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Rhinoplasty questions

Q:

What are some of the most common questions about rhinoplasty?

A:

Patients have many questions about rhinoplasty and the demand for this procedure is still very strong.

  1. It is one of the top five most frequently performed surgical procedures. According to a survey conducted by the American Society of Plastic Surgeons (ASPS), there were more than 218,000 nose reshaping procedures performed in 2017.
  2. A rhinoplasty is not always done simply for cosmetic reasons; this procedure can often correct real issues. Many patients seeking nose reshaping surgery have breathing issues caused by a deviated septum or large turbinates, which is the portion of the nose that heats and filters air when you breathe. In these cases this surgery has the potential not only to reshape the nose aesthetically, but to help alleviate breathing difficulties.
  3. The techniques and aesthetic rules vary for men’s and women’s rhinoplasty. For instance, the angle and slope for a man’s nose is different from a woman’s. An experienced board-certified plastic surgeon is essential for a good outcome in nose reshaping. It is truly an art to perform a rhinoplasty that results in a nose that looks natural, functions properly and coordinates appropriately with other facial features.
  4. Patients can truly see a virtual model of what their own nose will look like post-surgery. Edina Plastic Surgery is the only practice in the Twin Cities with the Vectra XT camera. This technology captures 3D images of the nose and shows the possible outcomes of a rhinoplasty. The Vectra allows our surgeons to discuss the procedure with our patients while viewing realistic 3D images, and helps to set clear goals and expectations for the surgery.
  5. Contrary to myths published on the internet, when rhinoplasty is done correctly by a board-certified plastic surgeon, the tone/sound of a patient’s voice will not change.
  6. The surgery time for a rhinoplasty is short and the recovery is much easier than some patients may think. Depending on the complexity of the case, the surgery itself usually only takes between 1 – 2.5 hours. The recovery level is mild to moderate. The initial swelling subsides quickly, and many patients, especially those who take Arnica pre-surgery have only a minimal amount of post-procedure bruising.
  7. Two weeks pre-surgery, patients are asked to steer clear of aspirin, Advil, Motrin, and Aleve. Staying away from these types of pain relievers can help speed the recovery time after a rhinoplasty because use of these drugs can cause excess bleeding.
  8. Elevating your head while sleeping after having a rhinoplasty is a very good idea to help reduce nighttime swelling. Sleeping with two pillows is an easy and effective way to keep recovery time on track in the first few days following a rhinoplasty procedure.

Treatments and procedures for the eyes

Q:

My eyes are really starting to show signs of aging. What treatments or procedures are available?

A:

Without any words your eyes convey a wide range of emotion and information. Which is why we don’t want our eyes to appear tired, aged or even angry. Eyelid surgery and treatments using Botox® and dermal fillers can result in dramatic improvements to the eyes, making them look more youthful and refreshed.

If you are interested in enhancing the look of your eye area, here are some options to consider that are available at Edina Plastic Surgery and Skin Artisans at Edina Plastic Surgery:

EYELID SURGERY

At Edina Plastic Surgery our board-certified surgeons have extensive experience in eyelid rejuvenation.

Over time, upper eyelids often develop an excessively full or droopy appearance, and lower lids may develop puffy fat pads and loose skin. Surgery for these conditions can provide a more rejuvenated appearance – and can improve vision when skin is heavy enough to block the eyes.

Sometimes called “eyelid lift” or “eyelid tuck”, eyelid surgery’s medical name is blepharoplasty. This procedure can be conducted on the upper and/or lower eyelids to improve appearance by removing excess fat pads or skin.

The approach your surgeon will recommend for eyelid surgery is based on your needs and goals. During the initial consultation, our surgeons assess whether a blepharoplasty may be beneficial for you and, if so, what type of surgery will provide the desired results. Eyelid surgery is performed on an outpatient basis (requiring no overnight stay) in our fully accredited onsite surgery center.

For an upper lid blepharoplasty, your surgeon will make an incision along the natural skin crease of the upper eyelid. Excess skin is removed and some fatty tissue may be excised. For the lower lids, an incision is made just beneath the lash line, extending to the crow’s feet region of the eye. Excess skin and fat can then be removed.

The lower lid can also be improved using a “transconjunctival blepharoplasty”. In this technique, an incision is made along the inner lining of the lower lid where it will not be visible. The procedure allows treatment of the fat pads, though no skin can be removed, and works best for people who have younger, elastic skin.

Eyelid surgery can be performed under local anesthesia with sedation or under a light general anesthesia, in which you are completely asleep during the procedure.

