Birthmarks come from a proliferation of cells that give pigment to the skin, called melanocytes. They may present changes not only in skin color, but also in the texture of the skin and the overlying hair. Some require observation only, while others can be quite large and heavily pigmented, necessitating removal and reconstruction. Treatment may include various modalities and can be performed in stages. If removal and reconstruction is necessary, Dr. Snider uses advanced plastic surgery techniques to replace the affected area with similar tissue for a natural result.
Congenital Melanocytic Nevus
A congenital nevus is a mole that is present at birth. Most are small and benign and can be removed only if it is bothering your child. The risk of melanoma skin cancer associated with larger congenital nevi is based on the size of the lesion. Giant congenital melanocytic nevi are typically greater than 20 cm2 and require special reconstructive surgical techniques to be removed. Dr. Snider is meticulous and thorough to provide the safest and best outcome in treating your child’s nevus.
Vascular malformations and hemangiomas are typically present at birth, or shortly thereafter, and are made up of abnormal clusters of blood vessels and/or lymphatic vessels that can cause functional and aesthetic deformity of your child. Hemangiomas are the most common blood vessel abnormalities seen in infants. They typically grow rapidly in the first 6 months of life, plateau, and then improve on their own around age 3. Dr. Snider treats all types of vascular malformations, and utilizes the latest therapies and a multidisciplinary approach to facilitate a more speedy treatment and recovery. She will create an individualized plan of care for your child that is specific to the type of vascular or lymphatic malformation.
Neurofibromas are often a result of a hereditary condition called Neurofibromatosis. Affected individuals can present with café au lait spots on the body, and gradually develop spongy skin nodules called neurofibromas. Some neurofibromas remain small while others can grow quite large and cause significant deformity. Dr. Snider specializes in advanced plastic surgery techniques to treat individual large neurofibromas, as well as extensive small to medium sized cutaneous and subcutaneous neurofibromas throughout the face and body, removing hundreds at a time.
Gynecomastia is a condition seen in adolescent males where excessive breast tissue develops in one or both breasts during normal hormone fluctuations at puberty. The additional breast tissue can be temporary and eventually flatten, but if persistent, may have social implications as your child can become self-conscious, especially when wearing tight-fitted clothing or a swimsuit. If desired, Dr. Snider can remove the unwanted breast tissue with a minimally invasive technique through a limited scar along the nipple line. This facilitates quicker healing and an improved result.
Poland’s syndrome is a deformity of the anterior chest wall causing a lack of growth of the pectoral muscle and breast on the affected side. The patient develops hollowing of the upper chest, with varying degrees of asymmetry, and may also present with changes of the arm including shortening or syndactyly (fused fingers). During puberty, the asymmetries of breast development become more apparent. Dr. Snider uses specific reconstructive plastic surgery techniques to create symmetry and balance of your breast and chest shape.
Syndactyly & Polydactyly
Congenital malformations of the extremities can affect the fingers and toes. In utero, the digits begin fused and then separate. If this separation process does not occur, your child can be born with syndactyly. The severity of the fusion and the number of digits involved will help define the type and timing of surgical intervention that is best for your child. Dr. Snider treats all types of syndactyly, in addition to polydactyly (extra digit), macrodactyly (large finger), and amniotic bands. Dr. Snider uses specialized techniques to separate fused fingers and remove extra digits so that your child has the fewest surgeries with the greatest results.
Congenital Trigger Thumb
Congenital trigger thumb is quite common and can affect one or both of your child’s thumbs. A trigger thumb occurs when the tendon that flexes the thumb is unable smoothly glide within its natural tunnel. This can cause a click or pop when your child straightens the thumb, and overtime the thumb can become stuck in a bent (flexed) position. Occasionally, a trigger thumb may improve with time, but after about 2 years of age, a small operation to release the tunnel is typically required. Dr. Snider uses a limited scar technique to release the tunnel to allow the tendon to glide freely and function properly.