Dr. Daniel E. Rousso just returned from two meetings recently, the American Academy of Facial Plastic & Reconstructive Surgery (AAFPRS)
Q. How soon can I return to work after a facelift?
A. Most patents can return to their normal activities within two weeks after a facelift procedure. It is best for patients not to turn their head for that initial two-week period and therefore it is not recommended that they drive during the two weeks after the facelift procedure. If that is not an issue, and the patient’s work is not strenuous then there is no reason why they cannot return to work earlier than two weeks.
Q. Where are the incisions placed with a facelift?
A. The incisions for a facelift are hidden around the ear area. In women the incision is hidden so that the incision goes behind the notch of cartilage in front of the ear and in a man the incision runs in the natural fold just in front of the ear. There are also some incisions in the area just behind the ear and up in the temporal hair. This of course will depend on each individual patient and his or her particular needs.
Q. Is there bruising associated with facelift?
A. Some patients bruise easier than others. Some patients have absolutely no bruising with a facelift where others will have a degree of bruising in the cheek and neck region. This of course will depend on each individual’s tendency to bruise. Typically this bruising is gone within a period of two weeks.
Q. Will I have to be put to sleep for facelift surgery?
A. Most patients undergoing facelift surgery can be done with the use of a “twilight” anesthesia. This involves IV sedation to get the patient very comfortable, however, the use of a general anesthetic is not usually necessary. Most patients are very drowsy throughout the procedure and do not remember any of the actual surgery. The advantage of this is that it does not require general anesthesia with the associated risks.
Q. How long will it be before I can return to wearing my contact lenses after eyelid surgery?
A. Patients can return to wearing their contact lenses within approximately ten days after their surgery.
Q. Will there be any bruising after surgery?
A. There is usually very little bruising after the eyelid surgery. Some patients tend to bruise more easily than other patient’s do, and typically if there is a small amount of bruising, then this is easy to camouflage by approximately 9-10 days after the surgery. Bruising typically fades within a period of two weeks after the surgery.
Q. Where will the incisions be placed for eyelid surgery?
A. The incisions for the upper eyelid are placed into the natural fold above the eyelid in the crease. The incisions for the lower eyelid can be either on the inside of the eyelid or underneath the eyelashes. Often the lower eyelid incision can be hidden on the inside of the eyelid and therefore no external incisions are made, This is commonly performed in patients who have some extra puffiness of the lower eyelids where fatty material can be reached from the inside of the eyelid, and therefore no external incisions are used. These incisions typically heal within a period of 7-9 days and patients can put makeup on about 9 days after surgery.
Q. Will I be able to breathe better if I have nasal surgery?
A. Some patients have a deviation of the nasal septum and enlargement of the mucous membrane of the nose that can cause problems with nasal airway obstruction. They may also have some problems with snoring as a consequence of their nasal airway problems. The nasal Septoplasty and cauterization of the mucous membranes within the nose can be performed at the same time that external cosmetic surgery is performed. These procedures can often improve the patient’s ability to breathe through their nose after nasal surgery.
Q. Does insurance help cover nasal surgery?
A. If the patient has some problems related to their ability to breathe through their nose that may be improved with the nasal Septoplasty or cauterization of the nasal turbinates then often the insurance company will help to defray some of the costs of the nasal surgery. If a patient has a traumatic injury to the nose that has caused a significant deformity then the insurance company will often help to cover the costs of the reconstruction of the nose.
Q. How long will I have swelling and bruising after nasal surgery?
A. The techniques that we use on the nose allow for minimal swelling and bruising after the surgery. We do not pack the nose after surgery and therefore patients have fewer tendencies to swell and bruise. This of course makes the postoperative course much more comfortable as the nasal packing is avoided. If the patients do have a small amount of bruising after surgery then they typically will see improvement in this within a period of one to two weeks after surgery.
Q. Is there any packing involved with nasal surgery?
A. The technique that we use when we perform nasal surgery involves the use of a dissolvable suture that allows us to avoid the use of any nasal packing. This allows for a much more comfortable postoperative course with decreased bruising and swelling and a much faster recovery.
Q. Just what do we mean by hair transplanting?
A. Hair transplantation is a surgical procedure in which hair from normal areas of the scalp, such as the back and sides, is moved to the bald area.
Q. Does transplantation really work? Has it been proven?
A. YES. For over 40 years work has been done on this procedure. In the properly skilled hands it has been most successful.
Q. How long will the transplanted hair last?
A.Transplanted hair should last a lifetime or at least as long as the hair remains in the region from which the transplants were taken.
Q. How long does it take for the transplanted hair to grow?
A. Transplanted hair usually begins to grow in approximately 3 months.
Q. Is this a painful procedure?
A. As a number of patients have said: “The discomfort is no more than going to the dentist.” The use of a local anesthetic permits removal of small hair transplants. Momentarily, the local anesthetic produces a smarting sensation, but no real discomfort. Seldom is there any actual pain after the procedure. However, any discomfort that may occur generally is mild and readily relieved by analgesics.