Overview
The section of Facial Plastic and Reconstructive Surgery within the Head & Neck Institute offers comprehensive treatment for a host of facial concerns. Frequent functional (non-cosmetic) concerns include impaired nasal breathing, facial trauma, facial weakness or paralysis, and skin cancer requiring surgical repair. Frequent cosmetic concerns include drooping eyebrows or eyelids, desire for a smaller nose (rhinoplasty), and excess and laxity of neck skin. Our surgeons have extensive experience in all of these areas, including the most extensive and sensitive cases, and are often consulted upon for cases that cannot be handled elsewhere.
Additionally, our surgeons have advanced training in the highly complex field of microvascular head and neck reconstructive surgery, which allows them to repair extensive and complex defects of the head and neck (most often related to cancer or severe trauma) using “free tissue transfer.” During these free tissue transfer procedures, tissue from elsewhere in the body (e.g., arm, leg, or abdomen) is meticulously dissected free and used to repair defects of the head and neck, during which blood supply is restored to the transferred tissue by sewing the blood vessels under a high-definition microscope.
Facial Plastic Surgery
The surgeons in this section have undergone advanced fellowship training in Facial Plastic and Reconstructive Surgery and perform the full range of cosmetic and functional facial procedures. The physicians in this section focus exclusively on facial plastic surgery and do not perform procedures such as breast augmentation and body liposuction. This narrow focus allows for an in-depth knowledge and expertise in the nuances of facial plastic surgery that is unparalleled.
- Cosmetic surgery/procedures include brow lift, facelift, rhinoplasty, scar revision, and filler/botox injections.
- Functional surgery/procedures include nasal airway surgery, skin cancer reconstruction, treatment of facial paralysis and facial asymmetry, eyelid surgery, and gender-affirming facial feminization surgery, among many others.
Staff
Microvascular Head and Neck Reconstructive Surgery
The board-certified surgeons in this section have undergone extensive fellowship training in the complex field of microvascular head and neck reconstruction. This training allows them to repair extensive and complex defects of the head and neck (most often related to cancer or severe trauma) using “free tissue transfer.” During these free tissue transfer procedures, tissue from elsewhere in the body (e.g., arm, leg, or abdomen) is meticulously dissected free and used to repair defects of the head and neck, during which blood supply is restored to the transferred tissue by sewing the blood vessels under a high-definition microscope.
These procedures are highly complex and require precision and skill. The surgeons are highly specialized in that they only perform these procedures to reconstruction defects of the head and neck. Their skill in this area is unparalleled and allows for the best outcomes after these often extensive surgeries.
Staff
What We Treat
Facial plastic surgery - conditions
- Excess eyelid skin.
- Facial aging.
- Facial asymmetry.
- Facial nerve disorders.
- Facial paralysis.
- Facial trauma/facial fractures.
- Forehead/brow ptosis.
- Nasal deformity.
- Nasal obstruction.
- Septal deviation.
- Skin cancer.
- Prominent ears and ear abnormalities.
- Prominent scars.
- Ramsay Hunt Syndrome.
Facial plastic surgery - procedures
- Blepharoplasty (eyelid surgery).
- Botox.
- Face and neck lift.
- Facial reanimation (gracils free flap, temporalis tendon transfer, masseter nerve transfer, cross facial nerve grafting, hypoglossal nerve transfer).
- Facial paralysis treatment (medical and surgical).
- Forehead/brow lift.
- Gender-affirming (facial feminization)
- Nasal reconstruction.
- Restylane, Juvedérm (facial fillers).
- Rhinoplasty (cosmetic and functional).
- Septoplasty.
- Skin cancer (Mohs) repair.
Microvascular head and neck reconstructive surgery – conditions
- Any defect of the face, head, and neck requiring surgical expertise.
- Extensive cancer-related defects (often performed at the time of cancer removal, which is performed by other members of our department).
- Extensive traumatic defects.
Microvascular head and neck reconstructive surgery – procedures
- Anterolateral thigh free flap.
