Monthly Archives: June 2009

Dr. Daryl Hoffman Blog

Septoplasty: No Nasal Packing?

Can I have deviated septum surgery without cotton nasal packing? Yes, one does not absolutely need cotton nasal packing after septoplasty or deviated septum surgery. Most plastic surgeons and otolaryngologist use cotton packing temporarily to help control natural bloody oozing following nasal surgery. This nasal discharge after surgery is the worst the first day, but …

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Dr. Daryl Hoffman Blog

Rhinoplasty: Nasal Congestion after Surgery?

Yes, rhinoplasty or cosmetic nasal surgery may contribute to breathing problems with the nose. Nasal congestion may either be immediate or chronic with rhinoplasty / nose job surgery. Most immediate nasal congestion after rhinoplasty surgery is due to normal postoperative swelling. A majority of this internal, as well as external, swelling resolves within a couple …

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Dr. Daryl Hoffman Blog

Botox: Baldness Cure?

There have been reports in the media recently that some doctors use Botox Cosmetic for hair loss. Initial reports sound promising. The truth is Botox is not FDA approved for hair loss, and physicians are using the medication off-label. Unfortunately, there aren't any research articles in the medical literature that supports Botox injections for hair …

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Dr. Daryl Hoffman Blog

Rhinoplasty: Cast & Swelling at 1 week

Swelling following rhinoplasty surgery occurs both on the outside and inside of the nose. All patients feel congested and have nasal congestion and postnasal drip immediately after rhinoplasty surgery, which is normal. Normally, patients are socially acceptable within 2 weeks. Most nasal swelling after rhinoplasty resolves within one month. The final 20% of rhinoplasty swelling …

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Dr. Daryl Hoffman Blog

Rhinoplasty: Nonsurgical with Injectable Filler

Be very careful with any cosmetic injections into the nose. The nose is very susceptible to discoloration, swelling, ischemia, pain, numbness, and other potential complications with inappropriate injections into the nose. There isn't an injectable filler on the market currently that is FDA approved for injection into the nose. Everything is being used off-label for …

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Dr. Daryl Hoffman Blog

Rhinoplasty: Can We Undo the Results?

Unlikely. Regardless of the exact rhinoplasty technique used initially, your nose may not look exactly as it did before the original surgery. First, the nose continues to change naturally over time without any further surgery. Swelling subsides and skin tightens. The nose can loose some of the projection over the course of the year. Rhinoplasty …

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Dr. Daryl Hoffman Blog

Fat Transfer, Graft, Injection – What’s the Difference?

Cosmetic procedures for facial rejuvenation with fat use many terms. All plastic surgery with placing fat into the face are essentially the same procedure. Terms which may be used for this aesthetic procedure are fat injection, liposculpture, fat transfer, autologous fat grafting, micro fat graft, fat augmentation, and others. The procedure takes your own fat …

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Dr. Daryl Hoffman Blog

Chin Implants: Witch’s Deformity?

Witch's chin deformity may occur with any form of dental or plastic surgery around the chin. The mentalis muscle becomes loose from surgery or implants, resulting in a pointier or bulbous chin. The skin and soft tissue of the chin sags or droops. Witch's deformity may occur spontaneously. More often it's due to dental surgery. …

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Dr. Daryl Hoffman Blog

Blepharoplasty: Scleral Show after Eyelid Surgery?

Scleral show, otherwise known as excess exposure of the lower whites of the eye, is a somewhat common condition. The lower eyelid may be pulled down, weak, or rotated. There are many causes of the increased exposure of the white eye. The eyelid has several layers and components, any one of which may result in …

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Dr. Daryl Hoffman Blog

Blepharoplasty: Reduce Eyelid Swelling

Ice to eyes after cosmetic eyelid surgery is most useful during the first 48 hours. I advise cosmetic patients to keep fresh, clean ice pack over surgical wounds while they are awake only for the first 2 days. After the first 2 days, ice does help control swelling but is much less effective. I still …

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