Using the most cutting edge techniques of blepharoplasty, the surgeons at Edina Plastic Surgery often remove little, if any, fat from the eyelids. Instead, the fat is repositioned into areas that appear more sunken. This is very helpful in the area of the “tear trough” just below the lower lid and at the lid-cheek junction. In addition, the muscle of the lower lid is often lifted to help smooth the contour of the upper cheek and lid.

BROW LIFT

A forehead lift or “brow lift” is a procedure that improves the heavy and drooping appearance that can occur in the brows, forehead and upper eyelids.

The passage of time affects the facial appearance and some sagging, droop or heaviness typically occurs in the brow region and upper eyelids. In addition, individuals who have a relatively low brow position naturally, even at a young age, may be unhappy with an appearance that says they are tired, angry or sad. In these cases, a forehead or brow lift can produce a positive and pleasant change.

A brow lift procedure involves lifting the forehead and brow to a more optimal position. The lifting also tends to “open-up” the area around the eyes to reveal a more youthful and attractive appearance.

Sometimes patients will request a consult for upper eyelid blepharoplasty (upper lid lift) and actually will benefit more from a forehead lift. Other times, a blepharoplasty or even a full face lift is considered along with a forehead lift. A consultation with one of our board-certified and highly experienced plastic surgeons can help you determine what is needed to achieve your goals.

BOTOX® FOR THE EYE AREA

Botox is a well-known and popular anti-aging treatment that provides amazing results. There are many ways the injector technician experts at the Skin Artisans at Edina Plastic Surgery can improve the eye area using Botox.

Crow’s Feet: If the crow’s feet around your eyes are dynamic, there will be a significant improvement with Botox to this area. However, if the crow’s feet are mostly static and the results of photodynamic and chronological aging, the improvement may be disappointing.

Lower Eyelid: We can treat the jellyroll area under the eyelid. (It is most noticeable in certain individuals when they smile broadly.) When Botox is injected into the middle of the lower eyelid it makes the patient’s eye look more open and youthful.

Eyebrow (Lateral): Botox can be injected to reduce eyelid hooding to produce some of the benefits of a lateral brow lift.

DERMAL FILLERS FOR THE EYE AREA

Dermal fillers promote hydration of the skin as well as restore volume to the skin and its underlying foundations. The expert injectors at the Skin Artisans at Edina Plastic Surgery apply injectable gel under the skin to provide a smooth, natural look and feel and use dermal fillers to treat crow’s feet wrinkles and/or tear troughs.

Skin Artisans’ technicians assure minimal discomfort during any dermal filler procedure by applying a topical anesthetic cream to the treatment site prior to injecting. In addition, all fillers used have lidocaine in them further ensuring your comfort.

Health benefits from plastic surgery

Q:

What health benefits can be gained with plastic surgery procedures?

A:

When performed by a board-certified plastic surgeon at Edina Plastic Surgery, procedures can have added benefits over and above enhancing your appearance. The following are some of the benefits that patients have received from these types of procedures:

BREAST REDUCTION

  • Pain in neck, back and shoulders has been alleviated.
  • Posture has been improved.
  • Breathing becomes easier and patients find it easier to exercise as well.
  • Skin irritation under the breasts caused by excess friction dissipates.

BREAST AUGMENTATION

  • Corrects tuberous breasts.
  • Improved posture can occur for patients with significant asymmetry.

RHINOPLASTY (NOSE SURGERY)

  • Fixes deviated septums and can greatly improve nasal function and increase oxygen flow.
  • Can correct other structural problems that restrict breathing and cause congestion.

BLEPHAROPLASTY (EYELID SURGERY)

  • In patients where the eyelid droop is substantial it improves impaired eyesight.

ABDOMINOPLASTY (TUMMY TUCK) AND LIFTS AFTER WEIGHT LOSS (UPPER ARM, LOWER BODY, THIGH, BREAST)

  • In some cases an abdominoplasty can reduce urinary stress incontinence.
  • The risk of diabetes can be lowered.
  • Back pain is often alleviated by correcting the positioning of the rectus muscle.
  • Excess skin stretched by pregnancy can be removed.

Top procedures performed before the holidays

Q:

What are the top procedures performed before the holidays and what are the recovery timeframes?

A:

Now that the summer is over, people start thinking ahead to the holidays; and who doesn’t want to look their best during the holiday season? A refreshed and rejuvenated appearance makes people feel more youthful and confident but it requires some planning, and now is a good time to begin that process. While some techniques can provide immediate results, most take weeks or months for the full benefits to become apparent.

