Fixing Prior Blepharoplasty (Eyelid) Surgery

If you’ve done your research and chosen a reputable doctor who specializes in oculofacial plastic surgery, chances are you will achieve satisfying results. While it is accurate that you needn’t fear surgery performed by a top-rated practitioner, it is also true that sometimes there are complications, and if you are the unlucky one experiencing complications, you need help soon.

The best doctors know not only how to give you great surgery results – they also know how to correct complications should they arise. Occasionally complications may arise from surgery, which require correction beyond the skill of the original surgeon, or the doctor-patient relationship may break down, and this is when you need to seek a second opinion. Fortunately, these circumstances are unusual.

Do I need help right away?

Many people are naturally worried about how their surgery will heal when in reality things will be just fine. This is the case with most anxious patients, as we discussed in a recent post. However, everyone must admit that sometimes something can go wrong, as with any medical procedure and even in any professional field. It is important to understand that these are the times when you need your surgeon the most. Do not wait for your next appointment. Call your surgeon. If you feel you are having a true emergency, go to an emergency room or call 911. Someone can call your surgeon later to let he/she know what is going on. It is far better to be seen for something that turns out not to be serious than to miss something important. An expert physician must understand how to respond in such unusual situations, and fortunately such doctors are available. The key is handling the situation gracefully, swiftly, and effectively.

After blepharoplasty surgery, these conditions are not normal:

1. Bleeding. Generally any bleeding should cause concern. While it does not take much blood to look like a lot, it is not normal to have any visible bleeding after surgery. It can be caused by a number of reasons, most commonly activity after surgery. If you are experiencing this, call your surgeon, discuss the situation and follow their directions.

2. An expanding bruise in the eyelids. This is generally a sign that you are bleeding inside the eyelid where surgery was performed. Again this is rare but needs prompt attention. Call your surgeon immediately. If you have any trouble reaching the surgeon, go to an emergency room especially if there is pain and changes in vision.

3. Pain that is not relived by the pain medications prescribed for use after surgery. The most common reason this might happen is deciding that you really don’t need to take the pain medicine after surgery. Then hours later, everything wears off and not surprisingly you hurt. At this point, it can literally take two hours for oral pain medicine to return you to a pain free state. While the truth is that many patients truly are comfortable after surgery without medications but not ever one. This is perhaps one of the more common reasons for patients to call after surgery. However, there are situations after surgery where pain breaks through even on the prescribed medications or days after surgery when there should not be any pain. Pain is a very important sign. It might represent a lack of pain medicine right after surgery, an expanding bruise, or days later, the earliest symptoms of an infection. Share your concerns with your surgeon and pick up the phone.

4. Loss of vision. Bleeding behind the eyes can cause permanent loss of vision. This is uncommon, estimated to occur 1 in 300,000 eyelid cases. Prompt steps can save the vision. But immediate attention in necessary. Call your surgeon immediately or 911.

5. New onset pain, swelling, and redness in the area of surgery two or more days after surgery. These can be signs of an early infection. Again, don’t wait for your next visit. Call your surgeon to discuss the situation.

Concerns that are significant but not as urgent

It’s normal to experience some bruising and swelling during the healing process, but in rare instances this can be severe to affect the outcome. Severe bruising can lead to excessive swelling, which can stretch the eyelid as it heals and alter the final results. Your doctor can help you understand what sort of bruising is expected and what is excessive.

If your eyes look droopy or heavy after surgery, you are experiencing one of the more common complications of surgery called ptosis or blepharoptosis that occurs when the upper eyelid tendon slips. This can happen if it is cut during surgery, but can sometimes happen on its own, and the effect is intensified by severe swelling. It is very common for the upper eyelids to be heavy after surgery due to swelling. This does not mean that your surgery is a failure. Most commonly this heaviness does resolve over a several week period allowing the lid to return to its proper height with no intervention. In some cases, it may take quite a while for the swelling to resolve. For this reason it is generally a good idea to simply give the eyelid time to heal. Should the heaviness fail to resolve in a 6 to 12 months time frame, corrective surgery is appropriate. Although you may only notice heaviness in one eye, reconstructive surgery on both eyes may be necessary. The eye plastic surgeon will closely evaluate you for a subtle ptosis of the other eye to determine the best method of correcting the eyelids.

Some cosmetic surgery textbooks instruct students of medicine to place the upper eyelid crease too high, and through no fault of their own some new professionals may erroneously follow this advice that they only could have known to avoid through increased experience. It is generally easy to raise a crease, but one made too high can be difficult to lower, and requires the most careful and most experienced of care to resolve through further surgery. It’s best to avoid this situation by finding a doctor who understands that the crease is commonly placed to high, but if you’re reading this now because it’s already too late and you’re unhappy with your surgery, then it’s a good idea to seek the opinion of another doctor who can discuss with you the best action to take next.

