Partnering with referring physicians

Outcomes

• Effective camouflage in normal social situations and public settings, especially at three feet or more.
• A lifelike appearance through careful anatomical and skin-tone color matching and detailed biological replication.
• Medical-grade, biosafe silicone and a “tradigital” approach that combines traditional artistry with 3D technology.

Durability

• With proper care (daily cleaning, avoiding harsh chemicals and extreme temperatures), silicone prostheses typically last 18 months to 2.5 years.
• Longevity depends on patient habits and home environment.

Compliance and function

• Patients receive care education before, during and after treatment; following it is essential to appearance and lifespan.
• Designed for comfort and daily wear, with instruction on hygiene and, where relevant, functional use.

• Pre-surgical consultation: involve us before surgery, especially when titanium implant retention or a prosthetic solution is being considered.
• Pre-operative impressions: in cancer and congenital cases, an impression before surgery supports the best outcome.
• Trauma: we begin once the patient is stable after emergency care.
• Congenital conditions: extensive experience with hemifacial microsomia, Treacher Collins syndrome, amniotic band syndrome and similar diagnoses.
• Oculoplastic follow-up: we routinely provide lifelike ocular prostheses after surgery.

We coordinate closely with referring providers throughout, with updates and care plans tailored to each patient.

We specialize in complicated surgical histories, including implant failure, hair-bearing graft complications, cartilage resorption (for example after auricular reconstruction) and surgery performed without pre-surgical planning. We can't guarantee success in every case, but many patients who spent years in unsuccessful surgery have found satisfaction and better quality of life with prosthetic rehabilitation, a non-invasive alternative.

To begin an assessment, please share the surgical history, relevant imaging if available, and a summary of prior outcomes through a secure channel. Contact us to arrange it.

Cancer

• Skin cancers (basal cell, squamous cell, melanoma) involving the face, ear, nose or orbit.
• Head and neck cancers requiring removal of facial structures (maxillectomy, mandibulectomy, rhinectomy, orbital exenteration).

Congenital

• Microtia, hemifacial microsomia, Treacher Collins syndrome, cleft lip and palate with significant facial difference, amniotic band syndrome and other craniofacial syndromes.

Trauma

• Motor vehicle, workplace and industrial accidents; sports injuries; animal bites; thermal, chemical or electrical burns.

Infection and disease

• Necrotizing infections, severe osteomyelitis and aggressive fungal infections such as mucormycosis.

Other

• Failed reconstructions; acquired eye loss (enucleation or evisceration); loss of digits, hands or other body parts.

Surgical procedures supported in prosthetic rehabilitation

• Auriculectomy and partial auriculectomy
• Rhinectomy and partial rhinectomy
• Enucleation and orbital exenteration
• Ocular prosthesis delivery after oculoplastic surgery
• Hemifacial and maxillectomy procedures
• Zygomatic osteotomy and orbital floor blowout repair
• Skull fracture repair requiring implant placement
• Tracheostomy-related prosthetic needs

Operating room experience

Michael Degnan, MSc, has hands-on operating room experience supporting surgical teams across the United States and internationally, with a thorough understanding of surgical workflow and interdisciplinary collaboration.

• Facial: auricular, nasal, orbital and midfacial
• Ocular: custom artificial eyes
• Body: partial hand, finger and other body parts, as clinically appropriate
• Specialty prostheses for congenital, cancer, trauma and revision cases
• Pediatric and adult patients

All are made from medical-grade silicone using 3D scanning and printing for precise fit and a lifelike appearance.

• Cochlear BAHA (bone-anchored hearing) implants
• Titanium craniofacial implants such as Vistafix, Straumann and Southern Implants
• Magnetic and bar-and-clip retention for auricular, nasal and orbital prostheses
• Custom abutment and retention designs for complex cases

We work with surgical teams to select and optimize the implant system for each patient.

Before surgery

• Early involvement allows impressions, digital scans and implant planning for the best retention and appearance.
• Collaboration ensures incisions, reconstruction and implant positions support the prosthetic outcome.

After surgery

• We coordinate with the surgical team on wound healing, implant exposure and timely prosthesis delivery.
• Patient education on hygiene and care starts before delivery and continues through follow-up.

• We review imaging, surgical plans and anatomy with the surgical team.
• Impressions or scans, before or after surgery as appropriate, guide implant placement and prosthesis design.
• We provide guidance on incision location, tissue management and implant positioning.
• Intraoperative support is available for complex cases.

• Healing: allow 3 to 6 months for soft tissue healing and, where implants are placed, osseointegration. The site must be fully healed and free of swelling for an accurate profile.
• Impression or scan: once the site is stable and free of infection or excessive scarring.
• Fabrication and delivery: most patients receive their prosthesis within 2 to 4 weeks of the impression.
• Follow-up: regular visits to review comfort, function and adaptation, with adjustments as needed.

Every case is unique. Contact us to coordinate a timeline.