Craniosynostosis Surgery New York and Long Island Craniosynostosis is a fusion of the growth plates (sutures) of the skull that may affect as many as 1/2000 children. Affected infants present with either flattening or protrusion of the forehead or occiput (back of the head) and may also have deformities of the ears and orbits (eye sockets). Early fusion of the sutures can cause not only an aesthetic deformity but also may increase the pressure on the brain (known as intracranial pressure). This is thought to possibly contribute to developmental delay and surgical intervention is typically required. Endoscopic release vs. cranial vault remodeling The affected suture can be released either endoscopically (using a camera) or using an open approach (direct visualization). Endoscopically released sutures require helmet therapy for at least six months post-operatively to help mold the skull into a normal position. Endoscopic suture release is thought to work well for craniosynostosis diagnosed early (1-2 months) and is particularly effective in sagittal synostosis. The ability of endoscopic release to effectively treat other types of craniosynostosis (metopic. unicoronal, lambdoid) is highly debatable. The gold standard for craniosynostosis is open calvarial vault remodeling. The affected suture is removed and the skull remodeled using resorbale plates, sutures, and screws to achieve an anatomic result. No helmet is required since the results are achieved intraoperatively. Cranial vault remodeling effectively also treats the orbital (eye socket) deformity. Children recover incredibly well and are typically discharged after four days. Dr. Bastidas, a craniofacial surgeon and pediatric plastic surgeon in New York and Long Island specializes in the treatment of craniosynostosis. A full, thorough evaluation, including a possible 3dCT is performed and a strategic plan is outlined during the consultation. All surgeries are performed at the Cohen Children’s Medical Center, with a dedicated perioperative team with experience in complex craniofacial surgery. Dr. Bastidas also offers consultations to patients throughout the international community and nationwide. Dr. Nicholas Bastidas is a plastic and reconstructive surgeon specializing in the treatment of pediatric and adult craniofacial abnormalities. He is a specialist in craniosynostosis surgery and uses cutting edge minimally invasive techniques. 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 »Craniofacial and Pediatric Plastic Surgeon of Long Island and New York City Dr. Bastidas was recently recruited to the North Shore-LIJ Health System in April 2013. He will be spearheading the development of the Institute of Pediatric Plastic and Craniofacial Surgery for Cohen Children’s Medical Center. As a full-time assistant professor he dedicates his clinical work and research to further improve the lives of his patients and treat complex deformities. Dr. Bastidas performs pediatric plastic and craniofacial surgery in New York and Long Island treating abnormalities such as cleft lip and cleft palate, craniosynostosis, facial fractures, facial paralysis, hemangioma, vascular anomalies, microtia and skin lesions (tumors). Pediatric Plastic Surgeon in Long Island / Pediatric Plastic Surgeon in NYC Partnering with a major children’s hospital such as Cohen Childrens Medical Center (NSLIJ) allows Dr. Bastidas to safely perform these procedures, with the support of the leading pediatric anesthesiologists, nurses and physicians. Dr. Bastidas employs cutting edge technology and evidence based-treatment algorithms to offer his patients the best possible outcomes. Dr. Bastidas is one the few craniofacial and pediatric plastic surgeons in New York and Long Island that is associated with a Childrens Hospital. Trust him and his team of experts to deliver the safe, quality care that you or your family member deserves. 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 or (212) 485- 0616. We are looking forward to serving you and your...
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Aesthetic Surgery Aesthetic surgery is often desired to help improve the form of the face and body and to regain youthfulness. Dr. Bastidas is well trained in aesthetic surgery and can offer his patients excellent results with the following procedures: Breast implants/reduction/lift Dr. Bastidas performs breast augmentation surgery with either silicone or saline implants to help achieve a natural result with ample cleavage. This procedure may be combined with a breast lift to help restore the perkiness associated with youth. Large/painful breasts can be reduced and lifted using a variety of techniques to improve the overall form and comfort of our patients. Eyelid Surgery The upper and lower eyelids are a common sign of aging. Most people complain that they look “tired all the time”. Dr. Bastidas can remove excess skin and fat and rejuvenate the periorbital area to create a clean, well rested look. Facelift/Necklift The tell-tale sign of aging remains the lower third of the face and neck as gravity and time take their toll on all of us. Dr. Bastidas has trained with pioneers and leaders in face lifting techniques and can obtain natural results with minimal scarring. Gone are the old days of over tightening the skin. Dr. Bastidas sculpts and elevates the muscle layers so that overlying skin sits naturally and without the “wind tunnel” look. Liposuction Areas of excess and prominent fat can be sculpted using the minimally invasive technique of liposuction. Tummy Tuck Performed as an outpatient or as an overnight procedure, excess skin can be easily removed through a scar hidden in the “bikini line” to allow patients to regain the shapely figure often lost with weight gain and pregnancy. This procedure takes 2.5 to 3 hours and can be performed safely under general anesthesia. This procedure is often combined with liposuction and/or breast surgery. Rhinoplasty (nose job) One of the most common procedures performed today, small alterations on the underyling foundation of the nose can lead to great results in the overall form and function. Cosmetic rhinoplasty is a safe, outpatient procedure performed by Dr. Bastidas. During the consultation together we will discuss what your goals are and we will work to achieve your utmost perfect outcome. Please call 516-497-7900 for a free consultation today to discuss your opportunities. 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 » Breast Surgery Poland syndrome and tuberous breast are two relatively common breast deformities. Poland syndrome involves malformation of the breast, pectoralis muscle and possibly the hand. A tuberous breast constricts the breast base, leading to widening of the areola and a narrow asymmetric breast. Both conditions can be treated with surgery and may involve placement of a breast implant. 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...
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