Monday, March 30, 2015

Can Rhinoplasty fix big nostrils?

Nostril size and shape may vary from nose to nose. Depending on your ethnicity, a deviated septum, and the position of your tip cartilages, nostrils can all be different.

Rhinoplasty, or nose job surgery, can help change the nostril shape, make them smaller, and more symmetric. Correcting a deviated septum with septoplasty can make the nostrils more symmetric. Performing an alar base resection during rhinoplasty can bring in the nostrils and narrow the base.

The nostril length can be made smaller by manipulating the tip cartilages with sutures and making the nasal tip cartilages smaller or bringing the tip in.

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

Tuesday, March 24, 2015

Do I need a Facelift, Neck Lift, or Mini Facelift?

Patients who are seeking facial rejuvenation surgery frequently want to improve the jowling that may occur along the jawline, skin laxity of the neck, or sagging of the face in general. Many patients state they do not want a facelift but just a neck lift. Unfortunately, sometimes addressing the neck alone may lead to even more worsening of the jowls and facial skin redundancy.

A neck lift is reserved for those patients who mainly have laxity in the neck or banding of the muscles in the midline of the neck. They either do not have significant jowling or an issue with their jawline or it simply does not bother them. These patients can expect a tighter neck line and improvement in the banding in the midline of the neck, however, they will still have an ill defined jawline and jowling.

Those patients who have very minimal skin laxity in the neck and mainly jowling of the face or skin laxity around the corners of the mouth and jawline will benefit from a mini facelift. These facelift patients are typically between 45-55 years of age. This procedure is reserved for these patients who do not have significant laxity in the neck and do not need a neck lift.

Lastly are the patients that require both a facelift and a neck lift and may require a deep plane face and neck lift. These patients are typically over 55 year of age and have significant skin laxity, banding in the neck or a full heavy neck. They also have jowling, lax jawline skin and depressed corners of the mouth. The deep plane facelift refers to the plane of dissection. In this case, the muscle is elevated and ligaments are released to provide a more robust, longer lasting, and better lift.

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

Monday, March 16, 2015

How long does Rhinoplasty take?

Rhinoplasty is a surgery typically performed under general anesthesia. While every nose is different, some can be fairly straightforward while others quite difficult. A very crooked nose can require particular grafts, sutures, and controlled fractures. A knuckled, crooked, twisted, or weakened nasal tip may take longer to finesse than others. Revision rhinoplasty may require ear cartilage or rib cartilage to be used which takes more time. Base reduction of the nostrils may also add to the operative time. In general however, open rhinoplasty typically takes between 1.5-2 hours for uncomplicated cases and 2-3 hours for more complex ones.

Dr. Funk is performs rhinoplasty in Houston and is double board certified.

Sunday, March 8, 2015

Is Rhinoplasty Permanent?

Unlike breast augmentation, facelift surgery, or eyelid surgery, rhinoplasty or nose job surgery is permanent. If done properly, repeat surgery later in life should not be necessary. It is important that during rhinoplasty, the nose is kept structurally sound and a nose is built for life. If the nose cartilage or bone is weakened to much, it could collapse afterwards and lead to an inverted V deformity or saddle nose. Sometimes, cartilage grafts are needed to strengthen a nose during nose surgery to keep it from collapsing.

Because of the cartilage and scar tissue formed after rhinoplasty, the nose remains stiff and will not droop or lose elasticity over time as an unoperated nose might. This also is what causes jowling, neck skin laxity, and an ill defined jawline.

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

Can I have another Facelift?

Some patients who seek facelift surgery have had a facelift or necklift in the past. Typically a facelift lasts 10-12 years if done properly. I have seen and operated on patients who have had a previous facelift and are seeking once again to improve their jawline, jowls, and neck.

A facelift or necklift improves the contour of one’s face and creates a more youthful appearance but does not stop the aging process. Unlike rhinoplasty where we create a nose for life that should not change much after the first 1-2 years from surgery, the face and neck will continue to have looser skin, sag, and droop.

Unless the scars from the previous facelift are unsightly or placed in areas where they can be seen, I typically use the same scars for the incisions. The amount of lifting can never be quite as impressive given the amount of scar tissue from the previous surgery. In addition, the muscle and fascia used to suspend things has thinned out and is not as strong.

Repeat facelift or necklift is a safe and can be a very successful surgery if performed by an experienced surgeon on the proper patient.

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