NAME: Carl Yuan
DATE OF REPORT GENERATED: 2015-04-03 14:43:14
Non-Surgical Procedures Chosen
Botulinum Toxin aka Botox
About Botulinum ToxinBotulinum Toxin, also known as Botox or Botulinum Toxin Type A. Botulinum toxin (Type A), or botox, is a cosmetic injectable which blocks the nerve signals that cause your muscles to contract. This then softens and relaxes the appearance of wrinkles caused by the repetitive movements of the face. Botox is also commonly used to enhance facial asymmetry and relax tight neck bands. Medically, it is used to reduce perspiration, treat migraine headaches and also muscle spasticity. The results of botulinum toxin can last from three to six months, but results may vary with each patient.
How is it performed?Once you and your surgeon have decided on an appropriate treatment, they will prepare you for the procedure. The injection site will be cleansed and you will usually not require any anesthesia prior to having the injections. Depending on the result you would like to achieve, several injections may be required. You will experience some slight pain, brief swelling and possibly some redness and bleeding. The injection may take several days to reach full effect and often a follow up visit is scheduled a few weeks after the initial treatment to ensure the procedure has been effective. It is essential for a safe and successful procedure that your injector understands the muscles in the face and body, so it should always be performed by an experienced injector such as a board certified plastic surgeon.
Is it right for me?You could consider botulinum toxin injections for cosmetic reasons if you are developing any wrinkles or lines on your face as a result of common facial movements or age. Depending on your genetics, lines can start to appear on the face as early as your late twenties. Your plastic surgeon may recommend using botulinum toxin as a preventative measure if you are prone to developing lines and making facial expressions that lead to wrinkles. If you are in good general health and have a positive attitude and realistic expectations, you are likely to be a good candidate for this procedure.
What results can I expect?
AftercareThere is very little recovery time associated with Botox, so after the injections you can return to your regular activities almost immediately. It is however, advisable to avoid any strenuous activity for at least the remainder of the day and, if possible, the next day as well. Any redness or swelling that occurs during or immediately after the procedure will usually disappear fairly quickly. Any bruising that occurs will usually resolve over a week or two. You should avoid touching or massaging the injected area afterwards as this may inadvertently cause the botulinum toxin to spread to where it shouldn’t. Lying down or inverting the body shortly after injection can also cause complications and should be avoided. You should always ask or call your physician before taking painkillers or medication.
Limits & RisksAll cosmetic procedures carry a degree of risk. In the hands of an experienced and qualified practitioner, FDA-approved injections of botulinum toxin are relatively low risk. The most common side effects are:
- Temporary muscle weakness.
- Redness, irritation and swelling at the injection site.
Surgical Procedures Chosen
Eyelid Surgery (Eye Lift or Blepharoplasty)
About Eyelid SurgeryEyelid surgery, also known as eye lift or blepharoplasty. Eyelid surgery, or blepharoplasty, is a cosmetic procedure designed to correct deformities or defects of the eyelid, or to modify it for aesthetic purposes. The particular problems of the patient are resolved by either removing or repositioning excess eyelid tissue from the upper and lower eyelids. Some surrounding tissue may be altered as well as the eyelids, such as the nose, eyebrows or cheeks. Eyelid surgery has long lasting results and should not normally need to be performed more than once. Significant physiological changes, such as weight gain or aging, may cause the eyelids to droop or sag as before. The cost of eyelid surgery depends on where they are having surgery and the experience of the surgeon performing the procedure.
How is it performed?Eyelid surgery can be performed on either the upper or lower eyelids, or both if required. Your surgeon will decide how much tissue to remove, based on your consultation, bone and muscle structure in the face, and general health. Depending on your unique situation, your surgeon may make some other small adjustments, for example to tighten the muscles around the area. They will then use special glues or sutures to smooth and reconstruct the areas around the eyelids. These types of suture are invisible to the eye and usually dissolve by themselves. In most people, there are virtually no detectable signs of scarring. Patients who have naturally dry eyes will have less tissue removed, so as to avoid exposing the eye to the air too much, and causing further problems What are my options? Based on your unique physical characteristics, your surgeon will select the appropriate combination and method of surgery to achieve your aesthetic goals. Upper eyelids Your surgeon will place the incision line at the natural eyelid crease through which he or she will remove excess skin muscle and fat. Lasers may be used to remove this excess tissue to reduce swelling and bruising. Lower eyelids There are a number of options available to your surgeon when performing eyelid surgery. The traditional blepharoplasty places the incision beneath the lower eyelashes, trimming excess fat and skin and tightening the muscle of the lower eyelid.
Is it right for me?
What results can I expect?Eyelid surgery is almost completely permanent, with any hooding or loose eyelid skin being removed only once. As aging causes your brow to descend further, excess skin can appear on the upper eyelid. In these cases a brow lift is preferred over a blepharoplastyIt is important that you return to your doctor’s office for regular checkups. Do not hesitate to contact your surgeon when you have any questions or concerns about your healing.
AftercareFor the easiest recovery, try to have these items readily available at home:
- Ice cubes, ice pack or freezer bags filled with ice frozen corn or peas (based on your surgeon’s recommendation for cold application to the eyelids).
- Small gauze pads.
- Eye drops or artificial tears (ask your doctor to recommend the proper type to meet your particular needs).
- Clean wash cloths and towels.
- Over-the-counter painkillers which your doctor can recommend, but avoid Advil, Motrin, Naproxen, Aleve and Aspirin due to the increased risk of bleeding.
- Follow your instructions from your physician.
- Treat the incisions with ointment to keep them lubricated for the first couple of days after surgery and place cold compresses on your eyes to reduce any swelling.
- You will be advised to use eye drops to keep the eyes from drying.
- If you have dry eyes lasting more than two weeks contact your doctor.
- Sleep with your head raised higher than your chest.
- You can use regular pillows wedge pillows or sleep on a recliner.
- Minimize swelling and bruising by keeping your head elevated as much as possible during the first few days of recovery.
Limits & RisksSignificant complications from surgery to the eyelids are rare. All surgical procedures have some degree of risk. By following all the advice your surgeon gives you, you can significantly reduce your risks. Some potential complications of all surgeries are:
- Adverse reaction to anaesthesia
- Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
- Infection and bleeding
- Changes in sensation
- Allergic reactions
- Damage to underlying structures
- Unsatisfactory results that may necessitate additional procedures
- Blood clots in your legs or lungs