Austin Texas Board Certified Plastic Surgeon


Rhinoplasty – Brings Tears to the Eyes in Good Way

I have the good fortune to be able to be able to help patients with cosmetic rhinoplasty and functional airway surgery in Austin, Texas.   The spectrum of Rhinoplasty patients that I care for is broad.  At one end of spectrum or the patients who require relatively straight forward rhinoplasties.  These are the patients who desire a minor change to one or two portions of their nose.  I should mention that using the “straight forward” when describing any rhinoplasty is a bit of a fallacy.  All rhinoplasties need to be approached with respect as they require precision and patience to achieve a natural result.  Nonetheless, at one end of the spectrum the surgery is straight forward and designed to address a dorsal hump or a bulbous tip.  At the other end of the spectrum are the complex rhinoplasties.  These are the rhinoplasties that address nasal deformities that are congenital in nature, such as a in association with a cleft lip, or due to significant injury like a care accident.  These are not straight forward at all.  They often can take 50% or more longer than a typical rhinoplasty and often require rib and/or cartilage grafts.  These grafts are used during the rhinoplasty to create onlay grafts, alar rim grafts, lower lateral strut grafts, and tip grafts.  Rhinoplasty for the severely deformed or damaged nose is often a procedure of reconstruction and addition of foundation and support structure.  Again, I prefer to do this with natural tissues instead of foreign material such as Goretex or irradiated cadaveric cartilage.  Both ends of the spectrum are very rewarding as it is very gratifying to make someone’s nose function better and look better.

Fillers and Fat Grafting Beneath the Eyebrows – Austin Texas

Most people are familiar with noninvasive injection procedures such as Botox, Juvederm, and Restylane. Fat grafting has now become a very popular procedure to restore volume to the face. One of my favorite areas to use Juvederm and fat grafting recently has been beneath the eyebrows. Look at any fashion magazine and you will see that the tissue beneath the eyebrows of the young attractive models is full. It pushes out; it is convex. As the face ages and in some younger individuals this area becomes depleted of fat and soft tissue and thus become flat. This creates and aged appearance and also makes the eyelids below this region sag more. Injecting fillers and fat into the soft tissue beneath the eyebrows restores fullness and creates more youthful appearance. The result is both subtle and profound at the same time. I am really excited about this procedure at the moment. It works well as a stand-alone procedure or can be combined synergistically with a facelift, blepharoplasty, and even unrelated procedures such as a rhinoplasty or liposuction.

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