Nasal Reconstruction The nose lies in the center of the face and is the most visible of all facial structures. It is composed of a lining, structure and skin envelope, all of which must be individually reconstructed in the cases of injury from trauma, malformation, or as result of tumor excision. Excellent reconstruction results can be achieved by transferring tissue from the other parts of the nose, or sometimes from the forehead or cheek. Larger defects may require a 2 or 3 stage operation, which are spaced 3-4 weeks apart. Cartilage grafts from the rib or ear may be required to optimize outcomes depending on how big is the defect. Plastic surgeons often work in conjunction with dermatologists who perform Moh’s surgery, a process of removing the tumor after examining the margins under a microscope. 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...
Read More » Migraine Surgery Migraines are severe headaches that are thought to arise from a pathologic nerve response from constricting muscles. Patients non-responsive to medications may be candidates for botox therapy. Botox is thought to function by either directly mediating the nerve signals or by reducing muscle contraction and thus nerve compression. Patients in whom this technique fails may be candidates for surgery where the involved nerves are completely released from the nearby musculature or tissue. 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...
Read More » Lower Extremity Reconstruction Trauma from car accidents and falls can cause severe damage to the tissues and bones of the legs. Plastic surgeons are often consulted by orthopaedic and vascular surgeons to help manage complex wounds and repair damaged structures. Wound coverage may be as simple as a straight line closure or skin graft and can be as complex as free microvascular tissue flaps. 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...
Read More » Lip Surgery The lips are the center of facial expression and reconstruction requires a thorough understanding of the anatomy. The upper lip is in the shape of a bow, and has a central fullness known as the tubercle. The depression above the center of the is known as the philtral dimple. Plastic surgeons are often consulted for lip reconstruction for post-ablative tumor resection and for trauma. The reconstruction may consist of moving adjacent lip tissue and elements of the cheek to achieve a functional and aesthetic lip. 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...
Read More » Laser Surgery An ablative or non-ablative laser maybe used for removing lesions and for skin resurfacing. 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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Torn Ear Lobes Heavy earrings worn for long-term can lead to stretching of the holes and sometimes complete tears of the earlobe. Torn ear lobes can be easily repaired under local anesthesia and the ears can be pierced again after 3-6 months. Trauma/Cancer Defects of the ear resulting from trauma or skin cancer may require extensive reconstruction of the cartilage and skin of the external ear. These reconstructions are typically performed in one or two stages. Macrotia Microtia –(small or absent ear) Malformation of the external ear may require complex reconstruction requiring the use of cartilage from the rib. This reconstruction is usually postponed until a minimum age of eight to allow for growth of the rib cage. A new ear framework is sculpted from the cartilages and buried underneath the skin where the new ear is to be created. Approximately three months later the “new ear” is elevated from underneath the skin and grafted to create the “normal” projection. Prosthethics are also available, however, are prone to fall off and degrade requiring expensive replacements. The cartilage sculpted ear is the preferred “permanent” reconstruction recommended by most plastic surgeons and are more resistant to infections than synthetic ears. Large ears may also be reduced using techniques involving removal of skin and cartilage. Scars are placed in the shadows of the ear creases to conceal any evidence of surgery. 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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