Second Quarter 2008, Volume 22, Number 3

Ask the Surgeon | What’s New | Health Tip


Confused about form or function? Why not do it for both?

Improving your looks comes in varying degrees, from non-invasive to surgery

Ask the Surgeon / Health Tip / What’s New

Get ready to expose your neck; first, reduce neckbands and jowls


How long should I plan for recovery from rhinoplasty surgery? I will need to plan vacation time with my employer and I want to ensure I won’t be returning too prematurely. Is two weeks long enough?

Yes, for most patients two weeks is enough as long as you limit your physical activity (e.g., lifting, straining, sports) for at least a month. Activity with a significant chance of facial injury (e.g., contact sports) should be avoided for three months. Each patient is unique in the extent of surgery and recovery he or she will experience.

The swelling and bruising is most severe the second and third days after surgery. You will have to keep your head elevated and wear a splint for a period of time. Any dressings, splints, and packing will most likely be removed within the first week.

In addition, the majority of swelling and bruising will be decreased by the second week.Talk to your physician about using makeup to camouflage any lasting discolora- tion. And, don’t forget to follow pre- and post-operative instructions carefully; this will ease and speed up the healing process. !


Keep an open mind when you come to your consultation appointment. Be prepared to discuss issues, concerns, fears, likes, and dislikes. You should be ready to state your intentions, expectations, and questions. After a complete evaluation of your facial features, your physician will give his or her professional opinion of your options.

Do not be disappointed if your surgeon recommends a smaller, less invasive procedure first or maybe a different course of action than you thought would be best. For example, a patient thought her nose was disproportionate to the rest of her face. She was convinced that nose surgery was the only answer.

At the consultation, her physician explained that due to a receding chin, her nose appeared to be more prominent; however, a better solution to bring balance and harmony to her face was to get a chin implant. Also, some procedures may be performed in conjunction with other procedures in order to achieve the desired results. Ultimately, trust your face to a facial plastic surgeon and together you will agree on a plan to meet your needs. !


A recent study has shown that dividing the lip into zones to target specific placement of injectible fillers increases patent satisfaction with few adverse effects. Injectible fillers can be made of various substances (e.g., hyaluronic acid or collagen) and are injected just below the skin’s surface to plump up an area.

By classifying the lip into 15 zones, the physician was able to control the lip shape and size of the augmentation better. Patients were pleased with the results and there were no side effects. A total of 137 treatments were performed on patients ranging in age from 20 to 76. The average satisfaction score was 4.5, with five signifying the most satisfaction. The average amount of time that the treatment lasted was 4.9 months. !

Cosmetic Surgery
Facial plastic and reconstructive surgery offers the opportunity to reconstruct, rebuild, and enhance facial features. Even with surgery, there are varying degrees of procedures depending on the individual’s needs. For example, if a patient in her 40s would like to reduce excess skin via a facelift, her surgeon may recommend a mini-lift.

This procedure removes small amounts of excess skin with limited incisions and limited undermining of the skin. A woman in her 50s may be a good candidate for a standard facelift (extended SMAS); while a woman in her 60s may benefit from the most extensive facelift called the deep plane facelift. This procedure elevates and tightens the muscle and tissue underneath the skin, then removes excess sagging skin and redrapes it.

Implants in the lips, cheeks, and chin can restore a youthful appearance and improve your profile. Rhinoplasty, surgery of the nose, can reduce a bump, shorten a drooping tip, straighten a crooked nose, etc. Blepharoplasty, eyelid surgery, removes excess sagging skin from above or below the eye; it can also reduce the appearance of wrinkles around the eyes. Necklifts and browlifts are similar to facelifts in that they reduce the skin that has lost its elasticity and reduce the appearance of wrinkles. Otoplasty, ear surgery, is performed to reshape the ears, often minimizing the apparent prominence of the ears.

All invasive procedures have long-lasting results; this is the main advantage over the non- invasive and minimally invasive procedures. !