Tuesday, July 16, 2019

How does a facelift work?

Facelift surgery can be confusing to many people researching the procedure. With my Houston facelift consults, I explain the process in detail while pointing things out on the patients face. Typically the incisions for a facelift are in front and behind the ear. The extent of the incisions is dependent on the extent of dissection and whether the neck will be addressed. After the incisions are made, the skin is elevated in the superficial plane just under skin. The SMAS or fascia and the platysma are the structures that are suspended to create the “lift”. Some may simply place sutures to suspend this SMAS or platysma. Others may slightly elevate the SMAS and lastly is the deep plane facelift. Here, the SMAS is elevated and the retaining ligaments are cut and released beneath the SMAS. This allow for the maximal lift and creates a longer lasting and more impressive facelift. After the SMAS and platysma are suspended, the excess skin is removed and the incisions are closed. Drains may or may not be placed. A pressure dressing is applied and the patient is taken to the recovery room.

Dr. Funk performs facelifts in Houston.

Monday, July 15, 2019

Will rhinoplasty make me prettier?

Many of my Houston rhinoplasty patients are unhappy with how large, crooked or unattractive their nose appears. Even though the nose sits in the center of the face, it should not be the center of attention. It is said a good rhinoplasty is seen in the eyes, not in the nose. Refining the nose with rhinoplasty should enhance the appearance of the eyes, lips, and hair. Rhinoplasty may not make you more attractive, but it will take the emphasis off your nose and allow people to focus more on the areas of your face you would want.

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

Wednesday, July 10, 2019

Eyelid Surgery and anesthesia

Whether you are seeking upper eyelid surgery or lower eyelid surgery in Houston, you will want to know what type of anesthesia is used during the procedure. Upper eyelid surgery is a procedure that can be performed simply under local anesthesia where you are awake and the surgeon simply injects the upper eyelid to numb the area. This is a straightforward cosmetic procedure and does not require general anesthesia.

Lower eyelid surgery will frequently require excision of lower eyelid fat bags. These fat deposits are very sensitive and if the patient is awake or sedated, require an extra injection of local anesthesia. Pulling on the lower eyelid with the transconjunctival blepharoplasty approach can also be uncomfortable for the patient. It is therefore recommended that the patient at least have some sedation on board to make it a more tolerable experience. This can be IV sedation using propofol or other agent. General anesthesia with a breathing tube is another option for lower eyelid surgery if the patient wants to be completely anesthetized during the surgery.

Dr. Funk performs eyelid surgery in Houston.

Tuesday, July 9, 2019

Rhinoplasty for a wide nose

Some of my Houston rhinoplasty patients are seeking rhinoplasty surgery for a wide nose. A wide nose may be due to wide nasal bones or a wide middle vault of cartilage. A surgeon can narrow a wide nose with rhinoplasty here by creating controlled fractures or osteotomies of the bone and suturing techniques for the middle vault. A wide nose may also be due to a boxy tip. This can be due to wide cartilages in the tip, redundant cartilage in the tip, or cartilage that is too springy. These nasal cartilages can be reshaped with certain maneuvers and suturing techniques.

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

Monday, July 1, 2019

Uneven nostrils after rhinoplasty

Patients who have uneven nostrils prior to rhinoplasty frequently address this during consultation in my Houston office. Uneven nostrils may be due to a deviated septum, asymmetric cartilages, scarring, or previous trauma to the nose. Rhinoplasty can address uneven nostrils by creating better symmetry to the nasal tip cartilages utilizing grafts to brace these cartilages. Septoplasty to correct a deviated septum may also create more even nostrils. Uneven nostrils after rhinoplasty is difficult to correct with revision rhinoplasty as there is now scar tissue surrounding the area and this may prove difficult to correct with a revision.

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