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Craniofacial Injuries and Conditions

Dr. Paul Manson
Dr. Paul Manson, a craniofacial
reconstructive surgeon, and Dr. Richard
Redett, a reconstructive surgeon, review

For 30 years, the Department of Plastic and Reconstructive Surgery at Johns Hopkins, Baltimore, Maryland, has pioneered the use of innovative techniques to reconstruct the face after injury, trauma and cancer. They are also experienced in state-of-the-art surgeries to improve facial paralysis and relieve pain caused by conditions and injury.

Facial reconstruction

Facial reconstruction, which is a subspecialty of craniofacial surgery, is surgery that rebuilds any part of the face, including bones and soft tissue. Injury, trauma and cancer are most often the cause for needing facial reconstruction surgery. Other patients come to our plastic surgeons when a tumor, mole or other growth has been removed from the face; for growth or development problems; and for vascular or lymph malformations.

Children are often referred to Johns Hopkins surgeons who specialize in pediatric reconstructive surgery to correct birth deformities, such as a cleft palate or lip, an underdeveloped jaw or ears (craniofacial microsomia), or congenital anomalies of the cranium and face.

Using techniques employed in cosmetic and microvascular reconstructive surgery, like fat and skin grafting and bone and soft tissue transplantation, the surgeons can often replace missing or disfigured parts of the face with tissue and bone from nearby areas. For example, neck skin and fat can be moved up to the cheek to replace the skin and tissue there. Tissue can be removed from another part of the body (such as the abdomen or leg), moved to the face, and covered with skin from a nearby area.

Paralysis and pain

Facial paralysis and pain can be debilitating and cause those suffering from the conditions to retreat from the activities of daily living. Facial paralysis can be caused by a number of conditions, including:

  • Traumatic injury
  • Brain tumor or tumor removal
  • Surgery
  • Stroke
  • Infection
  • Bell’s Palsy
  • Moebius syndrome, a birth defect that results in the absence of the sixth and seventh facial cranial nerve
  • Other congenital abnormalities

Facial pain generally stems from:

  • Trigeminal neuroma
  • Trigeminal neuralgia
  • Atypical facial pain

Visit the Johns Hopkins Facial Paralysis and Pain Center to learn about the conditions and treatments for facial paralysis and pain.

Why choose Johns Hopkins for facial reconstructive surgery?

The Johns Hopkins Department of Plastic and Reconstructive Surgery is staffed by surgeons who specialize in different techniques of surgery, such as craniofacial surgery, microvascular surgery, nerve transplantation, and bone transplantation. Some of our fellowship-trained plastic surgeons, including pediatric surgeons, specialize in facial reconstruction. Over years of practice, they have built a reputation as being among the best facial reconstruction surgeons in the country. They have learned about and, in many cases, developed and taught the latest and most effective surgical techniques.

The reconstructive surgeons who do surgery to relieve facial pain and restore movement in cases of facial paralysis are also specialists in nerve surgery that relieves symptoms without causing a loss of function or feeling. They work with neurologists, pain management specialists, and others to create a treatment plan that promises the best possible outcome for the patient.

They are devoted to their profession and to providing attentive patient care. From the first consultation to the final check-up, our reconstructive surgeons make themselves available and accessible to patients and their families.

Our facial reconstructive surgeons


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Our Locations

We offer services at 4 convenient locations in and around Baltimore, Maryland:
   • The Johns Hopkins Hospital
   • Johns Hopkins Bayview Medical Center
   • Green Spring Station
   • Odenton
   • White Marsh

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Meet the Surgeons

Meet our SurgeonsOur experts specialize in a wide variety of cosmetic and reconstructive procedures. Meet our surgical teams.

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