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Pediatric Plastic Surgery

Advanced Pediatric Plastic Surgery at Medical City Frisco

Vascular anomalies and laser surgery is an extremely specialized area of medicine. Our center is dedicated to providing the finest and most advanced care that your child deserves.

Our surgeons are Board Certified and Fellowship trained specifically in Vascular Anomalies and Laser Surgery.

We utilize a team approach and involve other highly trained specialists when necessary to provide a complete array of services.

Our laser technology is cutting edge and based on peer reviewed research studies. Our team is uniquely trained to provide the finest care available to your children.

Pediatric Plastic Surgery Services

  • Laser Surgery
  • Plastic Surgery
  • Otolaryngology/ENT
  • Radiology
  • Interventional Radiology
  • Pediatric Anesthesia
  • Pediatric Nurse
  • Pediatric Nurse Practitioner

The physicians at Medical City Frisco offer the highest quality in craniofacial reconstruction surgeries. Craniofacial reconstruction is a procedure that involves reshaping or repairing the face and skull. Craniofacial reconstruction can be done to repair abnormalities caused by genetic disorders, birth defects, or injury.

Cleft Lip/Palate

Cleft lip and cleft palate are facial and oral malformations that occur very early in pregnancy, while the baby is developing inside the mother. Clefting results when there is not enough tissue in the mouth or lip area, and the tissue that is available does not join together properly.

A cleft lip is a physical split or separation of the two sides of the upper lip and appears as a narrow opening or gap in the skin of the upper lip. This separation often extends beyond the base of the nose and includes the bones of the upper jaw and/or upper gum. A cleft palate is a split or opening in the roof of the mouth. A cleft palate can involve the hard palate (the bony front portion of the roof of the mouth), and/or the soft palate (the soft back portion of the roof of the mouth).

Specialized treatment includes:

  • Surgical repair of cleft lip and cleft palate
  • Nasoalveolar molding for infants with clefts of the lip and palate
  • Longitudinal orthodontic and dental care for complex dental issues
  • Jaw surgery, when needed in teenage years
  • Specialized speech and language evaluation and treatment
  • Ongoing psychosocial support from dedicated clinical psychologists and social workers
  • Prenatal diagnosis, evaluation and management
  • Access to pediatric specialists at every stage

Craniofacial Anomalies

Craniofacial anomalies (CFA) are a diverse group of deformities in the growth of the head and facial bones. Anomaly is a term that means “irregularity” or “different from the norm”. These abnormalities are congenital (present at birth) and there are numerous variations – some are mild while others are severe and require surgery.

Medical City Frisco treats all types of conditions affecting the face, head and neck, whether they were present at birth or acquired from a trauma or tumor. The most common conditions include cleft lip, cleft palate and craniosynostosis syndromes, which involve the early fusing of one or more of the bones in the skull and face during fetal development. Our program is dedicated to the early diagnosis and treatment of craniofacial conditions. In turn, Medical City Frisco combines the most advanced surgical and therapeutic techniques with respectful and sensitive team care.

Since most conditions affect an individual both medically and socially, the center uses experts from many disciplines to address the special needs of our patients. Team members include specialists in plastic and reconstructive surgery, orthodontics, oral surgery, pediatric neurosurgery, otolaryngology, prosthodontics, dermatology, speech pathology, genetics, nursing and social work. Together, the team seeks to improve the health and physical appearance of our patients as well as promote their overall well-being through education and support.

Arteriovenous Malformation (AVM)

Arteriovenous malformation is an abnormal connection between arteries and veins, bypassing the capillary system, and in many cases this causes a birthmark. Our surgeons are specialized in embolization, a nonsurgical, minimally invasive procedure that deliberately blocks off blood vessels and can reduce the size of the birthmark.

Vascular Birthmarks:

These red colored birthmarks are also called port wine stains or capillary vascular malformations. Over time these birthmark will change from red to dark purple and can become thicker and nodular. Vascular birthmarks are treated with lasers. Usually a series of 5 to 10 treatments will be necessary to adequately fade the birthmark.

Hemangiomas:

Hemangiomas are vascular tumors of infancy. Hemangiomas are surprisingly common and are reported to occur in about 1 in 10 infants. Hemangiomas are usually not present at birth, but appear shortly after birth and grow rapidly in the first 6 to 12 months of life. After this growth period, there is a long, spontaneous phase of involution where the hemangioma will recede to some degree. Hemangiomas can be treated with medication, laser therapy, or surgery, depending on the growth phase.

Venous Malformations:

Venous malformations are vascular malformations composed primarily of anomalous veins. These blue-purple tumors vary in size and body location. They are soft and fill rapidly with blood in a dependent position. They can be estrogen sensitive and worsen in females at puberty and pregnancy. They can ache, clot, bleed and cause functional impairment. Venous malformation can be treated with lasers, sclerotherapy, or surgery.

Lymphatic Malformations:

Lymphatic malformations are vascular malformations composed primarily of anomalous lymphatic channels. They can also be called lymphangiomas or cystic hygromas. These tumors can be large and tend to occur near areas where lymph nodes are concentrated: Face/neck, axila (armpit), or groin area. Lymphatic malformations are usually painless but have a propensity for infection. Lymphatic malformations are usually treated with sclerotherapy or surgery.

Arteriovenous Malformations (AVM’s)

Arteriovenous malformations are vascular malformations composed of anomalous connections between arteries and veins. These are aggressive vascular tumors which can form a high flow independent circulation which can result in bleeding and heart failure. These can occur anywhere in the body including organs such as the brain or liver. Arteriovenous malformations are treated with embolization and surgery.