Facial Plastic and Reconstructive Surgery

 

 

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Drs. Andrea Jarchow-Garcia and William Shockley

The Division of Facial Plastic and Reconstructive Surgery continues to grow, taking care of patients with both cosmetic and reconstructive needs.

Dr. Shockley has started a Rhinoplasty Clinic. This clinic is devoted to the needs of patients with traumatic nasal deformities, congenital anomalies, patients with nasal valve problems, as well as patients with nasal obstruction and cosmetic concerns.

Dr. Shockley was an invited faculty member at the recent Advances in Rhinoplasty Course in Seattle. His talks were focused on functional septorhinoplasty, the use of osteotomies and rhinoplasty, and techniques related to reconstruction in patients with large nasal defects. “Like many of my colleagues in facial plastic surgery, I really enjoy nasal reconstructive procedures and rhinoplasty surgery,” said Dr. Shockley. “There is a great sense of satisfaction when you can restore the ability to breathe through the nose as well as improve someone’s appearance.”

The Facial Plastic service continues to manage patients with other reconstructive problems including surgery for facial paralysis, traumatic facial deformities, and traumatic scar deformities, as well as hemangiomas and vascular malformations. We continue to see lots of patients with skin cancer, some of whom have been immunosuppressed. Many of these patients require complex reconstruction of facial defects involving the face, eyelids, ears or nose.

Dr. Shockley and Dr. Zdanski have also placed a significant emphasis on microtia repair. Several successful surgeries have been performed. The team approach seems to be working well as the patient gets the benefit of two surgeons with special expertise and two surgeons with a perspective on the aesthetics of reconstruction. At the present time, we are typically doing a four-stage procedure using costal cartilage grafts. In special circumstances, such as traumatic loss of the ear, we have used osseointegrated implants for use with a prosthetic ear. Of course our prosthetic ears are created by one of our most artistic colleagues, Dr. Glenn Minsley in the Department of Prosthodontics at the UNC Dental School.

Dr. Shockley also sees patients with cosmetic concerns. Not surprisingly, many patients are looking for less invasive procedures in order to avoid down time from work. Therefore Botox, fillers for wrinkles, superficial laser procedures, microdermabrasion, and other minor office procedures have become quite popular.

From an educational viewpoint, there is a focused facial plastic surgery curriculum. We have Facial Plastic Surgery Conference twice a month. We also have a review course in facial plastic surgery in the spring. This is typically done in conjunction with Dr. Neal Goldman at Wake Forest University School of Medicine. This course is open to Otolaryngology residents in North Carolina as well as residents in Plastic Surgery and fellows in Ophthalmic Plastic and Reconstructive surgery. Facial Plastic Surgery Conference entails lectures from the UNC attending faculty, guest speakers and journal clubs. We are extremely indebted to Dr. Madison Clark who is one of our clinical faculty. He has been a great asset and a committed teacher.

As almost everyone knows, Elaine Hinkle is one of our most revered and respected nurses. Dr. Shockley has been lucky enough to have her as his nurse for the past 14 years. Elaine has played a major role in the success of the Facial Plastic Surgery Clinic. “Luckily I have a lot of happy patients, but I understand that much of that has to do with the personality and accessibility of my nurse,” Dr. Shockley says. “Elaine always has a smile and always has the patient’s best interest at heart. She is adored by the patients and is one of the most respected and dedicated nurses that I have ever worked with.”

Dr. Shockley is happy to see patient referrals related to facial skin lesions, skin cancers, congenital and acquired facial and nasal deformities, facial paralysis, microtia and vascular lesions. In addition, he is happy to see patients with any cosmetic concerns or concerns related to the aging process. A significant portion of our practice is devoted to functional and cosmetic rhinoplasty as well as other disorders causing nasal obstruction, such as nasal valve dysfunction.

Nasal Surgery Postoperative Instructions