Riverside Doctors

Crepey Eyelid Skin Help

I have crepey, loose skin in my eye area, mostly on my eyelids.  I wonder if having a blepharoplasty can fix the crepey skin problem. Are there any options besides eyelid surgery to fix my crepey eyelids?

It sounds like a Blepharoplasty is the fix for your crepey skin. This is a relatively short procedure with very little down-time.  This procedure can be done with  local anesthesia. This is a very cost effective procedure with the possibility of great results.

David Alessi, MD

Beverly Hills Facial Plastic Surgeon

How to Tell if my Nose is Broken?

I was in wrestling a few days ago, and I was slammed on my nose and now it is swollen and hard to breath out of. It's very sensitive, and whenever I move it, it makes a clicking noise. I'm just wondering if it is broken, and worth going to the doctor for.

It sounds like you are describing a broken nose.  Contact a facial plastic surgeon to assess your situation.  You may elect to wait approximately one week to allow alot of the swelling to subside.  Your surgeon will examine and evalutate you and come up with a possible surgical plan.

David Alessi, MD

Beverly Hills Facial Plastic Surgeon

Normal To Have Severe Pain Post CoolSculpt? How Long Will It Last?

I had Cool Sculpt of abdomen, 5 months post lipo, as well as flanks. My flanks was mildly sore. I am two weeks post Cool Sculpt and am wearing Lidoderm patches for severe nerve pain in the ab area. Seems to be radiating out from near the belly button. I have tried Steroid Shot, 3 days neurotin 300mg 3x day, Toradol - on day 3/5. I have a rx to pick up in the am for Dose Pack steroids. Any idea how long to resolve? My dr has not seen this in other patients. Will this resolve?

Although less common than other side effects, significant pain, including cutaneous pain or skin sensitivity has been reported after CoolSculpting.  It seems that this is more common in the abdominal area than in other areas.  This pain is described as pins and needles, tingling, sharp, burning, stabbing, shooting and/or cramping. The onset of pain may commence either immediately after treatment or up to 1 week after treatment.  The pain usually resolves in severak weeks.  The steroids, pain medication and neurontin may help it to resolve sooner.  However, since this is relatively rare complication, it is hard to be an exact time frame on it. 

Karyn Grossman, MD

Santa Monica Dermatologist