Pediatric Plastic Surgery in Pune

(Cleft Lip Cheiloplasty, Cleft Palate & Congenital Anomaly Repair)

Cleft Lip Cheiloplasty, Cleft Palate Palatoplasty & Congenital Anomaly Reconstruction

Cleft lip, cleft palate, and congenital hand or ear anomalies present unique challenges that affect an infant’s feeding, facial appearance, dental development, and future speech. Caring for these little patients requires not only surgical mastery of delicate pediatric anatomy but also compassionate, family-centered guidance. Dr. Chintan Gujarathi brings comprehensive pediatric reconstructive training to restore balanced facial symmetry and clear, intelligible speech.

Operated by Dr. Chintan Gujarathi (MCh Plastic Surgery, Tata Memorial Hospital Fellow) at accredited tertiary centers (Ruby Hall Clinic, Sassoon Rd & Manipal Hospital Kharadi), utilizing sub-millimeter precision, concealed micro-incisions, and advanced tissue-handling for natural, permanent outcomes.

3-6 MoCleft Lip Repair

Rule of 10s guideline

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9-12 MoCleft Palate Repair

Prior to first words

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100%Sphincter Restoration

Oral muscle continuity

0 ScarsHidden Palate Cuts

Internal mucosal flaps

Pediatric Plastic Surgery (Cleft Lip, Palate & Circumcision) clinical illustration
Pediatric Plastic Surgery • Clinical Framework

Surgical Approaches & Precision Techniques

Millard Rotation-Advancement Cleft Lip Repair (Cheiloplasty)

Primary surgical repair performed at 3–6 months restoring symmetrical Cupid’s bow contour, philtral columns, and nasal alar cartilages.

Key Surgical Advantages:
Restores natural aesthetic Cupid's bow symmetry and vertical philtral column height
Reconstructs continuous oral sphincter muscle for normal suckling and speech
Corrects nasal asymmetry and depressed alar base in the same single operation
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Best Suited For:Infants aged 3 to 6 months meeting the "Rule of 10s" (10 weeks old, 10 lbs weight, 10 g/dL hemoglobin)
Millard Rotation-Advancement Cleft Lip Repair (Cheiloplasty)

Your Healing Journey & Care Guide

A straightforward clinical guide to what to expect and how to care for your results.

Days 1–3Phase 01

Hospital Observation & Gentle Feeding

The baby recovers in a peaceful pediatric room with mother. Specialized bottle or syringe feeding starts within hours.

💡 Surgeon Guidance:

Soft elbow splints are gentle and essential: they keep tiny fingers away from the delicate lip stitches for the first 10 days.

Week 1–2Phase 02

First Clinic Review & Suture Line Care

Swelling diminishes rapidly. Stitches begin dissolving or are painlessly removed. The lip line looks symmetrical and clean.

💡 Surgeon Guidance:

Applying prescribed antibiotic ointment to the lip seam after every feeding keeps the healing line soft and supple.

Weeks 3–6Phase 03

Normal Infant Routine & Scar Therapy

The baby smiles and feeds completely normally. Gentle scar massage with medical silicone gel begins.

💡 Surgeon Guidance:

Daily 2-minute gentle silicone massage flattens the healing incision line and keeps the lip soft and flexible.

Months 2–12Phase 04

Flawless Facial Growth & Speech Milestones

The surgical line fades into a faint, natural philtral line. Normal vocal babbling, laughing, and first words develop effortlessly.

💡 Surgeon Guidance:

Children who have palatoplasty before age 1 develop normal intelligible speech indistinguishable from their peers.

Recommended Best Practices (Do's)

  • Feed your baby using prescribed soft bottle nipples, syringes, or spoons strictly as instructed by Dr. Gujarathi’s nursing team.
  • Keep soft fabric elbow immobilizers on your baby’s arms for the first 7 to 10 days to prevent rubbing or scratching the lip.
  • Clean the lip suture line gently with a sterile cotton swab soaked in warm saline after every feeding.
  • Apply the prescribed antibiotic ointment or silicone gel along the lip repair line twice daily.
  • Attend your scheduled follow-up visits at Ruby Hall Clinic or Manipal Hospital Kharadi.

Precautions & Safeguards (Don'ts)

  • Do not give hard pacifiers, plastic spoons, or sharp toys into your baby’s mouth following cleft palate surgery.
  • Do not allow other young siblings to play roughly or bump into the infant’s operated face.
  • Do not expose the healing lip scar to harsh outdoor sunlight; keep baby under stroller canopies or hats.
  • Do not pick or forcefully peel dried milk crusts along the fresh suture line.
  • Do not miss scheduled speech and pediatric developmental evaluations.

Frequently Asked Questions

Essential clinical answers on surgical safety, scars, and recovery in Pune.

Cleft lip surgery (cheiloplasty) is ideally performed between 3 and 6 months of age, once the baby satisfies the classic "Rule of 10s": at least 10 weeks of age, weighing at least 10 pounds (4.5 kg), and having a hemoglobin level above 10 g/dL. Cleft palate surgery (palatoplasty) is performed between 9 and 12 months of age, ensuring the palate is fully closed and the levator muscle sling is working before the baby begins speaking their first words.

Schedule Your Consultation with Dr. Chintan Gujarathi

Available for personal clinical consultations and surgical assessment at premier accredited tertiary hospitals in Pune:

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