Introduction
The zygomatic bone and arch play crucial roles in the overall structure and aesthetics of the face. Whether due to fractures from trauma or for cosmetic enhancement purposes, plastic surgery on these areas requires the expertise of highly - skilled professionals. In New York City, a hub of medical excellence, there are several institutions renowned for their zygomatic bone and arch plastic surgery. This article will explore the top 3 institutions in this field, delving into their services, expertise, and patient experiences.
Factors to Consider in Choosing an Institution for Zygomatic Plastic Surgery
Before we look at the top 3 institutions, it's important to understand the key factors to consider when choosing a place for zygomatic bone and arch plastic surgery:
- Surgeon Expertise: Surgeons should have in - depth knowledge and experience in zygomatic surgeries. This includes being well - versed in both trauma - related reconstruction and cosmetic enhancement procedures.
- Technological Advancements: The use of advanced imaging techniques like CT scans and 3D reconstructions can greatly aid in surgical planning and execution. Modern surgical tools and implant materials also contribute to better outcomes.
- Multidisciplinary Approach: A team of specialists including orthopedic surgeons, critical care physicians, and neurosurgeons (in case of complex injuries) can ensure comprehensive care for patients.
- Patient Reviews and Testimonials: Feedback from previous patients provides insights into the quality of care, patient satisfaction, and the results achieved.
- Accreditations and Reputation: Institutions with recognized accreditations and a good reputation in the medical community are more likely to provide high - quality services.
Top 3 Institutions for Zygomatic Bone and Arch Plastic Surgery in New York City
1. New York Presbyterian Hospital Weill Cornell Medical Center
Surgeon Expertise
Dr. John E. Sherman, a recognized expert at this institution, has over 35 years of experience teaching the repair and treatment of maxillofacial trauma. He is a member of the American Society of Maxillofacial Surgeons and a co - author of a recognized textbook for the treatment of these injuries. Patients come from all over the country and around the world to have their facial bones reconstructed by him after fractures. This long - standing experience and professional recognition attest to the high level of skill available at this institution for zygomatic bone and arch plastic surgery.
Technological Advancements
Over the years, the treatment at New York Presbyterian has evolved significantly. Imaging has advanced from simple x - rays to CT scans and 3D reconstructions. These advanced imaging techniques help surgeons visualize injuries prior to surgery, allowing for more precise surgical planning. In terms of treatment, the shift from simple wire placement to rigid fixation with titanium screws and plates has also improved the stability and long - term results of zygomatic surgeries.
Multidisciplinary Approach
Dr. Sherman works with a multi - specialty team to address all the issues and tissues involved in a facial fracture. This team approach is beneficial as facial fractures, especially those involving the zygomatic bone and arch, can be complex and may affect multiple structures. The involvement of orthopedic surgeons, critical care physicians, and neurosurgeons in the treatment of more complex injuries ensures that patients receive comprehensive and well - coordinated care.
Patient Experiences
One patient whose 20 - year - old son suffered severe skull and facial fractures along with a traumatic brain injury shared their experience. They described Dr. Sherman as thorough, confident, and truly amazing. After a 10.5 - hour surgery, the son's face was almost perfectly reconstructed. The surgeon took the time to explain the surgery in detail, making the family feel at ease and comfortable throughout the difficult process.
| Aspect | Details |
|---|---|
| Surgeon Expertise | Dr. John E. Sherman with over 35 years of experience in maxillofacial trauma, member of American Society of Maxillofacial Surgeons, co - author of textbook |
| Technological Advancements | CT scans, 3D reconstructions for imaging; rigid fixation with titanium screws and plates |
| Multidisciplinary Approach | Works with multi - specialty team including orthopedic, critical care, and neurosurgeons |
| Patient Experiences | Positive feedback from patients, like family of a severely injured patient satisfied with reconstruction and care |
2. Columbia University Plastic & Reconstructive Surgery
Surgeon Expertise
Columbia University has a team of highly skilled plastic surgeons. For example, Dr. Christine Rohde is a chief of the division of plastic surgery. She is trained in the diagnosis and treatment of the full range of plastic reconstructive and aesthetic surgery, specializing in microsurgery, abdominal wall reconstruction, body contouring, cosmetic surgery, and breast, trauma, and cancer reconstruction. Other surgeons like Dr. Jeffrey A. Ascherman have also made significant contributions to the field, with over 75 scientific publications and active participation in humanitarian surgical missions. This diverse set of expertise within the team ensures that patients can receive comprehensive care for zygomatic bone and arch plastic surgery, whether it's for reconstruction after trauma or cosmetic purposes.
