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objectively,
and to make you feel comfortable enough to express any doubts
or uncertainties that you may have. The following is a list
of a few very commonly asked questions about cleft lip and palate
surgery. We hope that this information will be useful but we
do not mean for it to be a substitute for a medical consultation,
as some recommendations will vary from patient to patient.
How
does a cleft lip or palate deformity occur?
A deformity of the upper lip occurs during the early weeks of
fetal development. In about one of every 800 cases, as the left
and right sides of the lip and the roof of the mouth are developing,
those sections don't grow together properly. When the child
is born, there is a separation in the upper lip and this is
referred to as a cleft lip.Similarly, a defect in the roof of
the mouth is referred to as a cleft palate. Since the lip and
palate develop separately, it is possible for a child to have
both a cleft lip and a cleft palate.
When
should parents seek help for their child ?
Parents should seek the advise of medical professionals as soon
as possible. In addition to needing plastic surgery to repair
the opening, the child may also have problems with hearing,
feeding, teething, speech and psychological development as they
mature.
Why
types of risk are associated with cleft lip and cleft palate
surgery?
All surgeries have some risk and uncertainty associated with
them. You should always seek a plastic surgeon that is highly
experienced in repairing cleft lip and palate deformities. By
doing so, the risks are greatly reduced. However, as with any
surgery, there are risks and complications associated with the
procedure.The goal in repairing a cleft lip is to close the
gap while maintaining asymmetry with both sides of the mouth
and nose. Occasionally, a second operation is needed.When repairing
a cleft palate, the surgeon is closing the roof of the mouth
so the child can eat, breath and speak normally. Occasionally,
poor healing or poor speech may require a second operation.
When
should the surgery be done?
A Generally, cleft lip surgery is done when the child is approximately
10 weeks old. For cleft palate surgery, it is usually recommended
to wait until the child is approximately 18 months old, as this
is a more extensive procedure. However, it is customary for
the surgeon to make this determination during your initial consultation.
These discussions will include procedure details, any risks
associated with the procedure, the type of anesthesia to be
used, recovery, costs and results that can be expected. You
can also discuss the best way to feed your child (by bottle
or by breast) before and after the surgery.
What
will the surgery entail?
For the surgeon to repair a cleft lip, an incision is made along
either side of the cleft from the mouth to the nose. The outer
portion of the cleft is pulled down, and the muscle and skin
of the lip are pulled together to close the separation. Muscle
function and the normal shape of the mouth are restored by this
procedure. The nostril deformity often associated with cleft
lip is may also be restored during this procedure.If the surgeon
is repairing a cleft palate, an incision is made on both sides
of separation, bringing together both sides of the roof of the
mouth. Not only does this pull the roof muscle back together,
but it also provides length to the roof of the mouth so the
child can eat and speak properly.
How
long does recovery take?
It is normal for your child will feel pain and soreness for
a couple of days following surgery. This can be controlled quite
easily by medication. During this time, an intravenous line
will be used to maintain fluids, as your child will not be able
to eat and drink normally. Again, your surgeon will advise the
best course of action during the weeks following the surgery.
It is imperative that you follow the surgeons' instructions
so as to promote quick and proper healing.
Where
Can I Find General Information on Plastic Surgery?
Use the Internet as a tool. The various search engines can help
you find general information on plastic surgery, or search a
particular procedure that may be of interest to you. Contact
the American Society of Plastic Surgeons at www.plasticsurgery.org
and they will provide you with objective and comparative information.
Also, visit your local library or bookstore for more information.
How
Can You Guarantee the Results?
No surgeon can guarantee a result because each patient is unique
and certain factors, such as the rate of healing, will vary
among patients. However, your plastic surgeon should be able
to communicate his expectation of your result based on his past
experience using former patients as examples.
Will
I Be Able to Afford Plastic Surgery?
Many practices offer financing options for cosmetic surgery.
At Renaissance Plastic Surgery, we will work with you
and your insurance company to try to ensure maximum coverage
for the procedure. Cleft lip and cleft palate surgery is usually
covered by insurance.
How
do I choose the right plastic surgeon for my child?
Choosing the right plastic surgeon is the most important decision
you will make once you have decided to have plastic surgery.
We encourage you to closely evaluate the plastic surgeons in
your area and to take all of the time you need to make the right
choice. Visit our guideline page on Choosing
a Qualified Surgeon for a step-by-step plan.
Why
Should I Choose Renaissance Plastic Surgery?
Renaissance Plastic Surgery is a highly regarded practice
in the field of plastic and cosmetic surgery. Dr. Joseph
Fata, the founder, is a board certified plastic surgeon,
and he is one of the most highly respected plastic surgeons
in the region. Both Dr. Fata and his staff are dedicated
to providing you with the highest level of expertise in cosmetic
surgery with a uniquely personalized approach to patient care.
Our goal is to make you feel like you are being treated as a
member of our family. We believe that you will not only achieve
the results that you desire, but that you will also have a pleasant
and positive experience from your initial consultation throughout
your recovery.
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Call
us today at 1-800-472-2690
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