Cleft Lip & Palate

Overview

The CDC estimates about 2650 babies are born born with a cleft palate and 4,440 babies are born with a cleft lip (with or without a cleft palate) each year in the United States.

Children with these congenital problems are usually managed in a multi-specialty cleft clinic. Babies with cleft lips usually undergo repair in the first few months of life while palate repair is performed during the first year to 18 months.

The baby usually spends one night in the hospital. Full recovery may take 1-2 weeks and the child often needs additional surgeries as they grow older.

 

Restore the Function of Your Child’s Mouth

Cleft lip and cleft palate are some of the most common birth anomalies that children around the world experience. A cleft lip is the incomplete formation of the upper lip, while a cleft palate refers to a separation on the roof of the mouth.

These defects can happen together or individually and may affect one or both sides of a child's mouth. A child with a combination of these will need corrective surgery to use their mouth normally.

Cause and Correction

Cleft lips and/or palates occur early in your unborn baby's development, and the cause is often unknown. Sometimes and identifiable syndrome will keep the upper lip and roof of the mouth from growing together. However, for most affected children, this isn't the case. A complex interaction of genetic and environmental factors may cause many clefts.

Cleft lip and cleft palate surgeries correct this abnormal development to restore your child's lips and mouth function. They also give the areas a more normal appearance.

Specialized plastic surgery techniques can repair most clefts and improve your child's ability to eat, speak, hear and breathe.

A Team Effort

Early intervention by a team of specialists is the best way to manage your child's treatment development. Your team will work together to create a treatment plan. The plan will include feeding rehabilitation and dental restoration. Your specialist team might consist of a:

  • Plastic surgeon
  • Pediatrician
  • Pediatric dentist
  • Orthodontist
  • Otolaryngologist (ear, nose and throat specialist)
  • Lactation Specialist
  • Occupational therapist
  • Auditory or hearing specialist
  • Speech-language pathologist
  • Genetic counselor
  • Psychologist
  • Social worker

Your child's growth and development, as well as their ability to eat, will be the top priority at the earliest stages of care.

Your child may need specialized bottles, or in rare cases, a feeding tube, to eat well before a cleft is corrected.

When a child has a cleft palate, they won't breastfeed normally due to problems with creating oral suction.

More Than Just Appearance

Every surgery to repair a cleft lip and/or palate is unique. The primary purpose of the surgery is to improve your child's ability to function and grow normally.

  • Cleft lip repair, also called cheiloplasty, will reconstruct the lip to create normal function and appearance. This process includes: 
  • Closing the cleft. The resulting scar will be close to the typical features of the upper lip. 
  • Creating a cupid's bow (the curves in the center of the upper lip)
  • Establish an average distance between your child's upper lip and nose. 

If your child's cleft lip affects the shape of their nose, we may recommend additional procedures to: 

  • Restore symmetry and nostril shape.
  • Straighten and create enough space for the tissue that separates the nostrils. 

There are more factors to consider when correcting a cleft palate because the palate is responsible for normal speech and hearing. Corrective surgery will: 

  • Close the cleft along its length to separate the mouth and nasal tissues. 
  • Re-establish muscle function in the soft palate to allow for normal speech. 
  • Recreate a normal relationship between the soft palate to the auditory canal and the Eustachian tube so your child can hear normally. 
  • Promote the normal growth and development of your child's upper jaw and teeth. 
  • If necessary, repair problems in the gum line so permanent teeth can erupt correctly. 

Timing of the Surgery

The ideal time for corrective surgery will be different for every child.

Cleft lip repairs are typically performed between two and six months of age. This will depend on your child's health and your team's protocols.

Cleft palate repairs are performed in a separate surgery when your child between 9 and 18 months of age.

If your child has more life-threatening problems, such as a heart or lung disorder, those will be treated first.

Depending on how severe the cleft is, we may recommend pre-operative interventions as cleft lip taping, orthodontic molding (called NasoAlveolar Molding – NAM), or staged surgery techniques.

Your child may need other cleft-related surgeries may be necessary later on. These might include ear tubes to treat fluid buildup, bone grafting to repair the gum line, and dental or jaw surgery to improve your child's bite.

Before & After Photos

Facial/Skin Cancer

Overview

Skin cancer is widespread in the South. Large and small skin cancers on the nose, lips, eyelids, and ears may need reconstruction to avoid disfiguring scarring.

The options for reconstruction include transferring skin one from one place on the head and neck to the defect (skin graft) or moving adjacent skin (local flap or adjacent tissue transfer.

Significant defects of the nose, such as those with exposed or removed cartilage and internal lining are particularly complex and may need multiple stage procedures.

