Not uncommonly, patients come to see us for rhinoplasty who had septoplasty surgery performed previously in order to improve breathing difficulty. This septal straightening procedure may have been performed as part of a rhinoplasty, nasal fracture repair, sinus surgery, or as a stand-alone procedure. It is important that the person interested in rhinoplasty informs the … Continue reading Rhinoplasty after Previous Septoplasty
View MoreDroopy 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 results from over-relaxation of the frontalis muscle in the pursuit of erasing horizontal forehead … Continue reading Droopy Eyelid and Eyebrows after Botox Treatment
View MoreState-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 complications may make complex revisions and nasal reconstruction necessary.
View MoreThe 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 brow lift, coronal browlift) will, by definition, raise the patient’s hairline. Because a somewhat high hairline is common in … Continue reading How to Prevent a High Forehead with Brow Lift
View MoreI 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 removal. In this case, there are a few options available: chemical peel laser resurfacing … Continue reading I have skin wrinkles after lower eyelid lift. What can be done?
View MoreResurfacing 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 depressions. We like deep fractional CO2 lasers (i.e., Encore DeepFX) or percutaneous collagen … Continue reading Acne Scaring Is Still Difficult to Treat
View MoreInfections 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 procedure and continue the drugs for a few days afterwards. Although we have never seen an infection after … Continue reading Infections after Fat Transfer
View MoreWe 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 quality for best fat survival. And it is relatively easy to … Continue reading How long can fat be stored before it is injected?
View MoreOtoplasty (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-sided otoplasty through an incision placed in the crease behind the ear can correct this issue. … Continue reading Asymmetry of the Ears
View MoreChemosis 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 many medical conditions, it is most commonly seen after facial trauma and surgery … Continue reading Chemosis after Eyelid Surgery
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