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.