Facial skin cancer reconstruction is performed as an outpatient. The final results usually take 3-6 months to be apparent.

Before & After Photos

Breast Reconstruction

Overview

After a woman's diagnosed with breast cancer, breast reconstruction surgery can restore a sense of wholeness in her body.

Federal law mandates that breast reconstruction after a mastectomy, be covered by health plans. This includes procedures done on the opposite breast to improve symmetry.

The most popular technique for reconstruction is to use implants. Initially, a tissue expander is inserted to gradually stretch the breast skin and pectoralis muscle over the course of a few months.

Nipple and areola reconstruction is usually performed later if a traditional mastectomy has been performed.

Over the past several years, nipple-sparing mastectomy has become an option for a limited number of women (depending on oncologic and reconstructive criteria).

The scarring from expander/implant reconstruction is identical to that from mastectomy alone. Women usually spend one night in the hospital and recovery takes 1-2 weeks.

Other options for breast reconstruction include using a back muscle (latissimus dorsi) flap or lower abdominal skin, fat and muscle (TRAM) flap.

Your plastic surgeon can discuss the details of each type of reconstruction to help you make your decision.

Before & After Photos

Tummy Tuck

Overview

Tummy tuck (abdominoplasty) is a surgical procedure to improve the contour of the abdomen. If you're considering a tummy tuck, it's best if you're close to your ideal body weight, but even overweight patients can benefit.

Pregnancy, weight fluctuation, and aging can make you lose tone in your rectus abdominis muscles and/or your overlying skin. You can address these issues with a tummy tuck.

Although the tummy tuck scar can be long, it's hidden under bikini bottoms and underwear. Recovery often takes 1-2 weeks and results are usually permanent.

You can combine your tummy tuck with liposuction to give you maximum results.

 

Before & After Photos

Thigh Lift

Overview

As you age or gain weight, you may notice that your skin is sagging more in your inner and outer thighs than it did before. Thigh lift surgery from Memphis Plastic Surgery Group could be the right solution for you.

Thigh lift surgery will smooth and shape your inner and outer thigh, and the incision used to perform the outer thigh lift can be extended to lift the buttocks as well.

An inner thigh lift may require an incision in the crease between the leg and body (inguinal fold) in minor looseness from aging is present. However, sagging of the inner thighs from significant weight loss usually requires the removal of excess skin along the entire length of the inner thigh from the inguinal fold down to the knee.

A thigh lift from Memphis Plastic Surgery Group is designed to remove access skin from your thigh that is present due to age or weight loss. The procedure can be paired with liposuction if you would also like to reduce the overall size and shape of your thighs.

To be eligible for this procedure you need to have a stable weight and be willing to commit to a healthy lifestyle after your treatment. You need to already be in reasonable health, with no health conditions that would affect healing.

How the Procedure Works.

The most important part of your procedure is choosing a surgeon that will give you the results you want. You can be confident that the skilled doctors and team at Memphis Plastic Surgery Group will get you the best results possible while keeping you as safe an comfortable as possible.

Medial (inner) thigh lift: Your doctor will make an incision in the groin area, and any excess fat and skin along the inner thigh. If you need to have fat removed, we’ll combine liposuction with your thigh lift treatment. We’ll recontour the area between the knee and groin on the inner thigh on both sides.

Lateral (outer) thigh lift: The outer thigh lift procedure is a more complex procedure than the inner thigh lift. It involves recontouring larger areas of your lower body and removing more tissue. Your skin will be less elastic after your surgery, so you’ll need to maintain your weight.

Thigh Lift Recovery and Healing

It’s incredibly important that you follow the aftercare instructions that Memphis Plastic Surgery Group will provide for you and your caregiver.

We give you information regarding:

  • How to care for your drains, if they have been used
  • Normal symptoms you will experience
  • Potential signs of complications
  • Wearing a compression garment
  • Any medication you need to take
  • The level of activity you can safely do at each stage of your recovery.

You’ll be able to see how much smoother your legs look right away, but you can expect bruising and swelling in the meantime. If you experience extreme or long-lasting, please let us know.

For the first 2 weeks, you should only do light activity, look closely for any signs of infection, and make careful and deliberate movements. If possible, plan to have someone stay with you for the first few days of your recovery. You may need to wear compression garments for the first month after your procedure with the Memphis Plastic Surgery Group to get the best results. You can resume driving after 2 or 3 weeks, or once it doesn’t cause you any pain. Wait to do exercises like jogging until 8 weeks after your thigh lift.

Contact Memphis Plastic Surgery Group today to find out if a thigh lift procedure can get you the results you’re looking for.

