Surgical Reconstructive Procedures
Nasal Breathing Correction
Breathing through your nose allows warming and moisturization of air before it enters your lungs. It is a satisfying and comfortable sensation. Often trauma to the nose or deformities that arise before maturity can restrict nasal breathing and cause an obstruction.
Skin Cancer Reconstruction
Years of sun exposure in South Florida is a big risk factor for facial skin cancers. Basal cell carcinoma, squamous cell carcinoma and melanoma are listed from most common to most aggressive. I encourage all of my patients to wear facial sun-block and protective clothing, such as a hat with a wide brim, when outside or driving. The damage from the sun is cumulative so starting at a young age is best.
Nasal fractures are the most common fractures encountered of the face. The nasal bones are important to maintain straightness of the nose and when fractured, the deviation created can be both cosmetically disfiguring and can have an impact on nasal breathing. Addressing the broken nose quickly is important because a simple reduction of the fracture can be done within the first 2 weeks to restore the pre-fracture position of the nasal bones before healing sets them in place.
Facial Paralysis Reconstruction
Facial paralysis occurs after damage to the facial nerve. This can occur after an infection such as Bell’s palsy, after traumatic injuries, from cancers along the course of the nerve and other less common reasons. The cause and timing since injury is important for treatment. We try to promote recovery with medication and exercises, but sometimes the damage can be permanent.
Scars on the face and neck are problematic since they are readily visible to other people. Motor vehicle accidents, assaults, dog bites, skin cancer removal and even surgical scars can all heal in an unfavorable manner. Any wound takes about 12 months to fully heal but sometimes a scar that will heal poorly can be identified sooner.