Sunday, August 25, 2019

Is there a treatment for my platysma bands?

Many of my Houston facelift patients who come in for a facelift or neck lift consultation ask what can be done for the bands in their neck. It is important to understand what causes these bands. Platysma bands are caused by loosening of the platysma muscle in the neck with concomitant thinning of the neck skin. The edge of the platysma will descend laterally and inferiorly leading to the bands typically seen as an upside down V when looking at the patient.

These plastysmal bands can be treated a number of ways. Botox or Dysport can be injected into these bands to soften the muscle edge and make the bands less prominent. A platysmaplasty or neck lift would entail elevating the skin off of these bands and removing some of the fat between them. Then the bands are sewn together like a corset. Lastly, the entire platysma is suspended towards the bone behind the ear and this tightens the platysma and ultimately eliminating the platysma bands.

Dr. Funk performs neck lift surgery in Houston.

Monday, August 19, 2019

Does rhinoplasty require stitches?

Some of my Houston rhinoplasty patients are anxious about suture or stitch removal during their postoperative visits. With open rhinoplasty there are some small stitches that may need to be removed between the nostrils. This is not painful and should feel like no more than a pinch. When the nostrils are narrowed, small stitches are also placed along the nostril sill and along the nostril crease to narrow the alar base and nostrils. Sometimes, absorbable sutures are used with rhinoplasty but if not, stitch removal is very tolerable.

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

Browlift and upper eyelid surgery

Many of my Houston eyelid surgery patients are concerned about their saggy skin over their upper eyelids. What some of them do not realize is that a large component of this eyelid hooding is due to brow ptosis or the brows having fallen over the years leading to that heavy tired appearance to the eyes.

Some of these patients may benefit form a brow lift or forehead lift. There are many different types of brow lifts but the most common kind today is the endoscopic brow lift where small incisions are made in the hair bearing scalp and dissection is performed to release the brows and resuspend the entire forehead along with the brows to anchors in the bone. Some patients will not need upper eyelid surgery after their brow lift. Others, may require both the brow lift and the upper eyelid surgery.

Dr. Funk performs brow lifts and upper eyelid surgery in Houston.

Saturday, August 17, 2019

What happens during rhinoplasty?

Many of my Houston rhinoplasty patients will ask what is done exactly during rhinoplasty? Nose job surgery can either performed as an open rhinoplasty or closed rhinoplasty. With open rhinoplasty, a small incision is made between the nostrils and the skin over the cartilage and bone is elevated. The cartilage is then reshaped, possibly reduced in size, and refined. Cartilage may be taken from the septum after performing a septoplasty for a deviated septum and used as grafts during rhinoplasty as well.

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

Friday, August 9, 2019

Pain behind ears after facelift surgery

Many of my Houston facelift patients have described pain behind the ears after their facelift. This is an issue that should be relayed to your facelift surgeon and could have many causes. The most common cause of pain behind the ears after a facelift or a neck lift is the stitch or suture that is placed from the platysma/SMAS to the lining or periosteum over the mastoid bone behind the earlobe. The muscle that turns the neck, the sternocleidomastoid inserts on this mastoid bone and turning of the head will contract this muscle which may cause some of the pulling/pain. This is not uncommon for the first few weeks.

Pain behind the ears with a facelift should be examined by your surgeon to assure there is not a hematoma after a neck lift. This can lead to skin loss in this area and scarring. Sometimes, simply sending a photo of the area would be sufficient.

Dr. Funk performs facelift surgery in Houston.