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Posted by
Dr. Edwin Williams in Facial Plastic Procedures on July 20th
Question: I have a scar on my cheek from being bitten as a child. It’s always bothered me and I’d like to see if there’s some way that I can get rid of it or at least improve it. I’ve heard of scar revision and was just wondering what this entails and how significantly improved scars can be. Answer:
Scar revision typically involves a procedure that can be done under local anesthesia as an outpatient. In some circumstances, this can be followed for additional improvement with dermabrasion; however, it is not always necessary. We always tell patients that our goal is for a very significant improvement; however, the scar always looks a little worse before it looks better. Posted by
Dr. Edwin Williams in Facial Plastic Procedures on March 10th
Question: Would getting a facelift have any effect on the lines around my mouth? If not, are there any procedures that could be done in addition to a facelift that would eliminate these lines? Answer:
The short answer is not necessarily. The facelift you are referring to is typically the lower lift which we describe as a weekend lift and necklift. This addresses primarily the jowls and the neckline. The lines around the mouth are often softened a little bit, but these are not completely corrected. Some of the volume loss in that area can be corrected by a fat transfer or a fat grafting procedure but the more deeply etched in lines are typically corrected with a soft tissue filler. The soft tissue of choice in our practice typically includes either Radiesse or Juvederm depending on the particular patient Posted by
Dr. Edwin Williams in Facial Plastic Procedures on February 5th
Question: I am a 52-year-old woman who is interested in getting a facelift. I’m wondering if a facelift will get rid of the smoker’s lines I have around my mouth? Answer:
The short answer is no. A facelift typically addresses the jowling and neck, while the deep folds that frame the mouth are often softened a little bit. A lift does not really change the aging that has occurred directly around the mouth. Posted by
Dr. Edwin Williams in Facial Plastic Procedures on October 19th
Question: My sister had a face lift and she looks absolutely wonderful! Now I want one but I do not take to general anesthesia very well. Can I get a facelift using local anesthesia? Answer:
The short answer is 'yes'. All of the patients that we perform facelift on we do with local anesthesia augmented with monitored anesthesia care. Monitored anesthesia care is a fancy name for twilight anesthesia where the patients are asleep and not aware of their surroundings. The anesthesia is identical to what one would have undergoing a colonoscopy. If you have had this experience you can relate to the procedure because one minute you are awake and the next minute you are in the recovery room. We find that twilight anesthesia works very well for our ambulatory patients and allows them to return to their activities much sooner. It is not permissible for the patient to drive the same day after undergoing twilight anesthesia but it is very unusual for patients to feel nauseous or have any other associated sequela related to general anesthesia, namely, feeling like they have a little bit of a hangover. Posted by
Dr. Edwin Williams in Facial Plastic Procedures on October 18th
Question: What is the time frame involved in a complete facelift? I am scheduling one and need to know how much time to take off from work. I do not want to return to work with any bruising. Answer:
The short answer is two-three weeks. I would like to expand upon this because I am assuming that you are referring to a browlift which is often performed with a mid-facelift, a lower facelift and necklift with liposuction; with or without an upper and lower lid blepharoplasty. For a patient having all of this performed at once (and many patients do) I typically tell them ten days to two weeks. I additionally qualify this by saying at two weeks most patients with a little bit of cover-up can comfortably go out in public but are not necessarily ready for the ‘family portrait.’ For those patients who are extremely concerned about anyone knowing or being able to see any residual recovery, I typically would have those patients out of the public eye for approximately three weeks. Many patients can return to other social activities, i.e., shopping, walking or casual socializing in ten days-two weeks. Again, those who are extremely concerned with being noticed would be 3 weeks. In contrast to a patient having a weekend lift and necklift, which is essentially the lower part of the face treated, typically are back in public comfortably in seven-ten days. Naturally what you are referring to is doing everything at once which typically has a longer recovery. Posted by
Dr. Edwin Williams in Facial Plastic Procedures on October 17th
Question: If I had a physician strength peel on my face and upper chest, how long do the rejuvenating effects last? Is the skin reddened afterwards and for how long? Answer:
The rejuvenating effects of a deeper chemical peel are essentially permanent and long-lasting because the architecture of the skin under the microscope actually behaves and looks like younger skin. However, we do continue to age and the changes in the overall appearance of the skin with regard to sun-staining and wrinkles are long-lasting. So, the short answer to this is that I think that the benefit typically lasts patients about ten years with a deeper chemical peel even as the aging process continues, because we have moved back on the conveyor belt of aging approximately ten years. The skin typically looks like a bad sunburn for about one week - ten days. At the seven-ten day point, we allow patients to use a cover-up or foundation that has sun protection. Typically all of the redness resolves in approximately two-three weeks for most individuals. Posted by
Dr. Edwin Williams in Facial Plastic Procedures on October 16th
Question: Can otoplasty add to the size of my earlobes using fat from another part of my body? I think that with the addition of some fat there, the skin might stretch and form a natural looking earlobe. Answer:
This is possible – with extensive experience with fat transfer or what is also commonly noted as a fat grafting procedure. Having taken care of literally thousands of patients who have undergone facial fat grafting, we feel this is an outstanding procedure to address some of the volume loss that has occurred. The key to this is to address the portion of volume loss specific to each individual. It is very important not to perform too much fat grafting in the lower part of the face but to primarily address the upper part of the face. The earlobes are somewhat variable in regard to retention and longevity. My typical response to patients is that I don't know if we are going to see a 10-year result, but we are seeing many years of result with fat transfer. I do believe you lose some result over time and providing that a patient is willing to accept this limitation, it is possible to perform fat transfer to the earlobes. Posted by
Dr. Edwin Williams in Facial Plastic Procedures on October 15th
Question: I am 64 years old and I have glaucoma. Is it medically safe for me to undergo blepharoplasty? I would like both upper and lower lids corrected. Answer:
The short answer to this question is 'yes if your glaucoma is stable'. I would like to have an opinion from your ophthalmologist stating it is safe for you to undergo blepharoplasty but someone who has glaucoma and has been medically treated and is stable can be a good candidate. Posted by
Dr. Edwin Williams in Facial Plastic Procedures on June 15th
Question: Does the deep strength laser speed up the process of wound healing? Would you use this during facial cosmetic surgery? Answer:
I assume you are asking the question about a carbon dioxide laser which is the deepest type of laser resurfacing. It can often be used in facial cosmetic surgery to resurface the deepest and most difficult wrinkles around the mouth involving the face. While the C02 laser is probably the most effective modality for resurfacing aged sun-damaged and wrinkled skin, the patient can often have a two-three month period of time where their skin is pink and almost looks like a light windburn. The results can be quite dramatic as seen on our website but I am typically careful to inform patients that this does not necessarily a faster recovery period than with a chemical peel. Posted by
Dr. Alain Polynice in Breast and Body Procedures, Facial Plastic Procedures, The Future Procedures on April 21st
Tell us your thoughts!! Do you like to learn about cosmetic plastic surgery procedures by watching a video or reading about it?? We are asking for suggestions on cosmetic procedures (surgical or non-surgical) that you would like to see a video of or if you have a question for the doctors we can then have them do a video with the answer. Please let us know your thoughts and suggestions by emailing info@williamsfacialsurgery.com. |
Alain Polynice, M.D. a board certified plastic surgeon, specializing in Breast & Body procedures; can turn your dream into reality. Call to schedule your consult to see your anticipated results on YOUR OWN body in 3D. (Click below to interact with images online in 3D).
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