Pediatric Facial Surgery
GENERAL CONSIDERATIONS
- Most pediatric facial plastic surgery is reconstructive, not cosmetic, but is intended to restore "normalcy" to the facial appearance.
- Realistic expectations are the key to success.
- Safety is paramount
- Natural results are the goal of any purely cosmetic surgery or procedure.
PROBLEM:
- Any abnormality of a child's face or neck.
GOALS:
- Restore normal appearance.
LIMITATIONS:
- Cannot recreate undamaged skin
- May not completely alter developmental asymmetries
- Cannot prevent changes that occur with development
- Cannot solve personal problems of parents
GOALS MAY ONLY BE PARTIALLY MET
HOW LONG WILL IT LAST?
- Aging and development will continue
SURGICAL TECHNIQUE / ANESTHESIA/ FACILITY:
- General anesthesia may be necessary for some children, although local may be used in certain children that may be able to tolerate it from a maturity perspective.
POST-PROCEDURE INSTRUCTIONS:
- Ice pack to the area immediately after procedure.
- Continue ice packs until sleep on day of procedure.
- Continue ice packs intermittently as much as possible on day 2.