Cleft Lip, Palate & Craniofacial Surgery

At Carolinas Center for Oral & Facial Surgery, we offer a multidisciplinary approach and comprehensive treatment plans that deliver predictable, natural-looking results. Whether you or your child suffers from cleft lip, palate, or other craniofacial abnormalities, our experienced doctors can evaluate, diagnose, and treat your condition.

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Safe Cleft Lip & Palate Restoration for Your Child

When the two sides of the face do not join together properly in utero, a split in the lip and/or roof of the mouth can occur. This split is known as a cleft lip or palate, one of the most common birth defects. A team of specialists is usually involved in cleft lip or palate repair, including an oral surgeon, a dentist, and a pediatrician. Depending on the child’s age, a speech pathologist may also be involved to help them establish proper articulation.

Oral surgeons have received years of training beyond dental school to gain the surgical knowledge necessary to perform the full scope of oral procedures. As an essential member of your child’s treatment team, our oral surgeons at Carolinas Center for Oral & Facial Surgery are nationally recognized by the American Cleft Palate–Craniofacial Association (ACPA). Our Cleft and Craniofacial Center is one of only five treatment centers in the country, outside of universities or hospitals, capable of providing your family with this level of complex care. We use industry-leading surgical techniques, advanced technology, and custom treatment plans to provide predictable, natural-looking results.

Family-Centered Approach to Care

At Carolinas Center for Oral & Facial Surgery, our team of specialists follows a family-centered approach, which means patients, parents, and caregivers play an active role in the decision-making, planning, treatment, and recovery process. We ensure your voice is heard and you feel comfortable at every step in your child’s healing journey. Working hand-in-hand with your child’s doctors, we will build a personalized treatment plan to achieve the best possible clinical outcome.

Meet Our Specialists

Dr. Rick Kapitan - Founder & Director

Dr. Rick Kapitan, DDS, MS, FACS, FAAP

Cleft and Craniofacial Surgeon
Founder & Director
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Dr. Daniel Cook - Oral Surgeon

Dr. Daniel Cook, DDS, MD

Oral & Maxillofacial Surgeon
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Lauren Nelson, RN

Lauren Nelson, RN, BSN

Nursing Director & Clinical Coordinator

Surgical Treatment

Newborns and infants with a cleft lip or palate often have feeding difficulties due to their cleft. Special bottles and other tools can help, but surgical repair is necessary to correct the cleft once the child is old enough to undergo the procedure. Every cleft is different: a child may only have a cleft lip, or only a cleft palate, or both. The severity of the cleft varies too. The number of surgical procedures necessary to repair the cleft will depend on the extent of the child’s condition.

A cleft lip is a more straightforward surgical procedure than a cleft palate, although both conditions can be corrected successfully. A child with a cleft lip will undergo one or two surgeries, with the first surgery around 3–6 months of age. The goal of a cleft lip repair is to correct the split in the lip to enhance function and facial esthetics.

Repairing a cleft palate is a more involved procedure. The first surgery takes place between the ages of 6 and 12 months. Once the facial structures have developed more, around age 8, another surgery increases bone quantity in the upper jaw. More surgeries may be recommended as the child develops.

What Our Patients Have to Say

  • Highly Recommend

    Dr. Kapitan and his team are truly amazing. They answer every question and make a highly stressful and confusing time for cleft affected babies and shocked parents a smooth process. My sons surgeries have all been so smooth, and you can't even tell that he was born with a cleft in my opinion from how well his surgery was performed. I highly recommend this team. They are educated, professional and are truly there for you and dedicated to making your child's life a wonderful one
    - Elizabeth W.
  • Recommend to Everybody and Anybody

    Dr.Kapitan and his team helped my son with his cleft lip and did an amazing job!! He is so knowledgeable in every aspect about any questions or concerns we had about the procedure. I would recommend this office to everybody and anybody! I have never been to a place that has been so professional from the front desk, the nurses, the doctors, everyone was great! Thank you Dr. Kapitan for everything you did for my son!
    - Emily R.
  • You Will Love Them And the Work They Do

