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Improvement Focus: Dorsal Hump, Dorsal Width, Tip Shape, Nostril Shape
Technique: Open Rhinoplasty
Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim
Graft Source: Costal Cartilage (Rib)
Patient Story: This patient is a young Woman from north Austin. She had suffered a cheerleading injury that resulted in altered nasal shape and deviated nasal septum. She underwent a septoplasty by prior to coming to see Dr. Weinfeld. While this surgery improved her breathing somewhat, it was not normal and the shape was still problematic. She underwent a rhinoplasty by Dr. Weinfeld. Costal cartilage was used as graft source for the procedure due to the fact that septal cartilage was not available (prior septoplasty). This patient was extremely pleased. It is interesting to note that here recovery was so rapid that she was able to walk as a runway model in a fashion show the day her splint was removed (her brother is a fashion designer and was participating in a charity fashion show). This case highlights the important fact that if you are going to undergo a septoplasty, but believe you may later want to undergo a rhinoplasty, find a surgeon like Dr. Weinfeld who is experienced with both, board certified, a member of the American Society of Plastic Surgeons, a member of the American Society of Aesthetic Plastic Surgeons, and The Rhinonplasty Society.
Eyelid Lift 01
Procedure: Upper Lid Blepharoplasty, Lower Lid Blepharoplasty (Subcilliary Approach with Canthoplasty) – “Quadralateral Blepharoplasty”
This patient knew of Plastic Surgeon Dr. Weinfeld from a relative who was one of his former patients. She visited with him in his office in Austin, Texas. She initially stated that she wanted an “eyelid lift.” After more conversation it became apparent that she wanted to remove the excess skin from her upper eyelids and smooth her lower eyelids. The patient and Dr. Weinfeld decided the best option for her was a combined upper and lower blepharoplasty (four lid blepharoplasty). Due to the laxity of her lower eyelids she required a lower lid canthoplasty (tightening of the lid) to prevent lid malposition post operatively. She recovered well and enjoys the results. Of note is the fact that Dr. Weinfeld recommended as special diet to reduce swelling and bruising and the patient adhered to it indefinitely following the surgery and has sustained weight loss that can be seen in the photographs.
Eyelid Lift 02
Procedure: Endoscopic Browlift (EBL), Upper Lid Blepharoplasty, Lower Lid Blepharoplasty (Subciliary Approach with Canthopexy) – “Upper Face Lift”
This patient is in her mid Forties. She was referred by her husband who is a doctor in Austin, Texas and knew Plastic Surgeon Dr. Weinfeld by reputation. She stated outright that she was interested in a facelift but did not feel she was quite ready. Instead she wanted to focus on her upper face first as the next best thing. She wanted to address upper lid excess skin and lateral hooding. With regard to her eyebrows she emphasized that she did not want a “surprised” look. She was more interested in position stabilization and smoothing of the temples more so than significant elevation and shaping. Her goals for her lower lids were to reduce the fine wrinkles and the appearance of “bags.” Following her surgery she has been very happy with the natural and subtle brow lift in addition to the reduction of excess upper lid skin. Most of all she likes lower lid smoothing and the blending of the lid cheek junction afforded by the septal reset and fat transposition. The subtle elevation of the upper malar (cheek) tissue through the subciliary (open approach) yielded benefits in the midface as well, benefits rarely seen with alternative approaches such as transconjunctival lower lid blepharoplasty. It is for that reason that when performed appropriately, the lower lid subciliary lower lid blepharoplasty inherently contains a natural element of upper cheek lift. The subciliary approach to lowed blepharoplasty involves an incision just below the lower lashes which results in a scar that is difficult to perceive. It is a more complex approach to blepharoplasty with which not all Plastic / Cosmetic Surgeons have experience. However, due additional training and experience in Oculoplastic Surgery, Dr. Weinfeld is well versed in this and other advanced techniques for the eyelids, brows, temples, and upper cheeks.
Eyelid Lift 03
Procedure: Upper Lid Blepharoplasty, Open Sky Technique
This patient is a women in her late fifties who wanted to look more energetic, refreshed, and somewhat younger. She started the consultation with Dr. Weinfeld (Austin, Texas) by stating that she did not feel she was ready for a facelift yet and needed a procedure that allowed for a very quick recovery. She identified her upper eyelids as the area of greatest concern. She elected to undergo an upper lid blepharoplasty (referred to as a “upper lid lift” by the general public) with local anesthesia only. She reported the procedure itself and the recovery had far less discomfort than she expected. Given that the procedure was performed under local anesthesia she had minimal bruising and swelling. She returned to work almost immediately after the procedure.
Eyelid Lift 04
Procedure: Upper lid blepharoplasty, Open Sky Technique
This patient is a young woman who came to know Dr. Weinfeld as a patient undergoing breast reconstruction for breast cancer. Due to her positive interaction Dr. Weinfeld she sought a Cosmetic Surgery consultation for peri-orbital rejuvenation. The patient’s primary goal was to correct excess upper lid skin, known as dermatochalasis. After a discussion it was determined that the best solution would be upper lid blepharoplasty. The result has removed the excess skin and eliminated lateral hooding. This was achieved without hollowing out the upper lid thus leaving her upper lid somewhat full, a characteristic of youthful eyes.
Eyelid Lift 05
Upper lid blepharoplasty
Eyelid Lift 06
Upper lid blepharoplasty. Short term follow-up (less than one month). Looks refreshed, vibrant, younger and natural.
Neck Contouring 01
Revision Rhinoplasty 01
Technique: Open Revision Rhinoplasty with Costal Cartilage Grafts
Graft Types: Bilateral Spreader, Columellar Strut, Bilateral Alar Rim, Dorsal Onlay
Graft Source: Costal (Rib) Cartilage
This patient is a retired woman currently living in Georgetown, Texas who was referred to Dr. Weinfeld by another Plastic Surgeon in Round Rock for consideration for Revision Rhinoplasty. This patient suffered significant nasal trauma with a severe nasal fracture (broken nose) in her late teen years. This event had a significant negative impact on her breathing and on the appearance of her nose. In here early twenties she underwent a rhinoplasty which she states worsened her nose leaving her with very small nostrils that are difficult to pass air through, a very short nose, and an over rotated tip. She desired a revision rhinoplasty to improve the appearance and function of her nose. This was a very emotional issue for her and in particular she stated that she wanted her nose to have the appearance that it did prior to the injury and the first rhinoplasty. In particular she wanted a slight convexity to the dorsum (i.e. a slight hump) which was consistent with the character of her nose as she remembered it. She underwent the complex revision rhinoplasty using rib cartilage some of which was fashioned into a dorsal onlay graft which was essential in the process of restoring dorsal contour and nasal length. She has been very happy with the transformation in the appearance of her nose and its function. She is now considering having Dr. Weinfeld perform a facelift.
Improvement Focus: Excess upper eyelid skin, cheek decent with jowls, obtuse angle between face and neck with loose skin.
Technique: Cervicofacial Rhytidectomy (Face Lift, Neck Lift), Sub SMAS Dissection / Flap, Platysmaplasty, Upper Lid Blepharoplasty
This patient is a woman in her early seventies from the Hutto / Round Rock area outside of Austin, Texas. She was referred to Dr. Weinfeld by and Austin Dermatologist. The patient has been very happy with her results and was surprised and pleased by the fact that the discomfort was significantly less than she expected. She only required prescribed medications for discomfort for one day.
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This facility is only for cosmetic and non-insurance based procedures. If you seek insurance based treatments or reconstructive procedures, please search for Dr. Weinfeld in his other facility.
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