Pediatric Surgery in San Antonio

Pediatric Surgery which is Just for Kids is used to correct obstructive sleep apnea, childhood trauma and deformity, and improve nasal breathing is performed to improve quality of life and overall wellness in kids. 

 Why see Dr. Jose Barrera, MD, for Pediatric Surgery?

San Antonio Facial Plastic Surgeon Dr. Jose Barrera, M.D., is triple board certified having earned certification in Otolaryngology and in the subspecialty of Sleep Medicine from the American Board of Otolaryngology as well as in Facial Plastic and Reconstructive Surgery from the American Board of Facial Plastic Surgery. Dr. Barrera trained at Denver Children’s Hospital in the Department of Otolaryngology-Head and Neck Surgery. He has expertise in pediatric surgery of the face, neck, and airway.

Ear Surgery

Do prominent ears concern you or your child?

Otoplasty or an ear pinning surgery is a type of pediatric surgery to reshape the cartilages of prominent ears giving them a more aesthetic shape and contour.  Children with prominent ears and adults with prominent ears, abnormal shape, and deformities are seen for concerns of asymmetry, traumatic injury, or abnormal shape. We utilize both incisionless (suture only) and cartilage shaping techniques to provide the most aesthetic outcome to the shape of the ear.


Nasal trauma

Can Rhinoplasty be performed in children?

Children can suffer nasal trauma from injuries that are related to sports, motor vehicle accidents, or other causes. As with all pediatric surgery, teenage rhinoplasty is a personal decision made between the parents, the child, and the surgeon. The uniqueness of the nose is as unique as the individual. The goal of the operation is not to replicate someone else’s nose, rather it is to provide balance with the rest of the face and improve function. Skin type, ethnicity, and age are  all important factors when discussing nasal surgery.  Teenage rhinoplasty can be performed to address a deviated septum, crooked nose, sports injury, twisted nose, or a large nose. Following a consultation with Dr. Barrera, a joint decision will be made based on the patient and family desires, any functional concerns, patient photographs, and realistic expectations.


Understanding the surgery?

Teenage Rhinoplasty means changing the shape of the nose. The operation involves accessing the bone and cartilage framework supporting the nose through incision inside the nose and the area of the skin separating the nostrils. The prominent or deviated cartilage or bone is reduced, augmented, or replaced allowing the surgeon to sculpt the cartilage and reduce bumps on the nose. The tissues are redraped and a temporary splint is placed for one week. A splint may be placed inside the nose to maintain stability that permits nasal breathing postoperatively.


What to expect after the pediatric surgery just for kids?

You will be  monitored in the post anesthesia recovery area until you are well enough to be discharged home. The majority of patients do not feel excessive pain after the surgery. You will be given analgesic pain medications and antibiotics. It is important to irrigate your nose with saline after the operation. Some patients develop swelling and bruising around the eyes after the operation. Any external sutures and splints are removed after 5 – 8 days. Activities such as heavy lifting, running, blowing your nose, excessive exertion,  or sun exposure are prohibited after surgery. Followup care is crucial as postoperative swelling and bleeding can occur after the surgery. It is important to keep your followup appointment with your surgeon.


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Pediatric OSA
We offer several procedures to treat pediatric conditions including:




Cleft Lip and Palate

Cleft lip and palate are among the most common birth defects in the United States. The cleft lip can be incompletely formed  and extend into the roof of the mouth or occur as separately. Cleft lip and palate deformities affect growth, dentition, facial symmetry, speech and language, and increase ear infections in children. A team of specialists including the plastic surgeon, otolaryngologist, pediatrician, pediatric dentist, orthodontist, audiologist, speech pathologist and genetic counselor will work together to evaluate and treat your child. Dr. Jose Barrera, MD has served on Craniofacial Boards at the University of Colorado, Stanford University, and Wilford Hall Medical Center for the past 17 years.


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