Yuen-Jong Liu, M.D.

Qualifications | Research | Dance

Cosmetic Surgery | Reconstructive Surgery | Hand & Wrist Surgery | Peripheral Neurosurgery

Procedures

Dr. Yuen-Jong Liu performs the following procedures: fixation of facial / nasal / mandible fractures, reconstruction for skin cancer, ear reconstruction, breast reduction, breast reconstruction, abdominal wall reconstruction, ventral hernia repair with component separation, limb salvage, and more. He is a master of the reconstructive ladder: skin grafts, skin flaps, muscle flaps, island flaps, perforator / propeller flaps, bone grafts, vascularized bone flaps, free flaps, microsurgery, microvascular surgery, and microneurosurgery. With his expertise in peripheral nerve surgery, he performs neurotized DIEP flap breast reconstruction (a.k.a. Resensation), which improves sensation in the reconstructed breast.

Dr. Liu routinely performs reconstructive flap surgery, including free flaps and perforator flaps. He has ZERO free flap failure rate and ZERO overall flap failure rate. Please call (203) 656-9999 for if you are interested in reconstructive surgery.

Before and After Photos

Face


  • Before and after photos of a patient who underwent otoplasty surgery to permanently correct his protruding ears. The surgery can be performed at any age after the ears have matured, usually around six years of age, and can be a life-transforming procedure for adults and children. To address each ear, Dr. Liu meticulously placed a series of permanent sutures between the concha (bowl of the ear) and the mastoid (area of the skull behind the ear) to give the ears a balanced, proportionate appearance with the face.

  • Before and after photos of a patient with squamous cell carcinoma of the forehead. After Mohs excision of the skin cancer, Dr. Liu reconstructed the skin defect with double-opposing hatchet flaps, which recruited the surrounding skin to close the defect. Margins were clear, he was cured of cancer, and he healed with an excellent aesthetic result. Squamous cell carcinoma is the second most common form of skin cancer and is associated with repeated prolonged exposure to strong sunlight, more often in fair-skinned and fair-haired people. Sunscreen is a critical part of any skin care regimen in order to reduce the risk of skin cancer.

  • Before and after photos of a patient with squamous cell cancer (SCC) of the left cheek. Dr. Liu excised the skin cancer and reconstructed the wound with a cheek advancement flap, which recruited surrounding skin to close the defect and minimized the aesthetic impact. Margins were clear, and she was cured of cancer.

  • Before and after photos of a patient with melanoma of the right cheek. Dr. Liu excised the skin cancer and reconstructed the wound with a cheek advancement flap, which recruited surrounding skin to close the defect and minimized the aesthetic impact. Margins were clear, and she was cured of cancer.

  • Before and after photos of a patient with squamous cell cancer involving almost half of the lower lip. Dr. Liu excised the skin cancer and reconstructed the lower lip with a cross-lip flap, which transfers a segment from the upper lip to close the defect. By matching the size of the upper and lower lips, this technique minimizes the aesthetic impact and the distortion of the mouth. Margins were clear, and he was cured of cancer. He was able to eat and drink normally without drooling or leakage. The first thing he did after the reconstruction was to kiss his wife!

  • Before and after photos of a patient who was attacked by a dog that bit off a third of his lower lip (top panel). Dr. Liu reconstructed the lower lip with a cross-lip flap, which transferred a segment from the upper lip to close the defect. By matching the size of the upper and lower lips, this technique minimized the aesthetic impact and the distortion of the mouth. He was able to eat and drink normally with good sensation, without drooling or leakage.

    The cross-lip flap is a reliable reconstructive technique that requires two surgeries:
    1. A segment of the upper lip is sutured to the lower lip to establish a new blood supply (middle panel).
    2. The segment of upper lip is divided from the upper lip and tailored to the lower lip (bottom panel, showing result at 4 months of healing).

  • Before and after photos of a patient who was assaulted and struck in the left cheek with a blunt metal weapon. He suffered a blowout fracture of the left orbital floor, a thin facial bone that supports the eyeball to keep both eyes level. He developed double vision due to loss of support of the left eye. Dr. Liu reconstructed the left orbital floor with a custom molded titanium plate which is affixed to the cheekbone with titanium screws, as seen in the left panel. His vision returned to normal and he healed with a minimal scar, as seen in the right panel.

  • The orbital floor is a thin bone that supports the eye on each side of the face. These are before and after CAT scan images of a patient who was struck in the face and suffered a blowout fracture of the orbital floor. Without its support, the eye on the injured side dropped into the fracture, resulting in double vision. Dr. Liu reconstructed the orbital floor blowout fracture with a titanium implant to restore the eye to its normal height, and the patient's vision returned to normal.

