Plastic Surgery

At Children’s Hospital & Medical Center, our plastic surgery specialists are dedicated to correcting and treating conditions that affect your child’s appearance, functioning, and overall health.

Make An Appointment

Most patients are referred by their pediatrician or another specialist. However, you can bring your child without a referral as long as their insurance company approves the procedure.

To schedule an appointment for your child, call 402-955-4168.

What Sets Children’s Apart?

Many conditions that require plastic surgery — such as cleft lip — are present at birth or develop during childhood. Often, surgery needs to be performed early, while the child is still young.

This requires more than just surgical skills — it also requires knowing how to work with children and their families, and understanding the health needs of young patients. The Children’s Plastic Surgery Clinic is the only clinic in the state that focuses specifically on pediatric plastic surgery.

Another factor that sets Children’s apart is our expertise in three techniques of plastic and reconstructive surgery:

  • Craniofacial distraction osteogenesis: A procedure where bone is cut and a device called a distractor is inserted. The distractor slowly pulls the two pieces of the cut bone apart, making the bone longer. It is used to lengthen bones in the face that are too short.
  • Endoscopic craniofacial surgery: A procedure that uses a surgical instrument with a tiny camera attached to it (endoscope), allowing the surgeon to see inside of the skull and face while operating. Endoscopy is a minimally invasive procedure, meaning we only have to make a few tiny cuts, rather than large ones. Minimally invasive procedures generally mean less pain and scarring, quicker recovery time, and fewer days in the hospital.
  • Microvascular surgery: A procedure using specialized microscopes and instruments to repair structures that are only a few millimeters or less apart in diameter (e.g., blood vessels, nerves). It is often used to fix congenital defects (defects a child is born with), or defects from a trauma.

“When children come to our clinic, it tugs on our heartstrings. But when we see the incredible work done in this clinic, and see how children’s lives are changed after surgery, it’s amazing.”

—Patti Vana, Operations Manager, Plastic Surgery Clinic, Children’s Hospital & Medical Center

Conditions We Treat

We treat children who have deformities present at birth and also deformities from trauma and certain health conditions. Some of our patients also have tumors or other conditions that require reconstructive surgery.

Some of the most common conditions we see include:

  • Cleft Lip & Palate

    These are birth defects that occur when a baby’s mouth and lips do not form correctly while the mother is pregnant. Cleft lip happens when the tissue that makes up the lips doesn’t join completely before birth, creating an opening in the upper lip. Some babies may also have a cleft palate, which happens when the tissue that makes up the palate (roof of the month) doesn’t join correctly.

    We perform corrective surgery as early as possible — anywhere within the first few months to a year of life. Many children need more corrective surgeries as they get older. Additionally, some children need other types of treatments, such as special dental care or speech therapy.

  • Craniosynostosis

    A child’s skull is made up of bony plates, which allow the skull to grow. Sutures (also called suture lines) are the borders where these plates intersect. Normally, these sutures close by the time a child turns 2 or 3 years old. Craniosynostosis occurs when the sutures close too early, causing an oddly shaped head, and possibly limiting brain growth.

    Surgery is done during infancy, and it aims to relieve pressure on the brain, improve appearance of the head, and ensure that there is enough room in the skull for proper brain growth.

  • Moles (Nevi)

    Moles are very common in children and adolescents, and they’re usually nothing to worry about. However, some moles can be signs of a skin cancer called melanoma. If we are concerned about a mole, we may remove it to check for cancer cells.
  • Problems Of The Nasal Septum And Nose

    The nasal septum is the structure that separates the left and right airways in the nose. A bent, deformed, or crooked septum can block the airways, leading to difficulty breathing through the nose, or increased risk of nasal and sinus infections. Septoplasty is a procedure to correct the part of the septum that is causing problems.

    We also see children who have problems with the shape of another part of their nose, often from an injury or birth defect. In these cases, we may use rhinoplasty — surgery to repair or reshape the nose.

  • Scars

    Scars are patches of skin that develop over a wound. While scars are permanent, they tend to fade over time. Scars do not necessarily need to be treated, but some people choose treatment, such as corrective surgery, if they don’t like the look of the scar.
  • Symptomatic Macromastia (Health Issues From Large Breasts)

    Macromastia is the medical term for large breasts. It is called symptomatic when it causes physical problems, such as back pain, headaches, or shortness of breath. In some cases, macromastia can make it difficult to exercise, which can lead to an increased risk of obesity.

    If symptoms cannot be controlled with non-surgical treatment (e.g., physical therapy, medication), breast reduction surgery may be a good option.

    We generally only perform this procedure on teenagers whose breasts have fully developed. Since development varies by person, the determination is made for each patient individually.

Our Specialists

Jason J. Miller, M.D., D.M.D.

Plastic & Reconstructive Surgery

What To Do Next

For Patients

Most patients are referred by their pediatrician or another specialist. However, you can bring your child without a referral as long as their insurance company approves the procedure.

To schedule an appointment for your child, call 402-955-4168.

For Referring Providers

The Physicians’ Priority Line is your 24-hour link to pediatric specialists at Children’s for referrals, emergency and urgent consults, physician-to-physician consults, admissions, and transport services. Call 855-850-KIDS (5437).

Learn more about referring patients.

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