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450 Sutter Street, Suite 1212, San Francisco, CA 94108 655 Redwood Highway Suite 250, Mill Valley, CA 94941

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Facial Trauma

In a fraction of a second, an injury to the delicate and complex structure of the face can change a life forever and cause life-long scarring – both physical and emotional. Repair of the face after trauma begins with a complete head and neck inspection by Dr. Ransom, including neurological examination, focusing on functional abnormalities (e.g., facial weakness, chewing or smiling deficits, corneal exposure, sensory changes, etc.) and structural issues. In cases where facial bones have been fractured, surgery may be indicated and often includes repair with titanium plates, screws, and wires.

Aesthetic facial restoration (including secondary trauma repair) entails removal of unsightly contractions or scars with subsequent recreation of facial features, using innovative methods of tissue repair. If any portion of the bony architecture of the face has been damaged, a three-dimensional (3D) computer image (CT scan) of the defect is created. In addition, computer programs (“morphing” software) can be used to demonstrate to you, before treatment, the possible appearance once complete healing has occurred. Working from these images, Dr. Ransom utilizes the patient’s own body tissues (bone, cartilage, and skin) to recreate facial shape and symmetry. In some severe cases, the underlying structure must be supported using tiny, biologically compatible titanium plates and mesh or silicone-based plastic (Silastic) implants. After surgery, you can be taught camouflage techniques by a skilled make-up artist, to help you hide incision sites and blend in blemishes or any residual irregularities. Custom-blended foundation can be formulated to match your skin tone and further hide any residual scarring, especially during the healing process.

Facial distortions are evaluated by photographs and computer imaging at the initial consultation, and a surgical program is designed to restore your delicate facial balance and symmetry. In some cases this may include removal or replacement of previously-placed facial plates, use of functional or endoscopic nasal surgery techniques, or even skin, bone, or cartilage grafting. Dr. Ransom uses sophisticated techniques of meticulous tissue rearrangement (local flap reconstruction) and scar revision to restore your facial features to a more natural (“not-operated”) appearance. While persistent scars cannot always be avoided, medical, surgical, and non-invasive options are available, including modern laser technology, local and topical steroids, chemical peels, and dermabrasion. Alone or in combination, each of these modalities can flatten and camouflage the unsightly appearance of scars.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.