Below is a list of some of the top procedures that patients choose to undergo:

Liposuction: Plan 2-3 months ahead

Liposuction is one of the most frequently performed procedures for fat removal. At Edina Plastic Surgery our board-certified surgeons can do this procedure as a stand-alone or we can perform it in conjunction with a tummy tuck or even a facelift. It has tremendous potential to shape the body, but there are some limitations based on the skin quality and planned volume retrieval. Typically the liposuction procedure can be done on the neck, arms, back, abdomen, thighs, knees or ankles. Sometimes patients request to have it performed on a combination of areas. Recovery from liposuction varies but a return to normal full activity will occur around four to six weeks.

CLICK HERE to request a free consultation to look your holiday best or call us at 952-925-1765.

Breast augmentation: Plan 2-3 months ahead

Breast augmentation is one of the most popular procedures with patients at Edina Plastic Surgery. All three of our board-certified surgeons have special expertise in breast augmentation. Because of our expertise our clinic was selected to participate in the FDA’s clinical trials for silicone breast implants. Breast augmentation can increase self-esteem and confidence, improve the fit of clothing and make women look and feel more youthful. Edina Plastic Surgery is the only practice in the Twin cities using the Vectra XT 3D camera which allows patients to see “virtual before and after photos” on their own bodies. Although most women are back to their daily routine in about a week, it takes three to six months for the implants to completely settle into position and for the residual swelling to subside.

Blepharoplasty: Plan 1 month ahead

Your eyes convey so much information and emotion, which is why you don’t want your eyes to appear tired or aged. Eyelid surgery can help patients project a more youthful, rejuvenated and refreshed appearance. A blepharoplasty can help make your eyes your most beautiful accessory for the holiday season and beyond.  An eyelid lift can be conducted on the upper and/or lower eyelids to improve appearance by removing excess fat pads or skin. The swelling and bruising post-surgery generally resolves in one to three weeks.

Botox: Plan 3-4 weeks ahead

Botox is a well-known and popular anti-aging treatment that can provide quick and amazing results to patients who want to diminish wrinkles around the eyes and on the forehead. It is so quick it can work within just one treatment so it is a very popular pre-holiday procedure. It targets dynamic facials lines; those caused by repetitive expressions including crows’ feet, forehead creases and frown lines. The treatment takes only a few minutes and requires no down time. The early benefits can be seen within two weeks but many times patients see improvement even after that time period. For best results plan about three weeks before your holiday celebration.

Dermal fillers: Plan 1-2 weeks ahead

There are many well-known fillers that patients request to give them a beauty perk-up before the holidays including Juvederm, Restylane, Radiesse and Voluma. Dermal fillers promote hydration of the skin, and they also restore volume to the skin and its underlying foundations. The expert skin injectors at Skin Artisans of Edina Plastic Surgery apply injectable gel under the skin to provide a smooth, natural look and feel. Areas that can benefit from filler treatments include: temples, around the eyes, mid-face, lip rejuvenation and jowl correction. Mild bruising and swelling can sometimes occur after treatments so give yourself a week or two before any holiday events.

CLICK HERE to request a free consultation to look your holiday best or call us at 952-925-1765.

Facial Aesthetic Surgery

Q:

I had a friend who had fat grafting in her face. Is this a popular procedure and if so why?

A:

According to a recent survey of Plastic Surgeons, facial fat grafting is increasing in popularity.

The practice of transplanting fat by injecting abdominal or other fat to fill out cheeks, creases and areas that are sagging has become more widely embraced by plastic surgeons in the past few years. According to results of a survey by NYU Langone Medical Center researchers, the process of fat grafting is gaining in popularity.

The American Society of Plastic Surgeons is the largest plastic surgery specialty group worldwide, and 309 randomly-selected members were asked to complete the survey.

Surgeons were asked about their methods of harvesting, processing, and injecting fat, the most commonly selected injection sites, and their opinions on the overall efficacy of grafting as a facelift procedure. They were also surveyed as to how often they used fat grafting in facelifts.

85 percent of the 309 facial aesthetic surgeons surveyed use fat grafting as a technique to enhance the results of facelift procedures designed to smooth wrinkles and creases, and eliminate sagging. Of this group, over 70 percent reported adopting the method within the past 10 years.

The survey results show that a majority of plastic surgeons across the country are adopting fat grafting as a standard technique to optimize the results of facelift procedures.

Researchers say the survey is believed to be the first of its kind to determine the frequency and extent of plastic surgeons’ use of the injectable fat-grafting method for facelifts. The survey results are summarized in the journal Plastic and Reconstructive Surgery.

