Dr C.W. David Chang, MD Columbia, Missouri 65203

Name: C.W. David Chang, MD
Last name: Chang
Began aesthetic medicine in: 2004
Years experience: 19
Primary Specialty: Facial Plastic Surgeon
Business: Columbia Facial Plastic Surgery
Address: 812 Keene Street
Phone: +1 573-882-8333
Facebook: https://www.facebook.com/profile.php?id=88328384276
X (Twitter): https://www.facebook.com/profile.php?id=88328384276
City: Columbia
State: Missouri
Zip Code: 65203
Country: US
Consulting Fees: -1$
Has Sponsored Offer : No

Clinical Privileges: 
  • Pennsylvania Hospital, New York Eye and Ear Infirmary, Trevose Specialty Care Center, Main Line Surgery Center
Education: 
  • Undergraduate: BS in Molecular Biophysics and Biochemistry, Yale University, New Haven, CT
  • Medical: MD, University of Kansas School of Medicine, Kansas City, KS

C.W. David Chang, MD

Postdoc Training: 
  • Internship: General Surgery, Vanderbilt University Medical Center, Nashville, TN
  • Residency: Otolaryngology, Vanderbilt University Medical Center, Nashville, TN
  • Fellowship: Facial Plastics and Reconstructive Surgery, University of Miami, Miami, FL
Member of: 
  • fps

GPS coordinates on map: 38.9378,-92.33429718

Primary location: 
Location name: Columbia
State: MO
Country: US
Map point: 38.9378,-92.33429718
Treatments: 
  • African American Rhinoplasty
  • Asian Rhinoplasty
  • Botox
  • Brow Lift
  • Cheek Augmentation
  • Cheek Lift
  • Chemical Peel
  • Chin Implant
  • Chin Liposuction
  • Cleft Lip And Palate Repair
  • CO2 Laser
  • Dermabrasion
  • Ear Surgery
  • Earlobe Repair
  • Eyelid Surgery
  • Facelift
  • Facial Fat Transfer
  • Facial Reconstructive Surgery
  • Fractional Laser
  • Genioplasty
  • Hyaluronidase
  • Jessner Peel
  • Juvederm
  • Laser Peel
  • Laser Resurfacing
  • Latisse
  • Lip Fillers
  • Lip Lift
  • Lip Reduction
  • Lip Surgery
  • Lipoma Removal
  • Lower Facelift
  • Mini Facelift
  • Mole Removal
  • Neck Lift
  • Nonsurgical Nose Job
  • Radiesse
  • Restylane
  • Retin-A
  • Revision Rhinoplasty
  • Rhinoplasty
  • Scar Removal
  • Septoplasty
  • Sinus Surgery
  • Skin Lightening
  • Skin Rejuvenation
  • SMAS Facelift
  • TCA Peel

RealSelf Info

Profile views: 1912
Answer count: 46
Review count: 0
Star rating: 2.0473720558371
Anonymous votes: 0
Offer count: 0
Profile created: Feb 23, 2012
Profile modified: Oct 2, 2019
Profile promotion: No
Profile inactive: No
Premier status: Free
Tier: Free-Claimed
RealCare Promise: No
Directory link: Board Certified Facial Plastic Surgeon
RealSelf’s PRO: No
Doctor Designation Start Time: Nov 23, 2012
Doctor Designation End Time: Jan 1, 2033

