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Shaun Desai, MD; Johns Hopkins Facial Plastic Surgery Center

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Shaun Desai, MD; Johns Hopkins Facial Plastic Surgery Center

I am currently a full time Associate Professor of Facial Plastic and Reconstructive Surgery at the J

09/17/2025

inesse Tip Rhinoplasty
This patient is a few months out from a for cosmetic and breathing purposes. The patient was bothered mainly by the shape of the “bulbous” tip of her nose- and in the postop photos one can see the more refined shape. Since she’s only a few months out the nose is still swollen and will continue to shrink over the course of the year, further refining the shape of the tip and profile. We also fixed a deviated septum and nasal valve collapse to help her breathe better.

08/15/2025

Modern weapons of war (drones, etc) can leave indescribable damage to the body, and particularly the facial skeleton and soft tissue. I have seen this firsthand when traveling to Ukraine to treat their soldiers. Just like Sir Harold Gilles, a pioneer otolaryngologist and plastic surgeon found new methods to rebuild the face during the first world wars in England, surgeons are developing new ways to rebuild the face using newer technology like 3D printing implants and virtual surgical planning. This technology was invaluable to our team and our face to face organization when we did these complex facial operations in Ukraine. Thank you for shedding light on these patients, our mission trip, and the technology we use to help them.

07/31/2025

This patient had a to fix her deviated septum as well as a limited natural and conservative to help remove the bump on her nose. All rhinoplasties are different and depend on what patients goals are. In this case it was just a subtle removal of the bump on the bridge of the nose.
She is a few months out from surgery and can breathe very well through her nose and is thrilled with how her nose looks. She is still a bit swollen (particularly on her tip) and will continue to heal for 12-15 months.

07/11/2025

This lovely patient underwent a revision Deep-Plane Face and Necklift as well as upper lid blepharoplasty. A facelift and necklift specifically target the loose tissue (skin, fat, muscle) under the chin as well as the jowl region creating a sharper jawline. The deep plane technique also adds some volume back to the cheek region. She is thrilled with her results and we are so happy for her.

06/27/2025

Congratulations to our amazing fellow for finishing her facial plastic and microvascular reconstructive fellowship year at Johns Hopkins. She is such a talented and caring physician and surgeon and I know will help touch the lives of thousands of patients in her career.
#

06/12/2025

Structural Rhinoplasty for Saddle Nose Deformity using Rib Graft
This young gentleman had an injury to his nose which resulted in what’s called a “septal hematoma.” This is a rare complication of blunt injury to the nose which results in internal bleeding of the nose and paradoxically cuts the blood supply and oxygen to the cartilage of the nose. This causes the cartilage to die and eventually you get this near total collapse of the nose called a saddle nose deformity. Please remember this is a RARE complication of nose injury.
These are extremely challenging cases and require significant cartilage grafts usually from the rib to rebuild the entire structure of the nose again from the foundation up. It requires a knowledge of the functional and aesthetic principles of the nose. We couldn’t be happier for this young man to go back to his normal life, can breathe normally again, and no one would know the better of what happened to him.

05/19/2025

This past 10 days I had traveled to Lviv, Ukraine on a surgical mission trip to help rebuild the faces of these brave Ukrainian soldiers. We did multiple fibula free flaps (leg bone) and transplanted it to the jaw or cheek bone (maxilla) to rebuild horribly disfiguring blast injuries to the face. I have traveled and operated all over the world for humanitarian reasons to rebuild faces (South America, India, Africa) and I have never seen some of the destruction to human tissue that these modern weapons of war (drones etc) can do as I did on this trip.
I have learned in the past 10 days that the human spirit when pressed to the sheer limit is resilient. The Ukrainian people are some of the most resilient people I have ever met amid the warfare and destruction. They are tougher than I could ever imagine. I pray for peace for everyone involved there.
.media .for.ukraine .in.ukraine

04/24/2025

What a fun morning with taking your kid to work day. Patients were more excited to see her than me 😂

04/07/2025

Before and after on septorhinoplasty.
This patient couldn’t breathe through her nose because of a as well as wanted to remove the bump on her the bridge of her nose and lift her tip. She is super happy with how it looks and can finally breathe through her nose as well!

04/01/2025

Meeting of the minds 😜

03/14/2025

Post 1 of 2:

Total Jaw Reconstruction after Large Tumor Removed
This patient had a history of an enlarging tumor that had destroyed her entire lower jaw (including all her lower teeth) resulting in the lip being pushed out and inability to close her mouth.
In this case our team at Johns Hopkins came up with a multidisciplinary approach to not only removing her jaw tumor but also reconstruct her jaw so she could chew and eat again. After the entire lower jaw was removed, we then used virtual surgical planning to design a new jaw on her fibula bone in her leg. We then carve and cut that bone in the shape of a new jaw (3 pieces) and then fuse them together with titanium plates and screws. We then do to hook up the artery and vein to bring a blood supply to the graft, which is critical for its long term success. My oral surgery colleagues then placed dental implants into the fibula bone, and some time later placed new teeth that could be screwed into the new implants.
Here is our patient a few years out eating whatever she wants, with full oral competence and chewing regularly. Her smile in the video says it all for us :)
In the next post (next week) I will go into the medical nerdy and technical details of how we planned and performed this surgery.

02/21/2025

Revision Reconstructive Rib Rhinoplasty (say that fast 10 times! 🤪)
This gentleman nasal surgery many years ago in Eastern Europe and also had lots of trauma to his nose. He had a severely deviated septum (from the little cartilage that was left), collapse of his nasal valves, collapse of the roof of his nose (can see the bridge sunken in or what we call “saddling”), as well as a large septal perforation, and crooked nasal bones. In this revision septorhinoplasty we took rib cartilage to rebuild every aspect of his nose so that it would be structurally sound for many years to come. He can finally breathe out of his nose again and it isn’t collapsing. It is also much straighter and not sunken in anymore.

Address

6420 Rockledge Drive, Ste 4920
Bethesda, MD
20817

Opening Hours

Monday	8am - 4:30pm
Tuesday	8am - 4:30pm
Wednesday	8am - 4:30pm
Thursday	8am - 4:30pm
Friday	8am - 4:30pm

Telephone

+13018963348

Website

http://www.hopkinsfacialplastics.com/

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