Facial Plastic Surgery is a diverse field in which doctors from various subspecialties are involved. These include fields like ophthalmology, maxillo-facial surgery, plastic surgery, dermatology, and ENT surgeon. Each subspecialty brings its own perspective to the treatment of cosmetic deformities.
As an ENT service with further training and experience in craniomaxillofacial and reconstructive surgery, I offer the following services at ENT360 clinic:
- Lip enhancement or reduction surgery
- Scar revision
- Dimple creation surgery
Treatment of Facial Nerve Paralysis
For facial paralysis, rehabilitation can be a multi-step process. We can perform the following surgeries:
- Direct re-anastomosis of the facial nerve in freshly injured cases
- Nerve graft to bridge and reduce anastomotic tension
- Eyelid procedures to prevent permanent corneal injury and blindness
- Temporalis tendon trasfer
- Gracilis free tissue transfer
- Hypoglossal nerve – facial nerve anastomosis
- Masseteric nerve – facial nerve anastomosis
- Parotid contour restoration with fat or muscle graft
- Botox injection for normal side
Reconstructive surgery after Ablative Surgery for Head and Neck Cancer
Treatment of head & neck cancer can often lead to functional deficits and disfiguring deformities. Microvascular or free flaps and loco-regional flaps can be utilized for the reconstruction of defects in such cases. We can perform the following flaps:
- Local flaps
- Facial artery myo-mucosal (FAMM) flap
- Nasolabial flap
- Submental flap
- Infrahyoid flap
- Supraclavicular flap
- Region flaps
- Pectoralis Major Myo-Cutaneous (PMMC) flap
- Latissimus Dorsi Flap
- Trapezius island flap
- Free flap
- Anterolateral thigh flap
- Radial artery forearm free flap
- Free fibula flap
What are the discussions that a patient should have with their doctor prior to any cosmetic, facial, or reconstructive procedure?
- Should I undergo the suggested procedure and what would happen if the procedure wasn’t performed?
- Patient’s expectations and the surgeon’s experience regarding the procedure should be realistically discussed
- The expense plays an important role in making any decision, especially if multiple surgeries may be needed. The patient should be aware of whether the procedure will be covered under insurance, as most cosmetic procedures are NOT.
- Regarding reconstruction for head and neck cancer cases, the disease status of the patient should be discussed.