Hand Trauma Sharp laceration, crushing injuries and avulsions can disrupt the nerves, tendons, ligaments and bones of the hand. As a fully trained plastic and reconstructive surgeon, Dr. Bastidas has significant experiences managing complex skeletal and soft tissue injuries of the hand. 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 » Syndactyly Webbing of the fingers and toes is known as syndactyly. The involved fingers or toes can be fully fused at the level or the bone, or simply by the skin. The release of the involved structures often begins around age 12 months and typically requires a skin graft to resurface the digits. 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 » Mobius Syndrome Mobius syndrome is a congenital (birth) deformity where patients are born with facial paralysis on either one or both sides. Facial reanimation of the ability to smile can be performed using muscle transfers (temporalis or gracilis) to help bring emotion to a sometimes emotionless face. 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 » Bell’s Palsy Bell’s palsy is form of facial paralysis related to dysfunction of the facial nerve. Most cases are one-sided (unilateral) and the source is often unknown (idiopathic). It may be associated with lyme disease as well as with the herpes simplex virus. Treatment is aimed at restoration of facial symmetry and regaining the ability to smile. Instances involving paralysis of the eyelid may require placement of a gold weight to help protect the cornea. 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 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...
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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...
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