Tuesday, November 12, 2019

Turbinate reduction and Empty Nose

Some of my Houston rhinoplasty patients have fairly severe allergies and congestion which they would like resolved during their rhinoplasty. Enlarged turbinates can cause severe allergies and this congestion which can be treated during rhinoplasty. Partial turbinate reduction is an excellent option for these patients.

Many of these patients have done their research online and recognized that too much resection of the turbinates can be detrimental and lead to an issue termed empty nose syndrome. This is not too common in the humid Houston climate but turbinates are quite important in drier and colder climates.

It is important to leave the medial aspect of the turbinate and simply remove the bone and lateral aspect allowing for less congestion but still some resistance to airflow that lets you know air is moving through the nose.

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

Monday, November 11, 2019

Fat grafting to Lower eyelid

Many of my lower eyelid surgery Houston patients inquire that if the fat is removed from their lower eyelids will it then look hollow. Lower eyelid surgery for bags under the eyes or lower blepharoplasty is an excellent procedure to appear more rested, refreshed and rejuvenated. However, if too much fat is removed, the lower eyelids may appear sunken or hollow. This is important to assess to see if the fat needs to be repositioned into the tear trough at the time of lower blepharoplasty. Another option is fat grafting to the lower eyelid but this can be difficult in thin skin patients as this fat may present irregularities after grafting.

Dr. Funk performs lower eyelid surgery for lower eyelid bags in Houston.

Tuesday, November 5, 2019

Will a facelift raise my eyebrows?

When discussing a facelift surgery in Houston with my patients, many will ask if their brows will be elevated after the procedure. Facelift or neck lift typically improves the jawline, neck, jowls, and some of the mid face. It does not include the brows.

A brow lift entails releasing the eyebrows from the bone and suspending them to the bone. An endoscopic brow lift uses a camera to get a full release of the brows and resect the muscle for frowning. A temporal brow lift will only suspend the tail of the brow.

Dr. Funk performs facelift surgery and brow lift surgery in Houston.

Sunday, November 3, 2019

Rhinoplasty after filler injection to nose

Some of the Houston rhinoplasty patients I see in consultation mention to me that they have had filler injection into the nose. This is also known as non-surgical rhinoplasty or liquid rhinoplasty. Now these patients are requesting and seeking surgical rhinoplasty or a permanent solution to their nasal hump, crooked nose, or bulbous tip. One of their immediate questions is whether having non-surgical rhinoplasty or liquid rhinoplasty precludes them for a future nose job.

It is important to know two things regarding rhinoplasty after filler injection into the nose. The first is when was the filler injected into the nose. The next is what type of filler was injected into the nose. Filler should dissolve on its own over a period of time depending on the type of filler injected into the nose. If the filler was a hyaluronic acid filler such as Juvederm or Restylane this can be dissolved with hyaluronidase. If the filler was a semipermanent filler or permanent filler, then this can make the surgery more complicated due to scar tissue between the skin and cartilage of the nose.

Rhinoplasty can usually be easily performed after filler injection into the nose. It is simply important to know where, when and what type of filler was used.

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

Monday, October 28, 2019

Filler or surgery for lower eyelid bags

A common complaint from my Houston patients are lower eyelid bags and/or dark circles under the eyes. The lower eyelid bags are due to fat surrounding the eye slowly bulging over time below the eye in the lower eyelid. The majority of light that hits our face comes from above and this fat will cast a shadow creating the dark circles under the eyes. The fat bulging also creates a depression in the area we call the tear trough of the lower eyelid.

This tear trough and shadowed area can be corrected with filler injection or surgery. With filler injection, a hyaluronic acid filler such as Restylane or Juvederm can be injected to correct this issue. This is done in the office and tolerated well with little to no downtime. The other option is lower eyelid surgery for lower eyelid bags. Here, some of the excess fat which causes the “bags” under the eyes is removed and can be repositioned into the tear trough. This is a surgical procedure and requires anesthesia. Recovery after lower eyelid surgery is about 8-10 days.

Dr. Funk treats lower eyelid bags in Houston.