Treacher Collins

Treacher Collins

  Treacher collins Treacher collins syndrome can be genetically inherited or occur as new mutations and cause a pattern of facial clefting as well as a small lower jaw.  Treatment is aimed at first improving the anterior projection of the lower jaw  and opening up the airway which is often using mandible distraction techniques.  This will pull the tongue base forward and open up the airway, possibly reducing the need for tracheotomy.     Excision of ear remnants (6mos)     Defect in the lower lid (coloboma)    Bone grafts can be placed in the cheek areas to augment the bony deficiency (age 5)     Microtia (Age 8-10) Dr. Nicholas Bastidas is a plastic and reconstructive surgeon specializing in the treatment of pediatric and adult craniofacial, cleft and vascular abnormalities. Dr. Bastidas is a leader in craniofacial surgical procedures and serves the Long Island and greater New York region. Call us today at (516) 497-7900. We are looking forward to serving you and your...

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Scar Revision/Trauma

Scar Revision/Trauma

    FACT: Any break in the skin that penetrates to the deep dermis will leave a scar As mere mortals, there is almost nothing we can do to prevent scar formation, but we do have techniques that allow us to minimize the amount of scars formed.  How much scar we form is based on many things, most importantly: genetics, tension on the skin when closed, anatomic location, and surgeon’s ability. As a plastic surgeon, we are trained in techniques to help minimize scarring by manipulating the tissues to achieve tension free closure and skin edge eversion.  Scars take 6 months to 1 year to fully mature (permanent result) and sometimes steroid injections and silicone tape may be needed to help soften these scars. Plastic surgeons are often called to the emergency room to treat patients with complicated cuts (lacerations).  Patients who are unhappy with their existing scars may benefit from a scar revision, where the old scar is removed and the tissues closed with plastic surgery techniques.             Dr. Nicholas Bastidas is a plastic and reconstructive surgeon specializing in the treatment of pediatric and adult craniofacial, cleft and vascular abnormalities. Dr. Bastidas is a leader in craniofacial surgical procedures and serves the Long Island and greater New York region. Call us today at (516) 497-7900. We are looking forward to serving you and your...

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Alopecia

  Scalp Reconstruction Cancers or trauma can leave large defects in the scalp or areas of missing hair (alopecia).  Large rotational flaps or sometimes tissue expanders (balloons) are needed to re-establish the hairline (remove areas of alopecia) and close complex scalp wounds. Dr. Nicholas Bastidas is a plastic and reconstructive surgeon specializing in the treatment of pediatric and adult craniofacial, cleft and vascular abnormalities. Dr. Bastidas is a leader in craniofacial surgical procedures and serves the Long Island and greater New York region. Call us today at (516) 497-7900. We are looking forward to serving you and your...

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Facial Fractures

Facial Fractures

  Facial Fractures Nasal bones are the most common facial fracture, usually resulting from falls or altercations. In the first 2 weeks after the injury the bones can often be reset without making any incisions under anesthesia.  Late presenting injuries require osteotomies (re-breaking the bone) to restore the normal bony architecture of your nose. ZMC (zygomasticomaxillary complex) fractures are probably the second most common fracture.  This fracture usually involves the orbital rim (lower eye socket), cheek bone (zygoma) and may also be associated with an orbital floor fracture.  Displaced fractures can cause cheek asymmetry as well as sunken in appearance to the eye due to the abnormal eye socket anatomy.  Unrepaired or inappropriately fixated fracture may require osteotomies (re-breaking the bone) to move the ZMC unit into anatomic position. Numbness of the cheek is quite common with these injuries. Orbital floor fractures can cause sinking in of the eyeball and even affect the ability to move the eye normally causing double vision (diplopia).  The orbital floor can be reconstructed using an implant (titanium, medpor) or a bone graft.  The incision can be placed inside the eyelid to avoid visible facial scars. Mandible fractures are also very common and may require surgery to fixate the mandible in the anatomic position using plates and screws.  Frequently arch bars (wires around the teeth) are necessary to help obtain superior outcomes as well as better occlusion (ability of your teeth to meet together when you chew).  Infection and poorly healed fractures may require osteotomies as well as bone grafts to properly heal the fracture. Dr. Nicholas Bastidas is a plastic and reconstructive surgeon specializing in the treatment of pediatric and adult craniofacial, cleft and vascular abnormalities. Dr. Bastidas is a leader in craniofacial surgical procedures and serves the Long Island and greater New York region. Call us today at (516) 497-7900. We are looking forward to serving you and your...

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Pierre-Robin Sequence

    Pierre-Robin Sequence A small lower jaw (mandible) can lead to abnormal tongue positioning causing a cleft palate which may obstruct the airway in some newborns.  The small jaw prevents the tongue from lying forward and can be fatal if unrecognized.  A craniofacial surgeon can help the problem by bringing the lower jaw forward by a process known as Mandibular distraction. Lengthening the jaw may alleviate the obstructive sleep apnea, improving your child’s ability to breathe and feed.  Tracheotomy tubes may often be prevented or removed after treatment. Dr. Nicholas Bastidas is a plastic and reconstructive surgeon specializing in the treatment of pediatric and adult craniofacial, cleft and vascular abnormalities. Dr. Bastidas is a leader in craniofacial surgical procedures and serves the Long Island and greater New York region. Call us today at (516) 497-7900. We are looking forward to serving you and your...

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Mandibular Hypoplasia

Mandibular Hypoplasia

  Mandibular Hypoplasia A small lower jaw is known as mandibular hypoplasia and it can be isolated or part of a syndrome (along with other deformities). One or both sides of the jaw can be involved and treatment is aimed at lengthening the part of the jaw that is affected.  This can be accomplished surgically using either bone grafts or mandibular distraction.  Treatment is aimed at improving the facial aesthetics as well as the functional bite (occlusion). Dr. Nicholas Bastidas is a plastic and reconstructive surgeon specializing in the treatment of pediatric and adult craniofacial, cleft and vascular abnormalities. Dr. Bastidas is a leader in craniofacial surgical procedures and serves the Long Island and greater New York region. Call us today at (516) 497-7900. We are looking forward to serving you and your...

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