DR. MOSIER: When a patient comes in and complains of wrinkles of their forehead, around the eyes, crows feet region, and even around the cheek and nasal labia area I tend to be more conservative. There’s two different ways to treat these areas. For the forehead I like to use Botox. Botox is a paralyzing agent that paralyzes just the nerves in the areas where you have wrinkles. This tends to give you flatter and smoother appearance of your forehead and out in the outer eye area. In the cheek area you can’t use Botox because that would paralyze your facial expressions. So what we like to use are filling agents. Now these agents are a, kind of a viscus fluid that is similar to joint fluid in your knee. Using a very small needle and even numbing up the area, kind of like the dentist would in the office, we inject this filler along the nasal labia folds and then along the mouth area. This tends to smooth out those areas really well. The filling agents and Botox tend to last between three and five months. I’ve been really happy with these new products that have been introduced to the market in the past few years.
Archive for August, 2009
Eyelid Lift Blepharoplasty Surgery – The Plastic Surgery Center of Austin Texas
Friday, August 28th, 2009DR. MOSIER: The typical person that comes in for eyelid surgery has excess skin of the upper eyelid, particularly on the outer third, complains of having that tired third as well as drooping of the lower eyelids and fullness of the lower eyelids. The way eyelid surgery is done is that a small amount of the skin, or strip of skin, is taken from the upper eyelid and the wound is closed in a nice, fine crease where your eyelid is. As far as the lower eyelid is concerned, we remove a little bit of fat in the lower eyelid and then pull the eyelid up and out in order to give a flatter appearance of the eyelid. You have some bruising for a couple weeks, but in the long run you’ll have a more youthful and more awake look to your eyes.
Rhinoplasty Nose Surgery Austin Texas – Dr. David Mosier
Friday, August 28th, 2009DR. MOSIER: When a patient comes to me to talk about a rhinoplasty I like to divide the nose into three different regions, the upper, middle, and lower third of the nose. There’s also the internal portion of the nose which is the functional portion of the nose. So when people have problems breathing it may be due to the septum or deviation of the septum’s intervanance. As far as the external appearance of the nose, there are ways to correct a little bump on the top of the nose or maybe a little fullness to the tip of the nose. It’s really great to see a happy patient when a little bump on the top of their nose is gone. Such a little thing can make such a big difference in someone’s life.
Neck Lift Procedure – The Plastic Surgery Center of Austin Texas
Friday, August 28th, 2009DR. MOSIER: As you get older the neck skin tends to loosen a little bit and the muscles of the neck tend to separate. The typical patient that comes in who wants to have neck lift or lower jaw surgery is someone who has loose skin in the front portion of their neck. They may have an obtuse angle from the chin down to the throat area and weakened muscles around the neck. The good thing about this is there is a good thing that can correct this. It’s called lower face and neck ridenectomoy. What’s involved here is a small incision underneath the chin as well as two small incisions to go in front of the ear, extending behind the ear and towards the hairline. The muscles are pulled together in the front of the neck and the skin is tightened on the back portion of the neck. This gives a cleaner line across the lower mandible area and across the neck. And the overall contour is shaped in order to give it more youthful and juvenated appearance. I think my patients are really happy with this procedure.
Endoscopic Forehead Brow Lift – Plastic Surgery Center of Austin (TX)
Friday, August 28th, 2009DR. HOLZMAN: One of the latest procedures in the plastic surgeon’s armamentarium is the endoscopic brow lift or forehead lift. The procedure of old some years ago, was a large incision across the top of the head. This incision was made down through the scalp. The forehead was lifted. Excess skin removed. And it was sewn up, unfortunately somewhat difficult to undergo. And sometimes could get an abnormal appearance to the forehead and the incision was sufficient.
However the endoscopic brow lift really revolutionalized how we treated the brow. Through three very small incisions, about a centimeter and a half, on the forehead we can use endoscopes, or little cameras, we can go in, look at the forehead, treat the muscle in between the eyebrows to help reduce wrinkling in this area and the resuspend and reshape the forehead. It’s a very satisfying procedure. The recovery is very minimal and the risks are very low. More importantly, it’s a procedure which when your friends see you have it and realize that you tell them you had surgery, it’s difficult to see where the incisions are. They know you look better. They know you look rested. But they can’t quite exactly figure out what you had.
