Common procedures performed:

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What is an otoplasty?

Otoplasty is the term used commonly to describe a type of procedure to improve the appearance of prominent ears. It also encompasses procedures that mold or shape the ear.

For Additional Infomation on Otoplasty Please Click Here

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Does my child need an otoplasty?

For many school age kids, large ears, ears that stick out, or abnormally shaped ears can lead to teasing, self-consciousness, low self esteem, and trouble in school. Children face many challenges socially and psychologically, and if there is any level of concern, getting a consultation with a pediatric plastic surgeon is helpful. Dr. Stelnicki will address these issues during the visit and after a thorough physical examination and ascertain whether or not the procedure is appropriate for you child.

It is important to note that this surgery does not affect the hearing.

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What's the appropriate age for an otoplasty?

Otoplasties are optimally performed when the ears have reached their mature size. Although this surgery is common in children, it is also performed on adults.

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How is an otoplasty performed?

This procedure uses surgical techniques to reform the cartilage, retract them toward the head. An otoplasty is performed under general anesthesia. Stitches are used to reinforce the position of the ear.

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What should be expected post-operatively?

It is important to comply with post-operative recommendations to promote healing and minimize the risk of complications. Be aware that the ears will not be perfectly symmetrical, but a small amount of asymmetry is completely normal and expected (as it is in seemingly "normal" ears).

Post-operatively, a dressing (which looks like a turban made of soft wrap) will be placed while the child is still in the operating room. It is important that this dressing be kept clean, dry, and intact for the first 72 hours following surgery. Under the dressing, stitches may be present and are typically the dissolvable type. The hair may be washed once the dressing is removed. The bandage and/or stitches may be removed (if it has not already come off) or trimmed at the post-operative visits. A sports-style head band will need to be worn for 3 weeks at all times and for another 3 weeks after that only while sleeping. We advise no sports or swimming for 3 weeks and no contact sports for 6 weeks after an otoplasty.

Sometimes, antibiotics are prescribed in order to prevent infection from occurring. In some cases, pain medication is also prescribed, but most procedures are adequately treated with over the counter Children's Tylenol.

After an otoplasty, there may be some mild pain at the surgical site, itchiness, and numbness. Most pain may take 1-2 weeks to subside, while itchiness and numbness may take several weeks or months to subside as the skin heals.

Complications are uncommon after an otoplasty. But the most frequent complications after surgery include bruising and scarring. Most bruising subsides in 2 weeks. Since the incisions are made behind the ear, scarring is not visible when face to face. Still, scarring is inevitable anytime there is a cut or trauma of any kind to the skin. Some scars are barely if at all visible while some scars are disfigured, red, dark, or raised and/or form a keloid. It is of special importance to be proactive with preventing, caring, and treating scars. Scar treatment recommendations may include sunscreen, scar bandages such as silicone sheeting, scar creams or gels, and/or a scar massage.

Infection is another complication that may be seen after surgery. Signs and symptoms of infection include fever, swelling, pus drainage, pain, and redness. However, some of these signs and symptoms are normal to an extent. If there's any concern, our office should be contacted immediately. Infections resolve typically with medical treatment of oral and/or topical antibiotics.

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Ear Piercing

Why have your child's ear pierced by some kid at the mall when you can have it done by a professional for nearly the same price? We offer ear piercing with medical grade, 14 carat gold plated studs. Using this metal lowers the chance of the ears reacting poorly to the piercing. If there was a problem experienced with a previous piercing, allow for the ear to heal for 3 months and then contact our office to schedule an appointment for re-piercing.

Our Fort Lauderdale office offers ear piercing on site during clinic days. Ear piercing can also be done on demand during clinic days at our other locations (inquire while making your appointment), as well as in the operating room while your child is sedated for an unrelated procedure.

We will work with you to choose the best location for piercing, and give you guidance on how to avoid any post-piercing problems. For the safest and best way to pierce your child's ears, contact our office!

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Rhinoplasty

Today, there are many options for treating patients with facial aging both men and woman are taking advantage of the numerous modalities available to them for rejuvenating their facial appearance. Dr's Stelnicki take a multi-technique approach to addressing the problems of facial aging. There has been well over 200 to 300 different techniques described in the plastic surgery literature. Not all of which are applicable to every patient but it is important to have an understanding as to how these different technique work in order to optimize the results for an individual patient based on patient's skin type, age, sex, and overall need.

Treatments of facial aging can vary from the use of mild chemical peels to soften skin, smooth color, and wrinkling to very involved multiplanar face-lifting techniques that not only eliminate wrinkles, but also rejuvenate with facial form. Our staff discusses with you your desires for facial rejuvenation.

