Numerous craniofacial deformities are characterized by orbital dystopia and anterior skull base deformities. Examples are Crouzon’s syndrome, Apert’s syndrome, coronal and metopic craniosynostosis. Two concepts developed by Paul Tessier (the father of craniofacial surgery) in the 1960’s are crucial to the understanding of the correction of these deformities. Firstly, the superficial skeleton of the eyesocket […]
A Cleft Pastiche
Aesthetic Craniomaxillofacial Surgery of the Midface
The techniques of skeletal surgery of the midface were originally developed to treat problems related to congenital and posttraumatic deformities affecting the occlusion. Occlusion – the way the upper and lower teeth come together – is determined by the position of the tooth bearing arches of the upper and lower jaws relative to each other. […]
Cleft Lip and Palate – Yardsticks for Perfection
Cleft lip and palate implies an often 20+ years rehabilitation process for the affected individual starting a few days after birth. The reward of this multistage, interdisciplinary process can be a near normal appearance. The luxury of this treatment in a global perspective is restricted to a privileged few in highly affluent countries. Children born […]
Writing for the gallery
It has been said that it is the secret dream of any surgeon to leave this world with his or her name attached to at least one instrument. This is what makes craniofacial surgery real fun as Paul Tessier had his name attached to almost all instruments on an average craniofacial surgery instrument tray. So […]
Scar Revisions in Facial Injuries
scar revision facial plastic surgery by board certified plastic surgeon, specialist in scar revision plastic surgery for patients from Caribbean, Antigua and Barbuda, The Bahamas, Barbados, Belize, Dominica, Grenada, Guyana, Haiti, Jamaica, Montserrat, Saint Lucia, St. Kitts and Nevis, St. Vincent and the Grenadines, Suriname, Trinidad and Tobago, Bermuda, British Virgin Islands, Cayman Islands, Turks and Caicos Islands, Miami, New York, Toronto, London
A Cure for Migraine Headaches: Botox, Nerve Decompression, Brow Lifting and Septoplasty
Migraine headaches are common in young women and can be extraordinarily incapacitating requiring longterm treatment with medications. Similar to the account of the discovery of a cure we observe migraine headaches not infrequently in our Caribbean plastic surgery practice at Trinidad Institute of Plastic Surgery in younger women presenting for facial rejuvenation with Botox. Chance […]
Migraine Headaches Treatment with Botox Injections
Botulinum Toxin A (BTA), also known as Botox, is a very potent neurotoxin. In migraine headaches treatment it is used to selectively weaken certain muscles in the face and neck, which compress sensory nerves in the forehead, temporal region and back of the head and thus trigger migraine headaches. On the front of the head […]
Correcting Crooked Noses and Faces
The correlation between structure and appearance is most straightforward when the skeleton is involved. Today’s case involved a young women after a motor vehicle accident more than a decade ago. The forehead was uneven, the brows in unequal position, old hardware palpable over the roof of the eye socket and the nose was crooked and […]
Craniofacial Surgery
Craniofacial surgery in its purest form is plastic surgery of the skeleton of the face and skull. It was developed into a subspecialty of plastic surgery based on several principles and discoveries put forward by Paul Tessier of Paris in the 1960’s. Tessier proved in the laboratory and the operating room that it was possible […]