Cleft Lip and Palate Surgery

A cleft lip is a split or separation of the upper lip resulting in a formed gap. The gap is a result of the absence of adequate tissue in the lip and mouth area, resulting in an improper joining of what tissue is available. A cleft palate is a split in the roof of the mouth, either in the bony front part or the soft back part. Both cleft lip and cleft palate conditions occur in the fetus stage during pregnancy, and they are among the most common birth defects in the United States. Cleft lip and palate surgery help to correct these defects so patients may lead a normal life.

Cleft lip and cleft palate present both physical and psychological problems for a child. A cleft lip will cause a child to have trouble speaking and distort the sound of the voice. In the case of a cleft palate, the gap allows food and liquids to pass from the mouth to the nose. Additionally, cleft palate causes fluid to collect in the middle ear, which can cause ear infection and hearing loss. Besides the physical issues, without cleft lip and palate surgery, children can become shy and self-conscious and lose confidence and self-esteem because of their appearance and the physical effects.

Correcting these conditions through cleft lip and palate surgery is among the specializations of Toronto plastic surgeon Dr. Colin Hong. Cleft lip surgery is usually done when the child is 10 weeks of age, if the rest of the physical development is normal. Cleft palate surgery is normally done on a child between 9 to 18 months. While in most cases a single surgery is enough to correct these conditions, Dr. Hong advises his clients that as the child becomes older, additional procedures can be required to accommodate changes in the lip and mouth caused by growth.

Toronto cleft lip and palate surgery is done under general anesthesia. In the case of a cleft lip, incisions are made on each side of the gap and flaps of tissue are created. The flaps are brought together and sutured in place to close the gap. Cleft palate surgery follows a similar procedure with incisions made on both sides of the cleft and special techniques used to move muscles and the hard and soft parts of the palate to close the gap. Surgeons may use either dissolving or removable stitches to close the incisions.

Patients are normally required to remain in the Toronto hospital or surgical facility for up to a week after the surgery. Complete recovery may take up to three weeks. Patients and their parents are fully briefed in advance on how to prevent infection, how to ensure that the healing wound is not stretched and how to clean the lip and mouth. Patients are usually required to wear splints or other devices to prevent them from touching or opening the wound.

Dr. Colin Hong is a Board certified Toronto Plastic Surgeon serving cosmetic surgery patients from across the GTA including Toronto, North York, Richmond Hill, Scarborough and Mississauga.

Saline-filled implants

Most women receive saline-filled implants which consist of a silicone shell filled with sterile salt. This type of implant is generally less expensive.

Cohesive silicone gel-filled implants

Recently, new cohesive silicone gel implants have become available to Canadian plastic surgery patients. Silicone gel implants tend to feel more like real breast tissue than saline implants and do not ripple or fold as much as saline implants. The current cohesive gel is less likely to seep, run or shift unlike the older type of liquid silicone implants. The silicone implants have two popular subtypes which are the “Round implants” & the “Tear Drop anatomical implants”.

Silicone Gel implants

With advancement in technology daily, new implants are been still invented under the silicone gel implants. Dr. Hong’s expertise in breast augmentation surgeries is remarkable from performing hundreds of breast augmentation surgeries with great artistic skills. His professional & passionate skills can help you achieve your prospective breast augmentation goals. You need a highly skilled and efficient plastic surgeon to give you your desired rejuvenated figure and Dr. Colin Hong is one of the top plastic surgeons in Toronto.

Frequently Asked Questions

Choosing your desired implant for surgery depends on quite a number of multiple factors which include your native breast dimension (height and width) , projection, rib cage width, body anatomy, volume, the thickness of tissue, how you want the breast to look like after surgery. The most effective way of choosing implant size is to try out sizers from your surgeon while wearing a tight body fit.

In cases of implant weights, the bigger the implants the more they will likely weigh. The size of 100 cc silicone implant generally weighs 0.23 lbs while that of the saline implant with size 100 cc weighs 0.21 lbs. Going bigger in size, a 300 cc silicone implant weighs 0.69 pounds and a pair weighs 1.38 pounds. 300 cc saline implants weigh 0.63 lb and a pair weighs 1.26 lbs. In this case, implants weigh almost the same as the exact amount that an actual breast tissue would weigh. 

In most cases, the weight varies slightly depending on the manufacturers. There might be a slight weight variation from different manufacturers.

Whether or not a person performs a breast augmentation, the genetic makeup of the individual has a major role to play in the contribution of breast sag. Factors such as weight (increasing or decreasing), gravity, age, skin elasticity & ethnicity have a lot to do when it comes to breast augmentation sagging. In this case, use a very good supportive bra that will help you to reduce the effect of sagging.

The lifespan of breast implant is not actually guaranteed as it is not predictable when the implant lifecycle will eventually end. In which case, no matter how your counseling process has been with your surgeon before the operation, always bear in mind that you cannot have a breast implant that will last a lifetime. 

There is no set expiry date attached to breast implants because there has not been a reason to get them replaced unless there is a possible rupture or have other problems. Most times implants exceed more than 12 years and even last up to 30 years in some cases.  

There are quite a number of new implants that have been introduced for breast augmentation and are known as “jelly bean”, “gummy bear”, or “highly cohesive gel” implants that are also available for breast augmentation and they have a firmer feeling, but there are no effective long term results to indicate that they are much better or tend to last longer than the saline or silicone implants.  

Breast augmentation is normally performed in our Accreditation of Ambulatory Surgery Facilities. It also has certification by the College of Physicians and Surgeon OHP program.

Since the surgery is under general anesthesia, there is no pain during the procedure. 

The greatest period of discomfort for the patient is usually the first twenty-four to forty-eight hours after breast augmentation surgery. Afterward, pains will reduce and there will be no need for too much pain relievers as usual. We do a 24-hour recovery routine that most patients have a very little discomfort after 24 hours. In the case where breast implants are placed in the submuscular position, there will initially cause more discomfort than when it is placed in the subglandular pocket ( in front of the muscle).

In the case of breast augmentation, general anesthesia is commonly used. This will guarantee a painless procedure and also the surgeon can concentrate to deliver his best surgical result. 

You can see pre and post-operative result in our office.

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Our Testimonials

Elizabeth Ezpinosa

Amazing experience, Doctor Hong is very confident and good at what he does. Every time I go to him I always get good results that I love and feel safe. Very friendly and helpful staff!

Pat Kia

He has very good skills and also a very professional team.

C Wong

Dr. Hong and his staff are very efficient. Dr. Hong managed to diagnose my genetic disease that's been going on for years, and proposed a reasonable price given my situation. Thank you Dr. Hong. I greatly appreciated your help and will recommend your service to my friends and family