Before-and-after Craniosynostosis result photos

About the Center for Endoscopic Craniosynostosis Surgery

Internationally-recognized pediatric neurosurgeon David F. Jimenez, M.D developed the Endoscopic-Assisted Craniectomy more than two decades ago. His goal was to decrease complications, surgical trauma and blood transfusions in children in need of treatment for craniosynostosis. In addition to being renowned surgeon, his a parent, and he knew he would not want his baby to have to undergo a major surgery for craniosynostosis if excellent results could be achieved in a less invasive way.

Dr. David Jimenez has performed this technique more than 500 times on babies as young as two weeks old. He takes great pride in sharing the stories of the children he has cared for who are now growing up to live healthy, normal lives.

Because of his strong belief that this less invasive approach is best for children with craniosynostosis, he has trained dozens of neurosurgeons and craniofacial teams from around the world in his surgical technique. While many of these surgeons have developed practices to make this procedure more readily available, Dr. Jimenez has performed more endoscopic-assisted craniectomies than any other surgeons worldwide.

Because of that expertise, parents from more than a dozen countries have traveled thousands of miles to bring their babies to University Health System in San Antonio, Texas to be cared for by Dr. Jimenez.

Your child’s health is your top priority. It’s ours too.

An innovator in the field, University Health System is among the nation’s leading health care centers for diagnosing, treating, and developing advanced treatment methods to provide unmatched, quality care for infants with craniosynostosis. Our nationally distinguished physician, Dr. David Jimenez, has pioneered and developed a minimally-invasive treatment option, called Endoscopic Strip Craniectomies, for babies with Craniosynostosis, and has performed this procedure more than any other surgeon in the world.

 

Our Craniosynostosis Treatment

Our unique approach decreases complications, surgical trauma, and need for transfusions during surgery, producing exceptional results with less overall risk to your baby. In our procedure, the prematurely closed suture is released, allowing the rapidly growing brain to remodel the skull and face to a normal shape. If there's no underlying brain abnormality, the surgery allows your baby’s brain adequate space to grow and develop. 

 

Parents from all over the world have come to Dr. Jimenez to find a solution. We encourage you to learn more about the different types of craniosynostosis by reviewing before and after photos of babies we have cared for. We also have video testimonials from some of the hundreds of parents who have put their trust in us over the past decade.

 

Learn More About Our Treatment

If your baby was recently diagnosed with craniosynostosis, our medical team is here for you with answers that will help you make the best treatment decisions. If your baby has not yet been formally diagnosed with craniosynostosis, but you are concerned about the shape of his or her head, please contact us to schedule an evaluation.

 

The key to treating craniosynostosis is early detection and treatment—please contact us by phone or email for additional information or to schedule an evaluation.

 

 

A Less Invasive Technique for Babies with Craniosynostosis

The basic and fundamental principle with our craniosynostosis treatment, is to operate on the baby with craniosynostosis as early as possible. Best results are obtained when the infant receives the procedure by 12 weeks of age. However, successful skull reshaping can be achieved for older babies, with appropriate postoperative cranial helmet therapy

Our approach is to release the prematurely closed suture and to allow the infant's misshapen rapidly growing brain to remodel the skull and face to a normal shape. Depending on which suture is affected, our craniosynostosis procedures have been designed to provide the most optimal results. Following surgery, the desired shape of the skull is attained with the use of custom made cranial helmets that are worn continuously by the infant over the ensuing months.

SAGITTAL SUTURE CRANIOSYNOSTOSIS

The endoscopic treatment of sagittal craniosynostosis is done via two small incisions. One is placed behind the anterior fontanel (soft spot) and the other is placed further back on the infant's skull. The endoscopes are used to expose the areas above and below the skull, including the affected suture. Also, with endoscopic aid, the involved bone is removed, thereby freeing the baby's brain and skull to expand and reshape normally.

Learn More About Sagittal Suture Craniosynostosis


CORONAL CRANIOSYNOSTOSIS

For Coronal Craniosynostosis, dissection endoscopic release of the closed coronal suture is performed via a small single incision located halfway between the baby's soft spot and the ear on the involved side. In all cases, only a very small amount of the infant's hair is removed. The stenosed suture is resected with bone cutting scissors and instruments. Unlike traditional craniosynostosis surgery, facial and orbital swelling is not seen and minimal pain is experienced by the patients.

Learn More About Coronal Craniosynostosis


METOPIC SUTURE CRANIOSYNOSTOSIS

The treatment of metopic suture synostosis is done via a single incision placed behind the infant's hair line and across the mid-line. The endoscopes are used to elevate the baby's scalp over the suture from the anterior fontanel down to the root of the nose (nasion). Once a small opening is made on the skull, the endoscopes are inserted under the bone and used to visualize the bone under the affected suture. A small strip of bone (0.7mm) is typically removed from the anterior fontanel to nasion, thereby releasing the closed stenosed suture.

