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Potomac Plastic Surgery 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 non-surgical rhinoplasty. Fillers should never be placed into the tip of the nose. Complications usually occur at the nasal tip. Fillers should only placed in the bridge to help smooth contour irregularities and minor augmentation. Fillers which have been used for nonsurgical rhinoplasty include Radiesse … Continue reading »

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 results aren’t fully realized until waiting at least one year. If you are still unhappy with your nose after waiting an appropriate amount of time, then you may consider revision rhinoplasty. There are so many variables for rhinoplasty. How was the rhinoplasty performed? Is there … Continue reading »

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 via liposuction, usually from around the abdomen, and injects it into areas of the face that require volume. Fat may also be harvested from the hip, legs, and buttocks. Fat should be harvested, processed, and injected with minimal trauma, to allow the fragile fat particles, … Continue reading »

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 »

    Houtan Chaboki, M.D.