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Pillar 01 · 74 pages

Congenital & Paediatric Reconstruction

Birth differences of the face, hands, ears and urogenital tract, corrected on a timeline built around your child's growth, speech and schooling, not around a single operation.

Plan your child's treatment How treatment is planned →
Congenital & Paediatric, Elegance Clinic Surat
Who this is for

Newborns to teenagers with a difference of the face, hands, ears, chest or urogenital tract.

First visit

Feeding, weight and growth review, photographs, and a written staged plan. No decision on day one.

Where surgery happens

Paediatric equipped theatre with dedicated paediatric anaesthesia and day care recovery.

Cover

Ayushman Bharat PM JAY, RBSK and most mediclaim policies for functional correction.

Conditions we treat

Ten categories, one continuous plan

Each category opens a hub with its own treatment pages, classification tables and consented cases.

The pathway

How treatment is planned, birth to adulthood

Congenital work is staged. Each operation is timed so that the next one is easier, and so that growth, speech and school are disturbed as little as possible.

01
0 to 3 months Assessment & feeding

Diagnosis confirmed, feeding and weight stabilised, parents given the full staged plan in writing.

02
3 to 6 months Primary repair

Cleft lip repair, syndactyly release where urgent, and early ear moulding if the child presents in time.

03
9 to 18 months Function first

Palate closure for speech, hypospadias repair, and hand procedures timed before grasp patterns fix.

04
4 to 11 years Speech & bone

Speech assessment and secondary palate surgery if needed; alveolar bone grafting with orthodontic input.

05
12+ years Refinement

Scar revision, rhinoplasty and any residual correction once facial growth is essentially complete.

Why a plastic surgeon

A repair judged in years, not weeks

"A cleft lip closed neatly at six months can still distort as the face grows. The operation that matters is the one that still looks right at fifteen."

Congenital reconstruction is the discipline of anticipating growth. Tissue planning, scar placement and staged revision judged over a childhood, not a dressing change.

Dr. Shah plans with paediatricians, anaesthetists, speech therapists and orthodontists, so surgery sits inside a whole care plan rather than standing alone.

Dr. Ashutosh Shah
Dr. Ashutosh Shah Plastic, Reconstructive & Cosmetic Surgeon (DNB)
Paediatric anaesthesia team
Operating microscope
Neonatal capable recovery
Speech therapy liaison
Orthodontic co planning
3D photographic records
22+Years in practice
2,400+Paediatric cases
74Pages in this pillar
Case gallery

Congenital cases, consented

View full gallery →
Before / After
Unilateral cleft lip repairMillard technique · 6 months
Before / After
Complete palate closureTwo flap palatoplasty · 14 months
Before / After
Microtia ear reconstructionCostal cartilage · stage 2
Before / After
Syndactyly release, both handsGraft + local flaps · 18 months

Published with documented parental consent, generalised for age and sex, in line with advertising norms applicable to medical practitioners in India.

Costs & schemes

Most paediatric repair is scheme covered

Cleft, hypospadias and hand anomalies are functional corrections. They are generally payable under Ayushman Bharat PM JAY, RBSK and most mediclaim policies. We handle the paperwork and give a written estimate before admission.

Ask for an estimate →
Cleft lip repair
₹35,000 to ₹70,000
PM JAY
Cleft palate repair
₹45,000 to ₹90,000
PM JAY
Hypospadias repair
₹55,000 to ₹1.4L
Mediclaim
Microtia reconstruction
₹1.4L to ₹2.8L
Case based
Syndactyly release
₹40,000 to ₹85,000
PM JAY
Parents ask

Straight answers, before you decide

If your question is not here, send your child's photographs and reports on WhatsApp. You will usually have an opinion the same day.

Ask your question →

Lip repair is usually done between 3 and 6 months, once the baby is feeding well and weight and haemoglobin are adequate. Palate repair follows at roughly 9 to 18 months so that speech develops on a closed palate.

