Hugo St. Hilaire, MD, DDS, FACS

I am sorry to hear you bad experience with the previous surgeon you meet.   What is important for your son is not only a good board certified plastic surgeon with extensive experience in cleft but also a solid Cleft Team where he will be able to follow through from youth through adulthood.

Since you are from the Maryland area- there is the Johns Hopkins team as well as multiple others in the DC area.

Look at the surgeons'a credential but also at the Team.  

Hope this helps

Thank you for your question.
it appears to me that you need a comprehensive evaluation by a plastic surgeon with additional qualification in craniofacial surgery.

Clearly difficult to make a treatment plan without examining you.  Typically, orthodontic alignment of you teeth will precede surgery.  The alveolar bone graft will be done first, followed by the corrective jaw surgery.

In certain situations, they both can be performed at the same time,

good luck

Thank you for your question. I would consider it unusual to have pain 6 weeks after placement of malar implant.  You are surely doing the right thing by following up with your surgeon.

Hopefully this will resolve uneventfully for you.

Good luck!

I would not that a wound dehiscence at this location is common.  It is not unusual but sure not common.
i am not quite sure it is a good idea for you to remove sutures and initiate local wound care without appropriate supervision. A small opening may hide a much larger area opening underneath the skin.
i would recommend you see a local plastic surgeon soon to make sure you take the appropriate measures.

Good luck

I am sorry to hear about your misfortune.  If indeed the tooth is not salvageable, I would get it extracted prior to your mommy make over.  That would insure your are confortable and free of potential infection.
Then proceed with your plastic surgery.  If you decide to have a bridge fabricated or to get a dental implant  soon after your surgery and you underwent breast implant placement, I surely would recommend prophylactic antibiotic.

Good luck.