Learn More About Metopic Suture Craniosynostosis


LAMBDOID SUTURE CRANIOSYNOSTOSIS

For releasing stenosed lambdoid sutures, two one inch incisions are made in the back of the baby's skull. One is made over the midline and the second one behind the affected ear. In a similar fashion, the stenosed lambdoid suture is removed with the aid and visualization of an endoscope. As with other sutures, the incisions are closed with subcutaneous absorbable sutures which do not require subsequent removal.

Learn More About Lambdoid Suture Craniosynostosis

Sagittal Suture Craniosynostosis - Case 1

Photographs - New Craniosynostosis Procedure Results
Infant Skull Surgery - Pre-Op at 5 Months, Results at 7 Months

Pre-Operation Age: 5 Months
Front View: sagittal suture craniosynostosis case 1: Pre-Operation Age 5 months Left Profile: sagittal suture craniosynostosis case 1: Pre-Operation Age 5 months Top View: sagittal suture craniosynostosis case 1: Pre-Operation Age 5 months
7 Months Post-Operation
case1_2a.jpg

Sagittal Suture Craniosynostosis - Case 2

Photographs - New Craniosynostosis Procedure Results
Infant Skull Surgery - Pre-Op at 7 Weeks, 20 Weeks Post-Op

Pre-Operation Age: 7 Weeks

 

20 Weeks Post-Operation

 

Sagittal Suture Craniosynostosis - Case 3

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Op, 6 Weeks, 6 Months, 2.5 Years Post-Op

Pre-Operation Age: 1.5 Months

 

6 Weeks Post-Operation

   

6 Months Post-Operation

   

2.5 Years Post-Operation

 

Sagittal Suture Craniosynostosis - Case 4

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Operation, 2 Weeks, 6 Weeks and 15 Months Post-Op

Pre-Operation Age: 5 Weeks

2 Weeks Post-Operation

6 Weeks Post-Operation

15 Months Post-Operation

Pre-Op: 5 weeks

Post-Op: 15 Months

15mn_post_lg.jpg

Sagittal Suture Craniosynostosis - Case 5

Photographs - New Craniosynostosis Procedure Results
Infant Skull Surgery - Pre-Operation & Results at 6.5 Years

Pre-Operation Age: 7 Weeks

6.5 Years Post-Operation

 
 

Children from all over the world have come to Dr. Jimenez in order to benefit from their unmatched experience in this revolutionary craniosynostosis surgery. As world renowned surgeons and the pioneers of Endoscopic Strip Craniectomies, they have performed the craniosynostosis surgery more than any other surgical team in the world. In this section, we have compiled before and after photo galleries showing results from this technique on different types of craniosynostosis.

Before and After Photos of Craniosynostosis

Sagittal Suture Craniosynostosis Pictures
Coronal Suture Craniosynostosis Pictures
Metopic Suture Craniosynostosis Pictures
Multi-suture Craniosynostosis Pictures

Coronal Suture Craniosynostosis - Case 1

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Operation, 5 Months, 8 Months, 
17 Months, and 2.5 Years Post Operation

Pre-Operation

 

5 Months Post-Operation

8 Months Post-Operation

17 Months Post-Operation

2.5 Years Post-Operation

Pre-Operation

2.5 Years Post-Operation

Coronal Suture Craniosynostosis - Case 2

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre Operation, 2.5 Months, 6 Months, 
and 9 Months Post Operation

Pre-Operation: 6 Weeks

   

2.5 Months Post-Operation

   

6 Months Post-Operation

   

9 Months Post-Operation

 

Pre-Operation

9 Months Post-Operation

Coronal Suture Craniosynostosis - Case 3

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Operation, 6 Weeks, 9 Months, 
and 4 Years Post Operation

Pre-Operation

6 Weeks Post-Operation

   

9 Months Post-Operation

4 Years Post-Operation

  cor_case4_4yrs.jpg

Pre-Operation

4 Years Post-Operation

   

Coronal Suture Craniosynostosis - Case 4

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre Operation, 6 Months, 1 Year, 
and 2 Years Post Operation

6 Weeks Pre-Op

1 Month Pre-Op

4 Months Pre-Op

 

6 Months Post-Op

1 Year Post-Op

2 Years Post-Op

 
     

6 Weeks Pre-Op

2 Years Post-Op

Coronal Suture Craniosynostosis - Case 5

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Op, 2 Months, 2.5 Months, 5 Months, 7 Months, 1 Year, 2 Years  & 3 Years Post-Operation

