Choosing the Right Specialist for Facial Bone Surgery: Key Considerations - Plastic Surgery

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Dear Dr.
Jiang Baicong,
Regarding facial bone surgery, should I schedule an appointment with a plastic surgery clinic or a craniofacial clinic? For surgeons experienced in this type of surgery, do postoperative complications typically resolve after some time? Is there a possibility of resulting in facial asymmetry? Could there be complications that may persist for a lifetime? How should one choose a surgeon for facial bone surgery? Could you kindly recommend a surgeon in Taipei who has more experience with this type of procedure? Thank you very much!

Jun, 20~29 year old female. Ask Date: 2002/05/29

Dr. Jiang Baicong reply Plastic Surgery


Hello Ms.
Jun: Regarding your question again, if you are at Chang Gung Memorial Hospital, you should visit the craniofacial surgery outpatient clinic, such as with Director Chen Yu-Rui.
Post-operative care requires some time, and the surgery is usually performed intraorally, which minimizes damage to the facial nerve, resulting in fewer cases of facial asymmetry.
If you are at National Taiwan University Hospital, Veterans General Hospital, Tri-Service General Hospital, Mackay Memorial Hospital, or Shin Kong Wu Ho-Su Memorial Hospital, you can simply visit the plastic surgery outpatient clinic.
If the nerve is injured, recovery tends to be slower and the outcomes may be poorer.
Wishing you good health.
Chiayi Hospital, Jiang Bai-Tsong, May 31, 2002.

Reply Date: 2002/05/29

More Info


Choosing the right specialist for facial bone surgery is a critical decision that can significantly impact the outcome of the procedure and the patient's overall well-being. When considering whether to consult a plastic surgeon or a craniofacial surgeon, it is important to understand the specific expertise and focus of each specialty.
Plastic surgeons typically handle a wide range of cosmetic and reconstructive procedures, including facial aesthetics and soft tissue management. In contrast, craniofacial surgeons specialize in the surgical treatment of congenital and acquired deformities of the skull and face, often dealing with more complex cases that may involve bone reconstruction and alignment. For facial bone surgery, especially if it involves significant structural changes, a craniofacial surgeon may be more appropriate due to their specialized training and experience in this area.

Regarding postoperative complications, it is essential to recognize that while many patients experience a smooth recovery, some may face long-term effects. The likelihood of complications such as facial asymmetry, including a crooked smile or facial droop, can depend on various factors, including the extent of the surgery, the surgical technique employed, and the individual’s healing process. While many complications may resolve over time, some patients may experience lasting effects, particularly if nerves are damaged during the procedure.
In terms of selecting a surgeon, it is advisable to consider the following factors:
1. Experience and Specialization: Look for a surgeon who has extensive experience specifically in facial bone surgery. Reviewing their credentials, training, and the number of similar procedures they have performed can provide insight into their expertise.

2. Patient Reviews and Outcomes: Researching patient testimonials and outcomes can help gauge the surgeon's success rate and patient satisfaction.
3. Consultation: Schedule consultations with potential surgeons to discuss your specific case, ask questions about their approach, and understand their philosophy regarding postoperative care and management of potential complications.

4. Hospital Affiliations: Consider the facilities where the surgeon operates. Hospitals with a strong reputation for craniofacial surgery may provide better resources and support for complex cases.

5. Recommendations: Seek recommendations from other healthcare professionals or patients who have undergone similar procedures. Personal experiences can provide valuable insights into the surgeon's skills and bedside manner.

As for recommendations in Taipei, it would be prudent to consult with established medical institutions known for their craniofacial and plastic surgery departments. Hospitals like National Taiwan University Hospital, Chang Gung Memorial Hospital, and Taipei Veterans General Hospital have reputable specialists in this field.

In conclusion, choosing the right specialist for facial bone surgery involves careful consideration of the surgeon's experience, the complexity of the procedure, and the potential for postoperative complications. While many patients recover well, it is crucial to have realistic expectations and to discuss any concerns with the chosen surgeon to ensure the best possible outcome.

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