Tuesday, December 20, 2011

A Different Type of Facelift in Houston

Everyone’s face is unique and has distinct features. It is therefore important to assure that the proper facelift technique is applied for the appropriate face. There are various types of facelifts that have many different types of terminology. I will briefly describe a few of these.

The mini facelift (also referred to as the Manhattan facelift, Weekend facelift, or Short Scar Faclift) is a type of facelift that addresses the jowls and jawline only. This is for patients that do not need much neck work and require a small incision in front and behind the ear. There is not considerable SMAS or muscle dissection and therefore the recovery is shorter (1-2 weeks).

The vertical facelift describes the vector of pull for the SMAS or muscle. This is for patients with loose jawline and neck skin that may have a more pulled appearance if the vector of pull is too lateral. This also allows for more fullness in the malar or cheek area for these patients. This is a slightly more advanced facelift and require a little more recovery than the short scar facelift (2 weeks).

The deep plane facelift can be combined as a vertical lift or a traditional lift but relies not only on dissection of the facial and neck skin, but requires dissection of the SMAS or muscle as well. A platysmaplasty or tightening of the neck muscle is performed down the midline to creat a sling or hammock like suspension of the neck and jawline. This is the longest lasting and most effective type of facelift.

Dr. Funk is a board certified Houston facial plastic surgeon who specializes in facelifts for patients from Houston, Katy, Sugarland, Spring Cypress, Clear Lake, and Pasadena.

Monday, December 19, 2011

Rhinoplasty for a crooked nose

A crooked nose and/or deviated septum can occur from passage through the vaginal canal at birth, normal pubescent growth, or trauma. It is important to assess the cause of the trauma and what areas of the nose are actually crooked.

If the deviated appearance of the nose was due to trauma, it is important to let swelling subside and allow the nose to “declare” itself in it’s resting crooked appearance. This may take 3-6 months. Next, it is important to note if your crooked nose is due to a deviated septum, crooked nasal bones, or depressed cartilage.

Fixing a crooked nose can be a challenge. This may require osteotomies (controlled fractures of the nasal bones), cartilage grafting, and suturing techniques. I never leave a nose crooked on the operating room table. The nose will always be straight. However, mother nature may not allow the nose to remain straight.

Cartilage has memory. If you slept with your ear pinned forward, it would pop back into place in the morning. The nose cartilage also has memory. However, by utilizing techniques such as weakening the crooked cartilage and strengthening it with straight stronger cartilage grafts and suturing maneuvers, the nose may remain straight.

A crooked nose is the most difficult type of nose to perfect. It is important to seek a rhinoplasty expert with much experience in order to attain the cosmetic outcome you desire.

Dr. Funk is a board certified facial plastic surgeon who performs close to 100 rhinoplasty and revision rhinoplasty procedures per year. He is located in Houston, Texas and sees patients from Memorial, Memorial City, Sugarland, Katy, Clear Lake, Pasadena and Spring Cypress.

Monday, December 5, 2011

How old for a Rhinoplasty?

I frequently get questioned by patients and patients’ parents as to what is the appropriate age to have a rhinoplasty. How old does one have to be? When is too early? What are the consequences?

All this depends. Typically, girls and boys differ in terms of their growth and psychological maturity. With girls, I typically wait about 1 year after the girl’s first menstrual cycle before considering rhinoplasty. I will evaluate the patient’s mid face and assess if growth is complete before proceeding with the nose surgery. With girls, the earliest in this case is typically 14. With boys, I await until they are 1-2 years after puberty and have completed their mid face growth.

It is important to wait until the mid face has completed its growth as the septum, which can be deviated, serves as the epicenter for mid face growth and should not be disturbed until this is complete.

Lastly, it is important that both boys and girls are psychologically mature enough to undergo rhinoplasty, and can handle this change in body image.

Dr. Funk is a double board certified Ear, Nose, and Throat Surgeon and Facial Plastic Surgeon. He specializes in rhinoplasty, septoplasty, and all nasal surgery. He sees patients from throughout the Houston area including Katy, Sugarland, Spring Cypress, and the Woodlands, Texas.

Saturday, December 3, 2011

Deviated Septum and Rhinoplasty

The nasal septum is the wall that separates the two sides of the nose composed of cartilage and bone. A deviated septum can occur due to multiple reasons. The septum can be pushed to one side as a newborn passing through the vaginal canal. It can occur during puberty due to normal growth of the nose with the cartilage meeting the bone and pushing over to one side. A deviated septum can also arise from trauma or a blow to the nose.

Septoplasty is a procedure to correct a deviated nasal septum. If the septum is so deviated that the end is significantly deviated causing asymmetric nostrils, a septorhinoplasty may be necessary to correct this deviated septum.

Septoplasty or Septorhinoplasty are outpatient procedures that require 4-10 days of downtime after surgery.

Dr. Funk is a double board certified Ear, Nose, and Throat Surgeon and Facial Plastic Surgeon. He specializes in rhinoplasty, septoplasty, and all nasal surgery. He sees patients from throughout the Houston area including Katy, Sugarland, Spring Cypress, and the Woodlands, Texas.