We provide reconstructive surgeries for a number of acute or post-surgical traumas, as well as congenital defects. These include cosmetic corrections after injuries of most any type, and reconstruction after skin cancer.
These surgeries can be done on adults or children. Scar revision may also be done for some patients. The goal is to help the patient look as normal and attractive as possible, while also restoring function, where necessary.
Reconstructive Surgery for Trauma and Congenital Defects
After an injury, you may be left with an aesthetic deformity and/or a deformity of function. An example of this is an injury that has not only made the nose crooked but has inhibited breathing.
Dr. Kiener can perform a combination functional and cosmetic rhinoplasty (nose surgery) to make your nose look better and also improve breathing.
This is only one example of reconstructive surgery after a traumatic injury. Other such injuries that might require reconstruction include deep lacerations, growths, and burns. The injury may be recent or may have occurred some time ago.
Reconstructive surgery is highly individualized and might include skin, fat, cartilage, or bone grafting, as well as removal or reorienting some tissue to create a pleasing appearance. We also, of course, do everything we can to keep scarring to a minimum, while also improving function.Dr. David J. Kiener, M.D.
You or your child may also have an abnormality that is the result of a congenital defect. This is the case, for example, with protruding ears or a cleft palate (see below). Dr. Kiener has many years of experience with all types of reconstructive surgery cases and is accustomed to working with both children and adults.
Reconstructive Surgery After Removal of Skin Cancer
Many skin cancers are removed through Mohs Surgery, a technique that allows a specialized dermatologist to remove just one very thin layer of skin cells at a time. Each set of cells is immediately observed under a microscope to determine if cancer is present. Layers are taken until no more cancer is detected. This precise method allows the surgeon to preserve as much healthy skin as possible.
Nevertheless, many patients have large areas of tissue removed in order to “clear” all of the skin cancer. This can leave an unsightly wound. That’s where Dr. Kiener comes in. He performs reconstructive surgery on these areas to restore as normal an appearance as possible. The techniques vary, including skin grafts, and many types of advancement and rotation flaps of tissue to reconstruct the defect. Reconstruction after removal of a large facial cancer is one of the most complex and individualized procedures done. Some of these procedures may take more than one stage, and follow-up procedures can be done to “fine-tune” the results.
Reconstructive Surgery for Cleft Lip and Palate
Cleft lip and palate reconstructive surgeries are usually performed on children. Cleft lip is the incomplete formation of the upper lip, while cleft palate is the incomplete formation of the roof of the mouth. In either case, the condition can cause more than cosmetic problems, such as dry mouth and problems with eating.
Reconstructive surgery to restore a normal appearance to the lip and/or palate can also improve the ability to breathe, speak, and even hear. Often, procedures are done to the lip and nose many years after the original repair to improve appearance and function.
What is Recovery Like After Reconstructive Surgery?
Recovery times and post-surgical effects vary depending on the type of surgery you have, as well as the severity of your case. Dr. Kiener will explain what to expect after your surgery, how to care for your wounds, and when to see him for follow-up examinations.