Reconstruction

Eyelid Reconstruction

This treatment is performed when the patient needs improvement of eyelid function, eyelid aesthetics, and protection of the eyes. Most patients have this operation when they have problems with facial trauma and/or eyelid trauma.  Also, this operation can happen after removal of eyelid cancers.

Facial Trauma

Also known as maxillofacial trauma, it is any physical trauma to the face, which includes but is not limited to: soft tissue injuries (burns, lacerations and bruises), fractures of the facial bones (nasal and jaw fractures), and eye injuries.

Trauma Reconstruction and Scar Revision

Facial disfigurement from injury can cause life-long emotional scarring. Scar revision therapies replace one scar for another in an attempt to improve the appearance of the original scar. Unfortunately, complete restoration of the skin is impossible.

Keloid Scarring

An overgrowth of scar tissue after the wound has healed.  This scar is different than the hypertrophic scar because the Keloid scar grows beyond the borders of the wound.  The surgical removal may be combined with radiation therapy to improve the success rate of this difficult problem.

Otoplasty

Otoplasty, otherwise known as ear pinning, reduces the prominent appearance of the ears. The surgery is for anyone who is displeased or insecure about the size and/or shape of their own ear.  Ear pinning sets the protruding ears closer to the head.

Earlobe Repair Surgery

Earlobe repair is performed when the patient’s earlobe has been torn, stretched or damaged. The problem usually results from trauma of heavy jewelry.

Breast Reconstruction with implants and one’s own tissue

Breast reconstruction may involve breast implants but the surgeons may also decide to use a patient’s own body tissue to make a new breast. The surgery may involve taking skin, fat and sometimes muscle and make it into a breast shape. It’s important to note that both methods can be performed to optimize results. The goal of breast reconstruction is to restore a breast to the desired shape, appearance and size. 

Abdominal Wall Reconstruction

Abdominal wall reconstruction is a complicated surgical operation that focuses on open wounds or abdominal problems. The problem can be addressed by moving tissues of the abdomen or redistribute abdominal muscles to another part of the body.  For tobacco users, the surgery may be postponed until tobacco use cease for at least 1 month. The most important goal of this procedure is to protect vital organs and improve muscular function.

Chest Wall Reconstruction

Reconstruction of the chest wall is operated to repair congenital problems and cancer-removal or infection-removal defects affecting the chest. Some defects can hinder normal breathing as well as aesthetics.

Lower Extremity Reconstruction

The goals of lower extremity reconstruction are to restore limb functions, cover vital structures and maintain an adequate appearance. Patients who undergo this procedure, usually suffer from open wounds or defects in the lower extremity as a result of trauma, disease, or congenital abnormality.

Skin Grafts

This is the surgical operation where a piece of healthy skin on the body is transplanted to a new part of the body. Skin grafts are often used to treat extensive wounds, scars, or trauma. 

Tissue Expansion

A tissue expander is essentially a partially-filled breast implant that will be filled with normal saline over the course of 6 to 8 weeks. The filling process will slowly stretch the skin and pectoral muscle (large muscle in the chest). Once the breast reaches an acceptable size, the injection of saline will stop.

Carpal Tunnel Release

Carpal tunnel release is a reconstructive surgical treatment where the ligament is cut to relieve some of the symptoms for carpal tunnel syndrome. A lot of symptoms of carpal tunnel would include numbness in the hand or aching in the hand.

Breast Reduction

Breast reduction, also known as reduction mammoplasty, is the process of removing excess breast fat, skin, and tissue. This will result in the nipple and areola area being moved to a higher position if needed.

Microsurgery

Reconstruction microsurgery is a surgical field that particularly involves microscopes and precision instrumentation that are specialized to perform complex procedures on tiny structures, such as small blood vessels and nerves. The microsurgical technique is used to fix the function or appearance after trauma or removal of tumors. 

Trigger Finger Injection

Trigger finger, or stenosing tenosynovitis, affects the pulleys and tendons in the hand that bend the fingers.  There are many surgical or non-surgical methods to treat trigger finger depending on the patient. Non-surgical method may include an anti-inflammatory medication or a steroid injection around the tendon. If surgery is needed, the procedure would require opening the pulley at the finger base. 

Facial Paralysis Surgery/Bell’s Palsy/Facial Reanimation

Damage to the facial nerve may cause disproportional or asymmetrical facial expression. It also affects facial nerve functionality leading to blockage of the visual field, dry eyes, tearing, drooling, and difficulty eating.

Melanoma Skin Cancer Surgery

Surgery is the main treatment option and can usually cure early stages of melanoma skin cancer. It is the surgical removal of cancerous skin with a rim of healthy tissue. When the resulting wound is small enough, it can be stitched back together after the removal. 

Skin and Soft Tissue Tumors

Soft tissue sarcomas can develop from soft tissues like fat, muscle, nerves, fibrous tissues, blood vessels, or deep skin tissues. They can be found in any part of the body. Sarcomas are not the common tumors. The most common type of tumors is called carcinomas. Surgery for sarcomas would include removal of the tumor including some of the surrounding healthy tissue during the operation. The goal is to remove the tumor along with enough of the healthy tissue to achieve a clean margin around the tumor.

Wound Care

Many wounds are superficial and tend to only require local first aid, which includes cleaning and dressing of the wound. Other wounds are deeper and require medical attention to prevent any infections and loss of function in the problem areas. The purpose of medical care for wounds is to prevent complications from arising and to preserve the functions of the body.

Burns

There are three primary types of burns: first-, second-, and third-degree burns. Each degree is based on the amount of damage done to the skin, first-degree being minor, and third-degree being the most severe. Fourth-degree burns exist and have all the characteristics of third-degree burns but it goes beyond the skin to the tendons and bones. There are risks of infection, blood loss, and shock when dealing with burns. All burns carry the risk of infection.