Cleft Lip - Frequently Asked Questions

in Indiana

At Renaissance Plastic Surgery, we realize that you will have many questions and concerns about plastic surgery. Our goal is to answer all of your questions honestly and 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 advice 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.

Call today at 1-800-472-2690 or click here to schedule a private consultation.

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