Craniofacial molding includes a range of non-surgical treatments that help correct infant deformities using techniques such as ear molding, nasoalveolar molding (NAM), and other forms of presurgical infant orthopedics. During the first few weeks of life, maternal estrogen makes a baby’s cartilage softer and easier to shape. This allows specialists to gently guide the affected areas into better positions. Starting treatment early can lessen the need for more invasive procedures later and can improve both appearance and function.
Ear molding is a gentle, non-surgical technique to correct ear deformities in newborns. In the first few weeks of life, a baby’s ear cartilage is soft and flexible, so custom molds can guide the ear into a more natural shape. The treatment is painless, most effective when started early, and often prevents the need for surgery later on.
Nasoalveolar molding (NAM) is a special treatment used before surgery for babies born with a cleft lip and palate. A custom-made device gently reshapes the nose, lip, and gums, helping them move into improved alignment before the first surgery. NAM can improve the results of surgery, support healthy facial growth, and may reduce the number or extent of surgeries needed later in childhood.
Presurgical infant orthopedics includes a range of non-surgical treatments that guide early facial growth in infants with craniofacial differences. While NAM is a well-known option, other techniques can be customized to align facial bones and soft tissues before surgery. By gently repositioning structures during this malleable period, these treatments create a more balanced foundation for reconstruction and improve outcomes.
About
David L. Kornmehl, DMD
Dr. Kornmehl is a dedicated craniofacial specialist and proud New Jersey native who is excited to return to the area after an extensive educational journey. He completed his undergraduate studies at Rutgers University and went on to earn his professional degree from Harvard University, establishing a strong foundation for his expertise in craniofacial care.
Dr. Kornmehl then pursued several years of rigorous residency and fellowship training, refining his skills in the field. His fellowship in craniofacial orthodontics at the University of Pittsburgh Medical Center focused on craniofacial molding techniques, where he gained experience in their profound impact on infant development. It was during this time that Dr. Kornmehl recognized the need to expand access to these life-changing procedures and raise awareness among parents about their long-term benefits for their children.
Along his clinical journey, Dr. Kornmehl has done extensive research on early treatments for infants, including ear molding and nasoalveolar molding. These experiences deepened his commitment to using proven, evidence-based care and improving long-term outcomes for children with craniofacial differences.
Throughout his education and training, Dr. Kornmehl has learned that the best outcomes are achieved when the ideal treatment is combined with strong collaboration between the provider and parents. He works closely with families to understand their concerns and tailors a treatment plan that meets the unique needs of each infant. Dr. Kornmehl looks forward to meeting you, learning about your child’s needs, and guiding you through a personalized approach designed to achieve the best possible results.
FAQ
Dr. Kornmehl is a craniofacial orthodontist who completed an accredited, yearlong fellowship specializing in craniofacial care. A significant portion of his training focused on advanced craniofacial molding therapies, including ear molding, nasoalveolar molding (NAM), and other custom molding techniques for infants born with a range of craniofacial differences. During his fellowship, plastic surgeons, otolaryngologists (ENTs), and community pediatricians regularly referred patients for these specialized molding services.
What sets Dr. Kornmehl apart is his ability to not only use standard molding techniques, but also to design and fabricate fully customized, patient-specific molds. This allows him to tailor treatments to each infant’s unique anatomy, ensuring a more precise and personalized approach.
As the lead practitioner in his specialty practice, Dr. Kornmehl personally performs all treatments, ensuring the highest quality of care.
The ideal time to start molding is within the first 2 to 3 weeks of life, as babies' cartilage is softer and more pliable. The earlier the treatment begins, the more likely it is to be successful.
Yes, molding is considered safe. It is a non-invasive procedure that uses materials that are gentle on an infant’s delicate skin.
The length of treatment varies depending on the severity of the deformity, but typically lasts between 6-9 weeks. The molds need to be worn continuously with occasional adjustments.
No, it should not have any effect on nursing.
In many cases, molding can fully correct minor to moderate ear deformities. However, the effectiveness depends on the type and severity of the deformity.
Insurance coverage for ear molding or NAM can vary by plan. It is important to check with your insurance company ahead of time to determine coverage. We are happy to submit a claim on your behalf, but cannot guarantee coverage.
The cost of ear molding and NAM starts at $2000. This includes the initial consultation, mold, follow-up appointments, and adjustments.
Our practice also offers consultations for parents unsure about proceeding with molding treatment. The consultation fee is $200, which we automatically apply to the cost of the service if you decide to move forward. If your child does not proceed with molding treatment, the consultation fee is not refundable.
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