  • Before and after 3D CAT scan images of a patient who was thrown from a horse and suffered extensive fractures of the left cheek, i.e. comminuted displaced zygomaticomaxillary complex fracture, resulting in visible flattening of that side of the face. Dr. Liu reconstructed the cheekbone and the floor of the eye socket with titanium implants to restore the symmetry of the cheeks and to maintain support for the eye at its normal height.

  • Before and after photos of a patient who struck his face during a car crash and suffered a blowout fracture of the left orbital floor, a thin facial bone that supports the eyeball to keep both eyes level. Dr. Liu reconstructed the left orbital floor, including the rim, with custom molded titanium plates, as seen in the left panel. He healed with normal vision and barely visible scar.

Breast


  • Before and after photos of a patient who underwent bilateral mastectomy for breast cancer. After a thorough discussion of her surgical options, Dr. Liu reconstructed both breasts with 240 cc silicone implants placed above the pectoralis major muscle in direct-to-implant (DTI) technique. DTI breast reconstruction is an ideal option in select patients by placing the final breast implant at the same time as the mastectomy. Unlike traditional two-stage implant reconstruction using tissue expanders, DTI breast reconstruction is completed in one surgery. The photos on the right show the patient at only one month after surgery, and her incisions are already healing superbly! She was thrilled with the size, shape, and symmetry of her reconstructed breasts.

  • Before and after photos of a patient who underwent breast reduction surgery for large breasts causing her pain in the neck, shoulders, and back. Dr. Liu surgically removed a horseshoe shaped rim of tissue from each breast and redraped the skin around each nipple and areola, thus recreating breast mounds that were smaller, aesthetically pleasing, and proportionate to her body. About 700 grams (1.5 pounds) of tissue were removed from each breast, and she was reduced from DDD cups to B cups. After the surgery, the pain of her neck, shoulders, and back resolved immediately. Her incisions healed superbly and are purposefully hidden from the cleavage area, i.e. the "social" area of the breasts. She is thrilled with the functional and aesthetic result and is one of Dr. Liu's happiest patients.

  • Before and after photos of a patient who underwent breast reduction surgery for large breasts causing her upper back pain and shoulder grooving from bra straps. Dr. Liu surgically removed a horseshoe shaped rim of tissue from each breast and redraped the skin around each nipple and areola, thus recreating breast mounds that were smaller, aesthetically pleasing, and proportionate to her body. About 560 grams (1.2 pounds) of tissue were removed from each breast, and she was reduced from DD cups to C cups. After the surgery, the upper back pain resolved immediately. Her incisions healed perfectly and she is exceedingly happy.

  • Before and after photos of a patient who underwent breast reduction surgery for large breasts causing her back pain. She also developed shoulder grooving from her bra straps. Dr. Liu surgically removed a horseshoe shaped rim of tissue from each breast and redraped the skin around each nipple and areola, thus recreating breast mounds that were smaller, aesthetically pleasing, and proportionate to her body. Her incisions are purposefully hidden from the cleavage area, i.e. the "social" area of the breasts. About 550 grams (1.2 pounds) of tissue were removed from each breast, and she was reduced from DD cups to C cups. Her back pain resolved immediately. The photos on the right show her at only one month after surgery, and her incisions are already healing superbly!

Lower Extremity


  • Before and after photos of a patient who broke his leg in a devastating motorcycle accident and nearly lost his foot. The fracture was so severe that the overlying skin did not survive. After the orthopedic surgeon re-aligned the fracture with metal plates and screws, Dr. Liu reconstructed the wound with a free flap from the outer thigh, called the anterolateral thigh flap. This technique transplanted healthy skin from the thigh, and its artery and vein were microscopically sutured to recipient vessels in the lower leg. At 1 month post-op, he began physical therapy, and at 2 months post-op, he was walking with an aircast boot.

  • Before and after photos of a patient with diabetic heel ulcer with exposed bone. In order to reconstruct the specialized weight-bearing skin on the heel, Dr. Liu performed a propeller flap based on the medial plantar artery. This technique transplanted healthy skin of the sole from the instep onto the heel, while still attached to its microscopic artery and vein. At 2 months post-op, he was able to bear weight on the heel and walk normally again.


  • Before and after photos of a patient who dropped a circular saw on the right foot resulting in a traumatic amputation of the great toe with exposed bone. In order to preserve the remaining length of the great toe, thereby maximizing his ability to walk, Dr. Liu reconstructed the tip of the great toe with a reversed first dorsal metatarsal artery island flap. This technique transplanted healthy skin from the top of the foot while still attached to its microscopic artery and vein. At 2 months post-op, he was back on his feet walking independently.

Yuen-Jong Liu, M.D.
The Aesthetic Center
722 Post Road, Darien, CT 06820

(203) 656-9999