Repairing a collapsed valve after rhinoplasty

Many of my Houston revision rhinoplasty and Houston rhinoplasty patients who present to my office have issues with their nasal breathing.  This may be due to a deviated septum, enlarged turbiantes, or nasal valve collapse.  The nasal valves are areas of the nose with the highest resistance to nasal airflow.  There are actually two valves in the nose which are the internal…

Rhinoplasty for a bifid tip

Some of my Houston rhinoplasty patients seek consultation for a bifid nasal tip or cleft nasal tip.  This is due to a shadowing appearance between the two tip cartilages with a depression of the skin in that region. A bifid tip can be corrected by using cartilage grafting from septoplasty for a deviated septum as a columellar strut and tip suturing techniques to bring…

Repeat eyelid surgery

Many of my Houston eyelid surgery patients come to see me 10-15 years after their first upper eyelid surgery or blepharoplasty stating that they now see similar changes to those that drove them to the intitial surgery.  Surgery for the aging face does not halt the aging process.  The eyelid skin is the thinnest skin in the body and the area that demonstrates…

Repeat facelift surgery

Some of my Houston facelift patients have had a previous facelift or necklift many years prior and now need another facelift or neck lift.  They may have been unhappy with their original facelift or simply feel the effects of aging and need another facelift.  

Repeat facelift or necklift is a surgery that requires attention to detail.  The previous scars may…

Revision rhinoplasty for a crooked nose

Many of my Houston revision rhinoplasty patients are concerned about a crooked nose after their initial rhinoplasty.  Rhinoplasty for a crooked nose is difficult as cartilage has memory and tends to want to creep back towards the direction it was initially.  This is even more true for revision rhinoplasty for a crooked nose.  With revision rhinoplasty, there…

Upper & lower eyelids done at the same time

Is it better to have both upper and lower eyelids done at the same time?

Will a septoplasty fix my crooked nose?

Many of my Houston rhinoplasty patients who present with a crooked nose may also have a deviated septum.  One question many patients have is whether septoplasty for a deviated septum will correct their crooked nose.  The simple answer here is no.  A septoplasty will not straighten a crooked nose just as straightening a crooked nose will not fix a deviated…

Will a facelift require liposuction

Many of my Houston facelift patients desire improvment to their neck in addition to their jowls, jawline, and flat cheeks.  Neck laxity and submental fullness may need to be treated with a facelift and neck lift. If there is significant fullness in the neck due to excess fat, liposuction of the neck may be needed to contour the neck at the same time the suspension of the…

Rhinoplasty with rhinophyma

Many of my Houston rhinoplasty patients present with rosacea of the cheeks, nose, forehead or even chin.  Rosacea of the nose can appear in different forms and severities.  This is important when considering rhinoplasty.  The final form of rosacea of the nose or most severe is called rhinophyma.  Rhinophyma is due to sebaceous glands multiplying which creates a knobby,…

What type of anesthesia is used for a facelift?

Many of my Houston facelift patients inquire as to the type of anesthesia used for a facelift.  A typical facelift or face and neck lift takes 2-4 hours, depending on the type of facelift.  Liposuction for the neck adds operative time as does dissecting out the neck.  A mini-facelift will take shorter time than a full face and neck lift.  Deep plane facelifts may take…