Pediatric Plastic Surgery

While to many the idea of children having plastic surgery may seem odd, it is actually a vital component to the advanced care of the pediatric patient. Whether your child has an unusual head shape, a cleft lip and/or palate, an atypical brown spot or a traumatic injury, Dr. Brooks’ advanced fellowship training at the University of Pennsylvania and Children’s Hospital of Philadelphia gives him the expertise to care for your child’s plastic surgery and craniofacial needs.

Dr. Brooks approach to your family will be warm and personal. He will spend the necessary time with you to understand your family’s needs and concerns. You will leave your consultation with all of your questions answered and the opportunity to call when new questions occur to you. Dr. Brooks’ families frequently comment that he treats them more like friends than patients.

Come see how Dr. Brooks can make your feel comfortable about your pediatric plastic surgical care.


Craniosynostosis is a disorder where the sutures or seams in an infants skull fuse prematurely. This leads to an abnormal head shape and, in some children, an increase in the pressure inside the skull due to a reduced amount of room for the growing brain. In a small percentage of affected children, this can cause delays in learning and development.

Fortunately, Dr. Brooks and his team can release the sutures and remodel the skull to allow ample room for brain development and a normal head shape and appearance. In some instances, the correction can even be done via an endoscopic approach which leads to smaller scars and a more rapid recovery.

The care of children (and adults) with craniosynostosis occurs in a team setting due to the complexity of these problems. Dr. Brooks is a member of two such teams in Florida which will allow you to be cared for by a team closer to your home.

Contact Dr. Brooks today so he can guide you through the complex care of the patient with craniosynostosis.

Cleft Lip and Cleft Palate

Clefting of the lip and or palate is more common that you might think affecting over 7,000 new babies each year. This complex process requires a team approach for optimal results. Fortunately, Dr. Brooks is a member of two specialized cleft teams in South and Central Florida meaning you will never be too far to receive state of the art multi-disciplinary care.

Repair of the cleft lip often takes place around three months of age. If logistically feasible for your family, a device known as NAM (naso-alveolar molding) will be used before surgery to align the lip and to lengthen the nose in preparation for surgery. Once surgery is complete, special nostril splints may be used to help hold the shape of the reconstructed nostril. Surgery usually results in an overnight stay for your baby, but sometimes can be done on an outpatient basis.

Repair of the cleft palate is usually done between months 6 and 9. The primary goal of cleft palate repair is to allow your child to speak normally. Other goals are to prevent food and liquid from exiting the nose, and to allow the ear to drain normally to prevent infection. When there is a cleft in the palate, the soft palate is unable to prevent sound from exiting via the nose leading to a ‘hypernasal’ speech pattern. When severe, this can be very frustrating for a child as he or she struggles to be understood. In addition, the escape of food or liquid from the nose can be embarrassing and poorly draining ears can lead to infection and hearing loss.

As you can see, repair of cleft lip and palate is highly specialized and complex and requires a multi-disciplinary team approach. Contact Dr. Brooks today to become ‘plugged-in’ to one of the two teams to ensure your child has the best possible care.


Hemangiomas are benign blood vessel tumors which are common in children and frequently (but not always) affect the head and neck areas. They usually begin as a tiny red spot on the baby’s first day of life and then rapidly grow for the next 3 to 6 months. Obviously, this can be very concerning for the new parents! The good news is that the growth will stop. The bad news is that the benign tumors can grow a lot before they do.

Each hemangioma is different and should be approached individually. 90 percent of these will ultimately regress spontaneously (50% by five years, 90% by nine years). The problem is they can cause psycho-social issues before they regress and they can leave abnormal skin and soft tissue when they do ultimately go away.

There is no such thing as a one-size-fits-all approach to these growths. For small hemangiomas in hidden areas, allowing the lesion to spontaneously resolve without intervention can be very appropriate. For more aggressive tumors in aesthetically compromising areas (cheek, nose, forehead etc.) early and proactive treatment with medicine or surgery may be warranted.

Contact Dr. Brooks today to determine the approach most appropriate for your child.

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