Tuesday, September 24, 2019

How long does a facelift take?

When I see my Houston facelift patients in consultation, many may ask how long a facelift will take or how many hours under anesthesia for a facelift. This depends on the extent of the facelift and the extent of dissection. A mini facelift will typically take 3 hours of operative time. This is including the deep plane dissection for the mini facelift.

A full facelift including the neck lift will take closer to 4 hours in order to get a proper lift with the full dissection of the neck and a platysmaplasty. This procedure is usually done under general anesthesia and sometimes with an overnight stay.

Dr. Funk performs facelift surgery in Houston.

Friday, September 20, 2019

Upper eyelid surgery for hooding

Hooding of the upper eyelids is a common concern amongst my Houston upper eyelid surgery patients. As we age, we lose elasticity and collagen in our skin. This is most evident around our eyelids, the thinnest skin in our body. Hooding of the upper eyelids may begin with patients in their 30’s depending on their skin type. Hooding of the eyelids refers to excess skin overhang on the lateral or outside portion of the upper eyelid. This may give the appearance of tired eyes, or heavy eyes. Hooding of the upper eyelids may also make placement of eye shadow and mascara difficult.

In addition to the aesthetic concerns that may occur with upper eyelid hooding, some patients complain of peripheral visual loss due to this issue. Although Dr. Funk does not take insurance for upper eyelid surgery, upper blepharoplasty should improve vision if you have significant hooding of the upper eyelids.

Treatment for upper eyelid hooding can be non-surgical and surgical. Botox or Dysport injections can weaken the brow depressing muscles and lead to a slight lift of the tail of the brow helping with hooding. This is not as significant as a surgical brow lift, but can lift the brow by 1-2mm.

If the issue with hooding of the upper eyelid skin is due to heavy brow skin, a temporal brow lift is a surgical option for this issue. With a temporal brow lift, an incision is made behind the hairline in the temple and the skin is elevated to the brow. The muscle above the brow is suspended to the firm fascia and a small amount of excess skin is excised.

With most patients, upper eyelid hooding is simply due to excess upper eyelid skin laterally. An upper blepharoplasty or upper eyelid surgery can address this issue. Excision of this excess hooded skin is performed and the scar is hidden nicely in the eyelid crease and crow’s feet. This procedure can be performed under local anesthesia or slight sedation. Recovery is 5-7 days.

For further information regarding upper eyelid hooding in Houston, contact Dr. Funk’s office.

Thursday, September 19, 2019

Rhinoplasty for a long nose

Many of my Houston rhinoplasty patients come for consultation and state they feel they have a long nose. When told this, I feel that they should describe what this means to them. Do they feel the tip of the nose sticks out to far on their profile or side view, or do they feel the nose is too long on the frontal view from the forehead to the tip of the nose. This is an important detail to explore as both are addressed very differently during rhinoplasty. Length in the nose from an anatomic perspective is truly defined as the distance from where the forehead meets the nose to the tip of the nose. Rhinoplasty for a long nose is a common procedure performed by Dr. Funk.

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

Monday, September 16, 2019

Will a facelift remove wrinkles?

Many of my Houston facelift patients want to know if a facelift will improve the wrinkles in their cheeks. Wrinkles due to thin skin on the cheeks will improve after a mini facelift or full facelift. The skin in this area will tighten with a facelift and appear more smooth and the contour of the face will improve. Wrinkles around the temple should also improve with a facelift. A facelift with or without a neck lift will also improve the wrinkles in the neck.

Dr. Funk performs mini facelifts and facelifts in Houston.

Tuesday, September 10, 2019

Rhinoplasty for thick skinned nasal tip

Many of my Houston ethnic rhinoplasty patients present for consultation with thick nasal tip skin. With these patients, one of their major concerns is their bulbous tip. Creating a more refined nasal tip with rhinoplasty on a patient with thick nasal tip skin can be difficult. The analogy that I give many of my ethnic rhinoplasty patients is that their bone and cartilage is like a block of marble. I will carve a fine detailed statue out of the block of marble. For the unveiling of this statue, I may wrap it tight with a thin sheet (someone with thin nasal tip skin) and the details are visible. However, if they have thick nasal tip skin, this is more like a comforter that is wrapped around the statue. Some of the details of the statue may not be as visible. Thick nasal tip skin can be debulked from the inside, but ultimately, the tip cannot be made as refined as someone with thin skin.

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