birthmark is present from birth and slowly matures overtime creating progressive disfigurement. The lesion gets darker and the skin gets thicker and nodular. Treatment consisted of a series of six pulse dye laser treatments, and two YAG laser treatments. She is now at a point where she can camouflage the residual blemish with makeup.

Facial Trauma

BeforeAfter


This patient presented with a significant upper face and nasal injury from a motor vehicle accident. Both orbits and nasal root as well as frontal sinus were fractured. She underwent extensive reconstruction using incision hidden in her hairline, eyelids and mouth. Her facial bones were repositioned with small metal plates, and additional bone grafts from her skull were used to project her nose.

Nasal Deformity/Reconstruction

BeforeAfter


This patient presented with an old nasal deformity as a result of an assault that resulted in complete collapse of his nasal bones. His initial repair was inadequate. He underwent reconstructive rhinoplasty using a cartilage graft taken from his rib that was carved into the shape of his missing nasal bones.

Dog Bite

BeforeAfter
This patient suffered a severe dog bite. The patient came to see me after a failed attempt at reimplantation of the avulsed tissue. The wound was repaired by advancing the remaining lip elements.

Lip Burn

BeforeAfter
This young girl presented with a burn to the corner of her mouth as a result of chewing on an electrical cord. She underwent early reconstruction to prevent permanent disfigurement of the corner of the mouth. The reconstruction was accomplished by advancing the healthy portion of the lip over the missing segments.