Other complications that may arise are having loose skin that does not hold makeup, or having eyelashes that droop downward. These issues can be resolved by properly tensioning the skin and adjusting how much skin is present. This procedure is called anchor blepharoplasty and can be performed under local anesthesia in the office setting. Sometimes, the eyebrows seem to fall after upper eyelid surgery. When you are told about the possibility before surgery, this is an expected effect. The result may be satisfactory or a forehead lift may be needed to reposition the eyebrows. It is post-operative surprises that can erode confidence in your surgeon. An experienced surgery anticipates these types of issues and informs you about them ahead of time. He or she can help you decide if a forehead treatment instead of or in conjunction with additional eyelid surgery is necessary.

It is far easier to correct an underdone cosmetic surgery than undo an overaggressive surgery. One does not need to be made drum tight to have a great surgical result. Think about it, when was the last time you saw a model look like they had stuck their head in a wind tunnel? By optimizing the surgical plan it is possible to have extremely natural results that give no indication that they were achieved by cosmetic surgery.

If your friends and loved ones think you look worse, or you just aren’t happy with your results, or you lack confidence in your current physician, you should seek a second opinion from someone who specializes in correcting previous surgeries. At best the doctor can assure you that things are going fine or repair your relationship with your former surgeon. If early action must be taken to correct a problem, a consultation with another doctor can help you decide what to do.

Tips to Help You End Up With The Best Dental Clinic for Cosmetic Surgery

Choosing the right clinic for cosmetic dental procedures is the first step to ending up with the best services. The good news is that you will always find the best clinic if you take the time to do some research. You can use the internet to find out about clinics near you. You can also seek referrals from friends and relatives that have used services similar to the ones you seek.

That said, you need to consider some factors when searching for these services. It pays to compare what the clinics offer before settling on one.

The services offered

You need to find a clinic that provides the best possible services for you. They should be diverse and they should cover the specific problem that you have. The dental clinic should be in a position to provide the right solution for your dental issue. This gives you an assurance that you will get the relief that you are looking for from this clinic. This is only possible if the clinic has the equipment and facilities to provide you with the services effectively.

Consider technology in use

An up-to-date facility will utilize the latest technology in dental care. This gives you the certainty that the services will be fast and effective too. It will save you time and resources. For example, use of laser technology means that the process of teeth whitening will take a shorter time to complete. You will notice a difference after the first session of the procedure. Such solutions give you faster and lasting solutions. They are also cost-effective in the long run.

Sedation services available

The procedures, especially the complex ones, may require you to be under anesthesia. The clinic should provide you with the best options for these. Being in a deeply relaxed state enables you to undergo the procedure without any anxiety. You will experience minimal pain and most importantly, you will have a less traumatic experience. Having the option of sedation enables you to cope better with the procedures taking place. The dentist will also have an easier time completing the procedure with minimal interruptions or resistance from you.

Qualifications

The qualifications that the dentist has matter and you should check on the training he/she has. The experience is also important as it allows you to know that you are in safe hands. You will have less anxiety as you know that he or she will adequately take care of your needs. If the dental clinic utilizes modern technology, the dentist should have the necessary training and skills to handle the equipment. Some technology such as laser tech requires an expert hand. The dentist should have evidence of the additional training for this latest equipment.

The Latest in Facelift Surgery – a Younger Face in 1 Hour

Many women would like to have a cosmetic facelift surgery but many are worried that they would not be happy with the results. There is no turning back after the surgery. Many also say that such a cosmetic surgery would be too expensive for them.

For these two reasons non-surgery facelifts are booming. A 40% rise in 2007 is expected in facelifts without a surgery. In fact, many surgeons will tell women who consider a facelift surgery actually do not need one. Injectables and fillers are another option and can bring some great results quickly.

However, not everything can be treated with injections. The biggest problem is sagging skin when you get older. A surgery might be the only option to treat this problem. And achieving the biggest dream of most women, which is looking younger for at least 10 years, you will need more than just a few injections.

The latest trend is a new technique which is not a traditional facelift surgery but still offers longer lasting success than simple injections. It’s called CounterLift. A CounterLift just takes about 1 hour and the recovery time is much shorter compared to a traditional facelift. There is also good news on the financial side of this new procedure. A CounterLift just costs about the half.

So how does this less-invasive new facelift surgery actually work? The CounterLift fills a missing gap in facelift surgery. Women in the age between 35 and 45 are usually not ready for a full facelift. For them the CounterLift is a perfect solution. Injections are helpful to fight wrinkles but can not do anything against sagging skin. Here the CounterLift will pull sagging skin together, well below the top layers of the skin so that no visible scarring can happen.

