Our board-certified plastic surgeon, Dr. Jeffrey LaGrasso, can help map out your child's reconstructive, craniofacial surgery alongside your team of trusted pediatric physicians, ophthalmologists, and neurosurgeons. As soon as a problem or malformation is recognized, a plan for craniofacial surgery (a type of plastic surgery that corrects and reconstructs the physical malformation or deformity of the skull) may be put in place for children as young as 8 – 9 months of age. Our craniofacial patients are generally first referred to a Cleft-Craniofacial Center or a Children's Hospital to receive a physical exam, and followed by a CT scan to confirm a diagnosis. An eye exam by a pediatric ophthalmologist (eye surgeon), and a consultation with a neurosurgeon (brain surgeon) are additionally required.
Miami, FL plastic surgeon, Dr. LaGrasso will privately discuss with you and your family a personalized plan of treatment during a comprehensive consultation in his office. He also performs craniofacial surgery for patients that have experienced trauma or after the removal of benign or malignant tumors. If you or your family member have a need for craniofacial plastic surgery, please contact our patient advisors for a consultation.
The congenital malformations craniofacial surgery entails premature closure of cranial sutures (craniosynostosis), and craniofacial dysostosis (Crouzon, Apert, Saethre-Chotzen, Pfeiffer, Muencke Syndromes and others). Many other syndromes or anomalies are treated as well, such as Treacher Collins Syndrome, Binder Syndrome, hemifacial microsomia, facial clefts, and frontonasal dysplasia.
Benign and malignant tumors as well as congenital growths are treated like neurofibromatosis, fibrous dysplasia, dermoid cysts and vascular malformations.
Dr. LaGrasso will perform cranofacial surgery for primary and secondary craniofacial trauma patients.
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"Tummy tuck and liposuction - I have my tummy tuck and liposuction back in September 2016. Everything went perfect . Going back in this memorial weekend to get a breast augmentation. I totally recommend him."- Anonymous / Vitals / Mar 21, 2017
"Excellent Surgeon - I am very satisfied with my lipo with fat transfer that Dr. Jeffrey LaGrasso performed on me. I consider him an excellent plastic surgeon. I would definitely recommend him. He is very social and understanding. - - I am very satisfied with my lipo with fat transfer that Dr. Jeffrey LaGrasso performed on me. I consider him an excellent plastic surgeon. I would definitely recommend him. He is very social and understanding."- M. / RealSelf / Jan 02, 2017
"Bbl After Silicone Removal - Six months after my biopolimer removal i decided to do my bbl and so far so good i had to gain 15lbs and i did lipo in arms all belly all back and outer thighs im almost 3 weeks post op i show more pics in a few days im very happy with my outcome so far..i had the removal with dr gallerani and did the bbl with dr jeffrey lagrasso in My cosmetic surgery the 19 of last month i had two drains for 7 days and have had 7 lymphatic massages. i paid 6,000 with carecredit . He is a very kind person and he always talked 100% clear with me said i might need 2 rounds but i can say i am very happy so far with the results"- L. / RealSelf / Nov 06, 2016
"Surgery with Doctor Lagrasso - Miami, FL - I have been wanting to do this procedure for a while. I had shape, but wanted my waist to be smaller and much more defined. I was really unhappy with how I looked and this seemed like a great alternative. After searching through several doctors, I decided to go with Dr. Lagrasso. His bed side manner is truly impeccable, he is patient, professional, and super detailed. I could not be happier with my choice. Today was my surgery, and even though I'm super swollen, bruised, and in ridiculous amounts of pain, I can already see the conturing in my body's shape. I am very hopeful that once the swelling goes down, my body will look like I always dreamed it to. I am staying in the recovery home of Miriam landford, and honestly, I don't know what I would do without her. She has tended lovingly to every single one of my needs. From making me delicious healthy fresh foods to help me gain my strength again, to keeping me warm, comfortable, as well as managing my medications as well. Her house is quiet, peaceful, relaxing, immaculately clean, and beautiful. I couldn't be happier with my choices. Now just waiting for the pain and swelling to go away :("- K. / RealSelf / Oct 17, 2016
Before the Surgery
As most of our craniofacial surgery patients are 8 – 9 months of age, we will prepare your child for craniofacial surgery 6 weeks before the actual operation. Your child may begin blood enrichment therapy to build up the quality of his or her blood using medication. Once a week for 6 weeks, your child may receive an injection of erythropoietin (Procrit®) to increase the number of red blood cells in his or her bloodstream. Your child also will be given iron supplements to help his or her body produce red blood cells. This blood therapy will reduce the need for blood transfusions during surgery, will help your child heal, and recover faster after surgery.
While your child is on the blood enrichment medication, he or she will need to have a blood count draw done at 3 different points in the therapy process: at the start of the medication therapy, halfway through the therapy, and then at the end of therapy before surgery. The blood test will determine your child’s blood type, a cross-matching blood type, and a red blood cell count. In case your child needs a blood transfusion during the surgery, matching blood from the blood bank will be made available, or you and/or other family members may choose to donate matching blood instead. A cell-saver machine also will be used during your child’s surgery to minimize the need for a blood transfusion, and collects the blood lost during the surgery, then cleans and returns it to your child’s body.
The 2 weeks before the surgery will be time for you to meet with Dr. LaGrasso again for a preoperative history and physical exam, to ask any further questions, and discuss the surgery.
Most craniofacial surgeries last 7 – 8 hours (dependent on the severity and type of reconstruction) in the operating room to fix congenital defects of the skull present at birth or injuries to the soft tissue and bones in the head and neck. The procedure will be performed with the patient under a general anesthesia, and he or she will remain sound asleep throughout the entire surgery. We will, of course, give the family or caregiver of the patient updates when available. The patient will then be taken to a recovery room, where he or she will be closely monitored by our post-operation nurses and medical assistants.
Plan Your Procedure
- Procedure Recovery Location
Craniofacial Surgery FAQ
Will my child be required to stay in the hospital? Yes. After having a 7 – 8-hour craniofacial surgery, your child will stay in the hospital for at least 3 days to be closely monitored by our post-operation nursing staff and Dr. LaGrasso.
Most Common Surgery?
What is the most common craniofacial surgery? One of the most common conditions treated with craniofacial surgery is craniosynostosis, which is the early closing of the spaces between the bones of the skull, resulting in abnormal skull growth. The particular surgery to correct craniosynostosis is called a cranial vault remodeling.
What if there is a need for a blood transfusion? We will prepare for your surgery by assuming that you or you will need a blood transfusion after the surgery. We will also make sure to have a cross-matching blood type available from a blood bank, or family members may choose to donate matching blood as well.