Monday, May 28, 2012

Ethnic Rhinoplasty or Nose Job

Rhinoplasty referred to by some as a nose job, is a procedure to change the shape of the nose. Special consideration must be taken when performing nose surgery on ethnic patients such as Asians, Hispanics, and African-Americans.

There are specific and unique features to ethnic noses and I always communicate closely with patients to assure what type of changes they want to see regarding their nose. Some would like a more Caucasian nose while others want to maintain their nasal ethnic identity with some refinement.

Common features addressed in ethnic rhinoplasty are a wide and flat nasal dorsum or bridge of the nose. This can be brought in with controlled fractures of the bone and suture techniques. Another characteristic is a short or flat under projected nasal tip. Cartilage grafts can be used to augment the nasal tip in rhinoplasty for this particular purpose. Lastly, the base of the nose may be quite wide in ethnic noses and can be addressed with a base reduction.

Every nose is different and the changes desired by the patient must be identified and communicated with the surgeon to obtain the natural, un-operated result for each individual patient.

Dr. Funk is a board-certified facial plastic surgeon in Houston. He sees and treats patients in Houston, Katy, Clear Lake, and Sugarland.

Monday, May 21, 2012

Facelift scars

Many of my facelift patients are concerned about their scars. Especially my short-haired patients.

The facelift scar is placed around the ears and is dependent on the type of facelift, location of the hairline, and surgeon preference.

With a mini lift, the incision will begin in front of the ear but not extend significantly behind the ear and simply end behind the earlobe. That is because the neck is typically not addressed with a mini lift.

With a neck lift, the incision extends fully behind the ear but only stops just in front of the earlobe.

In general, I have found that bringing the incision under the temporal tuft of hair and just barely up the temporal hairline provides the best result without raising the hairline. I also bring my incision behind the ear very high and into the hairline so as not to be seen. I have found this provides the best scar after a facelift.

Dr. Funk is a Houston facial plastic surgeon specializing in facelift, neck lift, and facial rejuvenation surgery.

Monday, May 14, 2012

Lower eyelid surgery for circles and bags

Lower Eyelid Surgery or Blepharoplasty is a procedure to reshape the lower eyelid. Many of my patients complain of lower eyelid bags, dark circles, heaviness, and a tired appearance. Blepharoplasty helps to rejuvenate the eyelid and improve these issues.

Lower eyelid fat can be trimmed and sometimes even repositioned into the groove or hollowed area below the eyelid that creates the dark circle and bag. A small amount of skin can be removed just below the lash line to tighten the lower eyelid skin and improve fine wrinkles and thin crepe skin.

Dr. Funk is a board-certified Houston facial plastic surgeon and eyelid surgery specialist.

Monday, May 7, 2012

Revision Rhinoplasty with Ear Cartilage

Revision Rhinoplasty or a revision nose job is a complicated and difficult procedure. The surgeon is dealing with scar tissue in the nose and a lack of cartilage with which to work. Frequently, cartilage must be taken from another source. The ear makes for great cartilage.

The scar is on the back of the ear and not noticeable. The shape of the ear does not change at all. The cartilage is soft, pliable, and easily used for grafts in the nose during revision rhinoplasty. I use ear cartilage frequently for my revision rhinoplasties and find it to be a great source of cartilage when the septum is not available due to the previous septoplasty.

Dr. Funk is a revision rhinoplasty specialist in Houston, TX.