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Reconstructive Techniques |
What scar revision techniques are best for children?
It depends upon the scar. If a scar is relatively new (less than 1 year old), then I would recommend conservative measures such as silicone-based scar medication, sunscreen, and time to allow the scar to fully heal. There are several types of scar revision techniques available, from skin resurfacing to surgery. Skin resurfacing options include intense pulse light (to minimize pigmentation), laser resurfacing, and/or dermabrasion. Surgery options include a wide variety of techniques such as direct excision, z plasty, w plasty, geometric broken line closure. Finally, injections with steriod and/or 5-fluorouracil have proven beneficial. While there is not one specific "best" scar revision technique for children, there are several options available and I discuss all these options in the context of the child's scar as well as his or her age.
I have a hole in my septum. Can this be fixed with rhinoplasty?
Rhinoplasty refers to surgery to change the appearance of the nose. Septoplasty and repair of septal perforation can be performed at the same time as a rhinoplasty.
Do you offer earlobe repair, or "ear jobs" at your Orange County plastic surgery practice?
I do perform surgery to reduce the size of large earlobes, or repair torn earlobes due to heavy earrings.
Also, I perform surgery to address the changes to the earlobes that can occur following a facelift. This change results in the earlobe being pulled down onto the lower cheek and is commonly referred to as pixie ear deformity. During facelift surgery, I minimize this risk by avoiding tension on the ear at the time of closure of the facelift surgery.
These procedures are rising in popularity in recent years. You can read more about them in this article from Daily Mail UK.
I am 48 years old, male and I have had surgery on my face and nose for skin cancer. While I did not lose most of my nose, there is a substantial gouge out of it. Would a nose job be necessary to fill the gouge?
The prevalence of skin cancer is rising. Patients with biopsy-proven skin cancer on the face should consider not only removal of the skin cancer but also reconstruction of the subsequent defect. As a facial plastic surgeon, I perform a variety of reconstructive techniques of nasal skin cancers. If you have a "gouge" in your nose, you may benefit from one of these reconstructive procedures to improve the overall appearance of the nose. The reconstructive technique I would recommend depends upon the location of the "gouge".
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