This new facelift procedure is much less invasive and gives the plastic surgeon more freedom to re-shape the face as well. It allows him to manipulate certain sections of the face without affecting others.

If you want to look much younger but were always worried about getting a full facelift surgery, you might find this new and cheaper technique appealing. Ask your cosmetic surgeon about this new facelift technique. It is not available everywhere yet but worth a look.

Nipple Deformities – Simple Plastic Surgery Corrections

Nipples are as variable as the size and shape of breasts. No two nipples are ever exactly alike, usually not even on the same person. While much breast reshaping (breast augmentation, breast reduction, breast lift) goes on in plastic surgery, many men and women suffer from nipple deformities as well which also affects their self-esteem. Nipples can stick out too much, can be turned in, or the areola (the colored area surrounding the nipple) can be too large. Some of these nipple problems may affect certain breast functions such as feeling or lactation. The good news is that there are some very simple plastic surgery procedures that are quite effective at improving these problems.

For the sake of clarification, what most call the nipple is actually two different structures. The true nipple is the central projecting skin area that has both enhanced sensation and milk ducts for lactation. The flatter, almost always more pigmented, skin around the true nipple is called the areola.

Nipple inversion (shy nipple) affects about 2% of the population, more commonly in women than men. Some nipples can be turned in slightly or to a significant degree. Some people are born with nipple inversion, others occur later often after breastfeeding. In rare instances, a tumor may be pulling the nipple inward and this should be ruled out particularly if it occurs later in life and just on one breast. Correction involves a simple procedure done under local anesthesia. The nipple is released and brought out. The biggest problem with nipple inversion correction is relapse, the nipple losing projection and returning to an inward position. Nipple inversion surgery can also be done at the time of other breast surgery. I usually like to delay repair in the case of breast augmentation until later as the implant may help to push out some nipples, making correction unnecessary.

Enlarged nipples often create visible ‘headlights’ which can be a source of embarrassment for many women. This can also be an issue for some men. An overly projecting nipple can be easily reduced through a wedge excision or a ‘ring’ reduction approach. Sensation and the ability for milk production can be preserved with either technique. Done under local anesthesia, nipple reductions are very stable and are not associated with any significant relapse.

“Puffy” nipples can occur in women and are usually associated with the tubular breast deformity. In this nipple problem, the areola and the nipple are pushed outward due to an underlying herniation or protrusion of breast tissue. Correction of this problem is slightly more complex than isolated nipple surgery. It is usually treated as part of tubular breast surgery which involves the use of a breast implant and areolar manipulation. This is treated by making an incision around the areola, removing some of the pigmented skin (if needed), and lifting the areola skin up and decreasing the projection (puffiness). This is a more extensive surgery and requires an operative room experience under anesthesia.

Large or wide areolas are extremely common in big breasts. Usually the size of the areola is related to the size of the breast, but not always. Large areolas are commonly reduced as part of breast reduction surgery. They can be reduced independent of a breast reduction through the periareolar approach. By removing a ring of the outer areola, the circular diameter of the areola is narrowed. Due the tightness of breast skin, there is a limit as to how much the areola can be reduced. This procedure results in a scar at the junction of the areola and skin which occasionally widens and requires secondary revisional surgery.

Liposuction – Looking to Lose That Pudge? Consider Liposuction Surgery

We are getting fatter. At least that is what the news reports seem to say every time we turn around. In the United States there is a sizable majority that is…well… sizable! People turn to diet and exercise to slim down but often will reduce their fat down to a stubborn pocket that simply refuses to leave. For these people, Liposuction surgery can help them get rid of the unwanted fat.

What is Liposuction anyway? Liposuction is a surgical procedure which removes fatty tissue (i.e. – adipose tissue) from beneath the epidermis (i.e. – skin). Liposuction surgery is performed by creating small incisions in the skin and then inserting a steel tube, called a cannula, into the tissue to be removed. The fat is then removed via a strong vacuum. The procedure involves the liposuction surgeon’s skill in determining where to move the cannula and how long to suck out fat in a particular location. A good surgeon can give your body a slimmer looking shape by making sure the fat is removed evenly.

Liposuction is performed anywhere where fat is deposited in large quantities. Areas such as the abdomen, breasts, back, arms and legs are the most common areas that are reshaped by liposuction surgery.

Liposuction is not a weight loss alternative however. Liposuction is best applied on patients who have gotten back in shape and now need to remove some of the last remaining pockets of fat. Liposuction surgeons will counsel every potential client to make sure that they are eating a proper diet and getting plenty of exercise before they opt for liposuction surgery.

If you are one of the people who are a perfect candidate for Liposuction and you want to remove that final “pudge” once and for all, you might consider Liposuction surgery as a way to banish it from your body.