HomeGeneral I am a 69 year old man. Is that too old for a face lift? My wife thinks I am ridiculous but I don’t think it is ever too late to look good. I am healthy; I had a colostomy several years ago but have had no problems since.
At 69 years old, you are certainly not “too old” for a facelift. As with the majority of my patients, we request certain blood testing and an EKG as well as a letter of medical clearance from your primary care physician or Cardiologist. If you have neither a primary care physician […]
HomeGeneral Doctor, I am only 36 years old and would like a facelift. I spent most of my childhood outside and have some sun damage. I used to be a smoker as well. Am I too young for a facelift? If I have a facelift now, is there any way to predict how long those results will look good as I continue to age?
The most important thing you can do to help achieve a more youthful appearance is stop smoking. The second thing you can do is use sunblock. At 36 years of age, you may benefit from less invasive […]
HomeGeneral I am 57 years old and have noticed heaviness around my lower face. The skin is sagging around my jaw line. I would like a facelift but I have a slightly receding hairline. Is it possible to have a face lift with a receding hairline? I don’t want visible scars.
Yes, it is possible to have a facelift with a receding hairline. I design the facelift incision so that it is well hidden in the natural contours of the ear, around the earlobe and behind the ear. Through this incision, I am able to reposition the tissues to achieve a […]
HomeGeneral
Should I be placed on steroids after rhinoplasty to decrease swelling?
I give one steroid dose to rhinoplasty patients during surgery through the IV. This medication helps minimize nausea and swelling after surgery. A recent study published in the medical journal, Plastic and Reconstructive Surgery, showed that steroid medication given after surgery may prolong bruising. Therefore, I do not routinely give steroid medication after surgery for swelling. Rather, I recommend ice and head of bed elevation after surgery to minimize swelling.
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How can I make sure that having a facelift will not give me a ‘wind swept’ look? Are there degrees of how tight the skin will be pulled?
I avoid the “wind swept” result from a facelift. First, I do not rely upon the skin to achieve the pull in a facelift; in other words, I don’t pull the skin tightly as this will give an un-natural appearance. Rather, I use an underlying, fibrous layer called the SMAS. A SMAS facelift provides a result that is longer lasting and more natural in appearance. Second, the direction in which the SMAS layer […]
I am 48 years old, male and I have had surgery on my face and nose for skin cancer. While I did not lose most of my nose, there is a substantial gouge out of it. Would a nose job be necessary to fill the gouge?
The prevalence of skin cancer is rising. Patients with biopsy-proven skin cancer on the face should consider not only removal of the skin cancer but also reconstruction of the subsequent defect. As a facial plastic surgeon, I perform a variety of reconstructive techniques of nasal skin cancers. If you have a “gouge” in your nose, […]
The tip of my nose looks like it has a bulb on it and I think I would look better if it were made a bit smaller. Is fixing this nose problem called rhinoplasty? Can my nose be fixed from inside the nose?
Yes, fixing your nose is considered a rhinoplasty. You may have wide/broad nasal tip cartilages that cause the “bulb” appearance to the tip of your nose. As well, you may also have thick nasal skin that further accentuates the “bulb” appearance. I use a variety of techniques to refine the appearance of the nasal tip, including stitches to […]
I have an under-projected nasal tip and would like to get this fixed with a nose job. How is this achieved?
Projection of the nose refers to the length of the nose as demonstrated on profile view from the face to the nasal tip. Pinocchio is a classic example of an over-projected nose. Projection of the nose must be taken into context with a thorough evaluation of other facial structures, including the lips and chin. During a rhinoplasty, there are several techniques I use to achieve projection in an under-projected nose. For example, suture techniques will achieve both nasal tip refinement […]
What is the follow-up care like after a facelift? How many check-ups will I need and for how long?
Following your facelift, you will be cared for by a nurse in a recovery suite for the first night. This is a complimentary service we provide all our facelift patients. The nurse is a professional, registered nurse who has many years of experience caring for plastic surgery patients. The morning after your facelift, I see you in follow up. I remove and replace a wrap dressing. During the facelift surgery, I place small drains to remove any fluid collection that may occur […]
HomeGeneral I had a rhinoplasty to fix my nose after it had been broken and was slightly bent. It seemed to fix the bending part but I now seem to have a hump on my nose. Why would this have happened and is there anything that can be done about it now?
There are several possible reasons why you may experience a hump on your nose after rhinoplasty. On occasion, swelling can occur along the bridge of the nose which will result in a slight hump. If patients develop a hump on the nose that is due to swelling, steroid injections […]
