Cleft lip repair is traditionally done at about 3 months of age. Some centers have moved this up to 2-4 weeks, once the child is doing well and gaining weight. There may be some benefits to feeding and weight gain doing this on the earlier side. On the other hand, some other surgeons are pushing the cleft lip repair back … Read More
The best part of our week is seeing our patients back, thriving and healthy!
The best part of our week is seeing our patients back, thriving and healthy! Some of the initial tightness of the on-table repair relaxes as the premaxilla falls back into place if needed, and as the absorbable sutures give way. I have been happy with the results of 1) minimizing/eliminating incisions at the alar sill and base (especially for patients … Read More
This patient lost 100+ pounds – Fleur-De-Lis Tummy Tuck
How do I decide on when to add the vertical incision to the usual horizontal incision for a tummy tuck? With the patient in clinic, we look at how much additional skin and laxity can be removed with some gentle pinches in each direction. For our patients who have lost 100+ pounds, there is often enough laxity side-to-side to go … Read More
Fleur-De-Lis Tummy Tuck – No Liposuction was done; 8 pounds of skin and fat were removed
After extreme amounts of weight loss (50, 100, even 200+ pounds), the skin becomes stretched out. Unfortunately, no amount of exercise will make that skin bounce back into place. Some people have so much laxity in the side-to-side direction, that the usual horizontal incision is unable to improve that in a satisfying way. Here, adding the vertical incision … Read More
A panniculectomy is simply the excision of this overhanging skin and fat
A pannus (or panniculus) is an area of overhanging tissue. Here, a roll of skin and fat hangs over a normal crease where skin is attached to the fascia beneath. This overhang can cause problems like rashes and infections, pain, and difficulty with daily work and exercise. A panniculectomy is simply the excision of this overhanging skin … Read More
An “incomplete” cleft lip
An “incomplete” cleft lip, meaning there is still a skin bridge, still requires full separation and dissection of the lip to fully repair the anatomy and minimize long-term asymmetries. A few things I think about during this repair: Pic 2 – The white roll (at the border between the skin and dry mucosa) draws attention if there is a break … Read More
Tummy Tuck surgery in Dallas, TX at Law Plastic Surgery
This lovely patient had a frustrating lump above her belly button that she had named Fred. She also had a mild diastasis recti and some skin laxity after previous pregnancy. We decided together to take care of Fred and the diastasis at the same time, and also remove some of her skin laxity, too. She turned out to have a … Read More
A pannus (or panniculus) is an area of overhanging tissue.
A pannus (or panniculus) is an area of overhanging tissue. Here, a roll of skin and fat hangs over a normal crease where skin is attached to the fascia beneath. This overhang can cause problems like rashes and infections, pain, and difficulty with daily work and exercise. A panniculectomy is simply the excision of this overhanging skin … Read More
Our cleft cuties with wider clefts are still normally able to be repaired in a single surgery, without a lip adhesion.
Our cleft cuties with wider clefts are still normally able to be repaired in a single surgery, without a lip adhesion. This may be done without taking skin from the columella as in some techniques. The backcut at the depth of the white roll seems to do well long term with the three dimensional crest of the white roll, rather … Read More
No liposuction was done; 8 pounds of skin and fat were removed.
After extreme amounts of weight loss (50, 100, even 200+ pounds), the skin becomes stretched out. Unfortunately, no amount of exercise will make that skin bounce back into place. Some people have so much laxity in the side-to-side direction, that the usual horizontal incision is unable to improve that in a satisfying way. Here, adding the vertical incision … Read More
Care is taken to precisely line up transitions between different areas of the lip, including the border between the skin and mucosa, and even the wet and dry mucosa.
Care is taken to precisely line up transitions between different areas of the lip, including the border between the skin and mucosa, and even the wet and dry mucosa. Some balancing is also done to add more height to the skin and mucosa on the right side of the cleft since this is always shorter than the noncleft side. For … Read More
Three months after cleft lip repair, this cleft cutie has stolen our hearts.
Three months after cleft lip repair, this cleft cutie has stolen our hearts. Of all patients we care for, our cleft lip and palate patients are the dearest. Look for an updated cleft care guide from us later this year! For more, visit our Cleft Lip Repair page or call us at (214) 241-1997. 💻 lawplasticsurgery.com 👨⚕️ Dr. Huay-Zong Law … Read More