Pre-Op

2 Months Post-Op

2.5 Months Post-Op

   

5 Months Post-Op

7 Months Post-Op

1 Year Post-Op

   

2 Years Post-Operation

   

3 Years Post-Operation

   

Metopic Suture Craniosynostosis - Case 1

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Operation, 5 Months, 2 Years Post-Operation

Pre-Op

5 Months Post-Op

2 Years Post-Op

 Metopic Suture Craniosynostosis Case 1: Pre-Op Metopic Suture Craniosynostosis Case 1: 5 months post-op  Metopic Suture Craniosynostosis Case 1: 2 years post-op
Metopic Suture Craniosynostosis Case 1: Pre-Op Metopic Suture Craniosynostosis Case 1: 5 months post-op  Metopic Suture Craniosynostosis Case 1: 2 years post-op
 Metopic Suture Craniosynostosis Case 1: Pre-Op Metopic Suture Craniosynostosis Case 1: 5 months post-op Metopic Suture Craniosynostosis Case 1: 2 years post-op

Metopic Suture Craniosynostosis - Case 2

Infant Skull Surgery - Pre-Op, 6.5 Months, 1 Year Post-Operation

Pre-Op

6.5 Months Post-Op

1 Year Post-Op

 Metopic Suture Craniosynostosis Case 2: Pre-Op
 Metopic Suture Craniosynostosis Case 2: Pre-Op
 Metopic Suture Craniosynostosis Case 2: Pre-Op

Metopic Suture Craniosynostosis - Case 3

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Op, 13 Months, 2.5 Years Post-Operation

Pre-Op

13 Months Post-Op

2.5 Years Post-Op

 
   
     

Metopic Suture Craniosynostosis - Case 4

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Op, 13 Months, 2.5 Years Post-Operation

Pre-Op

2 Months Post-Op

 
 

4 Months Post-op

7 Months Post-Op

 
 

Metopic Suture Craniosynostosis - Case 5

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Op, 2 Months, 5 Months, 1 Year, 2.5 Years & 4 Years Post-Operation

Pre-Op

2 Months Post-Op

5 Months Post-Op

     
   
   

1 Year Post-Op

2.5 Years Post-Op

4 Years Post-Op

   
   
   

Metopic Suture Craniosynostosis - Case 6

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Op, 2 Months, 3 Months, 4.5 Months, 7 Months, 9 Months, 1.2 Years & 2.5 Years Post-Op

 

Pre-Operation

 

2 Months Post-Operation

   

3 Months Post-Operation

 

4.5 Months Post-Operation

 

7 Months Post-Operation

 

9 Months Post-Operation

   

1.2 Years Post-Operation

 

2.5 Years Post-Operation

   

Metopic Suture Craniosynostosis - Case 7

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Op, 8 Months, 2 Years & 3.5 Years Post-Op

Pre-Operation

     

8 Months Post-Operation

   

2 Years Post-Operation

 

3.5 Years Post-Operation

 

Metopic Suture Craniosynostosis - Case 8

Photographs - New Craniosynostosis Procedure Results 
Infant Skull Surgery - Pre-Op, 2 Months, 5.5 Months & 2 Years Post-Op

Pre-Operation

 

2 Months Post-Operation

 

5.5 Months Post-Operation

 

2 Years Post-Operation

 

Here are just a few of the many Thank You notes to Dr. David Jimenez sent by families of the children whose lives they changed through this less invasive craniosynostosis procedure.

Dr. Jimenez and Wai,

Dave and I want to thank you for the wonderful service you have given us the past year. From beginning to end you guys were always there for us with anything we needed. You made the whole process so much easier on us and we will forever be grateful.

Regards,
Dave, Kristen and Audrey

* We took a photo with Audrey and all her helmets as a culmination of our year. We thought you would enjoy one as well.

   Audrey, 17 mo. August 2009
     View the "Thank You" Card

Click for full sized image.

Dear Dr. Jimenez and Dr. Barone,

There are no words, no gifts, nothing in this world that would suffice to express our appreciation and gratitude to you! Thank you for 1) developing this endoscopic procedure to help babies, 2) your passion, and compassion to help babies with Craniosynostosis, 3) your Web site where we found you, 4) your fabulous and caring staff and team, 5) the process you’ve developed to handle all of the logistics for out-of-towners, 6) your caring and comforting bedside manner, 7) the lock of Elden’s hair, AND most importantly, taking such good care of our little Elden. This world is so blessed to have the two of you. You have touched our hearts and souls so deep-- we are forever changed. We believe that God let us to you to help our son. Thank you that he can now have a normal life. We will never forget you and this experience. We look forward to seeing you during the follow visits. With heartfelt gratitude and humbleness – thank you – our angels in San Antonio.