Locations

  • Columbia, MO, US. GPS coordinates: 38.9378,-92.33429718

Doctor’s answers

Question
Answer Header & Date
Answer Snippet
Stahl’s ears, what kind of plastic surgeon will be able to fix this? Anyone recommendations of som
Otoplasty and scapha reduction
Feb 21, 2018
A severe Stahl’s ear malformation has a much more severe bend to the superior antihelical crus. Your bend looks pretty gentle and would probably be amenable to traditional otoplasty suture techniques. You would benefit from “scapha” reduction to reduce the height of the ear, which also may improve the “roll” of the helix.
Sorry for a lot of technical terms. Talk with an experienced otoplasty surgeon.
Is it possible for my eyes to appear more symmetrical? The same size?
More symmetric eyelids.
May 13, 2017
The quest for perfect symmetry is sometimes frustrating. I do see the differences that you note. There appears to be more fullness and skin over the right (your right, the eye on the left hand side of the photo) upper eyelid region. Asymmetrical incisions may have been made initially to compensate for any pre-existing asymmetry.
To further provide balance to your results, further skin excision from the right upper eyelid, with a little bit more fat resection, might help…
Multiple facial trauma. Any suggestions?
Mandible and midface fracture.
Feb 26, 2016
I’m really sorry to hear about your accident. It sounds and looks  pretty bad. You do have both a jaw fracture as well as a cheek bone fracture.  I would consider getting perhaps a second opinion. The jaw fracture at the very least should be repaired.
Can someone please tell me what the tiny pockets on my ears are?
Pre auricular pit
Nov 27, 2015
It is called a pre auricular pit. These pits are a congenital remnant from the process that was involved in the creation of your ear while you were a fetus. The pit itself likely leads into a little dead-end tunnel that is lined with the same type of cells that make up the outer skin. The lining sloughs and the material becomes periodically infected, resulting in drainage, swelling, and discomfort. Excision is what is required to try to remove the pit and tunnel. If the entirety of the…
Why do my ears lack a fold/helix at the top?
Scapha excess
Oct 14, 2015
You do have a slight anti helical fold in both ears. Accentuating the fold (as is typically done in a regular otoplasty) would not improve the “long” appearance of the ear. There is a lot of distance between your anti helical fold and the helical rim of the ear. The area between the anti helical fold and the rim is called the scapha. A scapha reduction would help decrease the size (surface area) of your ears to make them proportionally smaller. Slightly more reduction of the scapula…
Otoplasty to reduce the appearance of large ears? My ears are too large for my head, 7cm in length
Scapha reduction
May 25, 2015
You have what appears to be slight excess of the scapha. The scapha is the space between the anti helical fold and the rim of the ear. This can be reduced in size by removing a crescent shaped piece of cartilage through an incision hidden in the rim of the ear. Ear pinning and scapha reduction could potentially be done simultaneously.
Cyst or lump after upper eyelid surgery. Can this be easily removed?
Inclusion cyst or milia post blepharoplasty
Apr 25, 2015
It appears that you may have an inclusion cyst or milia, which is not uncommon. This occurs as skin cells inadvertently are buried by the suturing process, which is why it is on the incision line. This can be treated simply by completely unroofing the cyst, allowing the contents to empty. This can be done fairly easily in the office. It might take one or a few treatments. See your original surgeon.
Can the top of the ear be reshaped? Not meaning pinned back. But actually reshaping the top to red
Scapha reduction
Mar 29, 2015
Yes, the top of the ear can be reduced in size so that the entire ear is not as “tall” and the upper border contour can be re shaped. It would likely involve an incision just inside the edge of your ear inside the helix, hiding the incision. The cartilage between the helix and the antihelix (scapha) can be partially trimmed to reduce the height of the ear. This is not the standard otoplasty that most people request, but can be done.
Ear deformity after cartilage harvested. Can this problem to be fixed ?
Conchal bowl deformity
Mar 7, 2015
Looks like a difficult problem. When I harvest auricular cartilage for rhinoplasty, I try to avoid getting too close to the antihelical fold, reducing distortions of the ear. It appears that there is a lack of cochal bowl support because of cartilage resection. In addition, there appears to be relative excessive skin as a result of cartilage removal and subsequent distortion. It may be possible to try to excise the “extra fold” in the bowl to improve the appearance. Otherwise, if there is…
Are pointy ears something that is tough to fix?
Fixing pointy ears
Sep 20, 2014
This could be done, although I would have to see a picture of your ears to understand their “pointyness.” The outer rim of the ear, called the helix, can be somewhat reshaped by reshaping the scapha portion of the ear. The scapha comprises a portion of the ear just inside the arc that forms the helix. Just imagine if you had to reshape a square pizza. You could take off the outer crust (helix), change the inside remaining shape of the pizza from Square to round, and then re-drape the crust….
What are the new surgical methods now to raise the lower lip to completely cover lower teeth?
Reducing the lower teeth smile.
Sep 20, 2014
There are some options. You can use Botox to relax the depressor muscle of the lower lip. This would reduce the amount of lower teeth show when you smile. Botox of course is not permanent. There are permanent solutions which include surgically dividing the depressor muscles of the lower lip. However I would think Botox is easy enough to try out first.
What are the different types of sutures used for Otoplasty? And can an ear be set back again if th
Overcoming the bend
Aug 12, 2014
Often, the goal of otoplasty is to reshape the bend of the antihelix using sutures. Often monofilament sutures are used because they slide through tissue easier, and perhaps are less prone to infection. Braided sutures seem to hold their knots better but can be more abrasive (cut through tissue), and maybe more prone to infection (because bacteria can get trapped into the braids of the suture).The older the individual, the stronger and stiffer the ear cartilage. This means the suture must…
I’m a slim girl with chubby cheeks? What can I do to achieve a more defined look?
Buccal fat excision: slimming the cheeks
May 29, 2014
You could consider buccal fat excision. The buccal fat is a pocket of fat in the cheek area that can be removed to create a more sculpted look. You can replicate the potential look by drawing your cheeks into the mouth with a little suction. The procedure involves making an incision on the inside of the cheek, inside the mouth. A half-dollar sized piece of buccal fat is teased out through the incison, cauterized, and removed.
Follow-up to my first question about my revision otoplasty “Can this otoplasty be corrected?” (Pho
Revision Otoplasty
Mar 1, 2014
I’ll answer your questions directly.1. The left upper pole has a pointed “shape” on lateral view. The right ear upper pole has a more natural rounded “shape.” I would advise changing the “shape” of the left upper pole only. The left anti helical fold looks under developed. Recreating this fold with standard otoplasty techniques will bring he upper pole of the left ear closer to your head. Regarding the “shape” of the right ear, I wouldn’t change it’s shape; whether you would like the upper…
Is there a way to reduce the ear size not pinning (octoplasty)?
Reducing “big” ears
Feb 16, 2014
Absolutely, there are ways to alter the size if ears beside the “standard” otoplasty procedure. Typical otoplasty is designed to accentuate the anti-helical fold to bring the upper pole of the ear closer to the head, or reduce a prominent concha to bring in the mid portion of the ear. You can have the height of the ear reduced by decreasing the scapha of the ear (the portion between the anti-helical fold and the helical rim). Ear lobe size can also be reduced and the earlobe can also be…

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Last updated on 11/24/2023