Revision Rhinoplasty
Posted July 01, 2009 6:23 PM in Rhinoplasty

Paige, Thanks for your question regarding revision rhinoplasty. We perform about 75 rhinoplasties per year and about 150-200 nasal reconstructive cases per year. Of the 75 rhinoplasties about 15-20% are revision cases. So while I haven't actually worked the numbers, over the years we have plenty of experience. I received my initial training in rhinoplasty in my residency in Galveston, TX where we had an excellent experience with rhinoplasty. I then performed a facial plastic surgery fellowship with Edwin Williams, M.D. in Albany,NY. Dr. Williams trained with one of the most world famous rhinoplasty surgeons to date, Gene Tardy in Chicago. I sought to obtain a fellowship with Dr. Williams because of the strong continue...

Fraxel
Posted June 30, 2009 10:08 AM in Fraxel Laser

Maxine, The answer to your question regarding Fraxel laser use on the neck and chest is a definite yes. Fraxel laser is a fractionated laser. This means that rather than the treating the entire outer surface of the skin at one sitting the laser treats microscopically in a tiny dot-like fashion, which leaves untreated skin, at a microscopic level, between the laser treated skin areas. This allows for much quicker healing and also allows the procedure to be safely performed on areas of the body which did not have the same characteristics as the face. Ablative therapies such as chemical peel and laser which can be used on the face cannot be used safely on the neck and chest. Fraxel laser however definitely can. continue...

Wrinkles
Posted June 30, 2009 10:02 AM in Laser Dermabrasion

Christina, Dermabrasion and microdermabrasion are very different. Microdermabrasion is a procedure utilizing crystals to remove the dead skin cells from the outer surface of the face. It will only allow your face to feel smoother but will not stimulate collagen production or improve wrinkling. Dermabrasion is a procedure utilizing either a diamond sanding wheel or a wire brush to remove the outer epidermis and dermis of the skin which is much deeper than micro-dermabrasion and allows for improvement in wrinkles and collagen production. We usually utilize a trichloracetic acid chemical peel for the wrinkles on the entire face, which also improves pigment, and allows for collagen regeneration. We combine this continue...

Filler Differences
Posted June 26, 2009 8:55 AM

Constance, Wow! That was a long and very good question regarding hyaluronic acid fillers, Restylane, Perlane and Juvederm. You are right to be confused because of all the different fillers. It is only going to get worse. The fillers do have differences microscopically regarding how they are processed, how much crosslinking there is between molecules and how much of the actual hyaluronic acid is present. Clinically there is a little difference in the feel of the product as it injects and some people feel there is a difference in how the product feels in the face as well. Regarding that Restylane tends to have a little more body than Juvederm which in my opinion is better for folds. Juvederm tends to feel a continue...

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