Hemifacial Microsomia (Craniofacial Microsomia)

Hemifacial Microsomia typically affects one-side (unilateral) and involves both bone (lower jaw, cheek, orbit) and the soft tissue (ear, cheek fat, corner of the mouth, outer eyelids). It ranges from a mild deformity (ear skin tag only) to a severe deformity (Goldenhar Syndrome: involving the entire side of the face and neck). Involvement may include:

-‘Microtia’: Outer ear deformity needs total ear reconstruction with rib cartilage graft.

-‘Micrognathia’ Small or absent mandible that causes facial tilting.

-‘Macrostomia’ widening or clefting of the corner of the mouth.


-Obtain facial symmetry

-Rebuild lower jaw to provide the best dental bite. (Distraction procedure)

-Create a new external ear from a child’s own cartilage when needed. (Microtia repair)

-Transplant fat and soft tissue for a smooth symmetrical cheek contour (Fat grafting).


Dr. Bradley is able to provide all of the necessary surgical corrective procedures necessary at the appropriate time since he is known for his expert care in treating patients with Craniofacial Microsomia.


  • What is the right age for my child to start reconstruction?

Your child’s treatment plan, including the best timing of the procedure, is unique for your child. The timing considers function problems and social interactions of your child. Many of the procedures including jaw and ear reconstruction, happen between the ages of 5-8 years of age. ‘Final-stage’ procedures happen in the late teen aged years.

  • Which specialists should be following my child?

Dr. Bradley will work with the ENT surgeon, Orthodontist, Speech Pathologist, Audiologist, and other specialist closely so that all needs are met at the appropriate time.