07

Oct

Droopy Eyelid and Eyebrows after Botox Treatment

Droopy eyelids develop after Botox injections represents a rare complication. The lid levator muscle hold the lids in their normal position. If just a little Botox ends up in this muscle, the lids will go down just a bit. Brow droop usually re...

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07

Oct

Can a bulbous nasal tip be reduced without looking weird?

State-of-the-art rhinoplasty relies on reshaping the nasal cartilages and maintaining the nasal support. The unusual pinched look can be avoided by the experienced nasal surgeon. Commonly, pinched nasal collapse will also interfer with nasal breathing. These rhinoplasty complic...

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07

Oct

How to Prevent a High Forehead with Brow Lift

The hairline and size of the forehead are very important to discuss before any browlift procedure. Most browlifts are performed in women; browlifts in men requires an entirley different discussion. Most techniques used for brow lifting (i. e. endoscopic b...

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07

Oct

I have skin wrinkles after lower eyelid lift. What can be done?

I assume that this is after transconjunctival (“inside the eyelid”) blepharoplasty with additional wrinkling developing after the fat was removed. Most patients have some skin excess before the eyelid lift which can worsen after the puffy lid is deflated through fat...

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07

Oct

Acne Scaring Is Still Difficult to Treat

Resurfacing options like facial peels, dermabrasion or laser resurfacing may all improve the scars a little. Personally, I focus first on options that address the deeper aspect of acne scaring as it is the deep scar that is responsible for the common scar depr...

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07

Oct

Infections after Fat Transfer

Infections after fat grafting are very uncommon, but certainly not impossible. We perform the fat harvest, fat preparation and the transfer using strict sterile conditions. In addition, our patients routinely receive antibiotics for prevention just before the procedu...

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07

Oct

How long can fat be stored before it is injected?

We like to inject the fat immediately after its harvest. The success of fat grafting procedure depends ultimately on the viability and survival of the fat cells. I do not store fat any longer for later treatments down the road because I prefer optimal fat qual...

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07

Oct

Asymmetry of the Ears

Otoplasty (a. k. a. ear pinning; ear set-back surgery) is a facial plastic procedure designed to reduce ear prominence. Most commonly, both ears are effected although some mild asymmetries are common. If one ear appears right and the other one protrudes abnormally, one...

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07

Oct

Chemosis after Eyelid Surgery

Chemosis represents a condition where the conjunctiva swells excessively. The eyes show a gelatinous and almost translucent layer which appears like it could be easily wiped away. It is usually painless, not dangerous and always resolves. Although this can be associated with ma...

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07

Oct

What is the approach to the bulbous nose?

Our modern approach to rhinoplasty in Boston relies on reshaping the nasal cartilages without compromising the support. Only observation of these two goals will lead to an improved but normal looking nasal tip. Most of these rhinoplasty procedures we perform with the endonasal...

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07

Oct

What is the Best Treatment Approach to Tear Troughs?

The tear trough deformity (a. k. a. naso-jugal fold) represents the depression underneath the under-eye puffiness. They are absent in most young people and slowly develop in the 30s or 40s. People refer to tear troughs as “dark circles” under the eyes and they a...

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07

Oct

What are treatments for sunken cheeks? Is Sculptra the best option?

Sculptra is one good option for non-surgical volume enhancement.  We advise our patients to wait 4 weeks before judging the results; 2 vials of Scultra (1 for each side) is a good start for a subtle enhancement although some patients may require further treatme...

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