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Pediatric Plastic and Craniofacial Surgery

Welcome to the Long Island Plastic Surgical Group’s Pediatric Plastic & Craniofacial Surgery Center. As part of the Long Island Plastic Surgical Group, our facility operates as a “Center of Excellence” within the practice, emphasizing plastic surgery, cleft lip and palate repair, and craniofacial surgery for children. Our Centers of Excellence are some of the many facets of LIPSG that make us renowned throughout the nation as a leading provider of comprehensive reconstructive and plastic surgery procedures. The surgeons at LIPSG are some of the most skilled and experienced in the country, and have been recognized as some of the top physicians in their respective fields throughout the region. The following information will provide you with details on some of the many procedures we perform, and what the Pediatric Plastic & Craniofacial Surgery Center offers you and your family.

We are committed to bettering the lives of children, and as part of that commitment, our skilled surgeons spend a considerable amount of their time offering their services to those in need around the world. Members of our team have performed cleft lip and palate repairs as well as a variety of other reconstructive procedures in countries such as Vietnam, Puerto Rico, Iran, India and others.

Our team works with all insurance companies and with hospitals throughout Long Island, including Winthrop University Hospital, Long Island Jewish and Northshore University Hospital Health System, St. Francis, Mercy, Nassau University Medical Center, and Good Samaritan.

Please contact our Pediatric Plastic Surgery and Craniofacial Surgery Center to schedule a consultation with one of our specialists. If you have questions and would like to email Dr. Ruotolo directly please contact her at

Pediatric Plastic Surgery

The Long Island Plastic Surgical Group’s Pediatric Plastic Surgery team is composed of experts at reconstructing the face, skulls, and extremities of children affected by birth defects, trauma, and various genetic conditions. Our surgeons are focused on giving your child the best possible treatment through safe, specialized care and a compassionate bedside manner. Our commitment is to your child and to you.


Doctors from all across Long Island and New York refer patients to LIPSG for our expertise in quality suturing. Our surgeons and staff understand the concerns of parents and children when it comes to the physical and emotional aspects of scarring from surgical lacerations or injury repair. Doctors at the Long Island Plastic Surgical Group are known for their exceptional technique and dexterity with suturing lacerations in ways that make the process as smooth as possible. Suturing can be performed here at our practice, or at one of the many hospitals on Long Island that keep LIPSG doctors on call.


Otoplasty is a surgical procedure designed to treat ears that protrude too far from the head. This corrective ear surgery is most commonly performed on children after their ear cartilage has matured and when the entire external ear is at least 75% of the ultimate size of the adult ear.  This typically occurs between ages 5 and 8 years.  In addition, this age allows time for the participation and involvement of the child in the decision making process. The goal of surgery is to create a proportionate relationship between the ears for their balance with the face and head, essentially restoring harmony and symmetry between both ears.

Learn more about otoplasty.

Congenital Lesions / Hemangiomas

Hemangiomas are the most common head and neck lesions in children. They are made up of capillaries that ultimately form a benign, rapidly proliferating vascular tumor. A hemangioma typically appears in the first month of life and then grows rapidly in the next 12 to 18 months, after which it involutes (regresses). Hemangiomas can manifest underneath the surface of the skin or as part of an internal organ, but more commonly, they appear superficially (on top of the skin). The exact type of treatment of these lesions depends on where the hemangioma appears on the body and how rapidly it grows. Treatment options include steroid injections, steroid medication taper, or surgical excision. Our doctors also work in collaboration with dermatologists to evaluate and treat skin lesions that are benign or malignant in nature. The precise diagnosis of a lesion can only be determined after a biopsy has been performed and then formally examined by a pathologist.

Craniofacial Surgery

The Pediatric Plastic and Craniofacial Surgery Center is home to some of the most experienced and skilled surgeons in the nation. This LIPSG Center of Excellence has at least five doctors that perform cleft lip and palate reconstruction, and among our team, Dr. Rachel A. Ruotolo is the only plastic surgeon in Long Island who devotes 100% of her practice to craniofacial procedures. The term “craniofacia” refers to a deformity involving the skull or cranium and facial skeleton, which encompasses conditions affecting the nose, ears, skull, and face. Since September of 2007, Dr. Ruotolo performed more than 100 major craniofacial surgeries and cleft lip/palate repairs.


Craniosynostosis is premature fusion of the cranial sutures in infants, preventing normal growth of the skull and brain. The condition can be associated with certain syndromes – including Apert, Crouzon, and Pfeiffer, as well as being an isolated condition. Craniosynostosis is considered a birth defect that can lead to a number of problems, including increased intracranial pressure, skull deformity, visual impairment, and developmental delay. Surgical intervention consists of a multidisciplinary approach involving pediatric neurgosurgeons.  This team approach is invaluable in achieving the ultimate goal in craniosynostosis treatment, which is to restore the normal shape of the skull in addition to preventing developmental delay and visual disturbance that can result from increased intracranial pressure.


Microtia is a congenital deformity that occurs in about one in every 8000-10000 live births. The condition is characterized by a deformity affecting the outer ear, and is known as “small or absent ear.” Grade III microtia is the most common form, and is typically treated in three stages, timed three months apart. Treatment usually involves the rebuilding of the ear with a bone graft from the rib cage. Since the ear does not reach its full adult size until the 5th to 9th year of life, treatment for microtia is typically provided to children within this age range.

Cleft Lip & Palate

Cleft lip and palate is one of the most common birth deformities, occurring in thousands of births per year among children all over the world. A cleft lip and palate is a failure of the lip and palatal structures to fuse properly in utero. For children who are in need of cleft lip and palate repair, our surgeons are some of the most experienced in the area with these procedures. We place a strong emphasis on not only effective and safe treatment with successful outcomes, but also an efficient treatment process so your child can return to normal daily routines as quickly as possible.

Learn more about cleft lip and palate repair.

Other Conditions

  • Hemifacial Microsomia
  • Hypertelorism
  • Craniosynostosis
  • Apert Syndrome
  • Pfeiffer’s Syndrome
  • Crouzon Syndrome
  • Treacher Collins Syndrome
  • Velocardiofacial Syndrome (VCFS, also known as DiGeorge Syndrome)
  • Pierre Robin Sequence
  • Saethre Chotzen Syndrome

Please contact the Long Island Plastic Surgical Group for more information, or to schedule a consultation with one of our experienced physicians. If you have questions and would like to email Dr. Ruotolo directly please contact her at