Monday, October 31, 2011
A facelift is somewhat of a misnomer and should really be termed a “lower face and neck lift”. This is because a facelift improves the jawline and neck - enhancing these features mainly. However, the deep plane facelift, which I perform regularly, provides a more vertical vector and will also improve the nose/cheek folds and marionette lines. In addition, it will add some volume to the cheeks creating a fuller, more youthful, and cherubic appearance in this region.
Not every face deserves the same facelift. This will depend on the way your face has aged and what areas will need enhancement. Different types of lifts include the neck lift, short scar facelift, SMAS facelift, vertical facelift, and deep plane facelift. Every patient should be evaluated to assess which type of lift is best for you.
In addition to redraping the skin and tightening the muscle sling under the neck, jawline and cheeks, volume may be needed for the maturing face. Fat injection can provide a three dimensional facelift allowing for improvement in contour and structure and can truly complement a facelift.
Contact Dr. Funk at Funk Facial Plastic Surgery in Houston, TX to schedule an appointment and discuss which type of facelift is best for you.
Sunday, October 23, 2011
I recently attended a rhinoplasty lecture by one of the foremost rhinoplasty experts in the world. It provides me comfort and joy to know and see that I am using some of the same rhinoplasty techniques as him and attaining similar aesthetic results. I am now leaning less towards harvesting rib for revision rhinoplasty and utilizing more ear cartilage and residual septal cartilage along with the PDS plate to attain the outcomes my patients and I desire. This eliminates the need for an evident scar on the chest and less postoperative discomfort. I have been very pleased with my revision rhinoplasty results utilizing these techniques thus far and look forward to more long-term results.
Lip augmentation or lip injections with Restylane are now officially FDA approved and no longer off label. Restylane is a hyaluronic acid facial filler that was only previously FDA approved for the nasolabial folds. Despite being off label for the lips, it has been used for lip augmentation for the last several years. Resytlane has a gel like consistency making it a smooth product for lip injections. This provides a soft, supple appearance with more pout and will last 6-9 months. Call Dr. Funk today to learn more about Restylane injection for the lips.
Sunday, October 16, 2011
A common question posed by patients interested in Rhinoplasty is, “What is the cost of a nose job?”. The answer is that it depends. Patients that are only seeking cosmetic changes to their nose with rhinoplasty will incur a cost that includes the rhinoplasty surgeon’s fee in addition to cosmetic fees for the time spent in the operating room and anesthesia. Insurance will not pay for cosmetic rhinoplasty. Cosmetic costs vary from surgeon to surgeon and facility to facility.
However, if you have functional problems and can’t breathe through your nose, you may be a good candidate for functional rhinoplasty. This will depend on the evaluation by your rhinoplasty surgeon. You may have a deviated septum, nasal valve problems, and/or turbinate enlargement that are leading to your nasal airway obstruction. These issues can be covered by your insurance.
That said, a septoplasty is frequently performed to obtain cartilage during cosmetic only rhinoplasty. Also, the open rhinoplasty approach during functional rhinoplasty is the same that is used for cosmetic rhinoplasty. Therefore, much of the time spent addressing or preparing for the functional issues are also done during the cosmetic rhinoplasty. This frays the facility and anesthesia fees during surgery compared to cosmetic only rhinoplasty. My surgeon’s fees for cosmetic rhinoplasty are also reduced when performing combined cosmetic and functional rhinoplasty as I will submit the functional procedures to insurance as well.
The bottom line is that combining the functional components with cosmetic rhinoplasty will decrease costs for the surgeon’s fee, facility fee, and anesthesia fees as much of these will be payed by your insurance.
Saturday, October 8, 2011
Revision Rhinoplasty is one of the most difficult procedures in plastic surgery. There is significant scarring under the nasal skin and the integrity of the cartilage may be compromised. In addition, there is typically little septal cartilage to work with for grafting.
Frequently, the use of ear cartilage or rib cartilage is required for revision rhinoplasty. Ear cartilage for nose surgery is a good source for grafting, however, it can be flimsy, curved and not as rigid as septal or rib cartilage. Obtaining rib cartilage requires a separate incision in the groove just below the breast or chest and has separate risks and mild pain postoperatively.
I have recently been using PDS plates to plate fragments of remaining septal cartilage and to strengthen and straighten ear cartilage for revision rhinoplasty. PDS is a type of material that has been used in sutures or stitches for many years now. It lasts 6 months and then resorbs or dissolves on its own. I have sat on the advisory board for Mentor/Johnson & Johnson regarding these plates and have great success using them with my revision patients. They are particularly beneficial for revision septoplasty and caudal septal deformities in patients who have nasal breathing issues.
Contact Dr. Funk at Funk Facial Plastic Surgery to schedule an appointment to discuss revision rhinoplasty, rhinoplasty, or any of your other facial concerns.