What is the difference between the different types of injectables?
Probably the fastest growing area in facial plastic surgery is that of the injectables or that of the low down time procedures. This is something where you come to the office, have it injected and see an immediate result and head back to your daily life activities. This consists of two separate categories of injectables. One is Botox and Dysport and other is a filler such as Restylane, Sculptra, ArteFill, or Radiesse. What is the difference between the two? Well really there are two classes. Botox and Dysport relax the muscle that causes the wrinkle. Restylane, Sculptra or Radiesse fill the wrinkle from behind. They both do separate things but sometimes when they are used in conjunction with each other they actually achieve a much nicer result.
Doctors William E. Silver, M.D., F.A.C.S., Louis M. DeJoseph, M.D., and Marc Klein, M.D.
What to expect during a consultation for body contouring and breast augmentation
Typically, patients have a pretty good idea of what they want when they schedule the consultation. Others may have a general idea such as I want a more youthful breast or I’d like a better waistline but don’t know whether they need an implant versus a lift or a tummy tuck versus liposuction or maybe combined procedures. I listen carefully to what the goals are and what the patient is willing to tolerate in terms of things such as recovery and scars. These two processes are equally important during our consultation. Listening carefully on my part and educating the patient regarding the risks and benefits of each choice.
Marc Klein, M.D.
Do you perform rhinoplastic procedures through an open or external approach or an endonasal or closed approach?
We are trained in both endonasal as well as external rhinoplasic approach. Keep in mind that the deformity is what dictates whether the procedure needs to be open or closed. We will assure you that if it is performed externally the scar is very small, it’s placed at the base of the columella, it roughly is only about 2 to 3 millimeters in length, and it heals extremely well. Keep in mind this will be discussed with the patient prior to the surgery if the patient has any concerns about this.
Doctors William E. Silver, M.D., F.A.C.S. and Louis M. DeJoseph, M.D.
If I’ve had previous rhinoplastic surgery would you be able to help me correct some deformity that has remained from that procedure?
Most of the time, yes. However, to make that assumption or that evaluation, the patient must be seen in the office so that a careful examination is made and a full open discussion to the patient of what their expectations are and clinically what material in the nose is still left in order to rebuild or correct that particular deformity. We take the patient through our computer imaging, we go through the careful physical examination, and most importantly, the patient has the opportunity to share with us their ultimate goals.
Doctors William E. Silver, M.D., F.A.C.S. and Louis M. DeJoseph, M.D.
How long does it take to recover from a rhinoplasty procedure and does it hurt?
Obviously in every operation there is some discomfort but, for the most part, rhinoplastic surgery is not a painful procedure. It may be a little uncomfortable because the nose is stopped up for several days and maybe even a few weeks but pain is not usually a major factor in going through a rhinoplastic procedure. The procedure is performed on one day and the dressing stays on for about 5 days and then the patient returns to the office and the dressing is removed. This is a painless part of the procedure. Then the nose is cleaned out and an explanation of how to take care of any crusting that may occur during the immediate post op phase over the next week or so is carefully explained by me and my staff. The only other treatment at home is the night after and maybe 2 days later, some ice pads over the eyes is all that is necessary.
Doctors William E. Silver, M.D., F.A.C.S. and Louis M. DeJoseph, M.D.
