Dr. Buckingham’s Q&A

August 20, 2009

Facial Plastic Surgeon vs. Plastic Surgeon for Facelift

Filed under: Facelift Surgery — Tags: , — Dr. Edward D. Buckingham, M.D. @ 1:39 pm

Karla,

Thanks for your question regarding why you would consider a facial plastic surgeon over a plastic surgeon for a facelift.  I would advise you to look at the questions differently, a facial plastic surgeon or a general plastic surgeon could be equally qualified or not-qualified to perform a facelift.  It depends upon what they have chosen to specialize in.  First, lets compare the difference betwen the training of a general plastic surgeon and a facial plastic surgeon.

A general plastic surgeon receives their board certification by completing medical school, followed by 2-3 years in general surgery performing abdominal surgery, trauma surgery etc, followed by 2-3 years in plastic surgery residency performing plastic surgery of the face, body, breast, hand etc.  Following their residency they may pursue a fellowship in an area to further hone their skills.  This may be in cosmetic breast, body or facial plastics as well a  host of other specialties related to plastic surgery.

A facial plastic surgeon obtains their board certification by completing medical school followed by a 1 year internship in general surgery and a 4 year residency in head and neck surgery, aka otolaryngology.  During that 4 year training the facial plastic surgeon spends their entire focus on the face, head and neck including cancer surgery of the oral cavity and neck as well as skull base surgery, sinus surgery, reconstructive facial surgery etc.  Basically, a facial plastic surgeon is immersed in the anatomy and conditions of the head and neck for 4 years.  Most facial plastic surgeons then complete a 1 year fellowship in facial plastic and reconstructive surgery where they further improve our skills related to the area of facial plastic surgery they are interested in.  This may be free flap head and neck reconstruction, cleft lip and craniofacial surgery or cosmetics.

Having compared the training, your question should really ask on what the surgeon has chosen to focus their practice on.  If the surgeon is performing mostly breast and body surgery and only performs an occasional facelift then they might not be as adept as facelift surgery.  In our case we only perform cosmetic facial surgery ie. facelift, rhinoplasty and skin cancer reconstruction on the face.  Therefore we have plentiful opportunity to practice our preferred procedures and master them.  In choosing a surgeon I would take a look at their website.  If they look like they are focusing on breast and body and only have a few facial patients you may take a look somewhere else.  If they look like they have a volume of facial patients and the results are natural and significant then they may be someone worth seeing in consultation.

I hope this helps in answering your question.  I encourage you to look at our before and after photos and video gallery.  Please feel free to call for a consultation if you feel comfortable.

Ed Buckingham


Endonasal vs. Open Approach to rhinoplasty

Filed under: Rhinoplasty — Tags: , , , — Dr. Edward D. Buckingham, M.D. @ 11:58 am

Jolie,

You can achieve natural results with either an endonasal or an open approach to rhinoplasty.  The different approaches both work, but each should be used in the appropriate circumstances for that patient and according to the surgeon’s preference.  There are surgeons who perform almost all of their procedures one way or the other.  I prefer to use the endonasal approach in simple noses that require only a hump reduction with perhaps a little tip narrowing and in a nose that could also be made a little smaller, deprojected, and/or rotated a little.  If a nose has significant asymmetry, needs more tip work, or needs to be projected or de-rotated then I prefer the open approach.  I am also very careful to not over narrow the middle part of the nose which can happen in an endonasal rhinoplasty.  If my patients have any narrowness to their nose pre-operatively and need a hump taken down, the narrowness will likely get worse and so I place what is known as spreader grafts.  This will not only lead to a more natural result, but will also prevent functional and cosmetic problems years down the road.

Sorry for the long answer, but rhinoplasty is a very complicated operation and requires a little more thought than just a yes or no answer.  Good luck with your decision.

Ed Buckingham


August 18, 2009

Facelift Consult

Filed under: Facelift Surgery — Tags: , , , — Dr. Edward D. Buckingham, M.D. @ 2:46 pm

Tamara,

Thanks for your question regarding our facelift consultation.  During the consultation you will meet our patient care coordinator who will explain who we are and how the process will proceed.  You will then have a medical history taken by one of our nurses.  I will then meet with you to get to know you and to listen to what your concerns are.  I will then do an examination of your face and neck and make recommendations to address your concerns.  Following our conversation, you will again meet with our patient care coordinator who will explain fees with you and instruct you on how to schedule surgery should you elect to proceed.  We have several videos on our site that will further take you through the process.  I encourage you to look at them.  I hope to meet you soon.

Ed Buckingham


Fraxel for Facial Brown Spots

Filed under: Fraxel Laser — Tags: , , , — Dr. Edward D. Buckingham, M.D. @ 2:30 pm

Angie,

The Fraxel laser is probably one of the best devises for treatment of facial brown spots in darker skin types.  It must be combined with good skin care including a lightening cream.  You also must practice meticulous use of sunscreen.  The laser treatment would require at least 4 sessions at one month intervals and perhaps a few more.  I would set your expectations at improvement, but you could see better.  On the flip side to that however is that some spots are highly resistant to therapy.  Please feel free to give us a call and set up an appointment for further information.

Ed Buckingham


August 11, 2009

Rhinoplasty Bump

Filed under: Rhinoplasty — Tags: , , , , — Dr. Edward D. Buckingham, M.D. @ 8:50 pm

Mary,

Thanks for your question regarding rhinoplasty.  It is absolutely possible to only address the bump on your nose.  When you come in for your consultation, the first item we address is what concerns you about your nose.  If your only concern is the bump, ie you love your overall size, tip etc. then we can easily address only the bump.  On occasion you need to perform something called spreader grafting to be sure the the nose is not overly narrowed when the bump is removed, but this is not difficult and will not change your nose in any way other than to be sure that it looks natural and functions well.

Please review our before and after gallery.  There are many different noses on the site and each one has been altered to meet the patients wishes.  We do not try to make all of our nosed match one another, but rather to make alterations specific to each patient’s desires.  We look forward to meeting you.

Ed Buckingham


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Dr. Edward Buckingham is a Board Certified Facial Plastic Surgeon who specializes in Rhinopalsty, Facelifts, Eyelid Surgery, BOTOX, and many other
Cosmetic Facial procedures. His office is located in Austin, Texas and services the surrounding areas including: Sunset Valley, West Lake Hills, Cedar Park,
Round Rock, and many of the other nearby Texas cities. © 2011 Austin Texas Facial Plastic Surgery
Dr. Buckingham is a Eyelid Surgery and Rhinoplasty expert in the Austin metropolitan area on RealSelf.

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