Reconstructive Before & After Gallery

We invite you to view our many patient successes in our before and after photo gallery.

Bilateral Cleft Lip Repair

Bilateral Cleft Lip Repair. 8 month post-op.

 The Atlantic Center for Aesthetic and Reconstructive Surgery

Bone Grafting


Breast Reconstruction

Coming soon.

Cleft Nasal Repair (Rhinoplasty)

4 month-old treated with Cleft Lip Nasal Repair.

2 week post-op.

Congenital Nevus

Coming soon.

Dermoid Cysts

Coming soon.

Endoscopic Craniosynostosis Repair

 The Atlantic Center for Aesthetic and Reconstructive Surgery

Fat Grafting to Face / Lips

 The Atlantic Center for Aesthetic and Reconstructive Surgery

 The Atlantic Center for Aesthetic and Reconstructive Surgery

Helmet Therapy

 The Atlantic Center for Aesthetic and Reconstructive Surgery

 The Atlantic Center for Aesthetic and Reconstructive Surgery

 The Atlantic Center for Aesthetic and Reconstructive Surgery

Hemangioma Treatment

Coming soon.

Mandibular & Maxillary Distraction

Coming soon.

Moles, Lumps & Bumps

Coming soon.

Monoblock & Le Fort's

Coming soon.

Nasal Reconstruction

 The Atlantic Center for Aesthetic and Reconstructive Surgery

Open Craniosynostosis Repair

Coming soon.

Plagiocephaly

Coming soon.

Skull Distraction

Coming soon.

STARscanner™

WHY ARE THE SKULLS OF INFANTS SUBJECT TO DEFORMATION?


  • The skull's plasticity of the newborn makes it receptive to external pressure in the womb.
  • The newborn's immobility and any positional neck preference can make infants susceptible to extrinsic skull deformities.
  • Craniosynostosis or genetic transmission can result from intrinsic abnormalities. 
  • Deformational forces that frequently affect the occiput. Though, in severe cases the frontal bones and face may be affected.
  • At birth, about 24% of babies have a noticeable skull deformity, but at 4 months of age it reduces to about 20%.
  • If the baby spends most of the day on the back against a hard surface of carriers or other holding devices, then the abdormal shap may persist.

WHAT ARE THE TYPES OF HEAD SHAPES?


Deformational Plagiocephaly is the most common type of infant skull deformity, and is normally noticed at about 6 to 10 weeks of age. It is characterized by an asymmetrical skull shape and has a unilateral occipital flattening. The ear is positioned more anterior on the occipital flattening side. Also, there may be facial asymmetry and the forehead may be asymmetrical with an anterior positioning. Deformational Plagiocephaly could be accompanied by torticollis, limited neck range of motion, weakness and preferential head positioning. 

Plagiocephaly

Plagiocephaly

Severe Plagiocephaly

Severe Plagiocephaly

Severe Plagiocephaly

Deformational Brachycephaly has central occipital flattening and a high and sloped skull (the head is excessively wide for its length). This skull deformity could be accompanied by a prominent, bossed forehead. 

Moderate Brachycephaly

Deformational Brachycephaly with Asymmetry is a combination of brachycephalic and plagiocephalic characteristics. The shape is disproportionately wide and asymmetrical. Though, there may not be asymmetries to the forehead and facial structure.

Deformational Scaphocephaly is a very elongated head shape that in width is excessively long. This skull deformity is uncommon and is caused by extrinsic forces. It is sometimes seen in premature infants who are often positioned side lying (such as NICU infants). Scaphocephaly caused by extrinsic positioning can be confused with sagittal synostosis (which is a more serious deformity that usually requires surgery). 


CRANIOSYNOSTOSIS


Craniosynostosis is the premature closure of one or more cranial sutures. Treatment of craniosynostosis usually requires surgical intervention. Craniosynostosis causes restriction of growth at the suture and abnormal growth perpendicular to the fused suture. There are different types of craniosynostosis, which include: sagittal, coronal, metopic and lambdoid. Infants diagnosed with craniosynostosis usually require surgery, and early diagnosis is vital. Endoscopic surgeries are often recommended before 3 months of age.

Sagittal Synostosis is the most common type of single suture craniosynostosis and results in an elongated head shape.

  • Sagittal suture is usually ridged.
  • Frontal and occipital bones have a pinched/boxy shape.
  • The skull becomes progressively more abnormal and does not improve with repositioning.

Lambdoid Synostosis is the least common type of craniosynostosis and can be confused with plagiocephaly.

  • Significant occipital asymmetry without anterior ear shift or frontal changes.
  • Mastoid bossing on the side of occipital flattening.
  • Contralateral parietal bossing.

Other types of synostosis include metopic, uni-coronal, bi-coronal and synostoses that are manifested in syndromal disorders like Apert's and Crouzon's (Cranial Center of Excellence)

Deformational Plagiocephaly can be difficult to differentiate from Lambdoid Craniosynostosis because both conditions present with asymmetry.

Deformational Plagiocephaly

  • Ipsilateral frontal bossing.
  • Ipsilateral anterior ear displacement.
  • Occipital flattening with contralateral bossing.

Lambdoid Craniosynostosis

  • No ipsilateral frontal bossing.
  • Ipsilateral posterior ear displacement (usually).
  • Ipsilateral mastoid bossing.
  • Significant occipital flattening that worsens over time.


Craniosynotosis Multisutural Open Vault

Endoscopic Sagittal Craniosynotosis

Endoscopic Sagittal Craniosynotosis

Sagittal Craniosynostosis

Sagittal Craniosynostosis

Surgeries of the Hands & Feet

 The Atlantic Center for Aesthetic and Reconstructive Surgery

Torticollis - SCM Lengthening & BOTOX®

Coming soon.

Unilateral Cleft Lip Repair

 The Atlantic Center for Aesthetic and Reconstructive Surgery

Vascular Malformations

Coming soon.

VSP Orthognathic

 Hemifacial Microsomia

Left-sided craniofacial microsomia with combined maxillary and mandibular hypoplasia.

The surgical operation was performed with LeFort-I osteotomy, bilateral sagittal split osteotomy, nasal endoscopy and internal fixation of both osteotomies. VSP Orthognathics (a computerized modeled plan and computerized custom modeling) was used for the staging and creation of the two separate custom oral splints for this procedure. 

 The Atlantic Center for Aesthetic and Reconstructive Surgery

 The Atlantic Center for Aesthetic and Reconstructive Surgery

 The Atlantic Center for Aesthetic and Reconstructive Surgery

Before & After Gallery

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