NeurofibromatosisFacial ParalysisRhinoplasty
Andre Panossian, MD — board-certified plastic surgeon in Pasadena, California. Neurofibromatosis, facial paralysis, and cleft and complex nasal reconstruction, including lengthening temporalis myoplasty for smile restoration.
Neurofibromatosis Surgery
Removal of cutaneous neurofibromas — several hundred in a single session — plus surgical reconstruction of plexiform and facial tumors. Adults and children.
Neurofibromatosis Patient Stories
Rare conditions, treated routinely.
Four reconstructive programs — neurofibromatosis, facial paralysis, cleft and nasal reconstruction, and pediatric plastic surgery.
Neurofibromatosis
Excision and reconstruction of neurofibromas in adults and children.
Learn More →Facial Paralysis
Dynamic smile restoration, including lengthening temporalis myoplasty.
Learn More →Cleft & Nasal
Primary and revision reconstruction of the cleft and complex nose.
Learn More →Pediatric
Pediatric plastic surgery — a hub for parents.
Learn More →
What to Expect from Neurofibromatosis Surgery
A plain-language guide to surgical treatment for neurofibromatosis — written for patients and families deciding whether surgery is the right next step, and what to expect if it is.
- What NF1, NF2-related schwannomatosis (formerly NF2), and schwannomatosis each involve
- When surgery helps, when it doesn't, and what success realistically means
- How cutaneous and plexiform tumors are approached differently
- Electrodesiccation, surgical excision, and staged reconstruction compared
- What recovery and recurrence actually look like
- Questions to ask any surgeon before proceeding
Real patients. Standardized photography.
Before-and-after images captured under consistent lighting, angle, and distance whenever possible — so what you see is the surgery, not the camera.
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“Understand the anatomy completely, plan meticulously, execute with precision, and never settle for ‘good enough.’”— Andre Panossian, MD
Restoring the Smile: the Lengthening Temporalis Myoplasty
For Bell's palsy that didn't recover, Möbius syndrome, tumor- and trauma-related paralysis, and synkinesis. Dynamic and static reanimation tailored to your nerve status.
Facial Reanimation
Reconstructive precision, aesthetic result.
The surgeon who rebuilds cleft and complex noses brings the same structural approach to cosmetic rhinoplasty and facial aesthetic surgery.
Serving Pasadena, Glendale, La Cañada Flintridge, San Marino, South Pasadena, Arcadia, and Greater Los Angeles.
Rhinoplasty
Structural, natural-looking results — primary, revision, ethnic & functional rhinoplasty.
Explore nose surgery →Common questions
Do you treat adults with neurofibromatosis, or only children?
Yes. Dr. Panossian treats both adults and children of all ages for anything from large-volume tumor removal to excision and reconstruction of massive plexiform neurofibromas.
Do you offer electrodesiccation as well as surgical removal?
Yes. Dr. Panossian performs large-volume tumor removal by way of electrodesiccation, with an approach developed to minimize scarring and recurrence, alongside open surgical removal and reconstruction of large plexiform neurofibromas.
Do you see out-of-town and international patients?
Yes. Most neurofibromatosis and facial paralysis patients begin with a virtual consultation and review of imaging before traveling to Pasadena for surgery.
Is a physician referral required to be seen?
No referral is required. Patients and referring physicians can request a consultation directly at (626) 765-6885.
Do you treat NF2 and schwannomatosis, or only NF1?
All three. Vestibular schwannomas themselves are managed by neurotology and neurosurgery; this practice treats peripheral and cutaneous schwannomas, including painful ones, and restores facial movement after acoustic neuroma surgery — including with lengthening temporalis myoplasty. NF2 is now called NF2-related schwannomatosis. 39 Congress St, Suite 402, Pasadena, CA. Call (626) 765-6885.