Pediatric

Pediatric Plastic Surgery in San Francisco Bay Area, Oakland, and Walnut Creek

Dr Moulton Barrett offers pediatric plastic surgery in Oakland and the San Francisco Bay Area

Plastic surgery is a great tool for correcting congenital birth defects, which can have a devastating impact on a child’s life-long physical, psychological and social well-being. Pediatric plastic surgery can improve or correct many of these birth defects and provide a better quality of life for the child.

Early consultation should be sought with a skilled plastic surgeon who knows that timing of surgery is an important factor in improving the prospect for a successful outcome. Your primary care physician and Dr. Rex Moulton-Barrett can work closely together in designing a maximally effective treatment plan for your child.

Cleft Lip Repair

Cleft lip is a common congenital birth defect that affects thousands of children each year. Cleft lip may occur alone or in conjunction with cleft palate and cause mild or severe disfigurement. Pediatric plastic surgery to correct a cleft lip can be performed anytime after birth and treatment should begin sooner rather than later to avoid further complications.
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Cleft Palate Repair

Cleft palate can range from mild disfiguration to severe complete cleft with nasal deformity and involvement of the hard palate and the teeth. Repair of the cleft palate by a plastic surgeon is crucial for producing normal speech and restoring normal body functions and can be performed on patients as young as 10 months old.
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Lip and Nasal Deformity Repair

Children diagnosed with cleft can suffer the affects of associated nasal deformity. These malformations can pose obvious cosmetic problems as well as serious impaired nasal airflow issues as a result of this lip or nasal deformation. A consultation with Dr. Rex Moulton-Barrett can educate parents of these patients on pediatric plastic surgery procedures that may benefit their child.
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Revisional Cleft

Revisional cleft repair is typically performed when the previous initial repair of the cleft is causing a symmetry issue or an unsightly appearance due to scarring. In most cases, the initial repair of an infant’s lip is performed at about 3 months of age. Often the scar will remain contracted upward towards the nose, giving the appearance of the lip being too short on one side. If asymmetry is still present after one year, families may want to consider a revision. For a lip that appears too short, a rotation advancement procedure can be used to repair the lip.
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Microtia Ear Reconstruction

Certain ear malformations such as Microtia causes malformed or missing ears and can be associated with severe hearing defects. A skilled plastic surgeon should work in conjunction with the primary care physician to plan the treatment for reconstruction of the ear lobe. Rib cartilage is commonly required to form a new ear framework and definitive reconstruction may take place at about age 5 or 6 years when rib growth has been adequate.
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Congenital Hand Surgery

Plastic surgery can effectively correct many hand malformations and provide better functionality. Such hand malformations including, webbed, crooked or extra fingers, children born with no thumbs or short fingers, can receive successful treatment from pediatric plastic surgery.
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Through a consultation with Dr. Rex Moulton-Barrett, the patient’s parents can get a complete understanding of the importance of restoring function while maintaining the cosmetic appearance of the malformed hand.