PLASTIC AND COSMETIC SURGERY
Gaby Doumit M.D. MSc. FRCS(c) FRCS(c) FACS
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“It takes a village to raise a child.” Nowhere in medicine is this more true than in the care of a child with cleft lip and palate (CLP).
CLP is the most common congenital craniofacial abnormality. It varies in incidence according to race and affects 1/1000 children. CLP develops early in the first trimester, when it can be diagnosed on 3-D fetal ultrasound. At this time, a plastic surgeon trained in craniofacial surgery can begin to counsel parents that the seemingly minor defect can lead to feeding, growth, speech, and social problems if untreated.

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Before & After Photos

Before After
cleft-lip-before-front-3
cleft-lip-before-front-3
3 years post cleft lip repair
3 years post cleft lip repair
cleft-lip-before-close-3
cleft-lip-before-close-3
3 years post cleft lip repair-close up view
3 years post cleft lip repair-close up view
bilateral cleft lip
bilateral cleft lip
4 years post bilateral cleft lip
4 years post bilateral cleft lip
close up bilateral
close up bilateral
close up post bilateral repair
close up post bilateral repair
Right unilateral Cleft Lip
Right unilateral Cleft Lip
3.3 years post cleft lip repair
3.3 years post cleft lip repair
Close up view of right cleft lip
Close up view of right cleft lip
Close Up view
Close Up view
cleft-lip-before-front-11
cleft-lip-before-front-11
cleft-lip-after-front-11
cleft-lip-after-front-11
cleft-lip-before-close-11
cleft-lip-before-close-11
cleft-lip-after-close-11
cleft-lip-after-close-11
cleft-lip-palate-before-front-2
cleft-lip-palate-before-front-2
3.2 years
3.2 years
cleft-lip-palate-before-close-2
cleft-lip-palate-before-close-2
cleft-lip-palate-after-close-2
cleft-lip-palate-after-close-2
pre op partial right cleft lip
pre op partial right cleft lip
Post Op right cleft lip repair
Post Op right cleft lip repair
close up view incomplete
close up view incomplete
post op
post op
cleft-lip-before-front-15
cleft-lip-before-front-15
cleft-lip-after-front-15
cleft-lip-after-front-15
cleft-lip-before-close-15
cleft-lip-before-close-15
cleft-lip-after-close-15
cleft-lip-after-close-15
cleft-lip-before-front-7
cleft-lip-before-front-7
cleft-lip-after-front-7
cleft-lip-after-front-7
cleft-lip-before-close-7
cleft-lip-before-close-7
cleft-lip-after-close-9
cleft-lip-after-close-9
cleft-lip-before-front-8
cleft-lip-before-front-8
cleft-lip-after-front-8
cleft-lip-after-front-8
cleft-lip-before-close-8
cleft-lip-before-close-8
cleft-lip-after-close-8
cleft-lip-after-close-8
cleft-lip-before-front-6
cleft-lip-before-front-6
cleft-lip-after-front-6
cleft-lip-after-front-6
cleft-lip-before-close-6
cleft-lip-before-close-6
cleft-lip-after-close-6
cleft-lip-after-close-6
cleft palate
cleft palate
Post Cleft Palate Repair
Post Cleft Palate Repair

* Disclaimer: Those pictures represent real patients operated by Dr. Doumit. However, Patients results undergoing plastic surgery can vary from one to the other depending on multiple factors.

Family care

Caregivers require attention along with the patient. Socioeconomic needs must be addressed along with surgical and medical needs, both early and often. The child with CLP should be established in a craniofacial clinic immediately after diagnosis. The team, led by a craniofacial surgeon specializing in CLP, sees patients on a monthly or quarterly basis during the first few years of life to ensure that all surgical, medical, developmental and social needs are met. Subsequently, yearly visits can address any new issues or provide reassurance that things are moving along normally.

About the Author

Dr. Doumit, a craniofacial surgeon specializing in CLP, lead the multidisciplinary Craniofacial Clinic team at world renown Children’s Hospital - Cleveland Clinic. He can be reached at CHU Sainte Justine.

Dr. Gaby Doumit M.D. Plastic and Cosmetic Surgeon

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