Compassionate Care for Neurofibromatosis Patients by Dr. Andre Panossian

Expert Care for People Living with Neurofibromatosis. Dr. Andre Panossian has been treating patients with neurofibromatosis in the Pasadena & Glendale area for more than a decade. He recognizes the unique requirements and challenges faced by individuals with NF. 

Unlock Advantages in Neurofibromatosis Treatment

When it comes to treating Neurofibromatosis, a specialized approach is key. Board-certified facial plastic surgeon in Pasadena, CA, Dr. Andre Panossian and his team offer cutting-edge treatments designed to improve quality of life and health outcomes. Discover the compelling benefits of our holistic approach to Neurofibromatosis care.

Pain Relief

Experience significant reductions in discomfort and pain with our targeted treatments. Say goodbye to daily aches, and hello to a freer life.

Enhanced Mobility

Gain newfound freedom with increased physical mobility. Our therapies aim to remove obstacles, making everyday movements easier and more comfortable.

Aesthetic Improvement

Restore your confidence with treatments designed for cosmetic improvement. Enjoy a renewed sense of self, all under expert care.

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What is Neurofibromatosis?

Neurofibromatosis is a genetic condition that causes the development of tumors on virtually any nerve in the body, including the brain and spinal cord. It is usually diagnosed in childhood and can be inherited from an affected parent in approximately one-half of patients. In other words, there is roughly a 50 percent chance that an affected parent will pass on the condition. In the remainder of patients, there is no known previous family history. Currently, there are 3 types of neurofibromatosis identified. Dr. Andre Panossian has been treating patients with neurofibromatosis for more than a decade. He recognizes the unique requirements and challenges faced by individuals with NF. His primary focus is in the surgical removal of NF tumors almost anywhere on the body, including major peripheral nerves. Throughout his approach, Dr. Panossian implements a logical surgical plan that takes into account the physiology of neurofibroma tumors. He frequently meets with patients from all over the world through seminars and conferences as well as Skype. Dr. Panossian is always striving to improve surgical techniques to minimize scarring and to maintain long-term reduction of tumors.

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Removing Residual NF Tumor

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Neurofibromatosis Overview

Diagnosis of Neurofibromatosis

The diagnosis of neurofibromatosis is a multi-step process that involves a thorough evaluation of clinical symptoms, family history, and various diagnostic tests:

  • Physical Examination: Identifying characteristic signs such as café-au-lait spots, Lisch nodules in the eyes, and the presence of neurofibromas.
  • Genetic Testing: Crucial for confirming NF1 and NF2, especially in cases where symptoms are not definitive. Genetic counseling is often recommended to understand the implications of test results.
  • Imaging Tests: MRI scans are pivotal in detecting tumors in the brain, spinal cord, and nerves. For NF2, detailed imaging of the auditory nerves is essential to assess the impact on hearing.
  • Specialized Exams: Eye examinations to detect Lisch nodules and other ocular manifestations, and hearing tests for NF2-related auditory nerve tumors.

What do I do next?

If you have been doing your research on plastic surgeons for your cosmetic or reconstructive needs, then look no further. Dr. Panossian combines his passion for plastic surgery with a strong focus on patient well-being. The consultation is only the first encounter that will leave you feeling confident in your decision to pursue plastic surgery. Dr. Panossian’s wealth of knowledge in the field is matched only by his highly skilled hand in the operating room. Rest assured that your best interests and desires for the absolute finest result is at the heart of his entire approach.

Meet Dr. Panossian

Expert Care for People Living with Neurofibromatosis

Dr. Andre Panossian has been treating patients with neurofibromatosis for more than a decade. He recognizes the unique requirements and challenges faced by individuals with NF. His primary focus is in the surgical removal of NF tumors almost anywhere on the body, including major peripheral nerves. Throughout his approach, Dr. Panossian implements a logical surgical plan that takes into account the physiology of neurofibroma tumors. He frequently meets with patients from all over the world through seminars and conferences as well as Skype. Dr. Panossian is always striving to improve surgical techniques to minimize scarring and to maintain long-term reduction of tumors.

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NeurofibromatosisBefore & After

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Types of Neurofibromatosis

Neurofibromatosis Type 1

Type 1 neurofibromatosis is the most common type with approximately 1 in 3000 people in the US having the condition. It is linked to a gene mutation, approximately 50 percent of individuals with the condition have no known family history.

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Neurofibromatosis Type 2

Type 2 neurofibromatosis usually occurs within the central nervous system and the cranial nerves of the head and neck area. The main feature involves tumor formation along the 8th cranial nerve, called acoustic neuromas.

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Schwannomatosis

This rare condition involves tumor formation on large peripheral nerves (such as the sciatic nerve) throughout the body. It differs from NF-2 in that there are no acoustic neuromas. There are also no skin findings in most cases.

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Best Paper Award by The PRS

Dr. Panossian has received the highest honor bestowed by the Plastic & Reconstructive Surgery Journal, the pre-eminent publication of the American Society of Plastic Surgeons. Read about his ground-breaking smile reanimation technique.

