The Aesthetic Surgery Center
Elliott H. Rose, MD
Plastic Surgeon & Reconstructive Surgeon located in Upper East Side, New York, NY
Dog bites account for 800,000 emergency room visits per year. Dr. Rose sees dog bite injuries from around the country and the world. Patients can visit him at his office or arrange for a Skype consultation. Dr Rose’s friendly staff can assist in hotel accommodations, travel arrangements, etc.
Dog Bite Plastic Surgery Q & A
How are Dog Bites Different?
Dog bites differ from other types of lacerations as dogs tend to shake their heads around during an attack. This strength of the dog’s jaw results in flesh tearing, loss of soft tissue, and crushing damage to the surrounding skin. The risk of infection is greater than other types of lacerations because the organisms in the dog’s mouth are more virulent and contain a mixed contamination of bacteria. When the dog’s teeth penetrate the skin, they can inject the deeper tissue and lead to later infection, presenting as redness, fever, and swelling. Unlike a cut from a sharp object which can leave a clean wound, dog bites often result in severe and permanent scarring.
What Types of Injuries do Dog Bites Cause?
Most of the time, dog bites cause injury to highly visible areas such as the face, lips, ears, nose, neck, and hands. These types of injuries can require multiple sessions of plastic surgery over time to reduce visible scarring. About forty-percent of all dog bite cases result in injuries where a substantial amount of flesh and tissue is torn away. Victims of a dog attack can experience disfiguring and permanent scarring. Dog bites can also damage deep nerves, ligaments and tendons.
What is the Treatment for Dog Bite Injuries?
Initial treatment of any dog bite will include a thorough cleansing, antibiotic treatment, and a tetanus shot. When the bite penetrates deeply into the skin and tissue, tearing lacerations of the face, lips or ears, it should be treated by a skilled plastic surgeon. Repair of the dog bite requires surgically cutting away the contaminated tissue, along with thorough irrigation of the wound with saline or antibiotic solution. The freshened skin edges are meticulously closed under magnification. If the health status of the dog is unknown, the dog bite should be reported to the Health Department to ascertain whether the dog is up to date on rabies and other vaccinations.
Is There Hope for the Scars?
Dog bites often result in disfiguring scars in very visible sites on the face. Dr Rose uses sophisticated techniques of meticulous tissue re-arrangement and skin grafting to restore facial features to a more anatomical appearance. In extreme cases, where the dog bites penetrate the deep facial muscles or nerves, micro-surgical techniques of nerve or muscle grafting are used to restore facial expression. State of the art Fraxel laser technology is used to flatten the scars and improve discoloration.
Words from our patients
"Dr. Rose is kind, compassionate and extremely knowledgeable about his field. I cant recommend him highly enough!"
"Dr. Rose and his staff were compassionate and professional. His office and facilities are comfortable and private."
"Dr. Rose is very intelligent and is an exceptionally fine doctor. He is thoughtful, experienced and skillful."
"Dr. Rose genuinely cares about his patients and treated my daughter as if she were his own. He is also very thorough and is generous with his time."