New York Facial Reconstructive Surgery Specialist
At the New York Center for Facial Plastic and Laser Surgery, Andrew Jacono, M.D. performs Reconstructive Facial Surgery to help individuals overcome physical limitations placed on them by circumstances beyond their control – facial deformities at birth, deformities due to cancer of the head and neck, and facial anomalies due to trauma.
Facial disfigurement from injury can occur in a fraction of a second and cause life-long emotional, as well as physical, scarring. While early cleansing and meticulous closure in the emergency room is important, permanent scarring may be unsightly and cause distortion of facial features. At the time of your initial consultation, an assessment is made of the thickness, texture and color of the deforming scars and the best option for scar removal. A computerized facial analysis detects distortions of facial features.
Facial Nerve Paralysis. Damage to the facial nerve may cause imbalance of the face at rest as well as distorted, asymmetrical facial expressions (e.g. smiling, laughing, grimacing, etc.). Functionally, facial nerve injury affects chewing, fluid retention while drinking, nasal breathing, corneal exposure, speech patterns, and communication skills. In children, facial paralysis most commonly occurs developmentally at birth or after brain tumor resection. Adults may experience complete or partial paralysis following an episode of Bell’s Palsy, acoustic neuroma, or traumatic injury.
Cleft lip and cleft palate are birth defects. In other words, this occurs during the developmental process in the womb. Normally, the mouth and nose of a baby develop between the first 6 and 12 weeks of growth. In some babies, parts of the lips and roof of the mouth don’t grow together. Because the lips and the palate develop separately, it’s possible to have cleft lip, cleft palate, or both.
Microtia is a birth deformity of the ear that occurs about one in 5,000-7,000 births, which results in non-formed or a malshapen ears. In different countries and in different ethnic races the rate may be even higher. When broken down in Latin, the term “microtia” is easy to understand. Micro=small; Otia=ear. Typical microtia, grade 3, looks like a little sausage-shaped Wrinkle of skin. A grade 2 microtia is a less severe form and often looks like a miniature ear. Grade 1 microtia is a minimally deformed ear. 90 Percent of the time only one ear is involved, otherwise it occurs on both sides called “bilateral.” Interestingly, there are twice as many right-sided microtia procedures than left and microtia involves boys 65 percent of the time and girls 35 percent.
Burn injuries account for over 100,000 hospital admissions per year. The most common age groups are toddlers (age 2 through 4) and adolescents (age 17 through 25). Injuries to the head and neck account for approximately 50% of all burn injuries.
Dr. Jacono discusses that darker-skinned people can and do get melanomas, and with higher death rates because it usually is detected later than for those with lighter skin tones.