As part of the survey, the ways in which plastic surgeons practice fat grafting were analyzed. The most popular sources of fat were from the patient’s abdomen (over 80 percent of the respondents’ cases) and from the hips (10 percent of cases). The amount of fat injected into the face to replace volume loss from aging ranged from 11 cubic centimeters to 25 cubic centimeters (about 3 to 5 teaspoons).

Surgeons typically add extra fat to compensate for the amount of fat likely to be reabsorbed by the body, about 40 percent of the initial injection. The rest remains indefinitely. By contrast, synthetic/commercial dermal fillers, an alternative to injected fat, last only nine months to a year and require repeated injections.

According to the survey group, the most commonly injected areas of the face are the cheek, the region below the lower eyelid, and the nasolabial folds, or creases between the nose and corners of the mouth.

Fat grafting is currently the only widely used method able to counter so-called volume deflation in the face, or loss of fat over time. The results of fat grafting procedures have improved dramatically in the past 10 years. Initial results were sometimes unpredictable and inconsistent. A deeper understanding of the facial anatomy in regards to fat compartments has led to refinements in fat grafting, along with more consistent and longer-lasting results. Reports of complications are rare.

Candidate for eyelid surgery?

Q:

Who is a good candidate for eyelid surgery?

A:

In general, good candidates for eyelid surgery are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and specific goals in mind for eyelid surgery
  • Individuals without serious eye conditions
  • Excess skin and fine wrinkles of the lower eyelid

Remember that the eyelids are part of the face. The appearance of a drooping upper lid may also be due to relaxation of the forehead skin and eyebrow. Sometimes a drooping eyelid is caused by stretching of one of the upper eyelid muscles, the levator.

The board-certified plastic surgeons at Edina Plastic Surgery specialize in cosmetic procedures including blepharoplasty. We welcome you to come in for a free consultation.

They will evaluate your anatomy thoroughly to determine the causes of your eyelid appearance, and what procedures might best remedy them.

Eyelids are getting droopier?

Q:

I feel like my eyelids are getting droopier every day. What is a good solution?

A:

Eyelid surgery is one of the most popular types of plastic surgery procedures, and patients say they look more youthful and refreshed.

Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids. This is a very popular procedure. In 2014, more than 200,000 blepharoplasties were performed in the United States.

A blepharoplasty can be performed on your upper eyelids, lower eyelids, or both. Based on a preoperative evaluation of factors such as your underlying facial muscle structure, bone structure, and the symmetry of your eyebrows, the surgeon will decide how much skin, muscle, and/or fat to remove.

“I was 51 years old when I had a blepharoplasty (eyelid surgery) at Edina Plastic Surgery. I was delighted with the very natural-looking results. I look more ‘awake and rested’ and it is more fun to apply eye makeup now that my eyes look so much more youthful. There was very little discomfort following the procedure. I have recommended this procedure and Edina Plastic Surgery to many friends of mine.”

Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.

SPECIFICALLY, EYELID SURGERY CAN TREAT:

  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
  • Excess fatty deposits that appear as puffiness in the eyelids
  • Bags under the eyes
  • Drooping lower eyelids that reveal white below the iris
  • Excess skin and fine wrinkles of the lower eyelid

Where else can Botox® be used?

Q:

I know that Botox® is very versatile; but besides the forehead where else can it be used?

A:

Botox® can be effective on many areas of the face, neck and even the upper chest.

LOWER EYELID:

The jelly roll area which is under some people’s eyelid area is another area where Botox® can be effective. This area is most evident when patients smile really big. When Botox® is injected into the middle of the lower eyelid it makes the eye look more open and youthful.

EYEBROW (LATERAL):

Botox® can be injected to reduce eyelid hooding to produce some of the benefits of a lateral brow lift.

CORNERS OF THE MOUTH/MARIONETTE LINES:

As some people age the corners of their mouths become downturned, giving them a “crabby look”. We can inject Botox® to relax the muscles and help make the corners more upturned. Patients can achieve a look that is friendlier and more approachable.

CHIN:

To reduce dimpling or “orange peel skin” on the chin, Botox® can be effective. It relaxes the muscle in the chin to help diminish the dimply look.

NECK (VERTICAL BANDS):

Botox® is also used in the neck to treat the vertical platysmal bands. These bands may become prominent as we age because the skin progressively loses elasticity and soft tissue support weakens. Botox® injections help to make these bands and lines less pronounced.

DECOLLETAGE:

We use Botox® in the décollete area to diminish the fine wrinkling.