Dr. Stelnicki also lecture nationally and internationally on the treatment of the aging face. He gives a lecture yearly on maximizing cosmetic surgery outcome to the national plastic surgery association called the American Society of Plastic Surgeons. In this instructional course, he teaches other plastic surgeons how to analyze a patient's face using very classic Greek and Roman measurements of beauty and then how to apply them for each patient based on age, sex, and race. This not only produces an ideal appearance but also tailors the outcome to the overall patient's needs. Other lecture sites have included: the Italian National Plastic Surgery Society, the Venezuelan Plastic Surgery Society, the Argentinean Plastic Surgery Society, and many other international organizations about the treatment of facial aging. Insert pictures from brochures of the Italian Plastic Society and ASPS.

RHINOPLASTY POST-OPERATIVE INSTRUCTIONS

  1. The first 24 hours should be spent mostly resting at home, with minimal physical activity (no bending or lifting) to prevent the possibility of excessive bleeding.
  2. Use ice compresses across the eyes to minimize swelling and bruising.
  3. Sleep with head elevated using 2-3 pillows as needed.
  4. A regular diet is permissible providing there is no nausea.
  5. The gauze "drip pad" under your nose should be changed as it becomes soiled. These "drip pads" will be provided for you.
  6. If internal nasal packing was used, you will not be able to breathe through your nose. This packing MUST be left in place and will be removed at your post-operative visit. Should you develop a fever of 100.5 or greater and a rash, contact your physician immediately (day or night).
  7. Some bleeding, swelling and bruising is normal and to be expected following surgery. If you have any unusual or excessive bleeding, sudden swelling with bulging or unusual bruising, contact your physician immediately.
  8. If you have any questions or need further information please do not hesitate to call the office.
  9. You may shower next day after your surgery. Avoid getting your nose wet.
  10. You will need to return as instructed for your post-operative follow up appointment.
  11. You may use an over-the-counter nasal decongestant if desired.
  12. These are general guidelines. Your doctor may have additional instructions.
    Follow his/her recommendations.

POST-OP CARE FOR OUTPATIENTS

  1. VERY IMPORTANT: If you have EXCESSIVE bleeding, pain, nausea, vomiting, fever, sudden enlargement of your breasts, rashes or difficulty breathing call the office at (954) 565-7575
  2. Your first 24 hours: When you go home, a family member or a responsible adult must drive you because you have been sedated. A responsible adult should remain with you for 24 hours. If you have any questions about these matters, please ask one or our nursing staff. Under no circumstances are you to drive for 24 hours.
  3. When in bed lie on your back with two or three pillows under your head and shoulders for 72 hours.
  4. After discharge GO DIRECTLY HOME TO BED.
  5. You may get up and go to the bathroom only with the help of a family member or friend. If you feel dizzy or faint when walking or on the toilet you must lie on the floor until you feel better. Otherwise you will faint which could cause serious injury.
  6. DRESSINGS: Wear your surgical gown at all times for the first 7 days.
  7. BLISTERS: If you feel itching, pulling or redness under the dressing paper tapes, you must lift the tape from the skin otherwise it may develop a blister. If a blister develops it must be covered with an antibiotic ointment at all times preferably Bacitracin. DO NOT apply hydrogen peroxide to the blister. Even though this area will look red for quite a while it will usually heal without residual. This area must be covered with a sunscreen 30 SPF for three moths otherwise it could result in a pigmented area.
  8. ACTIVITY: Take it easy and pamper yourself. Try to avoid any straining. You may go to the bathroom, sit and watch TV, etc., but no matter how good you feel, DO NOT clean the house, rearrange the attic, etc!!! DN NOT do any form of exercise. We do not want you to bleed and cause any more swelling and bruising this is unavoidable. Do not lift anything heavier than 5 pounds including children.
  9. DIET: If you have any post-operative nausea, carbonated sodas and dry crackers may settle your stomach. If nausea is severe, call your doctor. If you feel normal, start with clear liquids and bland foods, and if those are well tolerated, progress to a regular diet. Try to drink as much fluid as you can in the first 48 hours as will alleviate a lot of nausea. Gatorade is excellent for this purpose. Eat before taking pain medications and antibiotics. Avoid heavy, greasy and spicy foods for 24 hours after the surgery.
  10. NARCOTICS: The pain medications you have been prescribed are narcotics. These medications can make you extremely nauseated. If you cannot tolerate these medications, take extra strength Tylenol, two at a time, but no more than eight a day. Also use the muscle relaxant given to you. This will significantly decrease your pain.
  11. CONSTIPATION: The narcotic pain medications can make you constipated. You may take any mild laxatives.
  12. SMOKING: Smoking reduces capillary flow in your skin. We advise you not to smoke at all during the first 14 days after surgery.
  13. ALCOHOL: Alcohol dilates the blood vessels and could increase post-operative bleeding. Please do not drink until you have stopped taking the prescription pain pills, as the combination of pain pills and alcohol can be dangerous.
  14. DRIVING: Please don't drive for at least 5 days after general anesthesia or intravenous sedation or while taking prescription pain pills.
  15. POST OPERATIVE APPOINTMENTS: It is very important that you follow the schedule of appointments we establish after surgery.
  16. DO NOT take Asprin, Motrin, or similar products.

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