Palo Alto Plastic Surgeons

George Commons, MD George Commons, MD
Palo Alto Plastic Surgeon
1515 El Camino Real Suite C, Palo Alto
296 answers
Daryl K. Hoffman, MD Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon
805 El Camino Real Suite A, Palo Alto
160 answers
Lauren Greenberg, MD Lauren Greenberg, MD
Palo Alto Plastic Surgeon
750 Welch Rd Suite 117, Palo Alto
112 answers
Robert M. Lowen, MD Robert M. Lowen, MD
Bay Area Plastic Surgeon
305 South Drive Suite 1, Mountain View
49 answers
Shahin Fazilat, MD Shahin Fazilat, MD
Mountain View Plastic Surgeon
515 South Drive Suite 25, Mountain View
10 answers
Angeline Lim, MD Angeline Lim, MD
Palo Alto Plastic Surgeon
1515 El Camino Real Suite D, Palo Alto
5 answers
David M. Kahn, MD David M. Kahn, MD
Palo Alto Plastic Surgeon
1515 El Camino Real Suite D, Palo Alto
1 answer

Recent Answers

What Can Help with Low Back Pain After Hips Liposuction ?

What Can Help with Low Back Pain After Hips Liposuction ?

A: Low Back Pain after Liposuction

Pain in the low back area is  a reality in 100% of patients after hip, flank liposuction.  The absolute 95% cure is time.  There is no alternative.  In 2 or 3 months your pain will fade and fade and go away.  Meanwhile avoid salt (sodium).  Salt makes you swell more and swelling causes pain.  Of course aspirin and ibuprofen help.  Try physical trerapy things such as heat and cold.  See which works.  Massage usually is comforting.  Ultrasonic PT does a little possible but don.t hold your breath.   A back support type garment may feel good.  We humans are impatient.  When there is surgery there is some pain.  Low back liposuction causes low back swelling and pain.  95% of the relief comes with time.   You cant rush it.  Of course the above plus sleeping medication and even occasional narcotic medication can help.  Also a Medrol dose pack can add steroid influence and relief if you are really bothered.   A great relief is just the fact that it will go away.  My Best   Dr George Commons

George Commons, MD
Palo Alto Plastic Surgeon

Is the Orbicularis Oculi Muscle Ever Frozen with Botox Injections?

I read the paragraph below on an Oprah.com article, and was wondering if this muscle is commonly or ever frozen by botox injections? "When someone smiles out of genuine delight, a facial muscle called the orbicularis oculi involuntarily contracts, crinkling the skin around the eyes. Most of us are incapable of deliberately moving this muscle, which means that when a person fakes a smile, her orbicularis oculi likely won't budge."

A: Botox used for crows feet lines Yes, the orbicularis oculi muscles are often "frozen" with Botox to treat crows feet lines. That muscles is the one that closes the eyes, so the whole muscle isn't frozen, just the part infer the crows feet. I do believe that the smile of true delight shows much differently than a fake smile. Artfully done Botox shouldn't change that.
Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon

How Long Will Partial Eyelid Droop from Botox Last? (photo)

I was given Botox injections on 1/26/12. 5 days later on 1/31/12 I noticed that my left eyelid was drooping. My brows are even, only the one eyelid is drooping down close to the top of the pupil. I was prescribed Apraclonidine .5. It took a few days to start working, but now right after I use the drops my eyes almost look even, though still not 100% normal. Can anyone tell me when I may notice a permanent improvement? It's been 12 days since my injections. I'm desperate!

A: Droopy eyelid after Botox is temporary

Droopy eyelid after forehead Botox injection is a known complication but fortunately it is not common and completely reversible.  It will improve gradually and it usually takes four to six weeks before it isn't very noticable.  Some small weakness may be present for longer.

Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon
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