Facelifts for Men

Q:

Are facelifts for men a rising trend?

A:

One of the latest trends in plastic surgery is that a record number of men are getting on board and telling plastic surgeons that they want a facelift, seeking the benefits that the procedure can offer.

In today’s culture, youth and appearance are equated with success for both women and for men. Facelift procedures are very common in the world of cosmetic surgery. They have historically been popular with women who want to look and feel younger and more refreshed.
According to The American Society for Aesthetic Plastic Surgery, in the past five years there has been a dramatic 43% increase in the number of nonsurgical and surgical cosmetic procedures for men. Starting in 1997, when the organization began collecting statistical data, the increase in the number of procedures performed on men has risen by a whopping 273%.

Many men look at cosmetic procedures as a way to gain confidence and enhance their careers. In a marketplace where looking fit, younger, and more masculine is imperative, the better you look, the better your chances of climbing the corporate ladder.

“The best facelifts for men are the ones that look very natural and distinguished,” says board certified plastic surgeon Dr. Robert Wilke.

“Many men consider that the investment they make on a facelift is good for business. They are successful and feel young and confident but may be worried that they don’t look that way. We can help them look more refreshed and extremely natural.”

A facelift can also include a neck lift, eyelift, jawline recontouring, and possibly liposuction. It is not just older men who are opting for cosmetic surgery. Many younger men who want to refresh their appearance are opting to get rid of unwanted wrinkles, bags under the eyes, drooping eyelids and double chins. Rhinoplasty is still the top cosmetic surgical procedure for men.

HydraFacial™ for winter weather

Q:

The skin on my face gets so dry in the winter months. What is a good professional moisturizing treatment?

A:

Winter is on its way. Along with the cold temperatures and wind, it also brings seasonal problems such as skin dryness and irritation. Cold temperatures can create poor blood circulation with widened capillaries and as a result, the skin suffers. However, the drop in temperature isn’t solely responsible for these issues. The drop in humidity and the use of indoor heating systems are also culprits in making the sky feel dry.

Our $180 HydraFacial treatment is a non-invasive, liquid skin resurfacing system with no downtime. It instantaneously hydrates the skin, helping you achieve smooth, well-cleansed, hydrated, moisturized skin in a matter of minutes.

The HydraFacial resurfacing procedure addresses all aspects of your skin’s health. It is the trifecta of effective facial treatments that combines the following:

  • The exfoliation and resurfacing of microdermabrasion;
  • The skin renewal of a chemical peel; and
  • The hydration and extractions of a deep-cleansing facial.

This is the ideal treatment before a big event because it improves clarity, color, and skin texture while tightening the skin, creating an overall youthful, fresh look. The HydraFacial procedure is soothing, moisturizing, non-irritating and is immediately effective.

BENEFITS

  • Exfoliates dead skin cells and extracts impurities
  • Helps to visually retexturize the skin
  • Restores skin’s hydration leaving skin more supple and vibrant
  • Hydrates, plumps and firms the skin
  • Exfoliation of the skin’s upper layers allows improved absorption of active ingredients
  • Improves clarity and helps restore radiance to the complexion

The HydraFacial uses a unique five-step approach.

  1. Vortex-Cleaning—The patented HydroPeel tip hydrates the skin with a nutrient-rich solution that deeply cleanses the pores and softens and lifts away impurities.
  2. HydroPeel Exfoliation—The HydroPeel tip uses its multiple abrasive edges to exfoliate the skin several times with each pass to achieve better, more even skin resurfacing without irritation.
  3. Painless Vortex-Extraction—The vortex (powerful circulation of liquid) effect easily dislodges and removes blackheads, whiteheads, and sebum for quick and painless extractions.
  4. Vortex-Fusion of Antioxidants—The unique spiral tip employs a patented method for infusing hydrating skin solutions and potent antioxidants into the skin, improving the appearance of fine lines, wrinkles, oily skin, and hyper pigmentation.
  5. LED Light Therapy—Light therapy provides additional benefits after the HydraFacial treatment. LED light therapy uses specific types of light, which give off energy that stimulates your cells, thereby increasing your skin’s production of collagen and elastin. In turn, your skin becomes firmer, less wrinkled and younger looking. The treatment’s red LED light helps improve the appearance of skin firmness and resilience, while reducing the appearance of fine lines and wrinkles, hyperpigmentation and other signs of aging. The blue LED light is extremely beneficial for people who suffer from oily skin or breakouts. And the combination of red and blue LED lights is helpful in reducing the appearance of rosacea.