Craniofacial &reconstructive.

Cleft lip and palate, maxillofacial trauma, orbital reconstruction, and microtia ear reconstruction — performed by our craniomaxillofacial-credentialed surgeon with international fellowship training.

Overview

We treat congenital craniofacial conditions, post-traumatic deformities, and complex acquired conditions of the face, skull, and jaw. Many of our craniofacial patients are referred through international charity and aid networks; we maintain a small pro-bono pathway alongside our private practice.

dr Gede
Specialist

dr. Gede Wara Samsarga

dr. Sp.BP-RE, Subsp.KM(K), FICS
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The consultation

Comprehensive consultation includes 3D imaging where appropriate, photographic documentation, and multidisciplinary review with orthodontics, speech therapy, and ENT depending on case. Treatment plans for congenital cases often span multiple operations across years of growth.

Our approach

We follow international protocols for cleft repair (Millard or Mohler for lip; two-flap palatoplasty for palate). For trauma we restore anatomy first; refine aesthetics later. For microtia, we offer rib-graft and Medpor approaches depending on age and anatomy.

The team

Craniofacial work requires a multidisciplinary team. Our network includes orthodontists for cleft and orthognathic, speech therapists for cleft palate, paediatric anaesthetists for paediatric cases, and ENT for microtia. Travel patients are coordinated by a senior concierge with paediatric or complex-care background.

Treatments

The full list, with our typical price-from. Tap any treatment to expand details. Final quote is tailored after consultation.

Millard or Mohler rotation-advancement flap for unilateral cleft; modified Mulliken for bilateral. Performed in infancy (3–6 months for primary lip repair). Includes anaesthesia review and paediatric nursing.

Duration

2 hours · general anaesthetic

Recovery

5 nights on-island

What's included
  • Theatre, anaesthetic & overnight observation
  • Paediatric nursing
  • 5 nights in family-friendly villa
  • Suture removal at day 7
  • Long-term follow-up coordination

Two-flap palatoplasty for primary palate repair. Coordinated with speech therapy assessment and follow-up. Critical for normal speech development; timing is important.

Duration

2.5 hours · general anaesthetic

Recovery

7 nights on-island

What's included
  • Theatre, anaesthetic & overnight observation
  • Paediatric nursing
  • Speech therapy assessment
  • 5 nights in family-friendly villa
  • Follow-up coordination

Revision of prior cleft repair for residual asymmetry, scar, lip notch, or nasal deformity. Often combined with rhinoplasty (cleft rhinoplasty) for older children and adults.

Duration

3 hours · general anaesthetic

Recovery

10 nights on-island

What's included
  • Theatre, anaesthetic & overnight observation
  • 7 nights in family-friendly villa
  • Daily nursing
  • Scar protocol
  • 12-month follow-up

Fracture reduction, plating, soft-tissue reconstruction, or scar revision after facial trauma. Often staged: acute repair in your home country, refinement and reconstruction with us. We review original surgical records before quoting.

Duration

3–5 hours · general anaesthetic

Recovery

14 nights on-island

What's included
  • Pre-op imaging and surgical review
  • Theatre, anaesthetic & overnight observation
  • 10 nights in private recovery villa
  • Daily nursing
  • Insurance documentation where applicable

Orbital floor or rim reconstruction using patient-specific titanium mesh or autologous bone graft. For post-traumatic enophthalmos, hypoglobus, or congenital orbital deformity. Coordinated with ophthalmology where appropriate.

Duration

3–4 hours · general anaesthetic

Recovery

10 nights on-island

What's included
  • Theatre, anaesthetic & overnight observation
  • 7 nights in private recovery villa
  • Daily nursing visits
  • Ophthalmology coordination
  • 12-month follow-up

Two- or three-stage reconstruction of the external ear using either rib cartilage graft (Brent or Nagata technique) or porous polyethylene framework. Suitable from age 8–10 for rib-graft technique. Two operations over 6–12 months.

Duration

5 hours per stage · general anaesthetic

Recovery

Per stage: 14 nights on-island

What's included
  • Theatre, anaesthetic & overnight observation per stage
  • 10 nights in family-friendly villa per stage
  • Daily nursing
  • 12-month follow-up across both stages

Frequently asked

Yes — we have paediatric anaesthesia, paediatric nursing, and family-friendly recovery accommodation. Cleft repair is one of our most experienced pathways for paediatric patients.
Cleft repair: typically 2–4 over the first decade, plus orthodontic and possible orthognathic work in adolescence. Trauma: highly variable. Microtia: typically 2–3 operations over 6–12 months.
Yes, in coordination with international aid organisations. We maintain a small pro-bono pathway for craniofacial congenital cases each year. Please write to the concierge for details.
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