Romberg’s Disease Sometimes called Parry-Romberg disease, involves an autoimmune response where the subcutaneous fat of the face wastes away leaving significant contour defects. It is most common in young females, aged 5-15. Treatment strategies are developed in conjunction with a rheumatologist and may involve fat grafting and/or tissue transfer techniques to reconstruct the normal facial contour. 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 » 
Hemifacial Microsomia All faces are inherently asymmetric but severe asymmetry may be the result of hemifacial microsomia (HFM). HFM can be associated with orbit (eye socket), ear (microtia) and jaw malformations (mandible) as well as facial nerve palsy (facial droop). Weakness in the smile on the affected side may also be seen. Branchial clefts or remnants as well as kidney abnormalities may also be commonly associated. Surgical treatment is aimed at each involved structure, typically beginning with removal of remnants after the age of 6 months. Jaw and soft tissue abnormalities may be deferred until your child has reached school-age, around the age of five, to allow for facial growth. OMENS classification Microtia (small or absent ear) Mandible Malformations Type 1 – vertical shortening of mandible, normal TMJ. Treatment orthodontics, mandible surgery (BSSO or distraction) Type 2 Type 3 – complete absence of TMJ Treatment around age 5: Rib Graft followed by mandibular distraction or free fibula bone graft Soft tissue asymmteries are often treated by fat grafting Asymmetries due to nerve palsy can be treated by Botox to the nerves on the normal side 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 » Romberg’s Disease / Linear Scleroderma Wasting of the facial fat can lead to severe facial asymmetry in patients with Romberg’s disease and Scleroderma. Plastic Surgeons can help augment the facial tissues using fat grafting techniques and occasional large tissue transplants from other areas of the body (thigh and back) and restore facial symmetry. 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 »
