Life-changing reconstructive surgeries give children a second chance
July marks National Cleft and Craniofacial Awareness and Prevention Month, a time to shed light on conditions that not only affect a child’s physical development but also their confidence, well-being and future.
In partnership with the Smile Foundation, Tygerberg Hospital and Red Cross War Memorial Children’s Hospital, both leading tertiary centres, are working to raise awareness about cleft lip, cleft palate and other craniofacial conditions, while providing reconstructive surgeries that transform young lives.
“These are not just cosmetic procedures, they are life-saving and life-changing,” says Professor Nick Kairinos, Head of Plastic and Reconstructive Surgery at Tygerberg Hospital.
“The tertiary hospitals currently perform more operations for congenital anomalies than any other hospital in the country, thanks to the great plastic surgeons who work there and also those who work in private practice who give up their time (free of charge) to operate on children during the Smile Weeks, supported by the Smile Foundation. These surgeries are for conditions such as craniofacial, cleft lip and palate, congenital hand and congenital ear anomalies. Many of these children would otherwise not be operated on or have experienced long delays before they receive their life-changing surgery.”
Early diagnosis, timely treatment
Cleft and craniofacial conditions are often identified prenatally or shortly after birth. Early diagnosis allows doctors to start planning interventions immediately, setting newborns on a path toward improved long-term health.
Without treatment, children face serious complications such as difficulty feeding, frequent ear infections, hearing loss, delayed speech, dental problems, developmental delays and even social isolation.
Cleft lip and cleft palate, where parts of the upper lip or roof of the mouth don’t form properly, affect around 1 in every 2,000 African children.
One-year-old Anzelle from Bellville is one such child. Her cleft palate was only discovered at birth. Her mom, Nicole, reflects on their journey:
“When I first saw her, I didn’t care about the cleft, I was just so happy to meet my baby. I knew God would make a way. I’ve been with her through every operation and recovery, and today we share an amazing bond. I wouldn’t change a thing.”
These surgeries don’t just repair a condition, they restore dignity, confidence, and the ability to speak, eat and smile without pain or shame.
Craniosynostosis: Complex surgeries that save lives
Craniosynostosis, when the bones in a baby’s skull fuse too early, affects about 1 in every 2,500 children. If left untreated, it can lead to abnormal skull growth, increased pressure on the brain, and even brain damage.
Three-year-old Caleb from Blue Downs underwent a highly complex skull surgery at Tygerberg Hospital last year. His mother, Rufaro, shares:
“I was scared and confused when I first heard the diagnosis. But the care and expertise we received gave me strength and hope.”
Professor Kairinos explains the depth of these procedures: “Craniosynostosis surgeries involve removing parts of the skull, reshaping them, and placing them back to protect the brain and allow normal growth. It requires a multidisciplinary team of neurosurgeons and plastic surgeons working together.”
A message to parents and communities
Both families expressed deep gratitude to the medical teams who supported their children through the surgical journey. Rufaro encouraged parents to trust their instincts:
“If you notice anything unusual in your baby’s face or head shape, speak to your healthcare provider. Early help can make all the difference.”
The Western Cape Department of Health and Wellness applauds the efforts of our dedicated public health professionals and partners who give children a second chance at a full, healthy life. Together, we continue to build a health system of hope.