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Q & A with Etai Funk, MD
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Q: Should I have a full rhinoplasty or just a tip rhinoplasty?
A: Rhinoplasty is like a puzzle. There are over 150 different types of maneuvers, grafts, sutures, and techniques to change the shape of the nose. If you change one aspect of the nose such as the tip or the dorsum, you will likely need... more
Q: What's the best treatment for loose skin under eyes?
A: Loose skin under the eyes is caused by loss of elastin, collagen, and the effects of gravity as we age. A blepharoplasty, or eyelid lift, can be performed to correct this. Depending on whether there is bulging of the lower lid, a... more
Q: Is vomiting after rhinoplasty common?
A: Nausea and vomiting after rhinoplasty can occur due to even a small amount of blood irritating the stomach. This can sometimes be prevented with the placement of something called a throat pack. Once you are asleep and under general... more
Q: Is this a reasonable expectation from a septo-rhinoplasty?
A: The goal in rhinoplasty after a broken nose is to shape the nose, make it straighter, and place the bones and cartilage in a more aesthetic position. In addition, it is important to improve or preserve the nasal airway after nasal trauma... more
Q: Can a crooked nose be repositioned without breaking it?
A: A crooked nose from trauma is typically due to broken nasal bones or a nasal fracture with or without cartilage that has been mishapen or shifted. The septum (the wall that separates the two sides of the nose) may also be deviated after... more
Q: Would I be able to have a natural looking refined tip and nostril reduction?
A: A wide base or flared nostrils can be treated surgically with what's called an alar base reduction. There are three things that may need to be addressed with alar base reduction. 1) The circumference of the nostrils can be made... more
Q: Can a 15-year-old have rhinoplasty surgery?
A: The nose, specifically the septum (the wall that separates the two sides of the nose) serves as the focal point or center for midfacial growth. Prematurely disturbing this growth center could lead to abnormal development of the face. Therefore,... more
Q: Surgery to fix dorsal hump?
A: You will definitely benefit from rhinoplasty. It's important to note however, that cosmetic nasal surgery in men is different than in women. As a man, you want to retain a strong profile without overrotating the tip. The... more
Q: Can Botox help overly arched eyebrows?
A: Typically, most women want their eyebrows elevated, but Botox can bring the eyebrows down as well. Depending on the location of injection and amount of units injected, you can alter the position of the eyebrow. It may however give you... more
Q: What's the difference between a unit and a CC of Botox?
A: Botox is measured in units. You should always ask how many units have been injected into which areas. CC or cubic centimeter is a measure of volume which is equal to one milliliter. Botox should not be measured in cc's as... more
Q: How can I get my broken nose fixed?
A: If you did not have any surgery performed within the first 2 weeks after the broken nose to reset the bones, you will require a more definitive surgery. The nasal bones will need to be rebroken and straightened. In addition, if you... more
Q: Is 27 too young for Botox around the eyes?
A: Every patient will age differently and develop wrinkles in certain areas at various times of their life. This is dependent on genetics, ethnicity, expressiveness, and environmental factors such as sun exposure and smoking. Botox is... more
Q: Will a cheek implant help a long face and make nose appear less prominent?
A: Cheek implants or malar implants can improve a long face. They provide more harmony to a long face as they increase the width to make the face seem more proportionate. In effect, they give you those high cheek bones that are desired... more
Q: Will cartilage grafts to nostrils make nose seem longer?
A: Alar batten and alar strut grafts strengthen a collapsed nose and improve nasal breathing in addition to correcting a pinched nose. Alar rim grafts along the ala itself may help with a retracted ala or nostril. Ear cartilage is... more
Q: Can alar base reduction be done on only one of the nostrils?
A: Usually alar base reduction needs to be performed on both sides, but f there is significant assymetry, alar base reduction can be performed on one side. Remember, alar base reduction is performed for three reasons. 1) Reducing the... more
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