Technological Advancements
The plastic surgery research laboratory at Columbia is at the forefront of clinical and laboratory research. They are conducting numerous research studies related to stem cells, tissue engineering, and the study of bone substitutes. A major focus is on applications of gene therapy to wound healing. The use of growth factor genes like PDGF and VEGF introduced to wounds using different techniques, including retroviral vectors, has shown improved healing in ischemic and diabetic wounds. This research can potentially translate into better surgical outcomes and quicker recovery times for patients undergoing zygomatic surgeries.
Multidisciplinary Approach
The Columbia orthoplastic surgery program brings together leading experts in orthopedic and reconstructive plastic surgery. This combination allows for a more comprehensive approach to complex surgeries. In the context of zygomatic bone and arch plastic surgery, this multidisciplinary team can address both the bone - related and soft - tissue aspects of the surgery, providing a more holistic treatment plan.
Patient Experiences
There are many success stories at Columbia. For instance, the craniofacial team helped a one - year - old girl named Lily who had a rare skull condition. After craniosynostosis and an infected frontal bone left her without a forehead, the team was able to provide specialized care. Although not directly related to zygomatic surgery, it showcases the institution's ability to handle complex cases and the dedication of its medical staff, which gives patients confidence in the care they will receive for zygomatic procedures.
| Aspect | Details |
|---|---|
| Surgeon Expertise | Team of skilled surgeons like Dr. Christine Rohde and Dr. Jeffrey A. Ascherman with diverse specializations |
| Technological Advancements | Research on stem cells, tissue engineering, bone substitutes, and gene therapy for wound healing |
| Multidisciplinary Approach | Combination of orthopedic and reconstructive plastic surgery experts |
| Patient Experiences | Positive outcomes in complex cases like Lily's rare skull condition, indicating quality of care |
3. Dentistry by Dr. Kaplansky
Surgeon Expertise
Dr. Kaplansky is a renowned expert in zygomatic dental implants. He has given lectures and hands - on surgical placement courses to other surgeons and has co - authored a textbook on zygomatic, pterygoid, and other complex implant procedures. His in - depth knowledge and practical experience in this specific area make him a leading figure in zygomatic bone - related dental and plastic surgeries. His expertise is particularly valuable for patients who require dental implant - related zygomatic procedures, such as those with severe bone loss in the upper jaw.
Technological Advancements
Thanks to advances in technology, the practice can offer zygomatic implants as an alternative to long and painful bone grafting and sinus lifts. These implants are especially helpful for people who have lost so much bone that they can't get traditional dental implants. The process involves a surgical procedure that requires very specialized training, and the use of 3D CT scans for accurate planning and placement of the implants ensures better outcomes.
Patient - Centered Care
The practice understands that the process of getting zygomatic implants can be daunting for patients. To make the procedure more comfortable, they use intravenous sedation administered by a board - certified anesthesiologist. After surgery, patients are given proper after - care instructions and the implants are often loaded with a temporary fixed bridge. This patient - centered approach ensures that patients have a positive experience throughout the treatment process.
Patient Experiences
Patients who have undergone zygomatic implant procedures at Dentistry by Dr. Kaplansky have been delighted with their results. The practice's focus on providing quality dental care and personalized treatment has helped many patients with severe bone loss in the upper jaw to regain their ability to eat normally and have a more confident smile.
| Aspect | Details |
|---|---|
| Surgeon Expertise | Dr. Kaplansky, expert in zygomatic dental implants, with lectures, courses, and textbook co - authorship |
| Technological Advancements | Use of zygomatic implants, 3D CT scans for planning and placement |
| Patient - Centered Care | Intravenous sedation for comfort, after - care with temporary fixed bridge |
| Patient Experiences | Delighted patients with regained eating ability and confidence |
Common Procedures Related to Zygomatic Bone and Arch Plastic Surgery
Fracture Repair
Fractures of the zygomatic bone and arch can occur due to blunt force trauma such as from a fall, motor vehicle accident, or assault. At New York Presbyterian, Dr. Sherman has extensive experience in treating these fractures. For example, a typical zygomatic bone fracture, often called a tripod fracture, occurs at the maxilla, the zygomatic arch, and the superior orbital rim articulating in three places. The bone is usually displaced downward, which may impinge on the movement of the upper jaw. Treatment may involve rigid fixation with titanium screws and plates after careful imaging using CT scans and 3D reconstructions to visualize the injury accurately.
