Monday, March 26, 2012

The male facelift

A facelift in a male is not as common of a procedure as in females, however, is becoming more popular as baby boomers are at the age where they are noticing significant neck laxity, banding, and a soft jawline.

Most of my male patients have an issue with their neck. They dislike the loose skin, fullness, and “turkey neck” they are noticing. They want that old tight neck and jawline they once had.

A neck lift alone is a good procedure for many men typically under age 60 who do not have much skin laxity. This allows for an improved angle between the chin and neck and defines the jawline more. It does not, however, treat the midface and helps moderately with the jowls.

Many of my male facelift patients are concerned about scarring as they have short hair. The incision is placed in front of the ear in males to avoid bringing hair-bearing skin onto the ear with the lift. Some hair-bearing skin may end up behind the earlobe, but this is easily shaved.

In addition, the vector of pull is a little different in men than in women. The wrong type of lift on the muscle and fascia can lead to a feminized appearance in some men after a facelift.

Dr. Funk is a board-certified facial plastic surgeon specializing in facelift procedures, neck lifts, and facial rejuvenation in Houston, Texas.

What causes a deviated septum?

Many of my patients ask me, “What causes a deviated septum?” when we discuss their breathing problems during a septoplasty or nose surgery consultation.

You cannot be sure what caused the deviation unless there was acute trauma that you can recall after which you had a clear issue with breathing through your nose. Otherwise, a deviated septum may be due to passage as a neonate through the birth canal, trauma, normal pubescent growth of the nose, or previous unsuccessful surgery.

A deviated septum may be treated with a septoplasty which is a procedure in which the deviated portions of cartilage and bone are removed while maintaining the portions of the septum needed for support.

Dr. Funk is a facial plastic surgeon and ENT surgeon in Houston specializing in rhinoplasty, septoplasty, and revision rhinoplasty.

Monday, March 19, 2012

Open or Closed Approach for Rhinoplasty (Nose Job)

There is still some debate regarding which approach to rhinoplasty or nose surgery is best. I prefer the open or external rhinoplasty approach the majority of the time as it allows excellent visualization of all the cartilaginous and bony structure of the nose. This allows for accurate cartilage graft placement, precise recontouring and refinement of the nose and excellent exposure for suture placement.

There is an external scar between the nostrils with the open approach but I have found that with meticulous closure, this scar is imperceptible after surgery. Another concern is that there may be more swelling with the open approach. I believe that with proper technique, proper taping, and a little bit of time, most patients feel the majority of their swelling has resolved at 4-6 weeks and are very satisfied with their appearance.

Dr. Funk is a board-certified facial plastic surgeon in Houston, Texas specializing in rhinoplasty and revision rhinoplasty.

Thursday, March 15, 2012

Septoplasty for Deviated Septum

A deviated septum can cause breathing issues in the nose. Nasal surgery can help this with a septoplasty which can be done closed through intranasal incisions, or sometimes with a rhinoplasty approach.

A deviated septum that causes nostril asymmetry is repaired using a rhinoplasty approach.

Sometimes I use a small piece of bone from the septum to brace the deviated portion of the cartilage I have to leave in the septum. If bone is not available, I may use a PDS plate.

Dr. Funk is a board certified facial plastic surgeon that specializes in rhinoplasty and revision rhinoplasty.

Saturday, March 10, 2012

Can you have sinus surgery with rhinoplasty?

Many of my rhinoplasty or nose job patients have concomitant issues with sinus infections and may require sinus surgery. Rhinoplasty is surgery of the nose and nasal airway whereas sinus surgery widens the openings of the sinuses so that they drain more effectively into the nose.

The recovery after sinus surgery and nose surgery is quite similar and having both does not lengthen the recovery. I typically do not use any packing after rhinoplasty but do at times require packing after sinus surgery.

Dr. Funk is double board certified in ENT surgery and facial plastic surgery in Houston, TX. He specializes in sinus surgery, rhinoplasty, and revision rhinoplasty.