Revision rhinoplasty and rib cartilage

Many of my Houston revision rhinoplasty patients who come to my office have had a previous septoplasty for a deviated septum and therefore do not have sufficient septal cartilage for a revision rhinoplasty.  With patients who require strong straight grafts of cartilage to straighten a crooked nose or build up the bridge with revision…

Will lower eyelid surgery leave me with hollow eyes?

Many of my Houston lower eyelid surgery patients are concerned that addressing the bags under the eyes will create another problem of hollowed-out appearance of the eyes.  

When performing lower eyelid surgery or lower blepharoplasty, it is important as a surgeon to know how much fat needs to be removed.  This comes with experience.  

Fat repositioning also helps…

Will revision rhinoplasty make a bulbous tip smaller?

Many of my Houston revision rhinoplasty patients and revision ethnic rhinoplasty patients have thick nasal tip skin and desire a more refined nasal tip and narrower nose.  

With revision rhinoplasty, the tip in a normal thickness skin patient is difficult to refine, let alone one with thick skin.  Cartilage grafting, sculpting the cartilage, and thinning…

Will a facelift raise my cheeks or help my smile lines?

Many of my Houston facelift patients have an aging midface and deep smile lines with droopy cheeks.  A frequent question is whether their smile lines will improve with a facelift and what will happen to their midface.  

Each type of facelift accomplishes different things.  A deep plane facelift will release the zygomaticofacial ligament in addition to the lower…

Can I still have a defined nasal tip with thick nasal skin?

Many of my Houston ethnic rhinoplasty patients present with thick nasal tip skin and want a smaller more refined nasal tip.  African American rhinoplasty or Asian rhinoplasty patients will frequently have thicker nasal tip skin.  There are ways to create a more refined tip such…

Will my rhinoplasty look natural?

Many of my Houston rhinoplasty patients are concerned about assuring they have a natural result after their rhinoplasty.  When I ask my rhinoplasty patients at 6 weeks postop what people are saying about their nose, they most often say, "Nobody notices!".   That is the key to having a succesful rhinoplasty.  Even though it sits in the center of the face, the nose should…

Should I have upper eyelid surgery with lower eyelid surgery?

Many of my Houston eyelid surgery patients who come in for lower eyelid bags may also have upper eyelid hooding or excess skin of the upper eyelid.  Some patients may not consider having both upper and lower eyelid surgery at the same time, but this is an opportunity to take care of both with the same down time.  Recovery…

Am I too young for a facelift?

Many of my Houston facelift patients ask whether they are too young to have a facelift when they start noticing jowling.  Everyone ages differently depending on ethnicity, skin thickness, facial contour, and environmental exposure.  Jowls are one of the first signs patients may start to see in their late 30's.  There are many non-surgical options to address jowls such…

Will rhinoplasty change my smile?

Many of my Houston rhinoplasty patients will ask if rhinoplasty will change their smile.  While rhinoplasty will change the shape of your nose, it should not change your smile.  However, initially, due to swelling and healing, the upper lip will feel stiff and not move up as much during the first several weeks of healing.  This will resolve and return to normal.  I…

Brow lift or upper eyelid surgery?

Many of my Houston upper eyelid surgery patients who believe they may need upper eyelid surgery or blepharoplasty for hooding or heavy eyes, may actually need a brow lift.  Evaluating these patients properly will determine the most beneficial surgery for each patient.  The female brow should sit slightly over the superior orbital bony rim and peak higher laterally…