Pediatric Plastic Surgery in NYC

A consultation starts with your child’s needs

A parent or guardian can contact the practice to discuss the concern and confirm whether Dr. Smith’s services are appropriate. An appointment provides a chance to ask questions and understand the next step; it does not commit a family to surgery.

Dr. Smith is board-certified by the American Board of Plastic Surgery and is a Fellow of the American College of Surgeons. His training includes craniofacial surgery at The Hospital for Sick Children in Toronto and an aesthetic surgery fellowship.

Pediatric concerns to discuss with the practice

Families can inquire about otoplasty (ear surgery), laceration care, burn care and congenital melanocytic nevi (birthmarks). The child’s condition determines whether Dr. Smith’s services and the proposed care setting are appropriate.

A serious injury or burn requires prompt medical attention. In an emergency, call 911 rather than waiting for a consultation response.

When is treatment appropriate?

The decision depends on the child’s health, development, the reason for considering treatment and the likely benefits and risks. Timing cannot be decided from age alone.

For elective appearance-related treatment in an adolescent, the young person’s own concerns, understanding and expectations matter. A parent or guardian’s involvement is part of an informed discussion.

Preparing for the consultation

Bring relevant medical records, a list of medications and allergies, and information about previous treatment or surgery. Describe when the concern began, any symptoms and how it affects daily activities.

Questions to cover include:

• Is treatment appropriate now, or should timing be reconsidered?
• What options should the family consider, including alternatives to surgery?
• What are the expected benefits, limitations and risks?
• If a procedure is recommended, where would it take place and what anesthesia would be needed?
• What help would be needed at home, and how would school and activities be affected?

Planning recovery around a child’s routine

Recovery depends on the procedure and the child’s needs. Before scheduling treatment, discuss care at home, follow-up visits and the return to school, sports and other activities.

The family should understand the proposed plan, how to reach the practice with concerns and which symptoms require attention. Specific instructions follow the treatment selected.

Understanding the recommendation

A useful consultation explains what treatment can accomplish, what it cannot change and why a particular approach or timing is recommended. Families should have room to consider that information and ask further questions.

Questions families ask

Sources and related pages

• American Society of Plastic Surgeons: considerations for teenagers
• National Library of Medicine: burns
• Dr. Darren Smith’s training and credentials
• Request a consultation

Care with Darren M. Smith, MD, FACS. Board-certified by the American Board of Plastic Surgery.