- Fibula free flap.
- Mandible reconstruction.
- Midfacial reconstruction.
- Radial forearm free flap.
- Revision facial reconstruction.
- Total nasal reconstruction.
For Medical Professionals
Head and Neck Innovations Podcast
Listen to Head and Neck Innovations, our podcast for medical professionals exploring the latest innovations, discoveries, and surgical advances in Otolaryngology – Head and Neck Surgery.
- Mandibular Osteoradionecrosis Management: A Roundtable Discussion - Part 2
- Mandibular Osteoradionecrosis Management: A Roundtable Discussion - Part 1
- From Rhinoplasty to Reconstruction: The Art & Science of Facial Plastic Surgery
- Precision in Practice: Multidisciplinary Approaches to Cosmetic Facial Plastic Surgery
- Practice-Changing Innovations in the Management of Osteoradionecrosis
- Novel Free Tissue Transfer Brings a Smile to Facial Paralysis Patients
Consult QD articles
- Preemptive Facial Nerve Rewiring in the Management of Facial Nerve Tumor: A Case Study.
- Novel Mandibular Osteoradionecrosis Staging System and Treatment Algorithm Reflects a Changing Landscape.
- Cleveland Clinic Surgeon Uses Novel Technique to Repair Nasal Septal Perforation.
- ATLFL Rescue Flap Surgery Is Highly Successful at Halting Mandibular Osteoradionecrosis Progression With Low Associated Morbidity.
- Case Studies: The Challenges of Nasal Reconstruction.
- Cleveland Clinic Facial Reanimation Surgeons Perform Tri-Vector Reanimation in Pediatric Patient.
- First Trial to Evaluate Electrical Stimulation to Improve Nerve Regeneration in Cross Facial Nerve Graft.
- Large Retrospective Study of Bell’s Palsy Management and Treatment Finds Inconsistent Care.
- A Novel Approach to Total Columella Reconstruction.
- Hypertension and Head and Neck Free Tissue Transfer.
- Setting a New Standard for Complex Palate Repair.
- Shortened Hospital Stays and Lower Morbidity in Free Tissue Transfer.
- The Layered Fibula Osteocutaneous Flap Sets New Standard For Advanced Maxillary Cancers.
- Free Anterolateral Thigh Fascia Lata Flaps: A Game Changer in Nasal Reconstruction.
Rhinoplasty Before & After Photos
Patient had a deceivingly short septum and lack of tip support, giving her nose a convex appearance. To achieve these results, she received an open structural rhinoplasty with dorsal hump reduction, caudal septal extension graft, and tip grafting to bring her nasal bridge and tip projection into better harmony. Patient had a deceivingly short septum and lack of tip support, giving her nose a convex appearance. To achieve these results, she received an open structural rhinoplasty with dorsal hump reduction, caudal septal extension graft, and tip grafting to bring her nasal bridge and tip projection into better harmony. Results at 1 year from rhinoplasty. Patient goals were to narrow the nasal bones, refine the nasal tip and improve its angles, and create a natural but improved dorsum on profile view. Results at 1 year from rhinoplasty. Patient goals were to narrow the nasal bones, refine the nasal tip and improve its angles, and create a natural but improved dorsum on profile view. Results at 1 year from rhinoplasty. Patient goals were to narrow the nasal bones, refine the nasal tip and improve its angles, and create a natural but improved dorsum on profile view. Beautiful and natural rhinoplasty results just 4 months out from surgery! This open structure rhinoplasty included dorsal hump reduction, tip deprojection with refinement of the nasal tip, and straightening of the dorsum. Beautiful and natural rhinoplasty results just 4 months out from surgery! This open structure rhinoplasty included dorsal hump reduction, tip deprojection with refinement of the nasal tip, and straightening of the dorsum. Amazing results following a revision rhinoplasty for a severe saddle nose deformity! This included a rib harvest, total septal reconstruction, lower lateral crural replacement, diced cartilage and rib perichondrium dorsal onlay. Amazing results following a revision rhinoplasty for a severe saddle nose deformity! This included a rib harvest, total septal reconstruction, lower lateral crural replacement, diced cartilage and rib perichondrium dorsal onlay. This 34 year old female had nasal obstruction due to deviated septum and nasal valve collapse. She also desired changes to improve the appearance of her nose without diminishing her ethnicity. She underwent dorsal hump reduction with tip refinement as well as nasal valve reconstruction and septoplasty. This 34 year old female had nasal obstruction due to deviated septum and nasal valve collapse. She also desired changes to improve the appearance of her nose without diminishing her ethnicity. She underwent dorsal hump