• Plastic Surgery
  • Craniofacial Program

    Call 832-822-3180 today to make an appointment

    The craniofacial team at Texas Children’s Craniofacial Program evaluates children with craniosynostosis (a birth defect that causes one or more fibrous joints in a baby's skull to close earlier than normal) and other facial and skull deformities. Craniofacial surgery is a surgical subspecialty of plastic surgery that deals with congenital and acquired deformities of the skull, face and jaws.

    Conditions We Treat

    Our multidisciplinary team of specialists will evaluate and recommend treatments for children up to age 18 who have:

    Diagnosis and Evaluation

    Our team has access to state-of-the-art technology and a wide range of resources to properly and accurately diagnose craniofacial problems in children.

    Treatment Options

    • Surgery of the skull: Many infants (about 1 in 2,000) are born with skull deformities. Not fully revealed until after birth, these types of defects (craniosynostosis and plagiocephaly) can interfere with brain development. Occasionally, the connective tissue of the skull may close prematurely and require corrective surgery. In other instances, the baby’s position in the womb can flatten a skull area.

      To improve outcomes, our specialists use advanced treatment procedures and leading-edge techniques, appliances and materials – such as resorbing plates and bone-mimicking adhesives – in areas where new bone will grow. In instances requiring extensive surgery, the department’s craniofacial team consults with the hospital's neurosurgery team to plan each child's surgical reconstruction.
    • Facial surgery: Form and function can be restored in children with facial bone, nerve and muscle disorders, whether congenital or caused by injury. Children’s facial defects can range from simple to complex, often involving facial bone structures that may be underdeveloped, malformed or totally absent.

      Children suffering from facial nerve paralysis often require nerve repair, nerve transfer, muscle transfer and microsurgical nerve transplantation to allow them a fuller range of facial expressions and enhanced control.
    • Jaw surgery: Surgery of the jaw may be recommended when a child experiences a jaw injury or clearly shows signs of problems with facial development, which may be an isolated growth problem. Often requiring multiple operations and bone grafting, the corrective process usually involves moving one or both jaws to a more normal position. The patient may receive orthodontic treatment simultaneously, and the combined therapy is carefully coordinated with all other aspects of the patient’s care.
    • Distraction osteogenesis: Distraction osteogenesis is a surgical procedure used to reconstruct craniofacial skeletal deformities. Distraction osteogenesis is an effective way to grow new bone and allow soft tissue growth to accumulate in the new skeletal structure. We are experienced in treating children of all ages with distraction osteogenesis and tailor the care of the child to treat the specific condition.


    If you would like your child evaluated by our team, please call 832-822-3180 to request an appointment.

    Our Team

    These patients are all seen by our Texas Children’s craniofacial team, which includes the craniofacial plastic surgeon, neurosurgeons, craniofacial anesthesiologists, craniofacial nurses, neuropsychologists, social workers and our craniofacial orthodontists. 

    Plastic and Reconstructive SurgeonsLarry H. Hollier, MD
    Edward P. Buchanan, MD
    David Y Khechoyan, MD
    Edward I. Lee, MD
    Laura A Monson, MD 
    NeurosurgeonsRobert Dauser, MD
    Sandi Lam, MD
    Thomas Luerssen, MD 
    Craniofacial OrthodontistJohn O. Wirthlin, DDS
    PediatricianMarney Gundlach, MD
    Surgical CoordinatorMarlene Portillo, LVN
    Physician AssistantsKristen Daniels, PA-C
    Reggie Nunez, PA-C
    Speech PathologistKristina Wilson
    Administrative AssistantLourdes Hernandez 
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  • Contact Us

    832-824-2778 (for same day consultation)


    Clinical Care Center
    Floor 8
    6701 Fannin St.
    Houston, TX 77030


    Mon: 8 am - 5 pm
    Tue: 8 am - 5 pm
    Wed: 8 am - 5 pm
    Thu: 8 am - 5 pm
    Fri: 8 am - 5 pm