I was told I would need to take ear cartilage to help with my rhinoplasty revision surgery
Posted March 11, 2010 5:24 PM in Rhinoplasty
Question:
I was told I would need to take ear cartilage to help with my rhinoplasty revision surgery. But how will this affect my ear?
Answer:
In revision rhinoplasty procedures, there may be a paucity of cartilage within the nasal septum. Therefore, another source for cartilage is needed. Often, I use ear cartilage for this purpose. Through an incision behind the ear, I am able to take the curved part of the ear (the concha). This does not change the size, shape, appearance of the ear.
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I am 58 years old and my wife had a facelift 3 years ago
Posted March 10, 2010 8:57 AM in Facelift
Question:
I am 58 years old and my wife had a facelift 3 years ago. She looks great, and now I am thinking of having the surgery. How does the male facelift surgery differ from those performed on females?
Answer:
One issue to consider is the design of the incision. Your wife had a post-tragal incision, meaning the incision was hidden within the natural contours of the ear. In a male, if this same incision is used, it may result in repositioning of your beard very close to the cartilage of the ear. If this occurs, laser hair reduction procedures may be of interest to you. However, if you have a skin crease in front of the ear, then this crease may be an excellent place for the incision; this will result in a well hidden, pre-tragal incision, and your beard will remain in a natural position. The other issue to consider is fact that men may have a higher incidence of blood collecting beneath the skin; this is referred to as a hematoma. Therefore, it is important for us to make certain that we minimize potential risks for hematoms, such as high blood pressure, use of aspirin and ibuprofen, prior to surgery. As well, I place drains to evaluate fluid collections beneath the skin for all male patients undergoing facelift surgery.
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How does a pollybeak deformity occur during a rhinoplasty?
Posted March 09, 2010 3:47 PM in Rhinoplasty
Question:
How does a pollybeak deformity occur during a rhinoplasty?
Answer:
A pollybeak deformity refers to swelling of the region above the tip of the nose; this is called the supratip. There are 2 potential causes for a pollybeak deformity. One is scar tissue. The other is cartilage. After rhinoplasty, I may consider steroid injections in the supratip region to minimize scar tissue formation and thus, prevent a pollybeak deformity. I perform this injection 1 to 2 weeks after surgery and may repeat as needed every 6 weeks. As well, taping of the supratip region after rhinoplasty may help minimize the development of a pollybeak deformity. If cartilage is the cause of pollybeak deformity, then surgery to remove this cartilage would be of benefit.
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I was doing research on facelifts because I am interested in having the procedure.
Posted March 08, 2010 10:11 AM
Question:
I was doing research on facelifts because I am interested in having the procedure. I found the phrase SMAS, what does it mean? How does it pertain to a facelift?
Answer:
SMAS refers to a layer beneath the skin of the face known as the superficial muscular aponeurotic system. I perform a modified deep plane facelfit and use the SMAS, which is a tougher, thicker layer of tissue that I use in facelift surgery to achieve a lasting, natural appearance.
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