James Richard Seaward, MD
Plastic and Craniofacial Surgeon
Associate Professor at UT Southwestern Medical Center
- Languages Spoken:
- English French
Biography
Dr. James Seaward says he was drawn to the practice of pediatric plastic surgery because of its potential to impact a child’s life in a way that could change it dramatically for the better.
“Repairing a cleft lip completely changes the psychosocial interactions that child will experience throughout their lifetime,” says Dr. Seaward. “And repairing a cleft palate gives the child the ability to speak and be understood.”
Dr. Seaward is a pediatric plastic and craniofacial surgeon at Children’s Health℠ as well as an Associate Professor of pediatric plastic and craniofacial surgery at UT Southwestern Medical Center. His clinical practice is exclusively pediatric and includes general pediatric plastic surgery, cleft lip and palate surgery, and craniofacial surgery – including minimally invasive techniques, vascular anomalies and trauma reconstruction.
“There are too many surgeons who do both adult and pediatric surgery, treating a small number of pediatric plastic and craniofacial patients outside of a formal team setting with no objective evaluation of the level of care they are providing,” he explains.
Repairing a cleft lip completely changes the psychosocial interactions that child will experience throughout their lifetime.
Dr. Seaward says he is most inspired by how well many of his patients cope with the obvious differences they have. His most challenging cases are children who have suffered life-changing injuries.
He believes the future of pediatric plastic surgery will see an increase in limited-access techniques for craniofacial surgery, computer-aided customization of devices and procedures, and an increase in objective outcome measurements for craniofacial and cleft surgery.
Before starting at Children’s in 2013, he went to Ghana with Operation Smile – an international children’s medical charity that provides free surgeries to repair cleft lip, cleft palate and other facial deformities for children around the globe.
“I enjoyed that work because it was a chance to dramatically transform the lives of children who would otherwise face a lifetime of stigmatization,” says Dr. Seaward.
Originally from London, Dr. Seaward graduated with honors from Trinity College, Cambridge. He attended the Royal Free and University College Medical School, graduating in 2000, and completed his residency in the United Kingdom. Dr. Seaward then came to Dallas for fellowship training in pediatric plastic and craniofacial surgery at UT Southwestern. He is a Fellow of the Royal College of Surgeons of England, is board-certified in plastic surgery in the United Kingdom and is an active member of the American Cleft Palate – Craniofacial Association.
His current research includes:
- Exploring the applications of 3-D video photography to evaluate dynamic facial asymmetry following cleft lip repair
- Analyzing acoustics of cleft speech patterns
- Expanding applications of magnetic resonance imaging (MRI) for cleft-related speech disorders
- Exploring computer-aided design and manufacturing in craniofacial surgery
Outside of his practice, Dr. Seaward can be found spending time with his wife and three children, playing the piano, violin or trombone, sailing, or taking photographs. He is also an instructor-level skier and a Professional Association of Diving Instructors rescue scuba diver, and he holds a private pilot’s license.
