Wednesday, April 25, 2018

Botox for a droopy nasal tip

Many of my Houston rhinoplasty patients complain of a droopy nasal tip and for this reason seek rhinoplasty or nose job surgery. Botox is another alernative to rhinoplasty for a downward rotated nasal tip. Botox for a droopy nasal tip can be injected into the depressor septi muscle which is responsible for turning the tip downward, especially with smiling. This will weaken that muscle and ultimately lead to the nasal tip rotating or at least not drooping with smiling. Of course, the degree of rotation achieved is not as impressive as one could expect with rhinoplasty, it is still there.

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

Friday, April 20, 2018

Rhinoplasty and Bruising

Many of my Houston rhinoplasty patients inquire as to how long will bruising last after rhinoplasty. The answer is that every patient is different. Younger patients have less capillary fragility and will likely bruise less. Their bruising is usually unapparent or completely resolved by day 8-10 postoperatively. Patients that have more bony work or are a little older may have more prolonged bruising. Their bruising may last up to 2 weeks. There are multiple things that can be done to minimize bruising after rhinoplasty. Avoiding use of aspirin, ibuprofen, or any blood thinners prior to surgery is helpful. A surgeon who is gentle with the tissues and maintains good hemostasis will have less bruising. Arnica Montana pills, tea, and topical lotion may help some patients.

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

Wednesday, April 11, 2018

What causes a bulbous tip?

Many of my Houston rhinoplasty patients are concerned about their bulbous tip and would like a more refined nasal tip. Bulbous tip causes are most frequently due to misshaped cartilages that form and support the tip of the nose. The cartilages can be too wide, have too much “spring” to them, too much convexity, or simply be too widely spread apart. Another cause of a bulbous nasal tip could be the thickness of the overlying skin. This is especially true with my Houston ethnic rhinoplasty patients. Reshaping the cartilages and debulking of the skin are two methods to create a more refined nasal tip. Lastly, small cartilage grafts from a corrected deviated septum can also be used to refine the tip.

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

Wednesday, April 4, 2018

Rhinoplasty for broken nose

Rhinoplasty for a broken nose is a common procedure performed by Dr. Funk in Houston. A nasal bone fracture can lead to a crooked nose and a deviated septum. Septoplasty and rhinoplasty can correct a crooked nose and improve breathing. After the injury, there is a two week window to perform a closed reduction of the nasal bones. That means, to manually push and fracture them back into place. However, if cosmetic changes are proposed to the nose, then the patient should wait 3-6 months before proceeding with surgery in order for the swelling, inflammation, and scar tissue to settle down. This way the nose does not have two ongoing healing processes after rhinoplasty. The surgeon is also starting with a nose that is at baseline and not overcorrecting due to swelling from the trauma.

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