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You have what everyone else wants, so take care of it! Start a medically supervised treatment plan now to properly cleanse, moisturize and protect your skin. Enjoy the outdoors, but remember your sunscreen. You already have the healthy glow, so if color is what you are after, reach for the bronzing powder rather than the baby oil. Control that acne, protect your skin, and smile.

The storm of puberty has now passed and it is time to see how you turned out. Is it pure perfection or time to start making healthier lifestyle choices to get that body you have always dreamed of? If you need a little help from us, remember that motherhood may be just around the corner for some of you. Breast surgery may affect the ability to breastfeed in the future, and most will notice further changes to the appearance of their breasts after pregnancy. Is now the time, or is it smarter to wait? We can help you decide.

It may be time to start using better skin care products to repair environmental damage and give more protection. Sunscreen and topical antioxidants along with stronger exfoliation using microdermabrasion or chemical peels can help restore that hydrated, youthful appearance. You may also want to think about Botox® to diminish laugh lines or create a smoother forehead.

It is finally time to bloom again! The after effects of pregnancy and breast-feeding may have left their mark on tummy and breast. But now there is no need to rely solely on your bra and Spanx® to get that shape you enjoyed before motherhood or have always envied. Whether you would like your breasts larger, smaller, lifted, or just an overall improvement in proportion, or perhaps a tummy tuck or thigh contouring, it's finally time to think about you again.

Just because the leaves change color, dry out, and fall, there is no reason why your face has to follow! Your forties are the season of life to start getting a little more aggressive, and there have never been so many wonderful options. A skin care regimen with retinols and bleaches as well as fabulous light and laser treatments that deliver fantastic results with little to no downtime may be just what you need. You will quickly get over your fear of needles when you see how fabulous you look with a little Botox and the perfect filler to make your face look healthy and youthful. Is it time to address those eyelids?

You may be working out harder than ever, but everything seems to be getting a little softer and wider. Pregnancies, weight fluctuations, and the aging process all begin to change our figure in ways that may be more resistant to diet and exercise alone. Just as a tailor can make that dress fit like a glove and hold everything where it needs to be, it may be time for a little alteration on your body. It may be as simple as melting away that little bulge with CoolSculpting™ in the office, (with the added bonus of no downtime or scars!), or liposuction may make more sense for you. Abdominoplasty could be the way to get back that ultimate core tightness.

You are wise and wonderful, and not nearly as tired as that person in the mirror looks! Our faces all age in predictable ways with bone resorption, fat loss, and skin laxity. Addressing these changes on all fronts is what actually creates the most natural appearance, which is by far our highest priority. Learn about the benefits (and limitations) of facial rejuvenation through surgery, injectables, and lasers for the best result that lets you shine!

Isn’t it finally the time for you to make yourself a priority? Why continue to hold off on what you have always wanted to do? Perhaps you may want to revisit the results of a previous surgery that may be due for a tweak or possibly even a remodel. This may be just the boost you need!

Cleft Palate Repair

Having a new baby is a tremendous event, and when there are unanticipated health issues such as a cleft, the emotional impact can be overwhelming! First know that you did nothing to make this cleft happen. Also, take time to educate yourself as much as possible, be an advocate for your child, and foster a strong self-esteem that benefits every child.

Clefting is one of the most common birth defects in the United States, occurring in about one out of every 700 births. While we know there are genetic and environmental factors, why a cleft occurs is still largely unclear. We do know that very early on in development (in the first one to two months of gestation) we all have clefts that go on to fuse and close. When this does not occur, various combinations and severities of clefts may still be present at birth.

We highly recommend you research your area for a multidisciplinary cleft team. I am affiliated with the Rose Hospital Cleft and Craniofacial Team. If you were fortunate to have had an ultrasound make the diagnosis during your pregnancy, please try to meet with the team coordinator or plastic surgeon prior to the arrival of your baby. There are also fabulous resources available on the Internet through www.cleftline.org, the American Cleft Palate Association.

In general, I perform the first lip surgery around 3 months of age. If the cleft is wide or bilateral, I prefer to separate the repair into two stages, performing an “adhesion” as the first stage, and formal repair or second stage at the same time that the palate is repaired (between 9 and 18 months of age).

P.E. tubes are usually placed in the ears by an Otolaryngologist at the time of the palate surgery. If a revision of the lip or nose is necessary, this is usually considered at age 4-6, or whenever the family feels is appropriate. We may also need to do additional surgery to help correct speech issues that don't respond adequately to speech therapy.

Bone grafting to the space in the gum line and jaw surgery, if needed, is performed by an Oral and Maxillofacial surgeon after preparation by an orthodontist. A formal cleft septorhinoplasty is then performed for functional (breathing) and aesthetic reasons in the teen years.


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