    I was so scared for my daughter to be put to sleep and have surgery. Dr.Kapitan made me feel so comfortable and at ease for my daughter to asleep and have her procedure, I am very blessed to have met Dr. Kapitan if you need a specialist, cleft lip or palate, or facial treatment PLEASE GO TO DR.KAPITAN THEY ARE ABSOLUTELY AMAZING AND THE BEST EVER. You will love them and the work they do. I can never ever be able to ever thank them so much. My daughter is now 5 and she looks so amazing. I am very thankful and BLESSED. I will recommend them to everyone.
    - Jessica J
  • Best Oral Surgeon in This Area

    Dr. Daniel Cook is THE best oral maxillofacial surgeon in THIS area. I live in a neighboring county of North Carolina and researched diligently looking for a surgeon who could help me since I am a Cleft Lip/Palate patient. My regular dentist referred me to a surgeon in our area, which I chose not to go to. I had one other consult with another oral surgeon; but, I just didn't feel comfortable with that physician. I started my own research and found Dr. Dan Cook because he specializes in doing Cleft Palate repairs and I knew he'd understand my history better than a regular oral surgeon. I was NOT disappointed!! Thank you Dr. Cook and Staff!!
    - J. B.
  • Top Notch Service

    The entire team at Carolinas Center for Oral & Facial Surgery was amazing in every possible way. Dr. Kapitan made me feel comfortable about the sinus lift and vertical implant process from the get-go at our consult all the way through till the end of the surgery (which was surprisingly 100% painless!). I really appreciate these folks, their care and attention-- taking time to explain the details, answer my questions, and empathize. Top notch service! I highly recommend working with Dr. Kapitan and his team, especially as an adult living with cleft lip and palate. My only regret is that I didn't go see them and get this done sooner!
    - Dillon C.

Cleft and Craniofacial Therapy Timeline

 
    • Initial Assessment
    • Lip Taping/Nasoalveolar Molding (NAM)
    • Feeding Evaluation
    • Lip Adhesion
    • Speech Therapy
    • Audiology
    • Primary or Definitive Lip Repair
    • Palate Repair
    • Speech Therapy
    • Ear Tubes
    • Speech Therapy
    • Audiology
    • Pediatric Dentistry
    • Speech Therapy
    • Lip Revision Surgery
    • Palate Revision Surgery
    • Initial Interventional Orthodontic Evaluation
    • Pediatric Dentistry
    • Preparation for Alveolar Bone Grafting
    • Speech Therapy
    • Orthodontic Expansion
    • Alveolar Bone Grafting
    • Pediatric Dentristry
    • Definitive Orthodontics
    • Nasal Revision Surgery
    • Orthognathic Surgery
 

Schedule a Consultation Today

Ready to consult with our expert cleft palate and craniofacial surgery team? Schedule a consultation at Carolinas Center for Oral & Facial Surgery today. 

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Meet Our Surgeons 

Anesthesia Options For A Comfortable Dental Implant Experience

Local Anesthesia

Local anesthesia numbs a specific area without affecting the patient’s awareness, allowing them to remain awake while preventing discomfort. It is commonly used for minor medical procedures.

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Nitrous Oxide

Nitrous oxide, or laughing gas, is a mild sedative inhaled by patients to ease anxiety. It doesn’t cause unconsciousness and is often used alongside local anesthesia.

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IV Sedation

IV sedation is commonly used for moderate to major mouth or face surgeries. Delivered directly into the bloodstream, it often causes amnesia, so many patients do not remember the procedure afterward.

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Foundations We Support

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.

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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.

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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.

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Exceptional Cleft & Craniofacial Care in the Carolinas

Carolinas Center for Oral & Facial Surgery provides compassionate, family-centered care to children with craniofacial complexities throughout North and South Carolina. Our oral and maxillofacial surgeons utilize the latest surgical techniques, advanced technology, and specialized care to effectively diagnose, treat, and manage a broad spectrum of craniofacial conditions. Trust our multidisciplinary team to deliver predictable, natural-looking results in a safe, comfortable, and state-of-the-art environment.

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