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Potomac Plastic Surgery 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. Incisions that are intraoral (inside the mouth) or external (under the chin) may cause the deformity. Chin implants and augmentation, or replacing implants are also a risk. Although relatively uncommon, having a plastic surgeon recognize the risk helps to manage and prevent the chin deformity … Continue reading »

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 eyelid malposition. Patients may also develop dry eyes from poor tear flow. Age increases the laxity of the skin and structures of the eyelid, resulting in droopy and weaken eyelids. Some elderly patients need to squeeze their eyes a few times, before they close completely. … Continue reading »

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 recommend using ice for the first week, as tolerated. Each DC facial plastic surgeon has a preference based on the procedure and each specific patient. Keep your head elevated at all times, and avoid bending over. Sleeping on top several pillows or in a chair … Continue reading »

Brow Lift: What causes Droopy Eyebrows?

Most eyebrows naturally droop or descend with age. The skin and connective tissue around the eyes and eyebrows weaken, which makes them drop. The side of the eyebrows tend to drop more than the part of the brow near the nose. Age-related eyebrow changes usually become apparent around 40-years old, but sometimes earlier. The modern cosmetic surgery technique of the endoscopic brow lift offers several advantages over the conventional brow lift. One other common cause of droopy eyebrows is congenital or genetic. Do your siblings, parents, or other family members have droopy eyebrows? Don’t forget than everyone has an asymmetric … Continue reading »

Face Lift Incisions: Which is Best?

Facelift and neck lift surgery has a long a history, with numerous incisions described in the medical literature for facial rejuvenation. Incisions have been in and around the scalp, neck, jawline, ears, forehead, and chin. Modern face lift surgery primarily focuses the incision around the ear, eventhough the neck and lower neck has the excess skin and fat. The facelift incision may be anywhere from the temple & side burns, around the ear, and upper neck. The incision varies largely based on the age of the patient and how much lift an individual needs. The plastic surgeon will minimize the … Continue reading »

    Houtan Chaboki, M.D.