Texas Facelift Surgery – Plastic Surgery Center Austin
Friday, August 28th, 2009DR. HOLZMAN: The main procedure that we do for facial rejuvenation is a facelift. A facelift is a procedure where we make an incision near the temple, in front of the ear, and behind the ear. Elevate and lift the skin off the face. Do some support work on the inside of the cheek to help resupport these areas and provide a long lasting result? And then remove excess skin, lift the face up, and give a nice youthful appearance to the face. We help restore the contours of the cheek as well as the neck and jaw line.
One of the key things about doing a facelift is to make it look natural. No one wants to look like they’ve been to the plastic surgeon and gotten operated on. So we pay particular attention to putting the scars in as many natural wrinkles as you already have. The incision goes in front of the ear. It goes behind a portion of the ear that hides it well, and then gets hidden behind the ear. We also take care not to over pull and pull it too tight. That’s not a look that’s desirable. People want to look natural, well rested. And that’s what we strive for. And I believe that’s what we deliver.
Breast Reduction Surgery Texas – Plastic Surgery Center of Austin
Friday, August 28th, 2009DR. MOSIER: I enjoy doing breast reduction surgery because it’s rewarding to me and the patient. The typical person who inquires about a breast reduction is someone who has chronic neck pain, back pain, pain between the shoulder blades, and difficulty exercising because of their large breasts. The way I do a breast reduction surgery is to lift the breast so that it’s sitting up on your chest and then reduce the overall size so that it doesn’t pull you forward all the time. I think that this procedure is a very rewarding procedure because patients have instant relief from their pain. And they feel better in clothes and are able to exercise and function better in their daily lives.
Breast Lift Surgery Austin Texas – Dr. Steven Holzman
Friday, August 28th, 2009DR. HOLZMAN: The average patient who comes to our practice for a breast lift is a woman, usually in their 30’s, who’s had one or two children and is considering changing the shape of her breasts. Age, gravity, breastfeeding, have changed the appearance of the breast to give it a more droopy look than they are happy with. Breast lift is a safe procedure which helps reposition the breast and the nipple to a position that it used to be some years ago. It’s a highly satisfying procedure, minimal complication, minimal downtime, almost no risk of loosing nipple sensation. And it’s a very high satisfaction rate procedure. Women are really happy with the results. And they can’t believe their breasts can get restored how they used to look 10 or 15 years ago, before their kids ruined their breasts. They’re glad they had the kids, but they’re not as happy that their breasts don’t look as good. And this procedure really does help reverse things.
Breast Augmentation Surgery Incision Options Austin Texas (TX)
Friday, August 28th, 2009DR. HOLZMAN: Breast augmentation can be done through a number of different incisions. There are basically four different approaches to putting breast implants in. One is the periareolar, which is an incision around the nipple. Second incision is the inframammory approach, which is right underneath the breast. A third option is to go through the armpit, which is called transaxillary approach. And a last option is through the belly button, called the umbilical approach.
The two options most commonly used for the placement of breast implants for breast augmentation are the periareolar and the inframammory approach. We find that those incisions and approaches really work best with the least risk of complications. Some patients ask about whether different incision sights change the risk of losing nipple sensation. And in general the answer is no. A lot of the reason behind loosing nipples sensation has to do with nerves underneath the breast that get stretched during the procedure. It generally does not make a great difference whether the incision is underneath the breast or through the nipple in terms of loosing nipple sensation. Loss of nipple sensation is about 5-6% of the time.
Breast Augmentation Implant Placement – Plastic Surgery Center Austin Texas (TX)
Friday, August 28th, 2009DR. MOSIER: The decision to place the implant either under the muscle or on top the muscle depends on the anatomy of the breast. If a patient tends to be larger breast and have more drooping I tend to put the implant on top of the muscle. This allows the implant to kind of fall into the breast and move more naturally with the breast. If the implant is placed under the muscle in a patient with a large or drooping breast the implant will push out the breast and the breast will droop on top of that, therefore requiring a lift. If you have a lift procedure you end up having a scar that goes around the nipple, or around the nipple, down the breast and underneath the beast. So we tend to try to minimize the amount of scars that are on the breast. If a patient is small breasted with not a lot of drooping we tend to put the implant under the muscle. That allows the muscle to kind of pad the upper portion of the breast so you don’t see the roundness of the implant quite as much.
