Monday, February 23, 2015

Social Media and Plastic Surgery

I was recently interviewed in a Fox news segment about the impact social media and the rise of selfies has had on plastic surgery. In today’s world of social media, we see photos of ourselves much more often posted online on sites such as Facebook, Instagram, and even on Twitter. Taking photos of ourselves with our camera phones has become an art and posting just the right photo to the world can become an obsession. Many of my rhinoplasty patients come in with selfies they have taken and show me what they dislike about their nose. Some even have photoshopped their nose and show me what they want their nose to look like.

This has only driven a rise in plastic surgery and related procedures. Facial plastic surgical procedures have specifically risen in popularity. I believe that the rise in video on social media sites such as Twitter, SnapChat, or Vimeo will only lead people to desire more treatments for 2 reasons. Now people will be able to see dynamic wrinkles that may occur with expression which will drive the desire for Botox and fillers. Also, it is much more difficult to photoshop and change a video than it is a still image.

Click here to see the segment on Fox 26

Dr. Funk is a double board certified facial plastic surgeon in Houston.

Monday, February 16, 2015

Does Rhinoplasty Help Snoring

Many of my patients who present for nose surgery consultation ask if rhinoplasty can help snoring. Snoring results from vibrations from the base of tongue or soft palate during certain stages of sleep. In the deeper stages of sleep, the muscles in the body become weak and flaccid and these muscles in the soft palate or base of tongue can move and vibrate - especially when airflow is mainly directed through the mouth.

If there are issues inside the nose like a deviated septum or turbinate hypertrophy, these can lead to decreased nasal airflow. By straightening a deviated septum with septoplasty or reducing the size of the turbinates, airflow can bypass the areas of the base of tongue and soft palate that may lead to the vibrations that cause snoring. I therefore inform my patients that nose surgery can significantly improve if not cure snoring alone.

Sometimes, the soft palate is too long, redundant, or weak and procedures are necessary to stiffen the palate such as the Pillar procedure.

Dr. Funk is a nose specialist in Houston, TX.

Sunday, February 8, 2015

Does Rhinoplasty change your voice?

Many of my professional singing patients inquire as to whether rhinoplasty will change their voice. Nose surgery to improve the nasal airway and allow better airflow should not have much effect on a person’s voice. However, if that patient has large adenoids in the back of the nose or has sinus problems, then changes to these areas may create a less nasally sounding voice.

Sinus surgery, or opening the sinus cavities so that they communicate better with the nasal cavity will create more resonance to the voice. Removal of the adenoids also know as adenoidectomy will allow communication between the back of the nose and the back of the throat which will create a less nasal voice.

Deviated septum surgery or septoplasty, turbinate reduction, or even nasal valve repair will improve the nasal airway and breathing and should not impact the voice.

Lastly, it is important for those professional voice patients who are having nasal surgery to assure the anesthesiologist uses a small breathing tube and places it as atraumatically as possible to avoid injury to the vocal cords.

Dr. Funk is a rhinoplasty surgeon in Houston, TX.

Monday, February 2, 2015

Lower eyelid surgery

Lower eyelid surgery or blepharoplasty can be a complex procedure based on your anatomy and the different options for the lower eyelids.

There are two approaches to the lower eyelids. One is through an incision 1-2mm under the eyelid margin of lashes and the skin and muscle of the lower eyelid are elevated to reveal the fat or “bags under the eyes”. The fat can be partially removed or mobilized and repositioned to the tear trough or “dark circle under the eye”. A strip of skin is resected and the eyelid is resuspended. The dissection can be extended much lower into the cheek for an extended lower blepharoplasty which will help treat malar bags and festoons.

The approach that I use 90% of the time is actually the transconjunctival approach. The incision is actually through the inside pink portion of the eyelid. The fat is accessed similarly and either partially removed or repositioned. A pinch of skin is removed under the lash line. This approach has a much lower rate of ectropion or the lower eyelid sagging.

I have found that for those patients with very hollowed out lower eyelids and cheeks, the repositioning of the fat works quite well and does not leave them looking more hollowed after lower eyelid lift.

Dr. Funk is a board certified facial plastic surgeon in Houston, TX.