Potomac Plastic Surgery® Blog

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 »

Eyebrow: Thread Lift or Endobrow

Droopy eyebrows is a common sign of aging, with the tail part of the brow descending the most with age. While thread lifts are an option, this minimally invasive method is also minimally effective. Thread lifts are usually performed by nonsurgeons done with local anesthesia, with results being temporary. The best cosmetic surgery for the eyebrow is plastic surgery with an endoscopic brow lift, or endobrow. Endobrow surgery is also minimally invasive, performed under IV sedation (twilight anesthesia) or general anesthesia. Several small incisions are hidden in the hair. A small camera is used during surgery to help move and … Continue reading »

Chemical Peel: When Can I Excercise?

Each resurfacing procedure and individual patient vary, so there isn’t a single answer. Most resurfacing procedures (laser, CO2, chemical peel) may be superficial to medium depth in the skin. Deeper resurfacing is less commonly used. Depending on the actual depth of peel, healing may be anywhere from a couple days to a week or more. Regardless, I tell all patients who have a superficial peel to avoid anything that raises blood pressure or pulse for 1 week, and medium depth peels 2 weeks at minimum. This activity restriction includes aerobics, yoga, exercise, heavy lifting, and sex. Sweating and body heat … Continue reading »

Botox Cosmetic: Visual Complications

Botox Cosmetic is a great and simple treatment for facial wrinkles, and restoring a youthful appearance in men and women. However, Botox Cosmetic does have potential complications. Botox Cosmetic migrates a little bit away from the injection site, like a drop of water in the pool. As a result, Botox may affect facial muscles not intended. Injections around the eyes, which are helpful for wrinkle reduction, may spread to a muscle responsible for lifting the upper eyelid, called the levator. This migration occurs with anyone who injects Botox, including dermatologist, facial plastic surgeons, and cosmetic specialists. Ptosis, otherwise known as … Continue reading »

    Houtan Chaboki, M.D.