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Phone 512.401.2500 | Fax 512.401.2501
2745 Bee Caves Road, Suite 101
Austin,
Texas
78746
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Question:
What’s the best way to get a very natural looking rhinoplasty result?
Answer:
The best way to get a natural rhinoplasty result is first to not over reduce the nose. A surgeon should preserve as much of the native cartilage structure as possible. A unnatural rhinoplasty results usually occur from overaggressive surgery that excises cartilage excessively from the nose. Over time scar shrinking occurs and the nose loses its natural shape.
Posted by Dr. Buckingham
Question:
Do you perform threadlifts? How are they different from other types of facelifts?
Answer:
I do not perform threadlifts. A threadlift takes a barbed suture which is passed into the skin and used to lift the tissue. Very good prospective studies have been performed that have shown the longevity of a threadlift to only be in the range of weeks to months. It is not a good procedure. To reduce recovery time as well as achieve the most natural appearing and long-lasting results, we utilize the newest minimally invasive techniques with incisions nearly entirely confined to and camouflaged within the hairline.
Posted by Dr. Buckingham
Question:
I’m from Round Rock and I recently heard of something called Photofacial. What is this and what does it do?
Answer:
A photofacial is a device that uses very high intensity light that is filtered into a narrow band of wavelength. The wavelength is targeted towards pigment and increased arrangement of blood vessels and will improve both conditions. In the process the dermis of the skin is also heated to improve the overall condition of the skin.
Posted by Dr. Buckingham
Question:
Is general anesthesia or local anesthesia usually used for a facelift?
Answer:
We never use general anesthesia for a facelift. We perform a limited incision lower facelift in the office with oral sedation and local anesthesia. For a full lower face which includes a neck lift, we prefer a slightly deeper level of anesthesia achieved with IV sedation. General anesthesia is rarely if ever used. The only indication in our opinion is the male patient with a very obstructive airway or the patient with severe uncontrolled acid reflux.
Posted by Dr. Buckingham
Question:
I’m interested in getting a facelift. However, there are so many different techniques out there. In fact, it seems like there’s a new type of facelift every day. Can you explain to me what some of the more common or more effective facelift techniques are and what they’re best at treating?
Answer:
The number of facelift techniques that are described is mind-boggling. Most of these “techniques” are merely marketing tricks to re-name a common procedure that has been performed for years. There is even one large corporation that is nationwide which has trademarked the name of a facelift and used mass marketing to convince the public it is something better and unique. Don’t be fooled. Most facelift techniques or variations of incisions and elevations of the deeper fascial layer. Regardless of the name that is given, incising the skin, gaining access to the fascial layer and elevating it in some way is a requirement for an effective and long-lasting facial result.
Posted by Dr. Buckingham
Question:
Would you agree that it is early to start having Botox injections at a younger age to use it as a preventative method of treatment?
Answer:
I believe that the appropriate time to start utilizing Botox for wrinkle reduction is when you just start to see the lines become etched and when the muscle is not contracting. All individuals including young children have lines and there face with animation. It is that recurrent animation that leads to etched in lines in certain locations over time due to repetitive muscle action and skin changes. I agree that using Botox to early is not necessary.
Posted by Dr. Buckingham
Question:
I’m from Austin, Texas. I think both my eyes could benefit from eyelid surgery, but one eyelid is droopier than the other. Will surgery be able to make them more even?
Answer:
Usually asymmetry can be improved with eyelid surgery. Review of the blepharoplasty photo gallery indicates these results. However, sometimes the difference is due to bony orbital differences that can’t be changed. One of the items addressed at the consultation should be to determine what the cause of the asymmetry is and what it will take to correct it.
Posted by Dr. Buckingham
Question:
My rhinoplasty left me with an upturned nose. Can revision rhinoplasty fix this?
Answer:
A revision rhinoplasty can repair an upturned nose under most circumstances. In some rare instances, the skin is scarred limiting the procedures success, but usually adding cartilage grafts will bring the tip of the nose down.
Posted by Dr. Buckingham
Question:
What is a local lift?
Answer:
This is not a standard term, but probably indicates a lift that is performed under local anesthesia rather than a deeper more systemic anesthesia.
Posted by Dr. Buckingham
Question:
How does photofacial work? Is this good if you have acne-prone skin?
Answer:
Photofacial works by applying high-intensity light to the skin. The light is absorbed by various targets including pigment and blood vessels converting the energy to heat. The heat is high enough to break up the target cells leading to improvement in the skin condition. Photofacial is safe to use on acne-prone skin and may even improve the acne condition.
Posted by Dr. Buckingham
