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Potomac Plastic Surgery Blog

Insurance vs. Patient Care: When Patients Loose

I was just sent this article on a patient I had treated. It’s a reminder of the poor quality and bureaucracy of health insurance in the United States. Physicians are fighting everyday to get health care covered for their patients, whether it is tests, medications, specialist referrals, or surgical procedures. My office and I call insurance providers regularly to try to get patients the care they require. This constant struggle is frustrating for patient and physician, and not what I expected when in medical school.

Brow Lift: Need Botox after Cosmetic Surgery?

Wait a second! I just had an aesthetic brow lift to help rejuvenate my face. Why do I still need Botox Cosmetic injections? It is not unusual to need Botox Cosmetic after brow lift surgery. The need for repeat Botox injection is largely based on what was done during the initial plastic brow surgery. Eyebrow lift surgery not only lifts the brow, cosmetic surgery may also modify the forehead muscles. These same muscles are the ones treated with Botox cosmetic. Active muscles of the face create the dynamic wrinkles, which reveal signs of aging. Muscles which are weakened, removed, or … Continue reading »

Blepharoplasty: Suture Breaking in Double eyelid?

Creating a double-eyelid is a common operation in the upper eyelid of Asian people. The double-eyelid (crease) is considered beautiful, and is not Westernization. The double-crease has been desired for thousands of years. Most Asian blepharoplasty procedures in the Washington DC and northern Virginia use a suture from the skin to the deeper muscle, which help create the double-eyelid / crease. These sutures may be either absorbable or require removal. Sutures and stitches for cosmetic eyelid surgery is only realistically important for a few days/weeks. The appearance of your eyes should not return to the way it looked prior to … Continue reading »

Rhinoplasty: Does Cosmetic Surgery Affect the Upper Lip?

Yes. First, the tip of the nose, septum, and upper lip are connected intimately and affect one another. Modifying and reshaping the columella, nostrils, lower lateral cartilages, vestibule, caudal septum, and nasal muscles all contribute to the appearance of the upper lip. In fact, facial plastic surgeons leave the upper lip exposed during rhinoplasty to evaluate minor changes which may occur during cosmetic nasal surgery. The upper lip may feel tight or stiff after surgery, especially when smiling. The tip of the nose and lip area may feel numb too. Second, the nose, especially the tip area and skin, continue … Continue reading »

Rhinoplasty: Does Massage Help Swelling or Scar?

The nose, especially the skin around the tip, normally swells after rhinoplasty. Most swelling resolves in a few weeks, but the last 20% of nasal swelling takes at least 1 year to resolve. Gently pressure and massage may be appropriate after rhinoplasty. The bridge, middle, or tip of the nose may be massaged. Scar tissue softens and swollen tissue is reduced with any massage of the skin. Pressure that is too forceful may shift and move the nasal bones and cartilage. Steroid injection under the skin may be required to help control swelling, scar, and edema. Speak to your facial … Continue reading »

    Houtan Chaboki, M.D.