 

Before & After Photos

Nose Reshaping

Overview

Nose reshaping (rhinoplasty) can reduce the size of a large nose or change aspects of a person’s nose that are out of proportion.

We can lift your drooping tip, reduce your hump, or narrow your wide nostrils.

Rhinoplasty can be performed in conjunction with internal nasal surgery intended to treat nasal obstruction or chronic sinusitis. External rhinoplasty scars are very short.

Although you'll see most of your changes within the first two weeks after your nose reshaping surgery, you'll see your final results after 6-12 months.

Some patients may benefit from having chin enlargement (implant) done in conjunction with nose reshaping.

Before & After Photos

Male Breast Reduction

Overview

Sometimes excess breast tissue can develop in men after puberty or steroids. Male breast reduction surgery (gynecomastia) removes this excess breast tissue.

Depending on the extent of your condition, your surgery may involve liposuction alone or it may require excision of breast tissue.

If you have excess skin or enlarged areolas, we can remove the excess skin while hiding the scar at the areola border.

If your nipples droop (like after losing a log of weight), your nipple areolas may need to be removed from their abnormal position and sewn on to the new position higher on your chest.

Recovery usually takes about 1-2 weeks, but you'll also wear a compression shirt for six weeks.

Before & After Photos

Liposuction

Overview

If you struggle with stubborn areas of localized fat that don't go away with a healthy diet and exercise, liposuction with The Plastic Surgery Group of Memphis could be the answer.

 

What is liposuction?

Liposuction is a minimally invasive procedure that helps you get a slimmer, refined look by targeting and removing stubborn fat.

This popular body contouring method allows our board certified surgeons* ** to re-sculpt specific areas of your body, including the thighs, abdomen, arms, back, hips, buttocks, chest, face, calves, and ankles.

 

Who's a good candidate for liposuction?

The best liposuction results are achieved when a patient is in good overall health with a stable body weight but has localized fat deposits that are resistant to diet and exercise.

Liposuction is the surgical removal of fat and can succeed in removing fat where other methods have failed, but it's not a method for losing weight and is not effective in eliminating cellulite, or tightening loose, sagging skin.

 

How does the liposuction procedure work?

Liposuction is a multi-step surgery that is performed under general anesthesia or local anesthesia with sedation. The targeted fat is accessed through small incisions, and a thin tube is used to suction fat from the area being treated.

The small incisions are then closed. Once healing is complete, patients are left with improved contours and proportions.

Fat will not return to the treated area after surgery, and as long as a patient’s weight remains stable, liposuction results are long-lasting. However, liposuction does not remove all fat cells, so it is still possible to regain weight.

To maintain results, it is important to stick to a healthy diet and exercise routine. Once the targeted fat is removed with liposuction, some excess skin may remain. For this reason, liposuction is often combined with another body contouring procedure, such as a tummy tuck or thigh lift.

There are many different methods of liposuction available. When you schedule a consultation with The Plastic Surgery Group of Memphis, our surgeons will discuss which technique is right for you and your body.

 

What is the liposuction recovery process like?

Following a liposuction procedure, patients will need to spend some time resting and will be given a special compression garment to wear to ensure proper healing. Stitches will be removed during a follow-up visit soon after surgery.

Although some swelling and bruising will occur, these are common side effects that are only temporary. As the swelling subsides, the results of liposuction will be visible.

Patients are generally able to return to work and regular activities as soon as they feel comfortable, which may be as soon as just a few days after surgery. Exercise and other strenuous activities should be avoided for at least a few weeks.

 

If you’re interested in liposuction in the Memphis area, we invite you to call our office or schedule a consultation.

 

Before & After Photos

Female Genital

Overview

It's increasingly popular for women to undergo cosmetic genital surgery, also known as a labiaplasty.

This may involve mons reduction or lift alone or in conjunction with a tummy tuck. A large or asymmetric labia minora can be reduced.

Some surgeries can be done under local anesthesia and others require general anesthesia in an operating room. Recovery usually takes about 1-2 weeks.

Before & After Photos

Facelift

Overview

A facelift (rhytidectomy) treats the looseness of skin and the displacement of fat that happens when you age.

When you're young, your face is full with fat pads situated just below the cheekbones. As we age the fat descends producing the jowls (fat mounds on or just below the jawline).

This makes the skin of the cheeks and neck to become loose. In the past, facelifts only tightened skin, giving a windswept, unnatural appearance.

Our modern facelift restores fat to its youthful location while tightening your skin.

Facelift scars will be hidden in front of and behind your ear. Recovery takes about 1-2 weeks with your final results visible in about three months.

Before & After Photos