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Reconstructive Surgery San Francisco

Abdominal Wall

At Pacific Plastic Surgery Group in San Francisco Abdominal wall reconstruction is a complex surgery that is used to aid in the correction of abdominal wall hernias. This type of surgery is usually the second planned procedure if the initial, more typical hernia repair fails.

Facial Fracture

The Pacific Plastic Surgery Group focuses on a wide array of facial fractures that can include the nose, cheekbones, orbital bones, upper and lower jaw. It is important that patients obtain CT imaging prior to evaluation to help plan for the surgical repair since clinical examination may present only slight evidence of trauma, like simple bruising or swelling.

Hand

Hand reconstruction can repair injuries to the tendon, birth defects, and joint deformities. This surgery can also relieve the pain from carpal tunnel syndrome and treat Dupuytren’s contracture. Reconstructive surgery can also be used to provide hand transplants for those who have lost their hands from trauma. Surgery to reattach severed hands can also be discussed.

Limb Salvage

Limb salvage generally involves a staged process that requires careful planning and several surgeries. Repair often starts with clearing out infected and nonviable tissue, repairing broken bones, and re-establishing blood flow to ischemic tissue before wounds are reconstructed with grafts and/or flaps.

Migraine Nerve Decompression

Special care is taken to establish the trigger points, which for surgical appropriate migraine patients generally occur at several anatomical places including the supraorbital nerve, supratrochlear nerve, zygomaticotemporal nerve, and great/lesser occipital nerves.

Necrotizing Fasciitis

Necrotizing fasciitis can encompass a multitude of systems such as muscles, nerves, tendons, ligaments, and other tissues during the course of infection. The Pacific Plastic Surgery Group has advanced knowledge of skin grafting, microsurgical free flaps, and tissue manipulation to provide adequate coverage of open wounds while enhancing aesthetic appearance.

Peripheral Nerve Surgery

Our San Francisco peripheral nerve surgery is performed under general anesthesia and an incision is made over the location of the damaged nerve. The damaged nerve ends are identified and repair techniques are dependent on extent of damage. The skin and underlying tissue is then closed in layers.

Pressure Sore

Pressure sores generally present in at-risk areas such as the back of head, ankles, heels, hips, and sacrum. The severity of tissue damage is broken down in four stages with Stage IV being the most severe and characterized as having full thickness tissue death. Stage IV pressure sores usually benefit from at least a surgical debridement to reduce bioburden and risk of infection and allow the body to respond to an acute injury than an infected chronic wound.

Scar Revision

Scars are nearly an inevitable result of complex wounds whether caused by traumatic injuries surgical incisions, infections, burns, delayed wound healing, etc. Our San Francisco plastic surgeon can suggest a wide range of surgical to non-surgical treatments for these complex scars.

Tissue Flaps

Tissue flap reconstruction can be utilized over any part of the body where tissue has been lost. This type of reconstruction is generally considered to repair defects left by trauma or after mastectomies. Flaps come from many different locations on the body and can comprise various types of tissue. These flaps can then be used in many ways to accomplish the desired reconstruction effect.

Complex Surgery

Complex plastic surgery addresses trauma, nerve damage, deformities, or life-threatening wounds by restoring form, function, and long-term quality of life. These surgeries go well beyond aesthetics—they are about improving quality of life. If you’re facing a serious surgical challenge, we offer advanced solutions grounded in both functional medicine and aesthetic insight.