Thursday, May 26, 2016

Does Rhinoplasty change your smile?

Rhinoplasty or nose job surgery is performed in order to change the shape of the nose. The septum, or wall that separates the inside of the nose, sits on top of the hard palate. When there is a deviated septum and septoplasty is performed with rhinoplasty, there can be additional swelling to the upper lip. Initially, after rhinoplasty, you may notice that your upper lip is tight or swollen, especially if you had deviated septum surgery. This is only temporary. It should resolve within 3-6 weeks once the swelling subsides. So when patients ask me, does rhinoplasty change your smile, the answer is that ultimately your smile will remain the same and will temporarily feel tight.

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

Monday, May 16, 2016

Rhinoplasty and chin implant

Not only can rhinoplasty help breathing, but it can also provide better balance between the nose and the chin with a chin implant or chin augmentation. Rhinoplasty, or nose job surgery, can create a softer, smaller nose that is more proportionate to the face. However, sometimes, no matter how small the nose is made (and we don’t want to make it too small!), it is in poor harmony or balance with the chin. This is true especially for those patients with recessed chins or jawlines. A chin implant can create better balance between the nose, chin and cheeks and provide an overall improved profile.

A chin implant can be placed at the same time as rhinoplasty surgery. The recovery after chin implant is about 5 days and requires a small incision just under the chin.

Dr. Funk is a top rhinoplasty and chin implant surgeon in Houston.

Sunday, May 8, 2016

Is Revision Rhinoplasty Free?

Revision rhinoplasty is a complex operation where the results are much less predictable than primary rhinoplasty. There is significant scar tissue from the previous operation and the cartilage is much more difficult to shape and manipulate as it may be quite fragile, surrounded by scar tissue, or nonexistent.

Patients coming in for revision rhinoplasty after having their previous surgery with another rhinoplasty surgeon should expect a revision rhinoplasty fee higher the standard primary rhinoplasty fee.

You may ask, is revision rhinoplasty free if it is the same surgeon? Cost for revision rhinoplasty by the same rhinoplasty surgeon may vary depending on the surgeon. We feel that if you are unhappy with some aspect of your rhinoplasty, can point it out, we can identify and agree with the issue and are capable of correcting it, you are a good candidate for a revision as long as sufficient time as passed to allow for healing.

If the issue is related to your septum, breathing, or an improperly healed bone, a small revision may be covered by your insurance. Otherwise, there is no charge for the surgeon’s fees, but you as the patient would be responsible for the anesthesia and facility fees.

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

Monday, May 2, 2016

My nose looks bigger after rhinoplasty

One of the known facts regarding rhinoplasty or nose job surgery is that the nose will swell significantly after surgery. During rhinoplasty or nose reshaping surgery, the cartilage and bony framework of the nose is reshaped and then the skin is laid back down over this new framework. Unlike eyelid surgery or facelift surgery, skin is rarely removed. The skin then has to contract back down over the new framework to form the new nose. This swelling after rhinoplasty takes times to settle down. Depending on the thickness of the skin, swelling may vary. Typically, 10-25% of the swelling is down at 3 weeks. At 6 weeks, 25-40% of the swelling is down. It will take at least 1 year (if not 1.5-2 years with thicker skin or revisions) for swelling to significantly abate. The nasal tip skin is thicker than the skin over the bridge so will therefore also take longer to contract.

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

Is Eyelid Surgery Covered by Insurance?

Many of my older patients come in with significant excess skin over their eyes in their upper eyelids. They feel like their eyes are heavy and want to know if eyelid surgery is covered by insurance or medicare. The answer here is that it depends. If you have excess eyelid skin that is causing visual impairment or peripheral visual loss, this must be tested by an ophthalmologist or optometrist and documented for the insurance company to approve the surgery.

Despite Medicare or an insurance company approving upper eyelid surgery or blepharoplasty for medical reasons, this does not mean they will actually pay the surgeon. They may contest the surgery after the fact on grounds that it was “cosmetic”. There have been instances where payment for blepharoplasty is received from the insurance company, and then Medicare or the insurance company turns around and sends a letter stating the procedure was cosmetic and they insist on a refund.

For this reason, at Funk Facial Plastic Surgery, eyelid surgery or blepharoplasty is NOT covered by insurance.

Dr. Funk is a board certified facial plastic surgeon specializing in eyelid surgery or blepharoplasty.