International Craniofacial Institute

International Craniofacial Institute www.craniofacial.net Offering real hope to those with craniofacial differences, and offering a wide

At the International Craniofacial Institute, we specialize in treating:
Complex Craniofacial Conditions, Cleft Lip & Palate Repair, and General Pediatric Plastic Surgery

Full List of Services Offered


Craniofacial Conditions:

Craniosynostosis
Cleft Lip and Palate
Ear Anomalies / Microtia / Ear Wells
Encephalocoele
Eye and Orbit Anomalies
Jaw Anomalies
Nose Anomalies
Pierre Robin Sequence
Plagiocephaly
Sleep Apnea
Tumors

Craniofacial Syndromes:
Apert
Carpenter
Crouzon
Down
Goldenhar
Hemifacial Microsomia
Muenke
Parry-Romberg
Pfeiffer
Saethre-Chotzen
Treacher Collins


General Pediatric Plastic Surgery:
Bumps, Burns, Dog bites, Lacerations, Lesions, Scars, etc. Other Treatments:
Adolescent Breast Reduction
Adolescent Gynecomastia Repair
Eyelid Deformities
Facial Trauma Reconstruction
Nasal Deformities or Trauma
Vascular Malformations

A facial fracture can be a devastating injury that can affect all ages.This patient had a fracture of the cheek bone and...
11/17/2025

A facial fracture can be a devastating injury that can affect all ages.

This patient had a fracture of the cheek bone and floor of the orbit supporting the eye.

Fortunately, we were able to restore her anatomy to its normal position. Thin, titanium plates and screws were used to fixate the repair.

Use of cosmetic surgery techniques helped to avoid potential problems like unsightly scarring or eyelid asymmetry.

‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

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⁠ ⁠

Do you perform secondary otoplasty?Yes, though with a few requirements.1) Is the difference something I can see and pote...
11/10/2025

Do you perform secondary otoplasty?

Yes, though with a few requirements.

1) Is the difference something I can see and potentially achieve?
2) Are expectations reasonable?
3) Is it something I feel comfortable doing, with both the patient and myself happy with the result long-term?

Here, a fairly mild amount of residual projection was seen after a first otoplasty elsewhere.

We had a long discussion, and we both felt comfortable about proceeding with a further setback of the ear.

She is seen here at 4 months post-op, quite happy with her result.

Subtle to many, but for her, it really took a weight off of her shoulders.

⁠
‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

This Stahl’s ear – with the extra, third fold distorting the normal curve of the ear – can lead people to be self-consci...
11/03/2025

This Stahl’s ear – with the extra, third fold distorting the normal curve of the ear – can lead people to be self-conscious.
Several women have said they always wear their hair down, or at least pulled over the upper part of their ear.

Ideally, we place an EarWell device to mold that curve away while the cartilage is soft shortly after birth.

Once you are an adult, this procedure may be done in the clinic in about an hour.

An incision is made on the back, hidden side of the ear. The extra fold was carefully removed, the framework repaired, and the skin redraped.

I used the excised cartilage as a graft on the hidden side in order to bolster the shape and strength long term.

He is seen here at just 4 weeks after the procedure. The natural curves — light and shadows — are improved, and will continue to camouflage further as the swelling comes down, and the skin contracts and remodels.

⁠
‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

This patient came to us after a previous otoplasty by another surgeon.Her left ear remained overprojected after the set ...
10/27/2025

This patient came to us after a previous otoplasty by another surgeon.
Her left ear remained overprojected after the set back gave way as the absorbable sutures dissolved.

A second operation was performed to strengthen the setback of the superior crus and antihelical fold, as well as the conchomastoid angle. This was done with permanent sutures to minimize the chance of another relapse.

Care was taken to create a natural curve and contour, all through an incision placed on the hidden side of the ear.

‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

Otoplasty is the procedure offered to reshape a prominent ear. Prominent ears are often hereditary. The anatomy can invo...
10/20/2025

Otoplasty is the procedure offered to reshape a prominent ear.

Prominent ears are often hereditary. The anatomy can involve:
- excess cartilage of the conchal bowl
- a weak fold of the superior crus
- blunted angle of projection of the ear from the head

There is no one-size-fits-all approach, as every patient and every ear is unique.

Here, scoring of the anterior cartilage, multiple shaping sutures, and skin excision, were all employed to achieve a natural result without appearing overly pinned back.

He is seen here at 1 month post-operatively. All photos shared with patient consent, and may not be distributed or reproduced without express, written consent.

‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

We have had several patients with previous ear reconstructions who have a hard time wearing a facemask or glasses.The to...
10/13/2025

We have had several patients with previous ear reconstructions who have a hard time wearing a facemask or glasses.

The top of the ear can be blunted with a slope the doesn't let anything stay on the ear.

Here, the ear was elevated and that depression deepened. A skin graft and advancement of the surrounding scalp was performed to add that depth.

The crease around the earlobe was also deepened to help with mask wearing. Finally, some rearrangement of the cartilage helped to round out the ear and add some depth to the contour.

This wonderful and always-optimistic patient is seen here at 3 weeks after surgery.

⁠
‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

This lovely patient has a history of microtia and cartilage ear reconstruction done over 10 years ago. She was happy wit...
10/06/2025

This lovely patient has a history of microtia and cartilage ear reconstruction done over 10 years ago.

She was happy with the result, but had difficulty wearing glasses because of the blunt angle at the top of the ear. She also had a hard time wearing masks or anything else that needs to loop around the ear because the lobe and crease behind the ear were also blunted.

We excised some of the old scar tissue and deepened the fold.

A full thickness skin graft from her old chest scar gave additional surface area to help change that flat slope into a deeper groove.

⁠
‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

Differences in ear formation can come in all sorts of ways.Here, this patient had an absent earlobe, with the rest of th...
09/29/2025

Differences in ear formation can come in all sorts of ways.

Here, this patient had an absent earlobe, with the rest of the structures of the ear, canal, and hearing, all unaffected.

Surgery was done to create an earlobe using a combination of cartilage for support and shape, and a flap of skin from behind her ear. This hid the donor site scar well, and gave a good match in color and texture.

Additional cartilage was placed on the inner side of the new lobe, buttressing the grafted cartilage to keep it from swinging forwards or backwards as easily as she heals and continues growing.

She is confident and happy, as we hope all of our patients will be as we get to see them mature and grow!

⁠
‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

Microtia reconstruction is one of the most intricate and rewarding surgeries we perform as craniofacial surgeons.‭💻 cran...
09/22/2025

Microtia reconstruction is one of the most intricate and rewarding surgeries we perform as craniofacial surgeons.

‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

Ears can be a bit folded up while in the womb, or from something unnoticed like some oxygen from a nasal cannula.I tell ...
09/15/2025

Ears can be a bit folded up while in the womb, or from something unnoticed like some oxygen from a nasal cannula.

I tell most families that unless it’s severe, you can wait a week or two, take any planned baby and family photos, and see how well the ears rebound and take shape.

By the second and third week, though, the cartilage is becoming more firm, and what you see is what you get.

So for the best results in the quickest amount of time, I highly recommend to start treatment by the 3rd week.

The associated haircut is necessary to let the base adhere and provide a foundation for treatment. The hair usually grows quickly and is not noticeable after about 4 weeks.

⁠
‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

A quick two weeks of molding with an can help smooth some crimps and crinkles that can happen from being in the womb, ...
09/08/2025

A quick two weeks of molding with an can help smooth some crimps and crinkles that can happen from being in the womb, or sometimes seen with oxygen cannulas or other points of pressure that can happen for babies in the hospital.

Here, we were able to begin molding within the first couple weeks after birth, so the cartilage is soft and very responsive to treatment.

Many times we can do 1-2 rounds (2-4 weeks) with the larger framework. Then we usually have a round of wearing just some tape and silicone pieces, like a period of wearing a retainer after braces.

The redness from removing the adhesive base improves quickly, and the mini-haircut is usually not noticeable after 3-4 weeks.
⁠
‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

Immediate before/after ear molding.The reshaping effect is strongest for the cartilage framework, since that starts so s...
09/01/2025

Immediate before/after ear molding.

The reshaping effect is strongest for the cartilage framework, since that starts so soft, and becomes more firm quickly over the first several weeks of life.

Please note that the ear lobe itself doesn’t have any cartilage! The conchal bowl above it does, but expectations for earlobe repositioning or reshaping have to be tempered.

There is always some amount of relapse, and some inherent, programmed growth of the ears. So we can do some retention taping like a retainer for a few weeks, but at some point we also accept the gains we made along with any slight asymmetries.

⁠
‭💻 craniofacial.net⁠⠀⁠
📱
☎️ (214) 241-1997⁠
📍 Dallas, TX ⁠
📍 Plano, TX⁠
⁠🏥 Board-Certified Plastic Surgeon⁠
🎓 Craniofacial Fellowship Trained⁠
⁠

⁠

Address

7777 Forest Lane, Building C, Suite 528
Dallas, TX
75230

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