Cranioplasty Trauma from motor vehicle accidents and infection may often leave large defects in the skull creating significant irregularities and deformities in the scalp. Working with Neurosurgeons, Plastic Surgeons can utilize bone grafts, titanium or plastic implants to recreate the normal contour of the skull and protect the underlying brain. Tissue expanders (balloons) may need to be placed to stretch the scalp skin to accommodate the implant prior to the final reconstruction. Customized implants may be used designed based on 3D CT scans to personalize your reconstruction needs. 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 » Chin Surgery Chin projection is important in the facial profile, and the lack of adequate projection can lead to a sagging neck and the appearance of a larger than normal nose. The projection can be augmented using either a silicone implant or by cutting and moving the chin bone anteriorly. A small incision inside the mouth or under the chin can be used to achieve either purpose. Through a similar approach, removing the prominent bone can reduce a large chin. 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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Vascular Malformation Vascular malformations are abnormal growths of either arteries, veins, lymphatic vessels and capillaries. Port wine stain (see photos), is a capillary malformation, and may affect a significant area of the face. Capillary malformations may be more receptive to laser surgery treatment, though many laser procedures are often required to see a benefit and relapse is unfortunately common. Arterial malformations are often pulsatile and can be very difficult to treat as recurrence is common. Surgical therapy is often combined with sclerotherapy (injections to clot off the feeding vessels) to help shrink the malformation and possibly reduce surgical bleeding. 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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Hemangioma A hemangioma is a benign vascular tumor that may be present at birth or appear shortly after birth. It may grow rapidly from a small pin sized red dot to a large mass (tumor) during the first few months of life. The tumors are composed of small blood vessels (capillaries) that may ulcerate causing pain or may even bleed. Most fade away to a fleshy colored fatty mass in later childhood (5-7yrs old) but often require surgical excision to improve the contour of the affected area. Medical treatment may involve a medication called propanolol to induce regression in areas where surgical treatment is not optimal. Laser treatment can also be used but since it only penetrates about 1mm, it is not optimal for thicker tumors. Medical Treatment: Propanolol Initially used to treat cardiac problems an amazing side effect of reducing the size of large hemangiomas was noted. Propanolol is now the gold standard for the treatment of complicated hemangiomas. Hospital admission for administering the drug is required for monitoring , and the results can be dramatic. Surgical Treatment: Removal of all, or part of the hemagioma is the goal of surgery. Surgery is indicated for hemagiomas that may bleed or are painful, are unsightly, or that are causing deformation of neighboring normal anatomic structures. 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 » 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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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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