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The Institute for Advanced Reconstruction offers unique life-altering procedures rarely found at other centers. In fact, our expert fellowship-trained surgeons provide, and in some cases have personally developed, these procedures.

At our practice, we constantly encounter patients who express frustration hearing the medical community tell them: “There is nothing else that can be done about your condition. You just have to live with it.” A hallmark of our philosophy has always been to provide solutions for conditions or disorders from which many people suffer, and yet have found little or no relief. Many of the procedures to alleviate their problems are revolutionary.

Whether it is serious or recurring hernias, sternal instability following heart surgery, or a young person with crippling hip pain due to necrosis—we can help. In addition, our experienced specialists employ their microsurgical skills for limb salvage and delicate hand reconstruction.

Patients come from throughout the area, the country and at times from abroad to take advantage of these specialized procedures and our special expertise.

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What We Offer


At its early, active stage, Graves’ disease can be treated with non-surgical therapies, such as corticosteroids. However, for those cases that do not respond to this and other more conservative measures, The Institute for Advanced Reconstruction features a unique surgical solution with excellent results. Graves’ ophthalmopathy, the most frequent extrathyroidal (outside of the thyroid gland) manifestation of Graves’ disease, is treated with orbital decompression.

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A pilonidal (pronounced “py-luh-NY-dul”), also referred to as a pilonidal abscess, pilonidal sinus or a sacrococcygeal fistula, is a cyst or abscess near or on the natal cleft of the buttocks. It can result in infection and significant pain. Pilonidal sinus disease has been surgically treated for more than 100 years. At The Institute for Advanced Reconstruction, we offer treatments for pilonidal cysts to improve the quality of life of our patients.

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Recurrent, long-standing and large hernias can be particularly hard to repair. When the surrounding tissues are especially weak or stretched, they may need to be augmented or replaced. This often occurs in areas of previous surgical scars, the umbilicus or in the groin area. At The Institute for Advanced Reconstruction, we have pioneered a unique procedure for these serious hernias.

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The free vascularized fibular graft is an alternative to total hip replacement for those patients suffering from osteonecrosis, or avascular necrosis (AVN). By removing the dead bone and replacing it with healthy bone and with a new blood supply, the patient’s native hip bone can be preserved. Ideal candidates for this surgery are symptomatic patients with AVN of the hip who are under 55 years old. The technique is offered by Dr. Adam Saad of The Institute for Advanced Reconstruction, making it one of few locations in the country to perform this procedure.

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Keloids are abnormal scar tissue caused by trauma, surgery or certain skin conditions. They are commonly a result of chickenpox, ear piercing, vaccination sites, and acne. Treatment choice depends on many factors, including the size, location and depth of the keloid, the person’s age, and what treatment, if anything, has been previously tried. For particularly troublesome keloids, at The Institute for Advanced Reconstruction our experts use a surgical approach, which has shown to be very effective in keloid treatment.

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When a limb is threatened by disease or other condition (cancer, infection, diabetes, low blood flow, to name a few) or trauma, our expert reconstructive plastic surgeons at The Institute for Advanced Reconstruction work to save the limb or maximize its function after partial or complete amputation.

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At The Institute for Advanced Reconstruction, we perform surgeries that restore the patient’s function. For some patients, for instance, reconstruction may be required after a cancer operation. Others suffer dysfunction after a traumatic accident, such as a finger amputation. We offer a unique operation to restore the most important part of our hands: the fingers. A toe-to-hand transplant has emerged as a novel reconstructive technique with excellent results.

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Following heart surgery, there is a population of patients, two to three percent, whose breastbones heal improperly, causing pain or discomfort. If a patient is experiencing sternal nonunion and instability, the options available are either to do nothing and live with it or have the bone stabilized (repaired). Reconstructive plastic surgeons are specially trained experts in the surgical technique to correct this problem.

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The Institute for Advanced Reconstruction’s reputation for excellence is such that patients often travel considerable distances to take advantage of our expertise.

The physicians of The Institute for Advanced Reconstruction are recognized as leaders in the field of nerve reconstruction and plastic reconstructive surgery. With over half a century of combined experience, they can bring an impressive body of knowledge to bear on difficult cases. The Institute for Advanced Reconstruction’s team approach to medicine ensures that patients receive the highest possible quality of care, and hence the most functional and natural-looking reconstruction possible.

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The Institute for Advanced Reconstruction’s reputation for excellence is such that patients often travel considerable distances to take advantage of our expertise.

Our physicians are recognized as leaders in the field of nerve reconstruction and plastic reconstructive surgery. With over half a century of combined experience, we can bring an impressive body of knowledge to bear on difficult cases. The Institute for Advanced Reconstruction’s team approach to medicine ensures that patients receive the highest possible quality of care, and hence the most functional and natural-looking reconstruction possible.

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The physicians at The Insititute for Advanced Reconstruction are experts in their field.

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