Love,
Patrick, Jessica, Aspen & Young Elden Young
(and the rest of our family and friends!)

Dear Dr. Jimenez and Dr. Barone,

Merry Christmas to you and your team! We want to thank you for the best Christmas [gift] ever- our beautiful daughter.

Thank you for caring enough to invent this procedure and save children and their families from needless suffering. God has given you a wonderful gift and you are a great example to us all in how you choose to use it.

Thank you again - please enjoy the photos of the past year. Grace is turning into a beautiful little girl!

Warmest wishes for a blessed
Christmas and Happy New Year,

Troy and Julie

My experience working with Dr. Jimenez, Dr. Barone, Wai and the rest of the [craniosynostosis] staff was so amazing and effortless. They made this difficult time in my family's life so much easier! I couldn't believe how short the procedure and recovery time were- it was a miracle that I will forever be grateful for. I'm so glad I found his Web site- it changed my daughter & family's life. Thank you so much.

I'm so thankful for the wonderful healthcare we have in this country as exemplified by your staff. I think God that I was able to choose Dr. Jimenez and Dr. Barone to take care of my little girl.

With much appreciation,
Rebecca

Dr. Jimenez,

As you can imagine, most parents are not prepared to hear that their infant child has to have head surgery to correct a condition that is damaging tot he child's development. Most people, like us, do not even know what Craniosynostosis is, what causes it or even if it is treatable.

When we began our search for a greater understanding of the subject, we came across Dr. Barone and your name several times in referrals, articles, and Internet links. You reputation in this new approach of treating Craniosynostosis is impeccable. Your treatment became very appealing to us due to the lack of trauma not only to the child, but also to the emotional stability of the parents.

I would like to express our sincerest gratitude to you and your team for their hard work, dedication on this new surgery approach and most importantly for the work performed on our son, Myles. We are very happy with the results.

I would also like to recognize Wai-Yee Choi for her role. The information she gave us was very supportive and helpful. Wai-Yee's communication from what to expect once we arrived in the parking lot to what to expect post recovery was as precise as the surgery. Please share our thanks to her.

We realize the helmet is an essential part of the recovery process even though it is the most difficult for us, as parents, to accept. We though we'd share the enhancements we made to the helmet with you. It has made it easier for us to accept it on a daily basis.

Again, thank you for everything. We are confident we made the right choice on Myles's behalf.

With kind regards, we remain
Forever grateful,

George & Jennifer

Myles getting fitted for helmet therapy

Words cannot express our gratitude to you, your wife and Wai. We truly feel that you were an answer to our prayers. I knew the second I got off the phone with Wai after our first conversation that this procedure was the right one for our baby. We are so thankful for your desire to create a better surgery for these babies. You have truly blessed our lives and we will forever be grateful. Thanks to you all for your love and compassion. You helped turn a tough circumstance into a wonderful experience.

With all our gratitude and love,
Jody, Cherie & Rigdon

Dr. David Jimenez, Rigdon and Wai-Yee Choi, RN Rigdon - Thank you notes
Dr. David Jimenez, Rigdon and Wai-Yee Choi, RN Rigdon had his helmet decorated for the season.

Dr. Jimenez, Dr. Barone and Staff:

We wanted to thank you all so much for the superior care we received with our son! The technique that you have is simply the best. We came into your office and immediately knew that your team was the BEST! Our son has been doing wonderful since his surgery in May. Your team has given us so much hope. The gift that you have is amazing and we are so thankful that you have cared for our son, Richard!

We are so grateful for everything you have done!

The Bouchard's

Thank you note image

Dear Dr. Jimenez, Dr. Barone, Tiffany, Darrent, Lisa, Ericka, & Star Cranial Team,

We might not have the right words to describe our gratitude and happiness to have found you.

When our daughter Natalia was diagnosed with metopic craniosynostosis, it was for sure the worst news we have ever received. We didn’t know what to do or where to go, but thanks to God and several medical references we ended in your hands!

Since the first moment we arrived to the hospital everybody was so nice, so helpful. Everybody listen to our concerns and questions, so little by little our hearts were filled with confidence that this was the right procedure to do for Natalia.

As parents there is nothing more important than to see our children healthy and happy. We cannot see Natalia smile, walk and play without thank you to each of you!

We really thank God and all of you for your help, support and most important for had taken care of Natalia.

God blesses each of you and your families.

Sincerely,
Garcia Family

Thank you note image

Complex Multiple Suture Craniosynostosis - Case 1

Photographs - New Craniosynostosis Procedure Results

Infant Skull Surgery - Pre-Op, 7 Months, 1 & 2 Years Post-Op

Pre-Operation

 

7 Months Post-Operation

 

1 Year Post-Operation

 

2 Years Post-Operation