reduction with tip refinement as well as nasal valve reconstruction and septoplasty. This 32 year old female with longstanding nasal obstruction after nasal trauma as a teenager, presented with septal deviation and nasal valve stenosis. She wanted to change her nose to straighten the bridge and refine her tip. She underwent open septoplasty and nasal valve reconstruction in addition to dorsal hump reduction and appropriate tip refinement. This 32 year old female with longstanding nasal obstruction after nasal trauma as a teenager, presented with septal deviation and nasal valve stenosis. She wanted to change her nose to straighten the bridge and refine her tip. She underwent open septoplasty and nasal valve reconstruction in addition to dorsal hump reduction and appropriate tip refinement. This 32 year old female with longstanding nasal obstruction after nasal trauma as a teenager, presented with septal deviation and nasal valve stenosis. She wanted to change her nose to straighten the bridge and refine her tip. She underwent open septoplasty and nasal valve reconstruction in addition to dorsal hump reduction and appropriate tip refinement. This 16 year old female had a nasal obstruction that was worse with exercise was found to have septal deviation and dynamic nasal valve collapse. She also desired a smaller nose with a straight bridge, but minimal tip refinement. She underwent septoplasty and nasal valve repair with spreader grafts and batten grafts, in addition to dorsal hump reduction with osteotomies and slightly tip refinement to match her new bridge. This 16 year old female had a nasal obstruction that was worse with exercise was found to have septal deviation and dynamic nasal valve collapse. She also desired a smaller nose with a straight bridge, but minimal tip refinement. She underwent septoplasty and nasal valve repair with spreader grafts and batten grafts, in addition to dorsal hump reduction with osteotomies and slightly tip refinement to match her new bridge. This 16 year old female had a nasal obstruction that was worse with exercise was found to have septal deviation and dynamic nasal valve collapse. She also desired a smaller nose with a straight bridge, but minimal tip refinement. She underwent septoplasty and nasal valve repair with spreader grafts and batten grafts, in addition to dorsal hump reduction with osteotomies and slightly tip refinement to match her new bridge. This 16 year old female had a nasal obstruction that was worse with exercise was found to have septal deviation and dynamic nasal valve collapse. She also desired a smaller nose with a straight bridge, but minimal tip refinement. She underwent septoplasty and nasal valve repair with spreader grafts and batten grafts, in addition to dorsal hump reduction with osteotomies and slightly tip refinement to match her new bridge. This 23 year old female presented with nasal obstruction and desire to improve the appearance of her nose. She was evaluated and found to have septal deviation and dynamic nasal valve collapse. She underwent septoplasty and nasal valve reconstruction along with dorsal hump reduction and tip refinement. Following surgery, she was very happy with the shape of her nose and breathing comfortably. This 23 year old female presented with nasal obstruction and desire to improve the appearance of her nose. She was evaluated and found to have septal deviation and dynamic nasal valve collapse. She underwent septoplasty and nasal valve reconstruction along with dorsal hump reduction and tip refinement. Following surgery, she was very happy with the shape of her nose and breathing comfortably. This 23 year old female presented with nasal obstruction and desire to improve the appearance of her nose. She was evaluated and found to have septal deviation and dynamic nasal valve collapse. She underwent septoplasty and nasal valve reconstruction along with dorsal hump reduction and tip refinement. Following surgery, she was very happy with the shape of her nose and breathing comfortably. This 42 year old female presented with long standing nasal congestion and difficulty breathing through her nose with sleep. She also desired to changes to slightly refine her tip and make her nose appear narrower. She underwent septoplasty and nasal valve reconstruction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinement to match her newly narrowed dorsum. This 42 year old female presented with long standing nasal congestion and difficulty breathing through her nose with sleep. She also desired to changes to slightly refine her tip and make her nose appear narrower. She underwent septoplasty and nasal valve reconstruction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinement to match her newly narrowed dorsum. This 42 year old female presented with long standing nasal congestion and difficulty breathing through her nose with sleep. She also desired to changes to slightly refine her tip and make her nose appear narrower. She underwent septoplasty and nasal valve reconstruction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinement to match her newly narrowed dorsum. This 42 year old female presented with long standing nasal congestion and difficulty breathing through her nose with sleep. She also desired to changes to slightly refine her tip and make her nose appear narrower. She underwent septoplasty and nasal valve reconstruction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinement to match her newly narrowed dorsum. This 42 year old female presented with long standing nasal congestion and difficulty breathing through her nose with sleep. She also desired to changes to slightly refine her tip and make her nose appear narrower. She underwent septoplasty and nasal valve reconstruction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinement to match her newly narrowed dorsum. This 30 year old female with a nasal obstruction due to nasal valve collapse resulting from cephalically malpositioned lower level cartilage and deviated nasal septum. She underwent an open correction of the nasal valve collapse (LC strut grafts, rim grafts) and septoplasty. This 30 year old female with a nasal obstruction due to nasal valve collapse resulting from cephalically malpositioned lower level cartilage and deviated nasal septum. She underwent an open correction of the nasal valve collapse (LC strut grafts, rim grafts) and septoplasty.
Facial Paralysis Before & After Photos
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Right face selective facial neurectomy procedure for facial paralysis. Before (left). After (right).
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Selective neuromyectomy procedure for facial paralysis: Before (left), After (right).
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Trivector gracilis free tissue transfer procedure for facial paralysis. Before (left). After (right).
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This 66-year-old man had bilateral cognetive facial paralysis, Mobius Syndrome, that prevented from closing his mouth and lead to severe dental problems. He underwent bilateral orthodromic temporalist tendon transfer with fascia lata lower lip suspension which allowed him to close his mouth as well as smile. Before (left). After (right).
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Single vector gracilis free flap procedure to help with facial reanimation for Ramsay Hunt syndrome. Before (left). After (right).
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Single vector gracilis free flap procedure to help with facial reanimation for Ramsay Hunt syndrome. Before (left). After (right).
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Face/necklift and right depressor anguli oris (DAO) excision procedure for facial paralysis. Before (left). After (right).
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Face/necklift and right depressor anguli oris (DAO) excision procedure for facial paralysis. Before (left). After (right).
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Cranial nerve transfer procedure for a benign facial schwannoma. Before (left). After (right).
Appointments & Locations
Make an appointment
To make an appointment with one of our Facial Plastic and Reconstructive Surgery specialists, please call 216.444.8500.
Virtual visits
Cleveland Clinic’s Head & Neck Institute offers virtual visit appointments for many of the conditions we treat, allowing you to meet with a specialist from the comfort of your home, using a mobile device, tablet, computer or web-enabled device.
Why go virtual? It's an easy, convenient and secure way to see your provider face-to-face without having to leave home. This saves you travel time and time spent in the waiting room — and you can also have a loved one or caregiver join you. If appropriate, you can also get a prescription sent to the pharmacy of your choice.
Many insurance companies cover the cost of virtual visits, so check with your insurance company ahead of time. Interested in getting started? Call your provider to find out what virtual visit options are available.
Virtual second opinions
When you would like a second opinion before making a decision about your medical care, Cleveland Clinic’s Virtual Second Opinions can help. It’s easy to get answers to your questions and the peace of mind you deserve from a Cleveland Clinic provider — all without leaving home.
