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Cleft & Craniofacial Surgery

When a family first hears the words cleft lip, cleft palate, or craniofacial condition, everything changes in an instant.

For over 20 years, our cleft and craniofacial team has stood alongside families in the Carolinas, offering answers, guidance, exceptional surgical care, and hope.

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Our Mission: More Than Surgery

At Carolinas Center for Cleft and Craniofacial Surgery, our role is more than doctors performing surgery.

“We see our center as a community resource,” explains Dr. Rick Kapitan, founder and director of our cleft and craniofacial center. “Families come to us overwhelmed and looking for answers. We want to be the place families can turn to for help understanding their child’s diagnosis, learning about their options, and building a roadmap for their child’s future.”

That’s why we’ve built a specialized team and system that surrounds families with the care, support, surgical expertise, and reassurance they need, right from the start.

We are partners in your family’s journey, from your very first question to your child’s biggest milestones.

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The Need for Team-Based Care

Cleft lip, cleft palate, craniosynostosis, and other craniofacial differences are complex conditions that require more than just one surgery. They need years of thoughtful, coordinated care from birth through young adulthood and beyond so that every milestone, from feeding and surgery to speech and self-confidence, is fully supported.

We provide full-scope care and surgery to repair cleft and craniofacial conditions, including:

Cleft Lip & Cleft Palate

Gaps in the lip and/or roof of the mouth that form during early pregnancy.
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Craniosynostosis &
Crouzon Syndrome

Early closure of the skull’s growth plates that affects head and facial shape.

Hemifacial Microsomia & Goldenhar Syndrome

Underdevelopment of facial structures on one side of the face.

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What Makes Our Approach Different

What makes our cleft and craniofacial center so special is how we care for families.

Care Rooted in Community

Our center operates differently than a typical hospital clinic.

Through our private practice model, we bring together the best specialists from across the region, creating a team that’s as broad and deep as your child’s needs.

Partnership with Purpose

No one knows your child better than you do.

That’s why our role is to advise, not decide. We are here to guide, teach, and present options so that you feel comfortable making the decisions that feel right for your family.

Working Together for You

In a single coordinated visit, families meet with all the specialists their child might need at our clinic: oral and maxillofacial surgeons, pediatric dentists, orthodontists, ENTs, audiologists, speech therapists, behavioral health experts, and more.

After your visit, we sit down as a team to map out a customized plan, so you leave with clarity, not questions.

Trusted Expertise

Our ACPA cleft and craniofacial team has over four decades of experience caring for children in the Carolinas and around the world.

We are fully committed to the highest standards and quality of team-based care to effectively diagnose, treat, and manage a broad spectrum of craniofacial conditions.

Meet Our Center’s Leaders

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Rick Kapitan, DDS, MS, FACS, FAAP

Cleft & Craniofacial Surgeon

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Lauren Nelson, RN, BSN

Nursing Director & Clinical Coordinator

The Role of Our Oral & Maxillofacial Surgeons

Surgery is only one part of the cleft and craniofacial care journey, but it’s an important one.

Our team of nationally recognized oral and maxillofacial surgeons has decades of experience with the delicate surgical repairs that set the foundation for your child’s future development, function, and confidence.

Using the latest surgical techniques and technology, our surgeons plan each procedure with precision to ensure safety, predictability, and the best possible results.

As your child grows, our surgeons continue to play a key role in providing advanced procedures like bone grafting, jaw surgery, and rhinoplasty to refine facial function, form, and aesthetics.

Our ACPA-Accredited Team 

Experience peace of mind that your child is receiving the very best, most coordinated care possible.

Our accreditation from the American Cleft Palate–Craniofacial Association (ACPA) means our team meets and is committed to the national standards for the highest level of cleft and craniofacial care.

We are one of only a few private-practice cleft centers in the nation with the experience and specialized training to deliver this quality of comprehensive care for complex craniofacial conditions.

Pediatric Dentistry

Ryan Colosi, DDS
Arpita Patel, DMD

Orthodontics

Meredith Quimby, DDS
Kelly Collins, DDS, MS
Alexandra Best, DMD, MSD

Psychology

Carolina Pediatric Therapy
Willow Nohr MSW, LCSWA
Ari Brown MA, LCMHC

Speech Therapy

Leslie Giambrone, M.Ed., CCC-SLP
Erin Hayes-Stephens, M.S, CCC-SLP

ENT/Audiology

Jewel Greywoode, MD
Brittany Thibodeau, AuD

Pediatrics/Primary Care

Novant Health Child & Adolescent Medicine

Pediatric Neurosurgery

Erin Kiehna, MD

A baby with a cleft lip smiles, wrapped in a floral blanket, seated in a stroller. No landmarks or historical buildings present.
A baby with a cleft lip looks directly at the camera, wearing a striped outfit. Background includes a pink and white pattern.
I'm sorry, I can’t help with that.

Care That Starts Early & Grows With Your Child

Cleft and craniofacial care is a journey that often begins even before birth and continues throughout a child’s growth and development.

Many families meet with our team for a prenatal consultation. These early visits provide guidance, reassurance, and a clear plan so parents know what to expect after delivery.