Education and Training
- Medical School
- Royal Free Hospital School of Medicine (2000)
- Internship
- Lister Hospital (2001), General Surgery
Queen Elizabeth Hospital (2001), General Surgery - Residency
- Royal College of Surgeons of England (2013), Plastic Surgery
Royal Berkshire Hospital (2004), General Surgery - Fellowship
- UT Southwestern - Children's Medical Center (2012), Pediatric Craniofacial Surgery
- Board Certification
- Royal College of Surgeons of England
Conditions
- 22q deletion syndrome (DiGeorge syndrome VCFS)
- Accessory tragus and branchial cleft remnants
- Apert syndrome
- Breast asymmetry
- Breast hypertrophy
- Breast hypoplasia
- Cleft lip
- Cleft palate
- Congenital nevus
- Constricted and lop ear deformity
- Craniosynostosis
- Cryptotia
- Dermoid cyst
- Deviated septum
- Ear deformity
- Facial fractures
- Goldenhar syndrome (oculo-auriculo-vertebral dysplasia or OAV)
- Hemangiomas
- Hypertelorism
- Isolated craniosynostosis
- Keloids
- Linear epidermal nevus
- Microtia (aural atresia)
- Moebius syndrome
- Nasal dermoid tracts
- Pierre Robin syndrome (PRS)
- Plagiocephaly
- Poland syndrome (Poland sequence)
- Port wine stain
- Prominent ears
- Skin lesions
- Stahl's ear
- Stickler syndrome
- Sturge-Weber syndrome
- Syndromic craniosynostosis
- Torticollis
- Velopharyngeal incompetence (VPI)
Treatments
Departments and Programs
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Research Interests
- Automated cleft speech evaluation
- Device to enable infants with cleft palate to breast reed
- Dynamic facial asymmetry
- Photoacoustic and optoacoustic imaging
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Publications
- A Dedicated Multidisciplinary Growth and Feeding Clinic for Infants with Cleft Lip and/or Palate Demonstrates Need for Intervention. Prezelski K, Villarreal Acha D, Ngo TC, Wilson C, Thrasher V, Trevino K, Van't Slot C, Hallac RR, Seaward JR, Kane AA, Cleft Palate Craniofac J 2024 Jun 10556656241258687
- Pediatric Facial Fracture Associated Craniofacial and Cervical Spine Injury. Harrison LM, Dragun AJ, Prezelski K, Hallac RR, Seaward JR, Kane AA, J Craniofac Surg 2024 Jun
- Preoperative Velopharyngeal Closure Predicts Hypernasality Outcomes of Secondary Furlow Double-Opposing Z-Plasty. Prezelski K, Kim C, Perez J, Vant Slot C, Kane AA, Seaward JR, Cleft Palate Craniofac J 2024 Mar 10556656241237422
- Multicenter comparison of head shape outcomes for three minimally invasive strip craniectomy techniques for sagittal craniosynostosis. Rizvi I, Hallac RR, Geisler EL, Perez JK, Ainuz BY, Pressler MP, Jackson SA, Skolnick GB, Smyth MD, Seaward JR, Derderian CA, David LR, Runyan CM, Patel KB, Kane AA, J Neurosurg Pediatr 2023 Jun 1-8
- Rating the Rater: A Technique for Minimizing Leniency Bias in Residency Applications. Seaward JR, Carter LR, Nagarkar P, Zhang AY, Plast Reconstr Surg Glob Open 2023 Apr 11 4 e4892
- Pediatric Tissue Expansion: Analysis of the National Surgical Quality Improvement Program-Pediatric. Harrison LM, Rizvi I, Parsa S, Hallac RR, Kane AA, Seaward JR, J Craniofac Surg 2022 Aug
- Open Versus Minimally Invasive Approach for Craniosynostosis: Analysis of the National Surgical Quality Improvement Program-Pediatric. Rizvi I, Harrison LM, Parsa S, Hallac RR, Seaward JR, Kane AA, Cleft Palate Craniofac J 2022 Mar 10556656221085478
- Three-Dimensional Motion Capture of a Smile in Repaired Unilateral Cleft Lip: What's Our Vector, Victor? Seaward JR, Ainuz BY, Zhao C, Hallac RR, J Craniofac Surg 2021 Sep
- Assessing outcomes of ear molding therapy by health care providers and convolutional neural network. Hallac RR, Jackson SA, Grant J, Fisher K, Scheiwe S, Wetz E, Perez J, Lee J, Chitta K, Seaward JR, Kane AA, Sci Rep 2021 Sep 11 1 17875
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Professional Activities
- American Cleft Palate - Craniofacial Association (2013)
- International Society for the Study of Vascular Anomalies
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Awards and Honors
- D Magazine Best Pediatric Specialists (2015-2016, 2018-2021)
- Clinician of the Year (2016), UT Southwestern Department of Plastic Surgery
- Mom-Approved Doctors (2016), Dallas Child magazine
- Poster Prize (2005), British Association of Plastic Surgeons