Potomac Plastic Surgery Blog

Septoplasty: What is in my nose after surgery?

Septoplasty, deviated septum surgery, is one of the most common surgeries in the face and nose areas. A deviated septum is present in most patients, although some may not realize it. Septoplasty is an outpatient and relatively simple procedure. Patients with severely deviated septums, revision septoplasty, prior facial trauma, prior nasal surgery or rhinoplasty, or history of cocaine use may have more complicated surgery and recovery period, as compared to a routine septoplasty. Almost always there is enough natural internal nasal lining (skin or mucous membrane) that covers the septum. Many surgeons place silicone sheet inside the nose to temporarily … Continue reading »

Chin Augmentation: Removing Big Facial Implant?

Chin implants are usually made from silicone, and may be removed at anytime. If the implant is too big or too small, the implant can be exchanged for a more appropriate size for facial balance. Big chins are more masculine, and inappropriate for a woman. Small chins make the nose appear larger, and also inappropriate for a man. Removing implants is a relatively simple procedure. Generally, one waits at least 6 weeks following chin augmentation to allow swelling to resolve. Appropriate determination of aesthetic results can only be obtained once chin swelling has subsided. First let all swelling resolve, then … Continue reading »

Botox Cosmetic: What Concentration?

Most patients don’t know the concentration of Botox Cosmetic they are receiving. Some frequent Botox users may know the total units they receive. Everyone knows the facial areas they wanted rejuvenated! For the glabella (between the eyebrows), a total 10-25 units of Botox Cosmetic injected via 4-5 injections is appropriate. Most plastic surgeons and dermatologist use concentrations of either 2.5 units or 5 units per 0.1cc. There is no cosmetic difference with the concentration. Patients with thicker skin and more active muscles may require a little more units than someone else. Botox Cosmetic takes a little bit of time before … Continue reading »

Rhinoplasty for Broken Nose: Septoplasty or Nose Job First?

Patients frequently have deviated noses, septal deviation, and nasal obstruction following nasal injuries. Trauma may be acute or immediate, but usually the injury occurred years ago. Most patients injure their nose from sports, fist fights, or minor falls. Broken noses should be evaluated by a facial plastic surgeon soon after the injury. Swelling after injury last several weeks. Swelling occurs both on the outside and inside of the nose. Most swelling resolves within a month, but the last 10-20% of swelling a minimum of one year to resolve. It may be too early to determine whether additional surgery, such as … Continue reading »

Botox Cosmetic: Can it help for Facial Paralysis or Bell’s Palsy?

Idiopathic facial paralysis (ie, Bell’s palsy) is a relatively uncommon condition. Most patients recovery completely, but some may continue to have residual facial paralysis. Every patient who has facial paralysis which includes a comprehensive evaluation of possible causes of the paralysis, which includes blood, MRI, and neurology testing. Patient with chronic facial paralysis suffer from facial asymmetry and may have a functional deficit with eye / visual or oral problems. Botox Cosmetic may be used for either facial spasms on the same side as the prior Bell’s. Occasionally, facial muscles spasm or contract uncontrollably following recovery of facial paralysis. Botox … Continue reading »

    Houtan Chaboki, M.D.