Often yes, and that is planned from the start rather than being a sign that something went wrong. A cleft child may need lip repair, palate repair, alveolar bone grafting around 8 to 11 years and occasionally rhinoplasty after growth is complete.

The preferred window is 6 to 18 months. Anaesthesia is safe at this age, healing is excellent and the child has no memory of it. Repair remains possible later, but the tissue is less forgiving.

Scars are placed in natural lines, the lip philtral column, the ear helical rim, finger creases. They look red and firm for two to three months, then soften considerably by nine to twelve months with silicone, massage and sun protection.

With a paediatric anaesthetist, modern monitoring and correct timing, yes. We do not operate on a child with an active chest infection or below the weight and haemoglobin thresholds, which is why some dates get postponed.

Yes for eligible families. Cleft lip, cleft palate, hypospadias and most hand anomalies are listed functional procedures under PM JAY, and children are also screened under RBSK. Our team helps with the documentation.

Most children develop normal or near normal speech when the palate is closed by 18 months and speech therapy is followed up. A minority need a secondary procedure for nasal air escape, usually assessed around 4 to 5 years.

Send photographs and any reports on WhatsApp for a preliminary opinion. If surgery is likely, we tell you what will be needed, the expected stay and a cost band before you make the trip, and schedule investigations for the day of arrival.

A to Z index

Every page in this pillar

71 pages Updated monthly · reviewed by Dr. Shah
A Absent Columella Reconstruction → A Absent Thumb and Pollicisation → A Alveolar Bone Grafting → A Amniotic Band Syndrome → A Anotia → A AV Malformation Treatment → B Bilateral Cleft Lip Repair → B Branchial Cyst Excision → B Branchial Sinus and Fistula → B Buried Penis Surgery → C Camptodactyly → C Capillary Malformation and Port Wine Stain → C Choanal Atresia Reconstruction → C Chordee Correction → C Cleft Lip Repair in Surat, Gujarat → C Cleft Palate Repair → C Clinodactyly → C Club Foot Reconstruction → C Columellar Notching → C Congenital Nasal Deformity → C Congenital Penile Curvature → C Congenital Ptosis Surgery → C Congenital Short Nose → C Congenital Trigger Thumb → C Constricted Ear → C Craniofacial Syndromes → C Craniosynostosis Surgery → C Cryptotia → C Cup Ear → D DSD Reconstruction → E Ear Lobule Deformity → E Epicanthal Fold Correction → E Epispadias Repair → E Eyelid Coloboma Repair → F Foot Polydactyly → H Hypospadias Surgery → I Imperforate Hymen → I Infantile Hemangioma Treatment → L Labial Reconstruction → L Limb Deficiency Reconstruction → L Lop Ear and Ear Lobe Correction → L Lymphatic Malformation Treatment → M Macrodactyly Surgery → M Meningomyelocele Reconstruction → M Microtia Reconstruction → N Neurofibroma and Plexiform Neurofibroma → N Nostril Stenosis Correction → P Pectus Carinatum Correction → P Pectus Excavatum Correction → P Poland Syndrome Reconstruction → P Polydactyly Surgery → P Preauricular Sinus Excision → P Prominent Ear Otoplasty → R Radial Club Hand → S Secondary Cleft Lip Revision → S Secondary Cleft Nose Correction → S Spastic Muscle Surgery → S Split Hand and Cleft Hand → S Stahl's Ear Correction → S Symbrachydactyly → S Syndactyly Surgery → T Tessier Facial Clefts → T Thumb Hypoplasia → T Thyroglossal Cyst Surgery → T Toe Syndactyly → T Tongue Tie Release → T Torticollis Correction → U Ulnar Club Hand → V Vaginal Agenesis Reconstruction → V Velopharyngeal Insufficiency Surgery → V Venous Malformation Treatment →
Bring the reports you have. We will tell you honestly what is needed, and when.

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