| COSMETIC DENTAL TREATMENTS
What is jaw (orthognathic) surgery?
Jaw surgery, also called orthognathic surgery, is surgery that helps align your upper jaw (maxilla) and lower jaw (mandible). If your jaws don’t line up, it can affect your bite and make it hard for you to eat and speak.
Orthognathic (“ortho nathic”) surgery isn’t a single event. It’s a process that includes orthodontic treatment to prepare your teeth for your jaw surgery, the surgery itself, recovering from surgery and then more orthodontic treatment for up to a year after your surgery. All told, the jaw surgery process can take between two and three years.
RHINOPLASTY (NOSE CORRECTION)
Rhinoplasty (RIE-no-plas-tee) is surgery that changes the shape of the nose. The reason for rhinoplasty may be to change the appearance of the nose, improve breathing or both.
The upper part of the structure of the nose is bone. The lower part is cartilage. Rhinoplasty can change bone, cartilage, skin or all three. Talk with your surgeon about whether rhinoplasty is appropriate for you and what it can achieve.
Your other facial features, the skin on your nose and what you would like to change are considered when planning the procedure. If you're a candidate for rhinoplasty, the surgeon will develop a personal plan for you.
GENIOPLASTY (CHIN CORRECTION)
Chin surgery, or genioplasty, is more commonly known as chin repositioning.
The University of Michigan is a nationally recognized leader in reconstructive surgery. Our team of board-certified plastic surgeons and medical specialists guides our patients through every step of the chin surgery process to ensure the best results possible.
DISTRACTION OSTEOSYNTHESIS
Distraction Osteogenesis is a surgery done for infants with Pierre Robin sequence. Its lengthens the jaw to help open the airway so the baby can breathe safely and comfortably on their own.
About The Surgery
Some babies with Pierre Robin sequence need surgery to help them breathe safely. Your child’s airway team (Plastic Surgery and ENT) will help you make this decision.
One of the surgeries that can be done for breathing difficulties in Pierre Robin sequence is MDO. During the procedure, the mandibular bone (lower jaw) is cut, and distractor devices are temporarily placed. The distractor devices are turned for about 3 weeks, moving the lower jaw slowly forward and allowing new bone to form. This lengthens the jaw to provide more space in the airway. After the procedure, your baby is better able to breathe on their own.
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During Surgery
MDO is done while your child is under general anesthesia. A small incision is made under the jaw on both sides of the neck. The mandible is cut on both sides, which separates the front and back of the jaw. Two distraction devices are placed, one for each side. The devices are attached to the front and back sections of bone. Small activation arms are connected to the distraction device. They are brought out of the skin to allow for the devices to be used.
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After Surgery
After the MDO surgery, your child will be taken back to the Neonatal Intensive Care Unit (NICU) with a breathing tube in place. Your child will stay sedated for about 1 week. A few days after surgery, the surgical team will use the activation arms to slowly move the jaw forward. This widens the space between the cut edges of the bone, allowing new bone to form in the space, and lengthening the jaw. Making the jaw longer also improves the position of the tongue. The tongue is pulled forward as the jaw lengthens.
Your surgeon will give you an estimate of how many days the activation arms need to be turned. The goal is to make sure your baby’s lower jaw lengthens enough to improve their airway. The activation arms are usually turned for about 3 weeks. After the jaw is moved enough forward, the distraction device will be left in place for 3 to 4 months to make sure the new bone heals properly.
After the 3 to 4 months, the distractor devices will be removed in the operating room with your child under general anesthesia. They are removed through the same incisions that were used when they were placed. Your child will have small scars where the activation arms were located.
The surgical team will discuss any risks with you before surgery.
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What to Do And Watch For at Home
While you are at home, keep the activation arms clean. You do not need to use any special soap or anti-bacterial cream on the sites. If you notice any redness, swelling, drainage or changes in the look or function of the activation arms please call your child’s Plastic Surgeon’s office. They may request that you send pictures for them to review.
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MDO does not cause problems with long-term feeding or speech development. Babies who have MDO are able to successfully drink liquids and begin eating solids with a spoon.
After your baby is discharged from the hospital, a feeding therapist with the Cleft/Craniofacial team will see the baby regularly at clinic appointments to monitor feeding. The feeding therapist will give you suggestions to help both you and your baby if you need any help with feeding.
Tissue Expansion Surgery
Dedicated to providing advanced care for patients with scarred or damaged skin
Tissue Expansion is a procedure performed to promote the growth of healthy supplementary skin used for the replacement of damaged skin. The University of Michigan is a nationally recognized leader in reconstructive surgery. Our team of plastic surgeons and medical specialists guide patients through every step of the tissue expansion process to ensure the best results possible.
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What is tissue expansion surgery?
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Tissue Expansion is a procedure performed to promote the growth of healthy supplementary skin used for the replacement of damaged skin. This reconstructive procedure is an option for almost any area of the body, allowing plastic surgeons to repair skin damaged by both congenital and acquired defects.
Tissue Expansion is most often used for breast reconstruction, a procedured following breast removal, and for repairing damaged or scarring of the skin due to birth defects or trauma. Often, tissue expansion is done before reconstructive burn surgery, using the new skin to replace scar tissue at the burn injury site.
What is Total Joint Replacement (TJR) or Total Joint Arthroplasty?
Total Joint Replacement (TJR) or Total Joint Arthroplasty in India is a surgical procedure, where the damaged joint is removed and replaced with a plastic device known as prosthesis. The prosthesis is formulated to replicate the movement of a normal healthy joint.
What is a skin graft?
Skin grafting is a type of surgery. During this procedure, providers take healthy skin from one part of the body and transplant (move) it to cover skin that’s damaged or missing. Within a few days, the grafted skin begins to develop blood vessels and connect to the skin around it.
Providers use skin graft surgery to help people who have damaged skin from burns, injuries, wounds, disease or infection. If you’ve had surgery to remove skin cancer, your provider may recommend a skin graft to cover the missing skin.
The recovery time after this surgery varies depending on your overall health, the size of the graft and the technique your provider used. Most skin graft procedures are successful the first time. Sometimes, the transplanted skin doesn’t heal well or “take” to the surrounding skin. If this happens, you may need another skin graft.
FACE LIFT
A face-lift is a cosmetic surgical procedure to create a younger look in the face. The procedure can reduce sagging skin. It can also help smooth folds of skin on the cheeks and jawline. A face-lift is also called a rhytidectomy.
During a face-lift, a flap of skin on each side of the face is pulled back. Tissues below the skin are altered, and excess skin is removed. This gives the face a more youthful shape.
A neck lift is often done as part of a face-lift. It reduces fat and sagging skin on the neck.
A face-lift won't correct damage from sun exposure, such as fine lines and wrinkles. Other cosmetic procedures can address the look or quality of the skin itself.
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