– Dr. Brian Dickinson“Reconstructive Surgery requires a through knowledge of anatomy”
Dr. Dickinson, I was injured in an auto accident and I suffered a fracture of my jaw and lacerations of my face. How long do I need to wait before we can proceed with facial reconstructive surgery?
Frequently, I am called to see patients in the emergency room for facial trauma. Any lacerations that require immediate attention I typically close in the emergency room. Then, depending upon the type of fracture, we usually need to wait anywhere from two to seven days for the swelling to subside prior to repairing the fracture itself. During this time we can discuss the facial reconstructive surgery.
One of my friends had a fracture of his jaw and had to have his jaw wired shut. Will I need to have my jaw wired shut as well?
Depending upon how severe your fracture was and the number of maneuvers needed to repair your fracture, you may or may not need to have your jaw wired shut. Typically, for fractures of the mandible or lower jaw, we try to place hardware on the fractures to give rigid fixation to the fracture site. This rigid stabilization frequently obviates the need to have your jaw wired shut or at least significantly reduces the time necessary for you to have your jaw wired shut.
Often, I prefer to keep the jaw wired shut for a short period of time early on to act as a splint. This can also prevent stiffness at the temporomandibular joint.
My son was hit very hard in the eye. His eye is fine but the emergency room physician mentioned he had an orbital floor fracture. How do you repair those?
My father had a basal cell skin cancer removed from his face. He has a hole that needs to be closed and my dermatologist recommended I speak with a plastic surgeon. Can you help close the hole?
Yes. Frequently, plastic & reconstructive surgeons are called upon to repair defects in the face caused by skin cancers. There are many ways to repair these. Sometimes the defects can be repaired with skin grafts or a flap of skin is necessary to be rotated into the defect. We can perform these facial reconstructive surgeries in the hospital or in the surgery center.
Moving Forward With Facial Reconstructive Surgery
1- Call Dr. Dickinson office or email us to set up a consultation.
2- Once Dr. Dickinson has consulted with you, he may perform your facial reconstructive surgery in the hospital or in the Newport Beach surgery center.