Facial Plastic & Microvascular Surgery

Facial Paralysis treatment at Cleveland Clinic.

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, and eyelid surgery, among many others.

Staff

Michael Fritz, MD

Section Head, Facial Plastic and Microvascular Surgery

Patrick Byrne, MD, MBA

Chair, Head & Neck Institute

Dane Genther, MD

Facial Plastic and Reconstructive Surgeon

Peter Ciolek, MD

Facial Plastic and Reconstructive Surgeon

Anna Bakeman, MD

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

Michael Fritz, MD

Section Head, Facial Plastic and Microvascular Surgery

Patrick Byrne, MD, MBA

Chair, Head & Neck Institute

Peter Ciolek, MD

Facial Plastic and Reconstructive Surgeon

Dane Genther, MD

Facial Plastic and Reconstructive Surgeon

Jamie Ku, MD

Staff

Eric Lamarre, MD

Associate Staff

Brandon Prendes, M.D.

Staff

Peng Ding, PA-C

Physician Assistant

Anna Bakeman, MD

Staff

What We Treat

Facial plastic surgery - conditions

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

Rhinoplasty 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.

Facial Paralysis Before & After Photos

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).
Cranial nerve transfer procedure for a benign facial schwannoma. Before (left). After (right).
Trivector gracilis free tissue transfer procedure for facial paralysis. Before (left). After (right).
Single vector gracilis free flap procedure to help with facial reanimation for Ramsay Hunt syndrome. Before (left). After (right).
Single vector gracilis free flap procedure to help with facial reanimation for Ramsay Hunt syndrome. Before (left). After (right).
Face/necklift and right depressor anguli oris (DAO) excision procedure for facial paralysis. Before (left). After (right).
Face/necklift and right depressor anguli oris (DAO) excision procedure for facial paralysis. Before (left). After (right).
Right face selective facial neurectomy procedure for facial paralysis. 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.

Learn more about virtual visit options for scheduled appointments.

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.