Friday, November 29, 2019

Under eye bags

Many of my Houston patients complain about under eye bags causing them to appear tired and unrested. Lower eyelid surgery or blepharoplasty can treat lower eyelid bags or dark circles under the eyes. This can be treated in two ways. Filler injection to the tear trough to fill under the bags can improve the dark circles temporarily and provide about a 40-50% improvement. Surgery allows for a more permanent solution providing an 80% improvement to the lower eyelid bags. This is called lower blepharoplasty.

Dr. Funk treats under eye bags in Houston.

Thursday, November 21, 2019

Facelift and sideburn or temporal tuft

Some of my Houston facelift patients are curious regarding the incisions and scars after a facelift. Where the incisions are placed will also determine how high the sideburn or temporal tuft of hair is lifted. If the incision is placed behind the temporal tuft, then this may raise the hairline in this area giving the classic or telltale sign of a facelift. If the incision is placed just in front or a few follicles inside the temporal tuft and then curved up the temple, this will not raise the hairline and still allow the scar to hide just at the hairline. If a neck lift alone is considered, then this incision will not need to be extended this high.

Dr. Funk performs facelifts and neck lifts in Houston.

Tuesday, November 19, 2019

Scar tissue and revision rhinoplasty

When my Houston revision rhinoplasty patients come in desiring a more refined nasal tip I must have a frank discussion with them and let them know that due to the significant amount of scar tissue after rhinoplasty, refining the tip can be difficult with a revision rhinoplasty. This is especially true for thick skinned revision rhinoplasty patients. Every rhinoplasty is different but with revision rhinoplasty I think it is especially important to manage patients expectations and explain what is achievable for their nose.

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

Sunday, November 17, 2019

Can I have upper eyelid surgery after having a brow lift

Some of my Houston eyelid surgery patients who are concerned about upper eyelid hooding or excess skin of the upper eyelid may have had a previous brow lift and questioning as to whether they are good candidates for a blepharoplasty or upper eyelid surgery after their brow lift. This is a valid question as excising too much skin from the upper eyelids can lead to inability to close the eyes completely which can lead to dry eye. It is important to measure how much skin can be removed prior to excision of the skin to assure that eyelid closure is still attainable after surgery. If a brow lift and upper eyelid surgery are planned during the same surgery, the brow lift should be performed first so that eye closure is attainable without excising excess upper eyelid skin and then doing the brow lift which will lead to inability to close the eyes.

Dr. Funk performs eyelid surgery in Houston.

Friday, November 15, 2019

Facial nerve and facelift

During discussion with my Houston facelift patients, it is important to discuss risks of a facelift. One of the more important risks with facelift surgery is injury to the facial nerve. This injury is usually temporary and due to swelling or slight compression of the nerve during dissection with a facelift or neck lift. Once the swelling subsides the nerve usually recovers and normal and symmetric facial movement will return. Rarely is this injury permanent. It is important for the surgeon to know the anatomy and monitor the face closely during surgery to avoid any twitches of the face.

Dr. Funk performs facelifts, mini facelifts, and neck lifts in Houston.