Parents' and physicians' perceptions of facial plastic surgery in children with Down's syndrome.

This study was designed to investigate both parents' and physicians' attitudes and perceptions concerning facial plastic surgery in persons with Down's syndrome. The results of this inquiry revealed that more physicians (63%) than parents (28%) feel that the children's facial features negatively affect their social development; most parents (85%) see their children well accepted by society whereas only 4% of physicians do so; approximately half of the physicians (51%) and parents (41%) thought that after hypothetical facial plastic surgery a child with Down's syndrome may accomplish more socially; the majority of the parents (92%) and physicians (76%) were concerned with the risk of the operation; and only 13% of parents but 44% of physicians indicated that facial plastic surgery should be done on children with Down's syndrome.