American Academy of Facial Plastic and Reconstructive Surgery
American Academy of Facial Plastic and Reconstructive Surgery

I have a question about Reconstructive Surgery.

Question: Hello~ I am writing this morning because I need to find out some information. I was molested tramatically as a child for 13 years and what he did to me, came to the conclusion that I needed like a reconstructive surgery at UCLA of my anal and vagina. When you looked at it, it was one hole, so the doctor went at made it two. Well here we are 12 years after the surgery and I and very insecure about the outcome. I never really worried about it before, because I was married and my husband was with me through the whole process and the aftermath. I am now going through a divorce and this issue is causing a problem with me dating. I am very insecure with what everything looks and feels likes. The main problem seems to be the huge lump towards the back. Another huge concern and this is so embarrassing, but my anal hole is inside a deep pocket. This can also be a sanitary problem…..OMG so embarrassing. I think this is why I have not pressed the issue earlier cause of the embarrassment of everything. My question is I would like to know if it is possible to make me look normal down there like a woman should. I am almost 40 and just beginning to live a happy life after a miserable marriage. If you don’t do this kind of work, can you refer someone that might. They need to be good lol…..see the results from a doc I thought was going to be marvelous from the get go. Please get back to me, for I am hopefully looking to get this started right away.

Answer: hi,
thank you for your very sensitive question regarding your past trauma and reconstruction. unfortunately, two things: 1) the rules do not permit me to give direct medical advice to an individual. 2) this Web site is dedicated only to face and neck cosmetic and reconstructive surgery questions. you need to ask your question to a body plastic surgeon, an OB-GYN, or a colorectal surgeon. good luck in finding the right person to help you with your delicate situation.

I have facial nerve damage casued by an accident when I was young, is there a facial reconstructive surgery you can recommend to correct it??

Question: I’m 30yrs Old,Had an accident when I was 8yrs old and in d process,a left facial nerve palsy occurred which made my mouth to shift to one side whenever I laugh or smile.I’ve undergone a neuro-surgery to correct it.Though,there’s an improvement but not exactly what I want.I want to know if there’s any facial procedure dat can b done to make ma mouth and lips straight again so dat it can come back to it’s normal position because I’ve lost my Confidence ever since the accident,I hardly smile in Camera because of it. Pls kindly tell me what to do and if u can refer me to any Facial reconstructive surgeon over there.Thank you for ur Understanding.

Answer: thank you for your submission. the one negative truth is that with any facial nerve injury that is permanent, there will never be a procedure that can entirely make the face work like normal. there are only degrees of improvement but always less desirable than you would like. i would recommend finding a qualified facial plastic surgeon who specializes in reconstruction of nerve damages to see what your personal options would be. the other thing that i have found that works very well is botulinum toxin (Botox, Dysport), which can help do the opposite which is to control the good side of movement so that the two sides are more symmetrical. in addition, sometimes nerves on the bad side can have something called synkinesis in which the nerves all move in clusters like if you smile you blink. BTX can soften the areas of synkinesis as well over repeated injections. hope that helps.

Is it possible to have two operations at the same time?

Question:Can I have a facelift and rhinoplasty at the same time?

Answer: In short yes. It depends on the health of the patient to have a longer procedure performed and if the surgeon is qualified to do both procedures and is willing to spend that time doing both procedures. Some surgeons may elect to split the procedure into two separate procedures; whereas some may desire to do both at the same time.

Can you help me find a specialist?

Question: Are there doctors that specialize in facial reconstructive surgery?

Answer: Almost any facial plastic surgeon is typically trained at some level with facial reconstruction.  However, some facial plastic surgeons only focus on cosmetic work, as they do not do reconstructive work or no longer take insurance to cover reconstructive procedures.  In addition, there is a wide gamut of what is meant by reconstruction, including congenital disorders (conditions you are born with like cleft lip and palate or craniofacial abnormalities), skin cancer reconstruction, major head and neck cancer reconstruction that requires free flap repairs or larger reconstructions, and of course traumatic repairs of facial fractures, etc.  Many surgeons have specialized in specific types of these repairs or lack training in some areas.  It is important to find a surgeon who has the experience, interest, and talent to help you correct your type of facial problem.