Before and after photos
Pediatric Plastic Surgery
Pediatric plastic surgery continues to reinforce the core principles of our practice, and provides a special satisfaction that is difficult to match. Our plastic surgeons did additional fellowships in pediatric plastic surgery, considered to be the most delicate and challenging of fields, demanding extreme precision. We love treating children with congenital and acquired problems, and are strong advocates such care globally.
We treat children with deformities resulting from birth and from previous medical treatment. In addition, we offer complex care for acquired deformities, treatment for congenital and traumatic problems of the hand, and deformities of the breast. Our patients come from all over the region and span the complex social, economic and cultural groups affected by facial deformities.
Premium Care Plastic Surgery specializes in treating the following conditions:
- Cleft Lip and Cleft Palate
- Ear Deformities
- Vascular Tumors
- Moles and Birth Marks
- Female Breast Deformities
- Gynecomastia (Males Breast Enlargement)
- Hand Deformities
If you’re looking for innovative and experienced pediatric plastic surgeons, you’ve come to the right place. Our practice understands how to help our patients and their parents achieve their individual goals, and leave them feeling more complete inside and out. Give us a call at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States, or request a consultation online to speak with one of our plastic surgeons at Premium Care Plastic Surgery in Colombia.
One of the most commonly performed plastic surgery procedures in Colombia, rhinoplasty is also popular around the world with hundreds of thousands of nose reshaping surgeries performed each year. Both men and women frequently seek changes in the appearance of their noses.
Many women and men increase their self-confidence and satisfaction in their facial appearance, or simply breathe more freely, by visiting Premium Care Plastic Surgery in Colombia for nose surgery. Patients often travel to Cartagena from all over the United States, Europe, and Latin America, as well as nearby cities like Baranquilla for rhinoplasty (nose surgery) from our talented surgeons.
Craniofacial problems affect one in every 500 children, and cleft lip and palate are the most common of these congenital deformities. Significant progress in the care of these children means that with early treatment and intervention, the majority of children who are born with these problems can live normal, happy lives. Cleft lip and cleft palate are a subspecialty of pediatric plastic surgery, and best cared for by experienced plastic surgeons using a team approach.
Our plastic surgeons are some of the most experienced surgeons in cleft lip and cleft palate in the world, having operated on more than 1,000 cases in the last two years alone. Dr. Alex Campbell and Dr. Carolina Resrepo share a common passion for treating children with cleft lip and cleft palate, and spend much of their philanthropic efforts on this cause. Our surgeons head up our cleft team at Premium Care Plastic Surgery, and coordinate multidisciplinary care with dentists, ENT surgeons, pediatricians, speech therapists, dentists, and child life therapists to give young patients the very best chances of success. Above all, we are experts in providing child-friendly care that cares for the emotional and physical needs of kids and their families.
Significant ear malformations are present in more than 5% of the population, and can have profound aesthetic and psychological impact. With such a complex and varied structure, durable correction of the external ear requires a thorough understanding of its unique anatomical elements.
Prominent ears result from either underdevelopment of the ear fold or enlarged bowl region, while constricted ears result from cartilage down-folding and height deficiency. Surgical management of these ear deformities is typically best between ages 3 and 6 and must be approached in a careful, rational fashion to maximize aesthetic outcome.
Microtia is a congenital deformity where the external ear is underdeveloped, and occurs in 1 out of about 8,000–10,000 births. The ear can be completely or partially undeveloped, and can be unilateral (one side only) or bilateral (affecting both sides). Microtia reconstruction continues to represent one of the most challenging plastic surgery procedures, and in the best hands the reconstructed ear may have excellent shape, projection, and symmetrical placement.
Vascular tumors and malformations involve overgrowth of certain elements of the vascular system and often result in pigmented lesions. Some lesions are present at birth and grow with the child, while others grow rapidly and then involute. There is a wide array of diagnoses, including hemangioma, capillary malformation, venous malformation, lymphatic malformation, and arteriovenous malformation. Treatment options are equally as diverse, and depend on the specific characteristics, location, and symptoms of a lesion.
There is a wide variety of pediatric skin and subcutaneous lesions. These can be observed or excised depending on the diagnosis, location, symptoms, and desires. Most are straight forward, but occasionally additional imaging tests are needed for investigation.
- Moles (congenital and acquired nevi)
- Cysts (dermoid, epidermoid, thyroglossal duct, branchial cleft)
- Pits (lip, in front of ear)
- Tumors (pilomatricoma, pyogenic granuloma, infantile myofibromatosis, neurofibroma, lipoma)
Disorders of the female breast in the pediatric age group are a relatively common finding. These include additional nipples, underdeveloped breasts, overdeveloped breasts, asymmetric breasts, malformed breasts, and acquired breast deformities. Breasts are often a central component of femininity, and reconstruction of pediatric breast deformities can be of tremendous benefit to physical and emotional well being.
Gynecomastia, or enlargement of the male breast, presents typically early in adolescence due to hormonally induced changes in the breast bud. This causes a very common and natural temporary enlargement of the breast bud, occurring in up to 65 percent of adolescent boys. When this enlargement either occurs to excess or fails to regress in a timely fashion, the emotional sequelae that can result during these very important formative years can have long-lasting effects on the emotional and social development of the patient. Therefore, appropriate surgical treatment is directed at restoring a normal body image with a minimal amount of cutaneous scar.
We typically advise to observe early or mild gynecomastia for a variable period of time to allow sufficient time for the normal sequence of involution to occur, which can obviate the need for surgical treatment. Also, evaluation under the guidance of an endocrinologist can be performed as needed to rule out other conditions that can result in hormonal imbalance. During the teenage years, however, social relationships become increasingly complex, and restoring a normal contour to the chest becomes more important. Therefore, although it is reasonable to simply observe patients who present with gynecomastia even until the age of 18, when social behaviors begin to become negatively affected by the condition, it is recommended to proceed with surgical correction.
Burns remain an unfortunately high cause of injury to children, and care of each pediatric burn patient presents unique challenges to the plastic surgeon and the burn care team. After recovery from an acute burn injury, the need for late reconstruction in pediatric burn survivors is significantly influenced by the acute surgical and rehabilitative treatments. Decision-making in pediatric burn reconstruction must take into account the patient’s future growth, maturity, and often lack of suitable donor sites.
Reconstruction of the pediatric burn patient is one of the most challenging fields of plastic surgery. Growth, development, and inconsistent patient cooperation must be routinely considered. Burn injuries result in a number of late problems, including the loss or distortion of anatomical features, eye exposure, restriction of motion, restriction or loss of subsequent growth, and aesthetic issues. Burn scar deformities may be categorized according to whether function, cosmesis, or both must be restored. Scars involving the limbs, fingers, toes, web spaces, neck, perineum, flanks, eyelids, and oral commissures often represent a functional concern and must be addressed in a timely manner in growing children to avoid further complications. Cosmetic concerns are also important, and usually addressed when children are older and more conscious of their appearance.
Congenital differences of the upper limb occur in approximately 1 in 500 births and require correct and timely diagnosis and management for optimal results. There is a wide variety of anomalies, including underdevelopment, abnormal development, or development of extra digits. Congenital differences of the hand are a significant and unique challenge for the plastic surgeon. In all cases, the ultimate goal is to provide a functional limb that can be integrated into the child’s overall development. This goal may be met surgically or through specialized therapy and rehabilitation. Every case is unique and each patient (and parent) will adapt differently.