Cleft Lip and Palate
A cleft lip and palate is a birth defect. A cleft lip ranges from a small notch in the lip to a complete split in the lip that goes all the way to the base of the nose. A cleft palate can be one or both sides of the roof of the mouth. A child can have one or both of these conditions. Under general anesthesia, we trim the tissues and sew the lip together to correct a cleft lip. Stitches will be small and the scar will be small as well. This surgery is done when the child is between 3 to 6 months of age.
In the cleft palate repair, tissue from the roof of the mouth is moved over to cover the palate, sometimes requiring multiple surgeries. Sometimes, rhinoplasty is also done to repair the tip of the nose. Hospital recovery time is 5 to 7 days, with full healing taking 4 weeks. Dr. Pyo is an integral part of the Craniofacial deformities center at the Goryeb Children’s hospital at Morristown Medical Center, and regularly travels overseas with Operation Smile providing free surgery to repair cleft lip and palate in children.
Craniofacial Surgery, Craniosynostosis
Dr. Pyo works in conjunction with the Pediatric Neurosurgeons at the Craniofacial center to provide children with various craniofacial anomalies with life-changing surgery. One example is a craniofacial anomaly called craniosynostosis. It is a situation where one or more of the cranial sutures, which allow for growth of the skull, to fuse causing various skull and facial deformities. Dr. Pyo and the Pediatric Neurosurgeons perform 2 different operations to reshape the skull, either through an open approach, or a newer endoscopic approach. Due to their success, many children are living normal lives with normal appearing heads.
Breast reconstruction is achieved through multiple plastic surgery techniques to restore a breast to close to normal shape, appearance, and size following mastectomy. A reconstructed breast will not have the same sensation and feel, but will improve overall breast appearance. If only one breast is affected, the other breast can be augmented to match the symmetry, size, and position of the reconstructed breast. Recovered cancer patients can receive this procedure any time after their mastectomy, or at the same time. Dr. Pyo will go over your expectations of the surgery, options available, likely outcomes, take measurements, and evaluate your overall health. Because there are many options to choose from, it is important to have someone will help guide you through the process to reach your final destination. Dr. Pyo has extensive experience with all types of reconstructive options, and he will help you choose which option would be best for you.
Ear surgery, or otoplasty, improves the shape, position, and proportion of the ear. It can correct defects present and birth that become obvious with development or fix ears that were altered by injury. We can treat overly large ears (a rare condition called macrotia), protruding ears, and dissatisfaction with previous surgery. Dr. Pyo has extensive experience with Microtia as well, reconstructing an ear or ears that were partially or totally absent at birth or lost in an accident. Extra cartilage present in the ribs is used to shape the new ear.
Have you had complications from Heart surgery, such as a non-healing wound, or an unstable sternum? Let Dr. Pyo help you with his wound care expertise, and see if you are a candidate for sternal stabilization. Dr. Pyo is one of the country’s leading experts in managing this complication. He served on the prestigious AO Thoracic Working Group because of his vast experience, and helped this group to develop new techniques as well as new technologies. He lectures around the world, teaching other Surgeons how to best manage this problem. Please contact Dr. Pyo if you would like more information.
Trauma to the skill and face requires prompt diagnosis to ensure proper treatment. Common post-traumatic facial deformities include soft tissue atrophy, post-traumatic enophalmus, post-traumatic telecanthus, malar flattening, and cranial defects. We combine craniofacial techniques with rapid prototyping technology to complete restorative surgery. Facial trauma can result from burns, cuts, bruises, or fractures that usually occur after an accident, physical altercation, or disease. We will help you find the best treatment for your specific type of trauma and help you get the best results possible.
Scar revision will minimize the scar so that is more consistent with surrounding skin tone and texture. Treatment options vary based on type and degree of scarring. These include topical prescription treatments, minimally invasive procedures, and surgical revision. Scars can be revised on any part of the body including the face. Dermabrasion, laser resurfacing, and surgical removal of keloid scars are some of the options, all making scars much less noticeable. Treating scars will increase your confidence, improve the look and feel of your skin, and provide a solution for coping with the scar.
Dr. Pyo offers reconstructive surgery after skin cancer. This includes melanoma and other skin cancers. Growths and moles are removed which may leave skin uneven, discolored, or otherwise altered. We will restore the skin cancer site so it looks like the skin around it, using skin grafts and tissue transfers. This will replace skin and minimize scarring. We will do an initial consultation, preparation, and final check -up in addition to the surgery itself.