Dr. David Staffenberg NYU

[Lazlo]

For those of you on the east coast, I've found out Dr. David Staffenberg, a craniofacial surgeon, highly qualified(also student of Henry Kawamoto who retired this year)
does both bone grafting to the under-eye area as well as other craniofacial procedures such as cheekbone/zygomatic osteotomies. I'm not sure if he does actual jaw surgery though.

Unlike Dr. Urata, he DOES have a private practice, though his website is still under construction and not very helpful.

http://www.med.nyu.edu/biosketch/staffd1000

His site:

http://www.newyorkcraniofacialsurgery.com/dr-staffenberg.php

[Lazlo]

seems to me orbital rim grafts plus zygomatic osteotomy would solve any upper face deficiency/sagging one might have.

[pekay]

not to derail your thread but there is also Dr Mark Stein in NYC who is supposed to be a world class maxillofacial surgeon

http://www.new-york-oral-surgery.com/oral-surgeon-ny/oral-surgeon-ny.htm

[carlos30]

I'd like to hear more about dr. David Staffenberg.

He is a craniofacial surgeon, plastic surgeon and very importantly a "cosmetic" surgeon, which means he should do stuff on non-clinical cases and have an artistic sense for that.

[earl25]

I saw him. Wasnt impressed. Over the phone he tells u all the cool stuff he can do,then when you come in you get nowhere

[carlos30]

^
what exactly put you off? Not satisfactory examples?

[earl25]

He wouldnt do it for cosmetic reasons when i saw him. He initially offered to use rib for my oris but didnt have an example then backed out and suggestex fat

[Bobbit]

I saw him. Wasnt impressed. Over the phone he tells u all the cool stuff he can do,then when you come in you get nowhere

I looked at his C.V.    It does not look like he is formally trained at any time in jaw surgery.   The craniofacial training includes some aspects of that type of surgery, but it was focused on cranial issues more than maxilla / mandible issue.

[carlos30]

^
I assumed craniofacial surgery is an extension of maxillofacial surgery - judging by it's name it should be about all cranial bones, not just maxilla and mandible. Aren't LeFort3s and zygomatic osteotomies formally in domain for craniofacial surgeons?

[Bobbit]

^
I assumed craniofacial surgery is an extension of maxillofacial surgery - judging by it's name it should be about all cranial bones, not just maxilla and mandible. Aren't LeFort3s and zygomatic osteotomies formally in domain for craniofacial surgeons?

Ah... somewhat complicated to describe.   There are only a small number of craniofacial fellowship programs in the U.S.  They are full one year training programs for surgeons who have already completed a full standard 5 or 6 year training program in plastic surgery.

They cover a lot of territory in that year of training.   Lots of cranial surgery issues and then lots of issues surrounding the various syndromes that can be corrected with big surgeries.  Not so much on the mandible,  although some programs spend some time on that.   But most of the  craniofacial surgery is focused on children and some trauma in adults.  A lot of different issues than the typical jaw surgery issues we see here on this forum. 

So for those reasons, it is really helpful to have a craniofacial surgeon who has also completed an additional specific fellowship focused on jaw surgeries for young adults and mature patients.

Most cranofacial surgeons who have not had that type of jaw surgery training will typically not routinely be involved in the type of jaw surgeries typically discussed here.   

The advantage is that those surgeons who have that full scope of training are in fact also plastic surgeons and they can typically address a larger set of issues involving the face, neck and head than the surgeons who have not covered all of those bases.

[molestrip]

The advantage is that those surgeons who have that full scope of training are in fact also plastic surgeons and they can typically address a larger set of issues involving the face, neck and head than the surgeons who have not covered all of those bases.

Any examples of such surgeons? You'd think that if this stuff worked well then we'd see it incorporated into standard OMS training. Seems all the big name surgeons have experimented with it at some point in time (most papers I see from the 90s) but they all since abandoned it. I only know of two people who had it done recently, earl who had good results and another guy in Europe who didn't.

Another surgeon with experience here is Dr Tiner in San Antonio btw. I know earl explored his coauthor and seems he didn't have a great reputation but Dr Tiner does. He used to run the residency program at UTHSC and is a high level volunteer for AAOMS. He does the most jaw surgeries in the city but like all the good guys, he's getting to be pretty old. I recently saw a simulation of what a typical 60yo sees and it's kind of horrifying to think that such a person could be operating on my face.