Zygomatic Implants
Dentistry by Dr. Kaplansky specializes in zygomatic implants. These implants are a great option for patients with severe bone loss in the upper jaw who cannot receive traditional dental implants. The process involves anchoring the implants to the zygoma (cheekbone) through the alveolar crest and the maxillary sinus. Usually, two zygomatic implants are placed in the back of the maxilla, above the premolars, along with two to four traditional implants in the front. If the deterioration of the anterior maxilla is too severe, two additional zygomatic implants can be placed in the zygomas for additional anchorage.
Cosmetic Enhancement
At institutions like Columbia University, plastic surgeons can perform cosmetic procedures related to the zygomatic area. For example, they may use techniques to enhance the shape and contour of the cheekbones to improve facial aesthetics. These procedures may involve the use of fillers or more invasive surgical techniques depending on the patient's specific needs and goals.
Benefits of Choosing a Top Institution for Zygomatic Plastic Surgery
Better Surgical Outcomes
Top institutions have highly experienced surgeons who are well - versed in the latest surgical techniques. At New York Presbyterian, the use of advanced imaging and fixation methods for fracture repair leads to more accurate reconstruction of the zygomatic bone and arch. Similarly, at Columbia, the research - based approach and multidisciplinary team can contribute to better cosmetic and reconstructive outcomes. Dentistry by Dr. Kaplansky's expertise in zygomatic implants ensures a higher success rate for patients with complex dental and bone issues.
Comprehensive Care
The multidisciplinary approach at institutions like New York Presbyterian and Columbia means that patients receive comprehensive care. In the case of complex zygomatic fractures, not only is the bone injury addressed, but other associated issues such as potential damage to the eyes or soft tissues can also be managed. At Dentistry by Dr. Kaplansky, patients are provided with a full range of services from consultation to post - operative care, including sedation for a comfortable surgical experience.
Access to the Latest Technology
All three institutions invest in the latest technology. New York Presbyterian uses 3D reconstructions for surgical planning, Columbia conducts research on cutting - edge techniques like gene therapy, and Dentistry by Dr. Kaplansky uses 3D CT scans for accurate implant placement. This access to the latest technology can improve the precision of surgeries and lead to better long - term results for patients.
Challenges and Risks in Zygomatic Bone and Arch Plastic Surgery
Surgical Complications
Like any surgical procedure, zygomatic bone and arch plastic surgery carries certain risks. In fracture repair, there may be issues with infection, improper bone healing, or nerve damage. For example, injury to the infraorbital nerve can occur during zygomatic bone fractures, leading to numbness in the cheek and upper jaw area. Although sensation usually returns up to nine months later, it is still a potential complication that patients should be aware of.
Recovery Time
Recovery from zygomatic surgery can be a lengthy process. In the case of zygomatic fractures, it may take several months for the bone to fully heal. For patients undergoing zygomatic implant procedures, it takes approximately 3 - 4 months for the implants to integrate with the facial bones. During this recovery period, patients may experience discomfort, limited oral opening, and swelling.
Cost
Plastic surgery on the zygomatic bone and arch can be expensive. The cost includes surgical fees, hospital charges, and the cost of any implants or materials used. However, the long - term benefits and improved quality of life for patients often outweigh the financial investment. Many institutions may also offer payment plans or work with insurance companies to help patients manage the cost.
Conclusion
In conclusion, New York City offers some of the best institutions for zygomatic bone and arch plastic surgery. New York Presbyterian Hospital Weill Cornell Medical Center, Columbia University Plastic & Reconstructive Surgery, and Dentistry by Dr. Kaplansky each have their unique strengths. New York Presbyterian is known for its long - standing expertise in trauma - related zygomatic surgery, Columbia offers a combination of top - notch surgical skills and cutting - edge research, and Dentistry by Dr. Kaplansky excels in zygomatic dental implant procedures. When considering zygomatic plastic surgery, patients should carefully evaluate these institutions based on their specific needs, the expertise of the surgeons, the use of technology, and the overall patient experience.
If you are interested in zygomatic bone and arch plastic surgery, we encourage you to schedule a consultation with one of these top institutions. You can call their respective offices or visit their websites to learn more about the procedures, meet the surgeons, and discuss your options. Take the first step towards achieving the best possible results for your zygomatic surgery in 2025.
