Plastic Surgery

[Dr. Witt performing surgery]Specializing in the surgical correction and management of congenital and acquired conditions including craniofacial anomalies, hand abnormalities and vascular anomalies, the Plastic Surgeons at Valley Children’s perform over 450 plastic surgeries annually.

Whenever possible, surgical procedures are done on an outpatient, day surgery basis. This reduces the stress to both the child and the family and encourages faster recovery time.

Though every effort is made to see patients on an outpatient basis, sometimes an inpatient stay is necessary. Our team’s quality is reflected in recovery time, however. Our plastic and reconstructive surgery length of stay (LOS) is less than 3 ½ days, which is almost a full day shorter than the adjusted LOS for children having plastic surgery at 40 other pediatric hospitals across the United States.

Approximately half of the inpatient surgeries are to repair a cleft lip or palate. Emphasis on patient comfort and care is reflected in our outstanding patient and family satisfaction scores. Valley Children’s Plastic Surgery outpatient services scored a 91.1% on overall patient and family satisfaction.

Why pediatric plastic surgery?

The effect of a visible disfigurement can be devastating for a child’s development, self-confidence and self-esteem, particularly when the disfigurement is on the face. In a recent study of children who were asked to rank drawings of other children, they consistently ranked lowest the drawings with a cleft lip or protruding teeth. 

At Valley Children’s Hospital, our Department of Pediatric Plastic Surgery physicians and staff play a vital role in correcting facial and other disfigurements throughout the Central Valley for neonates, infants, children and even adults with congenital disorders. Surgeons also work with the Hospital’s Trauma Services to help kids who have been victims of a serious injury. In many cases this service is a key step to regained function. For example, facial reconstruction after head trauma can affect functions like a child’s ability to see.

Services Offered & Conditions Treated

Craniofacial Anomalies

  • Cleft lip
  • Cleft palate
  • Jaw disorders
  • Fractures and other facial injuries
  • Stickler syndrome
  • Pierre Robin sequence
  • Microtia
  • Velocardiofacial syndrome
  • Facial deformity
  • Abnormal head shape
  • Orthognathis maxillofacial reconstruction
  • Complex reconstructive problems
  • Oral lesions

Hand Surgery

  • Trauma
  • Congenital anomalies 
  • Spasticity
  • CCS
  • Tetraplegic
  • Vascular
  • Joint Implants
  • Free flaps
  • Burns
  • Extra fingers or thumbs
  • Fused fingers
  • Hand and carpal bone injuries
  • Hypoplastic upper extremities
  • Contractures

Vascular Anomalies

  • Vascular Malformations
  • Hemangioma

Craniofacial Anomalies Clinic

  • The Craniofacial Anomalies Clinic specializes in the surgical correction and management of cleft lip and palate and other maxillofacial reconstruction.
  • Our pediatric plastic surgeons work with pediatric dentists, orthodontists and oral maxillofacial surgeons who contribute to the multidisciplinary clinic.


Our board certified pediatric plastic surgeons, Dr. Chao, Dr. Rodriguez and Dr. Witt, have expertise in craniofacial reconstruction (cleft lip and palate repair) and hand surgery.

Physician Referral Guidelines

Pediatric Plastic Surgery Referral Guidelines

Multidisciplinary Services


Our Specialists

Mimi Chao, MD

Matthew Hiersche, MD

Angela Rodriguez, MD

Peter Witt, MD