How old for upper eyelid surgery?

Many of my eyelid surgery patients will ask if they are ready for upper eyelid surgery or blepharoplasty.  Some may ask at what age is the best time to get an upper blepharoplasty.  Most patients will begin to see laxity in their upper eyelid skin in their 30's and this will progress.  The upper eyelid skin is the thinnest skin in the body so it looses its elasticity…

Will a facelift tighten my neck?

Many of my Houston facelift patients who are most concerned about their jowls, deep smile line, and flat, low cheeks may also be concerned slightly about their neck.  They may not have the classic turkey gobbler neck or significant amounts of loose skin but just a small amount of loose skin under the chin and lower neck.  With these patients, a deep plane facelift where…

Asian rhinoplasty for a bulbous tip

Many of my Houston Asian rhinoplasty patients are concerned about a bulbous tip.  This could be due to wide or ill defined tip cartilage, thick nasal tip skin, or poor support to the tip.  Refining a nasal tip with Asian rhinoplasty usually requires reshaping the tip cartilages, suture techniques to refine them, cartilage tip grafts, and thinning of the…

Revision rhinoplasty for a pinched tip

Many of my Houston revision rhinoplasty patients have had over-resected cartilage in the tip of their nose or grafts placed to create an overpinched tip which can look operated and "nose jobby".  This is especially true for patients with very thin skin.  It is important to delicately lift the skin of the tip cartilages in these patients and use caritilage or…

Lower eyelid surgery vs lower eyelid laser

Many of my Houston eyelid surgery patients inquire about lower eyelid laser treatment.  Lower eyelid surgery for bags under the eyes will address these bags and loose skin under the eye.  Laser treatment will help tighten crepe lower eyelid skin but will not treat lower eyelid bags or significant laxity in the skin.  It is meant more for patients with very…

Will a facelift give me fuller cheeks?

Many of my Houston facelift patients who are desiring improvment in their smile lines and flat cheeks are asking if a facelift will help these areas.  This depends on the type of facelift.  A deep plane facelift where the SMAS is elevated and the zygomatic ligament in the cheek is released, allows the SMAS to be lifted high suspending the cheek to its more youthful position.…

Does rhinoplasty change your voice?

Many of my Houston rhinoplasty patients will ask if rhinoplasty will change their voice.  This is especially true for any of my professional singers.  Rhinoplasty or nasal surgery such as septoplasty for a deviated septum will NOT change your voice.  However, sinus surgery, where the opening to the sinuses is made larger, may change the resonance of your voice.  It…

Revision rhinoplasty for a saddle nose

Some of my Houston revision rhinoplasty patients may present with a saddle nose or collapse of the bridge of the nose.  In these cases, there may have been overresection of a nasal hump or collapse of the cartilage due to poor support after rhinoplasty.  Repairing a saddle nose usually requires grafting with rib cartilage to rebuild the bridge of the nose.  

 

Dr.…

Scars after upper eyelid surgery

Many of my Houston upper eyelid surgery patients who are interested in addressing their upper eyelid hooding are concerned about where the scar will be placed.  The scar for upper blepharoplasty hides in the upper eyelid crease and will slightly extend laterally into a small crow's feet wrinkle to address any lateral hooding.  The scar can easily be camoflauged…

How long will a facelift last?

Many of my Houston facelift patients will want to know how long their facelift will last and when they may need another facelift.  Although a facelift will not stop the aging process, it will offer a rejuvenated, refreshed, and more youthful appearance.  

When performed properly, a deep plane facelift (where the ligamentous attachments are released and the muscle…