Overview

After an ATV accident, Elle received top-notch care by our plastic surgery team at Rady Children’s Hospital. Read her story.
The Division of Plastic Surgery is internationally recognized for its expertise in treating complex craniofacial disorders as well as functional problems with the jaw and airway. We are a high-volume program, performing more than 1,000 procedures a year.
Our highly experienced team treats a wide range of conditions, including cleft lip and palate, vascular lesions, craniosynostosis (a congenital defect that prevents normal skull and brain growth) and disorders of the hand and upper extremity conditions, such as brachial plexus, arthrogyposis and congenital hand differences.
Additionally, we perform plastic surgery for the ears and nose, reconstructive surgery following the removal of cancerous tumors and corrective surgery for sleep apnea.
Craniofacial surgeons work closely with vascular malformation and pediatric dermatology specialists, helping to ensure the best possible outcomes. To treat craniosynostosis, we use a minimally invasive endoscopic approach whenever possible, resulting, in some cases, in immediate correction of the deformity.
Research is also a division priority. In the area of cleft lip and palate surgery, Dr. Gosman, one of our plastic surgeons, continues to investigate new techniques, such as the use of bone graft alternatives for the early primary repair of alveolar clefts. Additionally, she is the principal investigator for an American Society of Maxillofacial Surgeons grant to evaluate new and safer imaging exams for children under 5 who are being treated for cleft lip and palate.
We also train the next generation of pediatric plastic surgeons through our fellowship program, which has successfully been integrated with our research endeavors.
How to Request an Appointment with Our Plastic Surgery Team
You will likely need a referral from your current pediatric care provider for procedures with our pediatric plastic surgery department. However, if you have any questions, please contact our Plastic Surgery & Craniofacial Nurse Coordinators at 858-966-4013, Option 4.
For Providers: Referral for Evaluation of Head Shape
Click the link below to access the online provider referral form for craniosynostosis.
Please refer to the Evaluation of Head Shape document to assist with the referral form.
Location
Rady Children’s Hospital-San Diego
7920 Frost Street, Suite 200
San Diego, CA 92123
Appointments: 858-966-5999, option 5
Fax: 858-966-8394
Conditions Treated
Our children’s plastic surgery team treats a full range of reconstructive needs, craniofacial conditions, and disorders, including:
- Amniotic bands, upper and lower extremities
- Apert Syndrome
- Arthrogyposis
- Benign tumors
- Birthmarks (Skin nevi)
- Brachial plexus birth injury, traumatic brachial plexus injury
- Breast disorders
- Burns
- Cerebral palsy
- Cleft lip and palate
- Complex wounds
- Congenital hand differences
- Craniosynostosis
- Crouzon Syndrome
- Digital nerve injuries
- Dog or Animal bites
- Ear deformities
- Ear Molding and EarWell Therapy
- Encephaloceles
- Facial injuries and trauma
- Facial nerve disorders
- Frontonasal dysplasia and hypertelorbitism
- Hand and upper extremity differences
- Hemifacial microsomia
- Hemiplegia/tetraplegia (specifically for upper extremity concerns)
- Lower extremity reconstruction
- Lumps & bumps
- Macrodactyly (big fingers)
- Malignant tumors
- Missing bones, hand wrist or forearm (radial longitudinal deficiency, ulnar longitudinal deficiency, other)
- Missing fingers
- Multiple hereditary exostosis
- Neuroma pain
- Nose deformities
- Parry-Romberg syndrome
- Pierre Robin syndrome
- Polydactyly, hands or feet
- Positional head deformities
- Radioulnar synostosis
- Scar revisions
- Short fingers
- Sleep apnea and compromised airway
- Spasticity / upper extremity contractures NOS
- Syndactyly, hands or feet (any, simple and complex, including bone involvement)
- Treacher Collins and Nager syndromes
- Trigger thumbs and trigger fingers
- Upper and lower extremity nerve injury or compression syndromes
- Upper extremity traumatic injuries
- Vascular lesions/malformations
Education Resources
- Is your child being treated for craniosynostosis? Make sure you and your child are prepared with our Surgical Checklist: English | Spanish
- If your provider has requested you use a distractor at home for your child, please read our Distractor Care guide for detailed instructions on usage and safety procedures: English | Spanish
- If your child will be given a Jackson-Pratt (JP) drain after their procedure, please consult our JP Drain Care guide for detailed instructions on usage and care for the device: English | Spanish
- While scarring is a natural part of the healing process, there are methods of reducing scars by flattening and softening them to reduce the visibility of the scar. Check our Scar Management guide for detailed information on what you can do and when you should begin these methods to safely reduce scarring, and learn about the products which have been scientifically proven to reduce scarring: English | Spanish
Achievements in Pediatric Plastic Surgery
- Amanda Gosman, M.D., received a grant from the Rady Children’s Medical Practice Foundation and the UC San Diego Clinical and Translational Research Institute to develop a Pediatric Facial Deformity Quality of Life Tool in collaboration with the Department of Psychology at San Diego State University.
- Amanda Gosman, M.D., was awarded the UC San Diego School of Medicine Academy of Clinician Scholars Grant for the project “Impact of an Interactive Web-based Patient Education Tool on Informed Consent for Plastic Surgery Procedures.”
- Amanda Gosman, M.D., was named a “Healthcare Champion” by the San Diego Business Journal and a “Local Hero” by Bank of America for her volunteer work at the Fresh Start Clinic at Rady Children’s. She has volunteered more than 350 hours and has donated well over $270,000 in free medical services to Fresh Start Surgical Gifts’ patients.
- Amanda Gosman, M.D., received a 2016 Daily Point of Light Award for her international humanitarian work from Points of Light, the world’s largest organization dedicated to volunteer service. Learn more.
In the News
- Fresh Start Surgical Gifts to Host Annual Butterfly Ball ‘Here Comes the Sun’, OSideNews, mentions Rady Children’s Hospital- San Diego
- Fresh Start Surgical Gifts & Fresh Start Caring For Kids To Provide $900,000 Worth Of Transformative Medical Care To Patients On Surgery Weekend In September, Market Insider, mentions Rady Children’s Hospital- San Diego
- UC San Diego Health New Chief of Plastic Surgery, kusi.com, features Amanda Gosman, M.D.
- Nonprofit Group Provides free Reconstructive Surgery to Disadvantaged Children, Redlands Daily Facts, mentions Fresh Start Clinic at Rady Children’s Hospital- San Diego
- What to Do about Flat Head Syndrome in Babies, U.S. News & World Report, features Amanda Gosman, M.D.
- ‘Wonder’ is Real Life for These Two Families, cnn.com, features patient Shane Vysocky
- Improving Lives through the Gift of a Fresh Start, The San Diego Union-Tribune, features Medical Program Services Manager for Fresh Start Surgical Gifts Lupita Morales
- Community Volunteer Amanda Gosman Is Focused on Worldwide Quality Medical Care, 92024 Magazine, features Amanda Gosman, M.D.
- La Jolla Surgeon Expands on Charitable Surgery, La Jolla Light, features Amanda Gosman, M.D.
- Finding Life’s Meaning in Charitable Medicine, The San Diego Union-Tribune, features Amanda Gosman, M.D.