Hand & Reconstructive Surgery

Cleft Lip and Palate

Cleft lip and palate surgery improves disfigurement and function in young patients with these birth defects. In treating patients with cleft lip and palate, the plastic surgeon takes a leadership role, helping to coordinate care provided by other members of a multi-disciplinary team. Specialties represented include oral surgery, otolaryngology, speech pathology, orthodontics and genetics. In addition, Plastic & Hand Surgical Associates works closely with Maine’s Department of Human Services to provide care for some of these patients. 

Dupuytren’s Contracture and XIAFLEX® Treatment

Do you have trouble straightening or moving your fingers?

Dupuytren's handDupuytren’s contracture is a progressive hand condition that affects how much you can move or straighten your fingers.

In people with Dupuytren’s contracture, abnormal collagen buildup can form a cord in the palm of the hand. Over time, this cord can cause one or more of your fingers to bend toward the palm, so you cannot straighten them.

At Plastic & Hand, our experienced surgeons are experienced in treating this condition. In addition to surgical treatment, some patients can see improvement with a non-surgical approach: XIAFLEX® is a prescription medicine used to treat adults with Dupuytren’s contracture when a “cord” can be felt. XIAFLEX helps to break down the cord that is causing the finger to be bent. Our surgeons are experienced in injection procedures of the hand and treating people with Dupuytren’s contracture.

Dupuytren’s contracture can sometimes be mistaken for other conditions such as arthritis or trigger finger, as there is some overlap in the symptoms of the different conditions, which may make it difficult to distinguish one from the other. Only a doctor can diagnose Dupuytren’s contracture.

If you are experiencing the symptoms of Dupuytren’s contracture, you may wish to set up an appointment with one of our surgeons: 775-3446. 

We can also provide you with an informative booklet about Dupuytren’s contracture and treatment with XIAFLEX. 

Breast Reduction

Breast reduction surgery reduces the size of large breasts and reshapes their contour. There are at times medical indications for breast reduction surgery which may include relief of neck-, shoulder- and back strain-related breast weight. At other times breast reduction is performed for cosmetic reasons alone. When medically indicated, insurance may approve coverage for the procedure. Often this surgery is performed on an outpatient basis, on-site at our day surgery facility. Anesthesia is provided by the Spectrum Medical Group, the physician group that provides anesthesia at Maine Medical Center and Mercy Hospital.

During a consultation at Plastic & Hand Surgical Associates, patients are evaluated and educated regarding the available procedures for breast reduction surgery, and, if appropriate, a surgical plan is developed.

Click to visit our Before & After Gallery of Plastic & Hand patients’ breast reduction photos.

Reconstruction Following Cancer and Trauma

Breast Cancer Reconstruction

The surgeons at Plastic & Hand have been providing reconstructive care for women with breast cancer for more than 35 years. Breast reconstruction continues to be one of the most dynamic segments of our practice. The techniques for immediate and delayed reconstruction continue to evolve and improve. Our physicians regularly attend and participate in local and national conferences so that we are able to provide the most up-to-date and comprehensive reconstructive care for our patients. A wide range of reconstructive options are available.

To view photos of patients who have received breast reconstruction surgery at Plastic & Hand Surgical Associates, click here.

In our consultations, each of the available options for reconstruction is reviewed. Choices include using a patient’s own tissue, using prosthetic materials, or a combination of these techniques. Often procedures of the opposite (non-cancer) breast are required to optimize symmetry.  An individualized plan is devised for each patient.  Often the plan involves immediate reconstruction (beginning reconstruction at the time of the mastectomy).  We also provide delayed reconstruction (reconstruction for women that have already had their mastectomy).

Currently we are actively involved with both Maine Medical Center and Mercy Hospital Breast Centers providing urgent consultations for women with a new diagnosis.  We attend the tumor boards at these centers and participate in the multidisciplinary care decisions required to provide our breast cancer patients with optimal outcomes.

Click to visit the Maine Medical Center Breast Care Center page to learn more.

Click to visit Mercy Hospital’s Breast Health page to learn more.

Click to visit the breast reconstruction page of the American Society of Plastic Surgeons to learn more.

Skin Cancer Reconstruction

At Plastic & Hand Surgical Associates, a comprehensive approach is taken to the removal and surgical treatment of cancerous and precancerous skin lesions, utilizing hospital or office facilities. Back to top

Other Trauma Reconstruction

Reconstruction of leg and arm injuries and burns is sometimes required following accidents. We work together with the patient’s orthopaedic surgeon to ensure optimal care and results. The surgeons of Plastic & Hand Surgical Associates are an integral part of Maine Medical Center’s trauma team for the multiply injured patient and provide full-time coverage to the Maine Medical Center and Mercy Hospital Emergency Departments. They are also on staff at New England Rehabilitation Hospital of Portland.

Microscopic Surgery

The surgeons of Plastic & Hand Surgical Associates are fully trained in microscopic surgery, which allows the transplantation of tissues in difficult reconstruction problems. Microscopic surgery can also be necessary for the optimal treatment of injured nerves and blood vessels.