Facial plastic surgery in children with Down's syndrome.

Six minor corrections in the face of children with Down's syndrome can clearly improve their facial expression. Reduction of macroglossia facilitates phonation. Augmentation of the bridge of the nose effaces the epicanthus. The lid axis, the hypotonic lower lip, and microgenia can be repaired. While the parents have been satisfied with the results of surgery, a positive effect on social behavior and mental development of the children has not yet been proven.