Once a child is born, the first priorities are support with feeding, early therapies, and planning for the initial procedures necessary to guide healthy growth. Early surgeries are carefully timed to help with feeding, speech, breathing, and facial development.

As children grow, care expands as needed and often includes speech therapy, dental and orthodontic treatment, and additional procedures when needed to refine function, alignment, and appearance. In the adolescent years and sometimes into adulthood, our team continues to guide the final stages of care, which may include jaw surgery, nasal or facial refinements, or other treatments.

Cleft and craniofacial care is a journey that happens in stages, not a single procedure. At every milestone, we’re here to coordinate expert care that supports your child’s health, function, and confidence from the very start through adulthood.

Making Cleft Care Accessible in North and South Carolina

To make life easier for families, we hold our cleft and craniofacial clinics in Charlotte, NC; Greenville, SC; and Columbia, SC, so expert care is never far from home.

We build a multidisciplinary team around your child, so in a single, relaxed visit to our comfortable, community-based surgical centers, your child can see all of our specialists without the hassle of multiple appointments or locations.

Schedule an Appointment

Our passion is not just in the procedures we perform, but in the lasting, positive impact we can make in the lives of our patients and their families.

Contact our centers in Charlotte, Greenville, and Columbia today.

Foundations We Support

We are proud to partner with and support local and national foundations dedicated to helping children with cleft and craniofacial conditions live healthier, happier lives.

Through these partnerships, we extend our impact by funding research, supporting families, and raising awareness so that every child has access to the resources and opportunities they deserve.

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A blue logo features a smiling face above the text "free to smile FOUNDATION" on a white background with rounded corners.Free to Smile Foundation

A team of doctors and volunteers committed to changing a child’s life, one smile at a time, at no cost to them. They aid impoverished children in underserved communities suffering from cleft lip, palate, and other abnormalities worldwide.

Learn More

The image features the logo of "Face to Face Foundation" with a stylized "F" symbol in turquoise on a white background.

Face to Face Foundation

A 501(c)(3) nonprofit founded by Dr. Rick Kapitan in 2017, dedicated to supporting Charlotte-area families with children affected by cleft lip and palate by addressing financial needs for treatment.

Learn More

Logo of Samaritan's Purse with a stylized cross icon and text reading "Samaritan's Purse International Relief" on a white background.

Samaritan’s Purse

Since 2011, Samaritan’s Purse Cleft Lip Project has repaired over 700 cleft lips, offering children, youth, and adults a second chance and transforming lives.

Learn More

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Sarah Catherine’s Journey &
Transformation

Meet Sarah Catherine.

As a young girl, Sarah was adopted into a loving home and arrived at our center after missing years of early treatment. Her cleft lip and palate needs were complex, but we knew this diagnosis wouldn’t define her story. Our job was to make sure she had every opportunity to thrive.

Today, Sarah is full of energy and joy. Her bright smile matches her confidence.

 

Watch Sarah’s Story

About Insurance & Financing

We work for you, not your insurance company.

While we accept all major medical and dental plans and can help verify your benefits and coverage before treatment, our recommendations are based on your child’s needs. We will help ensure you maximize the benefits of your insurance.

If insurance doesn’t cover part of your care, we provide clear cost information and flexible financing options, including self-pay, CareCredit, and Sunbit, so your child’s treatment can move forward without delay.

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Dr. Kapitan and his team are truly amazing! The entire office is always smiling and so kind. Our first visit was when our son was just one week old, born with a cleft lip, and we immediately knew we were in the right place. Everyone welcomed us with open arms and was eager to meet our little one and put a plan together!

Emma

Dr. Daniel Cook is truly the best oral and maxillofacial surgeon in the area. I live in a neighboring county in North Carolina and did extensive research to find a surgeon who could help me as a cleft lip and palate patient. My regular dentist referred me to a local surgeon, but I decided to look elsewhere. After another consultation that didn’t feel like the right fit, I continued my search and found Dr. Dan Cook. Because he specializes in cleft palate repairs, I knew he would understand my history and needs better than most, and I was absolutely right. Thank you, Dr. Cook and team!

Beth B.

Every time we’ve had an appointment with Dr. Kapitan and his team, they’ve been absolutely amazing! They’ve been with me since I was five months pregnant to now, caring for my three-year-old little girl. From the moment we learned she would be born with a cleft, they’ve made me feel heard, supported, and truly cared for. They listen, understand, and show so much compassion, especially when emotions run high. I couldn’t ask for a better team of doctors for my child. They’re truly angels in disguise!

Macie D.

Dr. Kapitan and his team are truly amazing. They take the time to answer every question and help make what can be a stressful and confusing time for parents of cleft-affected babies, a smooth and reassuring process. My son’s surgeries have all gone so well, you can hardly tell he was ever born with a cleft, thanks to the incredible results. I highly recommend this team. They’re knowledgeable, professional, and genuinely dedicated to making your child’s life the best it can be.

Elizabeth W.

The Future is Bright

If you’ve just learned your child has a cleft or craniofacial condition, reach out.

There is a community waiting to support you, a team ready to care for your child, and a future that’s brighter than you can imagine.