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Pediatric Facial Plastic Surgery
Overview
Pediatric facial conditions are not just medical concerns—they can also affect emotional well-being and developmental progress. Our pediatric facial plastic surgery services are designed to address congenital and acquired facial differences with expertise, sensitivity, and a commitment to each child’s long-term well-being.
We work closely with families to ensure that every child receives personalized, age-appropriate care using the safest and most advanced surgical techniques available.
Pediatric facial plastic surgery encompasses the diagnosis and treatment of facial differences in children resulting from congenital anomalies or trauma. The goal is to restore both form and function, supporting a child’s appearance, confidence, and quality of life as they grow.
Indications
Pediatric facial plastic surgery may be indicated for:
- Congenital anomalies affecting appearance or function
- Facial asymmetry or deformities causing psychosocial impact
- Breathing, speech, or feeding issues associated with facial anomalies
- Infections, trauma, or scarring
- Benign or malignant facial masses
Every child is different, and surgical intervention is considered based on age, developmental stage, medical history, and emotional readiness.
Benefits
- Restores Function: Supports essential functions like breathing, hearing, eating, and speaking.
- Improves Aesthetic Appearance: Enhances facial harmony and symmetry.
- Boosts Confidence: Helps reduce social stigma and improve self-esteem in school-aged children.
- Supports Growth & Development: Timely intervention can prevent complications as the child matures.
- Multidisciplinary Coordination: Ensures holistic care through collaboration with pediatricians, therapists, and specialists.
Facial Masses
Facial masses in children may be congenital (present at birth) or acquired. Common types include:
• Dermoid cysts
• Hemangiomas
• Lymphatic malformations
• Vascular anomalies
Early evaluation is essential to determine the best timing and method of treatment, which may involve surgical excision or multidisciplinary care.
Cleft Lip & Palate
Cleft lip and palate are among the most common congenital facial conditions. These occur when the lip or roof of the mouth does not fully form during pregnancy. Treatment often involves staged surgeries and coordinated care from a cleft team including plastic surgeons, speech therapists, and orthodontists.
Microtia (Underdeveloped Ear)
Microtia refers to the incomplete development of the outer ear. It may affect hearing and facial symmetry. Treatment options include:
Reconstructive ear surgery using rib cartilage or synthetic materials
Hearing restoration when applicable
Coordination with audiology and ENT specialists
Collaboration
Dr. Shehan collaborates with the Cleft Collaborative of Boston and works with practitioners at Boston Medical Center and Massachusetts Eye and Ear to care for patients with craniofacial anomalies in a multi-disciplinary approach.
Techniques Used
We provide a tailored, child-centered approach for every case. Techniques may include:
Microsurgical Reconstruction: For delicate structures like the ear or soft tissues.
Cartilage Grafting: Often used in microtia reconstruction with the child’s own rib cartilage.
Tissue Expansion: Helps grow additional skin for reconstruction, particularly in scar or cleft repairs.
Minimally Invasive Mass Removal: When possible, endoscopic or small-incision techniques reduce scarring and recovery time.
Cleft Lip/Palate Repair: Follows internationally accepted protocols with staged reconstruction to address function and aesthetics over time.
All procedures are performed in child-safe surgical environments with pediatric anesthesiologists and support staff.
Frequently Asked Questions
At what age should my child have surgery?
It depends on the condition. Cleft lip repair typically occurs around 3–6 months of age, cleft palate around 9–18 months. Ear reconstruction for microtia usually begins around ages 6–10. Timing is tailored to maximize both safety and effectiveness.
Will my child need more than one surgery?
Some conditions require staged procedures over several years to support proper development and growth, especially for clefts and ear reconstruction.
What are the risks?
Like any surgical procedure, pediatric facial plastic surgery carries risks, including infection, bleeding, scarring, poor wound healing, dissatisfaction with results, and need for revision surgery. A comprehensive conversation with your surgeon should address these concerns.
How do I prepare my child for surgery?
We’ll walk you through every step, including emotional preparation, hospital logistics, and what to expect during recovery. We also offer child-friendly resources to help ease anxiety.
Will there be scars?
We use meticulous surgical techniques to minimize scarring, placing incisions in natural skin creases or hidden areas when possible.
Expert Care for Pediatric Facial Plastic Surgery
Your child’s care is our priority. If your child has a congenital condition, facial mass, or acquired facial concern, we invite you to meet with our pediatric facial plastic surgery team to create a care plan that supports your child’s health, confidence, and development.