Cosmetic Facial Plastic and Reconstructive Surgery

Dr Gadlage is Board Certified by not only the American Board of Otolaryngology-Head and Neck Surgery, but has also been certified by the American Academy of Facial Plastic and Reconstructive Surgery since 1982. He does limit his scope of Facial Plastic Surgery to nasal cosmetic surgery (RHINOPLASTY), eyelid surgery (BLEPHAROPLASTY), and ear corrective surgery (OTOPLASTY). Dr. Gadlage also is capable of performing Chin Augmentation (AUGMENTATION MENTOPLASTY), often seen in conjunction with Rhinoplasty surgery for patients who have a receded or “weak” chin.

Also, he reconstructs defects in the face, nose, ear, and head and neck area left by trauma or cancer treatment (called reconstruction of MOH’s Defects) working very closely with his Dermatology colleagues. Generally, after the diagnosis of a facial skin cancer is made by the Dermatologist, a consult with Dr. Gadlage is requested by the Dermatologist at which time Dr. Gadlage can see and evaluate the extent of the cancer, and prepare the patient on how he plans on reconstructing the defect left by the skin cancer excision. Then, the Dermatologist and Dr. Gadlage co-ordinate their schedules with the patient so that early one morning, the Dermatologist will remove the cancer entirely, look at it under a microscope immediately while the patient is still in his office, and when the microscopic examination confirms that ALL the cancer has been removed, a bandage is placed on the surgery site, the patient is transported to Dr. Gadlage and the repair and reconstruction is then performed immediately that same day with out patient surgery. Below, several patients are shown with their permission of the results of the cancer excision, and the later results of the site, usually 6 weeks post operative, after Dr. Gadlage has reconstructed the defect with either local skin flaps or skin grafts.