Sunday, November 19, 2017

Do I have to have both upper and lower eyelid surgery?

Patients presenting with concerns for their upper or lower eyelids may wonder if they HAVE to address both if they are mainly concerned with one. The answer is not necessarily.

Upper eyelid surgery will create a less heavy upper eyelid and allow a more open eyed appearance. This give a more alert and awake appearance and allows patients to more easily place eyeliner, eye shadow, and mascara.

Lower eyelid surgery will address the heavy bags, dark circles, and loose skin of the lower eyelid. This will give a more rested, refreshed, and youthful appearance.

Together, upper eyelid surgery and lower eyelid bags surgery will complement one another but patients have to choose which bothers them most and have a frank discussion with their surgeon regarding the best treatment regimen for their eyes.

Dr. Funk is a top facial plastic surgeon in Houston for eyelid surgery.

Will a Mini Facelift correct my neck?

Many of my Houston facelift patients come in wondering if a mini facelift with correct the concern they have with their neck. A mini facelift will help correct some aspects of the neck depending on two factors.

Factor number one is the severity of the neck. Patients in their 60’s or 70’s with extensive skin laxity of the neck or patients with a heavy waddle or large neck may benefit slightly in the neck with a mini facelift. These patients will likely require direct fat excision, possible platysmaplasty, and possible neck lift. This requires elevation of the skin of the neck and suspension of the platysma muscle to the mastoid bone behind the ear.

Factor number two is the extent of the mini facelift. The mini facelift’s purpose is to improve the jowls, jawline, and perhaps the mid face. The SMAS is a layer of fascia that lies over the face and is the extension of the platysma muscle in the neck. If a deep plane dissection is conducted with the mini facelift and the sub SMAS ligaments are released, this will help suspend the neck better and tighten it at the same time.

For patients with mild neck skin laxity and small amounts of neck fat, a deep plane mini facelift will help correct concerns the patient may have with the neck.

Dr. Funk is a facelift surgeon in Houston.

Monday, November 13, 2017

Does a Facelift Include the Eyes?

Facelift surgery or a mini facelift typically addresses the jowls, jawline, and some of the neck. The deep plane aspect of a facelift will also lift portions of the mid face. The neck can be addressed with a neck lift or face and neck lift.

Eyelid surgery addresses excess upper or lower eyelid skin and also can treat the lower eyelid bags. Upper blepharoplasty removes excess skin from the upper eyelid and provide a more rested refreshed appearance to the eyes. Lower eyelid bags surgery removes excess fat and creates a softer more rejuvenated look while tightening the skin as well.

Eyelid surgery is a separate procedure from a facelift. Eyelid surgery and facelift surgery are frequently performed at the same time.

Dr. Funk is a facelift and eyelid surgery specialist in Houston.

Steroid injection after rhinoplasty

Rhinoplasty is a unique form of cosmetic surgery in that with most plastic surgery, skin is removed or tightened. With rhinoplasty, the cartilage and bone are reshaped and the skin then needs to contract over this new bony cartilaginous framework. This can occur fairly quickly with thin skin patients. However thick skinned patients may take longer for the skin to contract. In addition, the nasal tip skin which is the thickest skin may take 1-1.5 years to completely contract. At times, scar tissue may be deposited between the skin and cartilage leading to fullness. This occurs most often in the area called the supra tip or just above the nasal tip.

Those patients who continue to have swelling in the supra tip are good candidates for steroid injection after rhinoplasty in this region. This is typically only done at the 1 month postop mark to avoid poor wound healing. The steroid will break up any deposited scar tissue fibers and prevent future deposition of scar tissue. This along with massage will help the healing process.

Dr. Funk is a rhinoplasty expert in Houston, Texas

Saturday, November 4, 2017

Does a Facelift Hurt?

A common question from facelift patients is whether they will have much pain after a facelift. Facelift, neck lifts, or mini facelifts do not actually cause much pain. They patient may feel some discomfort and slight throbbing around the ears. A tight feeling around the neck is quite common too. Significant pain after facelift surgery is more likely associated with a hematoma or bleeding under the skin flap after a facelift. Pain can easily be managed from home with prescription oral medications after facelift surgery.

Dr. Funk is a Houston facelift surgeon located in Memorial area.