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, 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, and eyelid 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
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
- 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
Consult QD Articles
Before & After Photos
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. 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 27 year old female presented with severe nasal deformity and airway compromise due to near total nasal structural loss from Granulomatosis with polyangiitis (GPA). She underwent an open rhinoplasty with complete replacement of nasal structural L-Strut with rib bone and cartilage. This 27 year old female presented with severe nasal deformity and airway compromise due to near total nasal structural loss from Granulomatosis with polyangiitis (GPA). She underwent an open rhinoplasty with complete replacement of nasal structural L-Strut with rib bone and cartilage. This 34 year old female with granulomatosis with polyangiitis (GPA) had a severe nasal collapse with apparent resorption of both cartilaginous and bony dorsum. She underwent extensive nasal reconstruction with autogenous rib for advanced nasal loss due to GPA. This 34 year old female with granulomatosis with polyangiitis (GPA) had a severe nasal collapse with apparent resorption of both cartilaginous and bony dorsum. She underwent extensive nasal reconstruction with autogenous rib for advanced nasal loss due to GPA. This 34 year old female with granulomatosis with polyangiitis (GPA) had a severe nasal collapse with apparent resorption of both cartilaginous and bony dorsum. She underwent extensive nasal reconstruction with autogenous rib for advanced nasal loss due to GPA. This 34 year old female with granulomatosis with polyangiitis (GPA) had a severe nasal collapse with apparent resorption of both cartilaginous and bony dorsum. She underwent extensive nasal reconstruction with autogenous rib for advanced nasal loss due to GPA. 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 udnerwent septoplasty and nasal valve reconsturction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinment 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 udnerwent septoplasty and nasal valve reconsturction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinment 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 udnerwent septoplasty and nasal valve reconsturction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinment 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 udnerwent septoplasty and nasal valve reconsturction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinment 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 udnerwent septoplasty and nasal valve reconsturction along with slightly dorsal hump reduction with osteotomies to narrow her nose, in addition to slight tip refinment to match her newly narrowed dorsum.Rhinoplasty
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