Monday, September 26, 2016

Ear cartilage and revision rhinoplasty

Revision rhinoplasty may require cartilage grafting from other areas if there is insufficient septal cartilage available. One area is the conchal cartilage. This is the portion of ear cartilage that forms the bowl like appearance in front of the ear canal. The incision is behind the ear and ear cartilage for revision rhinoplasty is a common practice. Ear cartilage for revision rhinoplasty does not change the shape of the ear. Ear cartilage is a good option when cartilage grafts are needed for the tip region. However, this cartilage is flimsy and curved and therefore does not do well for spreader grafts or grafts needing rigidity or stability.

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

Friday, September 23, 2016

How long does a facelift last?

Many patients may ask, how long does a facelift last? The answer is that it depends what type of facelift was performed. Patients who have a simple SMAS facelift may see result for a few years and then things will begin to descend again with the presence of jowls and loose skin. This includes facelifts such as the Lifestyle facelift or surgeons who just lift the skin and put a few sutures in the SMAS to suspend it. Patients who have a deep plane facelift should see results for 10-12 years. This is because during a deep plane facelift, the ligaments between the SMAS and the bone are divided and then the SMAS is suspended to get a better lift that lasts longer.

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

Wednesday, September 14, 2016

Balloon sinus and rhinoplasty

Patients often ask if rhinoplasty can be done with balloon sinuplasty. Those patients desiring cosmetic changes to their nose with nose job surgery or rhinoplasty may also have functional or breathing issues. These could be due to a deviated septum and turbinate enlargement. Those patients with recurring sinus infections may require surgery to open their sinuses with balloon sinus surgery. Balloon sinuplasty uses endoscopic techniques to dilate the sinus opening to the nose with a balloon that is then removed. This can be done at the same time as rhinoplasty by a facial plastic surgeon who has ENT training.

Dr. Funk is a top rhinoplasty surgeon in Houston.

Wednesday, September 7, 2016

Nasal tip rotation in female rhinoplasty

I frequently hear from my rhinoplasty patients that their biggest fear that their tip is too rotated after rhinoplasty. Many studies have been performed to assess the ideal angle of rotation of the nasal tip. Of course this is dependent on many variables such as patient gender, ethnicity, overall size of nose, and height. However, many studies have concluded that the ideal rotation of the nasal tip after rhinoplasty in a female should be about 106 degrees and in the male, anywhere from 90-95 degrees. Patients should be aware that after rhinoplasty, the nasal tip is frequently slightly more rotated for the first few weeks due to the tape and swelling. This will settle with time.

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