Early neonatal surgery, in the first month of life.
A general assessment of the baby is made from birth: examination of the child, ultrasound, biological analysis, bacteriological samples. If this assessment is normal and the child has a sufficient weight without any operative contraindication, then the lip is closed in the first month of life.
The surgery is performed under general anesthesia. It allows to repair the lip and the nose, if it is deformed, during a single surgery. Even if it seems to miss part of the lip, everything can be repaired, rebuilt. In fact there is no real loss of substance, everything is present but distorted. The technique used makes it possible to correct all the deformations and to find a symmetry between the two sides of the lip and the nose.
The surgical procedure lasts approximately one and a half hours. The resumption of the bottle or the breast is possible a few hours after the end of the surgery. Hospitalization of the child with one of his parents is necessary for a few days.
- Millard advance rotation technique
- Lip correction and nose reposition
Millard advance rotation technique
The outline of the skin incisions is in red. The movements given to the lip are in blue
Millard advance rotation technique
Lip correction and nose reposition
At the end of the surgery the different incisions come together to reconstruct a perfect lip.
Lip correction and nose reposition
Restorative surgery of the lip covers all the labial components. The deep mucosa is incised and brought as a curtain to close the depth. The muscles are incised and lowered, they rotate to obtain a normal circular axis (orbicularis of the lips). The cutaneous plane is incised differently to obtain heights under the symmetrical nostrils, and to obtain a scar in the axis of the philtric crest, to obtain a rim, a good quality red lip – white lip junction without a red triangle ascension of towards the top.
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