Does a facelift include the neck?

The term facelift is somewhat of a misnomer. As far as I am concerned, if you desire a facelift for your jowls or loose facial skin, you likely need your neck addressed as well. That is to say, you likely have significant laxity in your neck skin and may have submental or neck fullness that…

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…

The male facelift

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…

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…

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…

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…

Deviated septum can cause asymmetric nostrils

Asymmetric nostrils can be caused by a deviated septum. Septoplasty can help this issue and not only improve your nasal breathing but also nostril symmetry. A deviated caudal septum can be fixed with an open rhinoplasty approach and may need suturing techniques, PDS plate, or a bone graft…

Nose Job Improves Teen Confidence

I have no scientific evidence to proved this, but I have seen it time and time again in my clinical practice. A teenager arrives for a nose job or rhinoplasty consultation and seems timid, shy, and concerned about his or her appearance. Their head is down and their eyes constantly…

Do I need a Neck Lift or a Facelift?

This is a common question posed by many of my patients interested in facial rejuvenation.

neck lift only address the lax neck skin and banding that can occur from the weak muscle. It will not address much of the jowls, loose cheek skin or mid-face at all. It will minimally improve…

Bags under lower eyelids - Eyelid Surgery, Blepharoplasty, and Fillers for Eyes

I have many patients (especially younger ones) coming in to see me regarding concerns about their lower eyelids. The do not like the heavy appearance of their lower lids, the deep groove, the “bags”, or the dark circles under the eyes.

The “bags” are due to the fat starting to push out due to weaking of the tissues around the eye. The deep groove can cause a shadowed appearance creating…