More about Plastic & Reconstructive Surgery

Plastic & Reconstructive Surgery Journal

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- F.A

"I went to dr panossian to remove some Neurofibromatois tumors. He did a good job I can’t thank him enough and special to everyone at his office."

- F.A

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Surgical Excision

The mainstay of treatment, surgical excision is the primary intervention for neurofibromatosis. In simple terms, it involves surgically removing large tumors of the skin and underlying tissues through a traditional incision. However, there are many considerations in the treatment of individuals with neurofibromatosis. A strategy must be developed preoperatively for safe removal and for optimal results.

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Electrodesiccation

This newer treatment for neurofibromatosis targets the multitude of surface tumors that can occur in Type 1 NF. These tumors typically occur in patients who are in their 20’s and 30’s and continue to enlarge over time. They also multiply in number causing significant disfigurement in some people. Electrodesiccation is a treatment that destroys tumors of a certain size by the hundreds.

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Treatment Approaches

Treatment for neurofibromatosis in Pasadena & Glendale with Dr. Panossian is tailored to the individual’s symptoms and may involve a combination of therapies:

  • Surgical Intervention: The removal of tumors, especially those causing pain, neurological deficits, or other functional impairments. Surgery for NF2-related tumors may focus on preserving hearing and balancing functions.
  • Medications: Pain management is a key aspect, particularly for schwannomatosis. In some cases, medications like Selumetinib are used to treat specific tumor types.
  • Regular Monitoring and Supportive Care: Continuous monitoring for the development of new symptoms or growth of existing tumors. This may include regular MRI scans and consultations with a team of specialists.
  • Physical and Occupational Therapy: To address mobility issues, pain, and to improve the quality of daily life.

Living with Neurofibromatosis

Living with this condition requires ongoing management and support:

  • Multidisciplinary Care: Regular consultations with a team of healthcare professionals, including neurologists, dermatologists, surgeons, and genetic counselors.
  • Educational and Psychological Support: For children, special educational support may be necessary. Psychological counseling can help patients and families cope with the challenges of the condition.
  • Lifestyle Adjustments: Adapting to physical limitations and learning to manage symptoms as part of daily life. Joining support groups can provide emotional support and practical advice.
  • Regular Health Check-ups: Essential for early detection of complications like malignant transformation of tumors or other related health issues.
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Philosophy

Plastic surgery is such a personal choice. It is important to have all the necessary information you need to make an informed decision…one that you will feel great about for a lifetime. That doesn’t mean picking just any plastic surgeon. We believe that your health and safety comes first. Everything else pales in comparison. Along with this assumption, plastic surgery does not have to be unnecessarily painful or uncomfortable. It should be a positive overall experience with a lifetime of happiness to be gained. In our practice, we strive to make your experience nothing short of spectacular from the first consultation to your very last postoperative visit. Dr. Panossian and his staff are available to answer any and all of your questions throughout this process so that you leave with nothing short of a 5-star experience in every way.

Why choose Dr Panossian

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Neurofibromatosis FAQ

Who Treats Neurofibromatosis?

How Common Is Neurofibromatosis?

How Is Neurofibromatosis Diagnosed?

What Is The Main Cause Of Neurofibromatosis?

What Is The Life Expectancy Of Someone With Neurofibromatosis?

What Are The Symptoms Of Neurofibromatosis?

Who Treats Neurofibromatosis?

Dr. Andree Panossian, based in Pasadena, CA, is a skilled medical professional specializing in the treatment of Neurofibromatosis. He leads a multidisciplinary team that may include geneticists, neurologists, and oncologists to provide comprehensive care. Dr. Panossian’s approach is patient-centered, focusing on both symptom management and long-term well-being.

How Common Is Neurofibromatosis?

Neurofibromatosis is relatively rare but not exceedingly so. It affects approximately 1 in 3,000 to 4,000 individuals worldwide. The condition manifests in various forms, with Neurofibromatosis Type 1 being the most common variant. Early diagnosis and treatment are crucial for better outcomes.

How Is Neurofibromatosis Diagnosed?

Diagnosis is generally based on clinical evaluation, family history, and specific diagnostic criteria. Dr. Panossian may recommend imaging tests like MRI scans to assess the extent of nerve tissue involvement. Genetic testing can also confirm the diagnosis and guide treatment options.

What Is The Main Cause Of Neurofibromatosis?

The primary cause of Neurofibromatosis is genetic mutations. These mutations are often inherited but can also occur spontaneously. The mutated genes are responsible for regulating cell growth in the nervous system, and their malfunction leads to the formation of tumors.

What Is The Life Expectancy Of Someone With Neurofibromatosis?

Life expectancy can vary widely depending on the type and severity of Neurofibromatosis. While some individuals may experience a near-normal lifespan, others may face complications that could reduce life expectancy. Early diagnosis and proactive management are key to improving quality of life and longevity.

What Are The Symptoms Of Neurofibromatosis?

Common neurofibromatosis symptoms include skin changes, such as café-au-lait spots, and the growth of benign tumors along nerves. Some individuals may also experience bone deformities, vision problems, and learning disabilities. Symptoms can vary greatly from person to person.

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