Friday, October 27, 2017

Can rhinoplasty go wrong?

Complications after rhinoplasty are uncommon but can occur. These include nasal collapse, poor wound healing, prolonged swelling, septal perforation, or scarring. Numerous things can be done to prevent these complications such as assuring the nose is well supported with grafts, not overthinning the skin, and careful dissection when performing septoplasty. However, despite all this, the wound healing process is out of the rhinoplasty surgeon’s hands and is very patient dependent. This is what makes rhinoplasty such a difficult operation. It is important to seek nose job from a surgeon with significant rhinoplasty experience and one should ask how many rhinoplasties that surgeon performs on average.

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

Eyelid Surgery and Dry Eye

Patients who have dry eyes need to be especially cautious when considering eyelid surgery. Patients who have had a history of LASIK surgery can be prone to dry eyes after eyelid surgery. Eyelid surgery or blepharoplasty consists of removing excess skin from the upper eyelid and addressing lower eyelid bags with surgery and at times removing a pinch of skin from the lower eyelid.

The normal blink reflex occurs about 10,000 times a day. When we perform upper eyelid surgery, that blink reflex can be delayed and lead to dry irritated eyes. This is typically temporary and should resolve within the first 1-2 weeks. For this reason, saline drops and nightly lubrication is necessary to keep the cornea moistened.

Surgery for lower eyelid bags can also lead to temporary decreased tone in the lower eyelid which can also dry out the eye. There is less risk for this with the transconjunctival approach to blepharoplasty as the muscle is not damaged.

Patients with a history of dry eye should have a serious discussion with their plastic surgeon and ophthalmologist as to whether cosmetic eyelid surgery is right for them.

Dr. Funk is a facial plastic surgeon performing eyelid surgery in Houston.

Friday, October 20, 2017

Is there a payment plan for rhinoplasty

Rhinoplasty or nose job surgery is a form of plastic surgery to reshape the nose. Typically, rhinoplasty is a cosmetic procedure and therefore not covered by insurance. At Funk Facial Plastic Surgery we do offer Care Credit and Prosper as options for payment. There are different rates for each plan and this may be a good option for your rhinoplasty surgery.

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

Thursday, October 19, 2017

What is a Short Scar Facelift?

A short scar facelift or mini facelift is a type of facelift that addresses jowling and lax skin around the jawline. When performed as a deep plane mini facelift, the ligaments under the SMAS or muscle are released to get a better lift. This will also tighten the neck in patients with mild to moderate neck laxity. Those patients with significant neck laxity or banding may require a neck lift as well. The mini facelift or short scar facelift is performed as an outpatient and recovery is about 2 weeks.

Dr. Funk is a performes facelifts and mini facelifts in Houston, Texas.

Tuesday, October 10, 2017

Is General Anesthesia Required for Rhinoplasty

Rhinoplasty is typically performed under general anesthesia. There are a few reasons for this. The nose is a quite sensitive area and despite utilizing lots of local anesthesia during rhinoplasty, injection of this initially into the nose is uncomfortable if you are awake or even sedated. Not to mention, it is impossible to completely anesthetize the entire nose with local anesthesia. In rhinoplasty, frequently, controlled osteotomies are performed to narrow the nasal bones and most people do not want to be awake when someone is using a mallet and osteotome (chisel like instrument) on the bones of their face.

Lastly, during rhinoplasty, there is bleeding from the nose which will drip into the throat. If you are sedated, that blood could enter the airway and you could aspirate leading to airway complications. With general anesthesia, there is a breathing tube in the airway and guaze in the back of the throat to prevent blood from entering the airway or the stomach (which can cause nausea).

For these reasons, most rhinoplasty is done under general anesthesia.

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