Plastic and Reconstructive Surgery is a surgical field that restores congenital and acquired deformation of body surfaces or dysfunction to normal condition as much as possible. We treat the whole body from the head to toes and cover a wide spectrum of diseases. Our specialties are as follows.
Burns / Facial injury / Facial Fracture, etc.
We provide medical care such as applying ointment and/or skin graft for burns. For facial fractures (including zygomatic fracture, orbital fracture, bone graft, and malunited nasal fracture), we perform facial bone surgery by applying navigation system, and multiple facial fracture surgery by using intraoperative CT scan in a hybrid operating room.
Cleft lip and cleft palate / Microtia / Cryptotia / Folded ear / Synpolydactyly / Pectus carinatum / Umbilical hernia / Angiomas / Birthmark, etc.
We treat them based on the growth of a child.
Skin tumor / Subcutaneous tumor / Dyschromia
Benign tumor (atheroma, adipoma, wart, mole, red, black and brown birthmark, etc.)
We perform laser therapy for eligible cases with nevus of Ota, ectopic Mongolian spots, and infantile hemangioma. When we perform resection, we try to make scars invisible as much as possible.
Malignant tumor (basal cell carcinoma, squamous cell carcinoma, malignant melanoma, malignant soft tissue sarcoma, etc.)
In principle, we perform local flap reconstruction for defective parts of the face with the aim of high quality functional and aesthetic reconstruction, and limb-sparing procedure for limbs and the body trunk. We try to restore (reconstruct) skin, muscle, bone to near-normal condition.
Reconstructive surgery (Breast / Head and neck / Limbs)
We perform breast reconstruction after breast cancer surgery by autologous tissue (rectus abdominis musculocutaneous flap or latissimus dorsi musculocutaneous flap) in cooperation with the breast surgery. Furthermore, in cooperation with otorhinolaryngology and oral surgery, we provide head and neck reconstruction by free tissue transfer for defects after resection of oral cancer including lingual cancer. We perform flap reconstruction for injuries/amputation of hands and fingers and malignant extremity tumors as well.
Keloid / Hypertrophic scar / Scar contracture
We combine medication and surgery including z-plasty, flap surgery, etc. and improve both function and aesthetic appearance.
We provide medical care intended to improve facial expression more naturally. We reproduce balance between natural facial expression and facial features by smile reconstruction including muscle, fascial and nerve graft and reconstructive surgery of eyelids and eyelashes.
Ptosis is a dropping of the upper eyelid. It not only obstructs visions and affects driving and daily life but also causes chronic stiff neck and headache. The symptoms can be improved by reconstructive surgery of aponeurosis of the levator palpebrae muscle. For congenital ptosis, we perform suspension surgery by fascial graft.
Intractable ulcer (Leg ulcer / Gangrene of foot / Decubitus)
For cases indicating resistance to conservative therapies such as topical ointment therapy, we perform good wound bed preparation with negative pressure wound therapy, and then, provide reconstruction by skin grafting or flap surgery as a secondary treatment. We try to provide treatments focusing on QOL to encourage patients’ early recovery and social reintegration.
Contouring surgery for deformation of body shape after massive weight loss
The number of patients, who have deformation of body shape with excessive skin after massive weight loss by surgery or/and internal treatment for obesity, has been increasing. We perform contouring surgery (uncovered by health insurance), removing excess skin in the whole body including the chest, abdomen, back, buttocks, limbs, and neck.
We carry out our research to perform much safer, highly advanced flap reconstruction surgery. We perform safe flap grafting by measuring flap-feeding vessels (vascular diameter, blood flow volume, blood flow velocity, and peripheral vascular resistance, etc.) using ultrasonic tomography and classifying arterial waveform into normal and abnormal.
This is a reconstruction procedure we reported to “The Journal of Craniofacial Surgery.”
For the full-thickness defect in the lower lip after resection of lower lip skin cancer, reconstructive surgery was performed to restore function and normal appearance applying the procedure of extending and transplanting full-thickness flap of vermilion and lower cutaneous lip in consideration for morphological unit of the lip and lower jaw.