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Gradually inflating them with saline, causing the skin to stretch. >> guess what? it's too big. >> five tissue expanders are inserted under their skin near the crown of each of their heads. >> and one of the critical issues for these children is to have a complete tissue seal of both heads. so this is -- these maneuvers long term are critical in determining their outcome. ♪ happy birthday to you >> two months after the tissue expanders were put in, the boys happily celebrate their second birthday. but they're showing troubling signs. their brains are not developing like normal 2-year-olds. a...

Said, i want that. i'm going to take good care of him, like he is my own boy. >> reporter: dr. grossman let me scrub in to observe. he showed me how he hopes to undo much of what an unspeakably cruel act has done to this boy. >> we'll be exciting this thickened scar tissue around here. >> reporter: he planned to remove scar tissue from around the nose and insert tissue expanders, small balloons under the healthy skin in the cheek and neck. over time, dr. grossman hoped to stretch the healthy skin so it could replace the heavy scars on the chin, jawline, and next to his ear.

Scrub in to observe. he showed me how he hopes to undo much of what an unspeakablely cruel act has done to this boy. >> we'll be exciting this thickened scar tissue around here. >> reporter: he planned to remove scar tissue from around the nose and insert tissue expanders, small balloons under the healthy skin in the cheek and neck. over time, dr. grossman hoped to stretch the healthy skin so it could replace the heavy scars on the chin, jawline, and next to his ear. >> reporter: now it's time to operate.

Gradually inflating them with saline, causing the skin to stretch. >> guess what? it's too big. >> five tissue expanders are inserted under their skin near the crown of each of their heads. >> and one of the critical issues for these children is to have a complete tissue seal of both heads. so this is -- these maneuvers long term are critical in determining their outcome. ♪ happy birthday to you >> two months after the tissue expanders were put in, the boys happily celebrate their 2nd birthday, but they're showing troubling signs. their brains are not developing like normal 2-year-olds. and ...

Be done and no more planning. it was ready to go. >> already the doctors have been able to use the most sophisticated medical models. here in surgery the boys are strapped to yet another device, a rotating operating table created specifically for this procedure, allowing doctors unprecedented access. >> what it allowed us to do was to say, okay, let's rotate. without physically lifting the children, without being concerned that one child was going to rotate more than the other. >> in addition, the custom-made table will split in two when the twins are separated, allowing a team of doctors to w...