Complex Surgery
Some surgeries are more than corrective—they’re restorative. They aim to return movement, structure, and function where it's been lost due to trauma, disease, or congenital condition. This is the world of complex plastic surgery: highly technical, deeply individualized procedures that demand surgical precision and careful long-term planning.
At Pacific Plastic Surgery Group in San Francisco, Dr. Edward Miranda offers patients his expertise in reconstructive microsurgery, nerve decompression, tissue flap procedures, and post-traumatic reconstruction. 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.
Complex plastic surgery involves highly sophisticated techniques designed to address major trauma, disease-related tissue damage, or congenital abnormalities. These procedures aren’t elective—they are essential.
Whether restoring movement after nerve compression or rebuilding tissue after necrotizing fasciitis, each case requires custom planning and technical mastery. Dr. Miranda offers advanced procedures for abdominal wall reconstruction, limb salvage, facial fractures, chronic wounds, nerve damage, and beyond. These surgeries often merge reconstructive goals with aesthetic restoration, delivering dramatic improvements to daily quality of life.
Each procedure begins with a full clinical evaluation and a treatment roadmap. Some surgeries—like migraine nerve decompression—are highly targeted. Others, such as abdominal wall reconstruction or limb salvage, involve multiple stages, grafts, or muscle flaps. In every case, safety, function, and longevity are the priorities.
Dr. Miranda’s approach includes microsurgical techniques, flap-based reconstruction, tissue transfers, nerve grafting, and skeletal realignment where needed. These procedures are performed under general anesthesia, with close intraoperative monitoring and precise post-operative protocols.
Dr. Miranda treats a wide range of advanced conditions, including:
Complex surgery procedures don’t just change how you look—they change how you live. Patients experience improvements in mobility, speech, eating, and daily comfort. In the case of nerve decompression, chronic pain and headaches may be reduced or eliminated altogether. With abdominal or limb repair, patients can return to physical activities they once thought were off-limits.
There’s also an emotional and psychological benefit. Complex surgery often allows patients to reclaim confidence and dignity.
Am I a Candidate for Complex Plastic Surgery?
If you’re experiencing structural or functional challenges from trauma, infection, cancer, or a congenital condition, you may be a candidate for complex plastic surgery.
Ideal candidates are in stable overall health and motivated to follow a recovery plan that may include physical therapy, lifestyle adjustments, and staged operations.
We take on many patients referred from other practices or hospital systems throughout California. Each case is reviewed in detail, with a transparent discussion of surgical goals, expectations, and realistic outcomes.
Recovery varies widely based on procedure complexity. Limb salvage may involve months of wound care, bracing, and mobility work, while migraine nerve decompression may require minimal downtime. Dr. Miranda’s team creates a customized care plan, including follow-up imaging, therapy recommendations, and scar management.
We remain involved long after surgery, monitoring tissue health, nerve function, and cosmetic balance over time. Our goal is stable, sustainable outcomes while supporting our patients at every phase.
In many cases, complex surgery helps patients regain essential independence.
That might mean walking again, using a hand with precision, or experiencing relief from debilitating nerve pain. Results typically improve over time as nerves regenerate and scars mature. While some surgeries require revisions or follow-up stages, many patients experience long-term success and restored freedom in their daily lives.
When it comes to challenging cases, Dr. Edward Miranda is a leading resource in the Bay Area. Board-certified and fellowship-trained, he offers rare depth in microvascular techniques, tissue transfers, and reconstructive strategy. With referrals from both patients and fellow physicians, he’s built a reputation as the surgeon other surgeons trust.
At Pacific Plastic Surgery Group, we deliver concierge-level care backed by advanced surgical capability. Whether you’re rebuilding after trauma or facing a chronic condition, we offer honest guidance, precise execution, and long-term support.
Complex surgeries involve multiple structures (like skin, nerves, bones, and blood vessels) and aim to restore function as much as form. They often require microsurgical skill and extended recovery planning.
Not at all. It also includes congenital issues, cancer reconstruction, chronic wounds, and nerve disorders. Dr. Miranda treats a wide range of functional and aesthetic challenges.
Flaps maintain their own blood supply and are used to rebuild large or deep areas. Grafts are thinner and rely on the surrounding tissue for blood supply. Both are common in complex reconstructions.
Yes. In selected patients, surgical decompression of peripheral nerves—such as the supraorbital or occipital nerves—can significantly reduce chronic migraines and improve quality of life.
Possibly. Some cases—especially after infection, cancer, or limb trauma—require staged approaches. Dr. Miranda outlines the entire treatment path during your consultation.
Many complex reconstructive procedures are deemed medically necessary and are covered. Our team can assist with preauthorization and documentation.
Preparation may include imaging, lab work, medication adjustments, and medical clearance. We guide you step-by-step to ensure you're ready.
Recovery can include wound care, limited mobility, therapy, and regular follow-ups. We work closely with you to manage each phase and support your healing.
Yes. Dr. Miranda uses advanced tissue flap techniques and wound closure methods to resolve deep or recurring pressure ulcers, often for immobile patients.
While most cases are adult patients, Dr. Miranda also treats pediatric conditions like congenital hand or facial deformities when appropriate.
