Boston Facial Plastic Surgeons

Blepharoplasty on Women of Color Without Cutting to Prevent Scarring- Who Can Do It?

Chicao has a surgeon who can do blepharoplasty without cutting on women of color (Dr. Julius Few). He goes in thru the lower eye lid. Is there an east coast plastic surgeon who does the procedure this way?

There is no true non-surgical Blepharoplasty especially if there is moderate skin excess. In my practice, we offer Ultherapy as a non-surgical peri-orbital rejuvenation. We find that we can achieve some skin tightening and brow lift. It is safe for all skin types. Otherwise, you may also benefit from other non-ablative skin tightening devices.

Edwin Ishoo, MD

Boston Facial Plastic Surgeon

I Had Upper Eyelid Surgery 4 Days Ago and There Has Been Swelling by my Cheekbones...is This Normal?

How long will it take to go away? It's making my face look like my cheekbones are sunken in.

Depending on the extent of dissection and skin redundancy, it is not unusual to have swelling and bruising to the level of the cheek bones especially the first 7-10 days after upper eyelid surgery. Keep your head elevated. Avoid strenuous physical activity and continue to communicate closely with your surgeon if your swelling has not improved by 10 days. Complete resolution of post-op swelling may take up to 4 weeks depending on the patient's age, over all health and medical as well as the extent of soft tissue dissection during the surgery.

Edwin Ishoo, MD

Boston Facial Plastic Surgeon

How Will a Dental Appointment Before Juvederm Injection Affect the Bruising?

I am getting my first juvederm injection in my nasolabial folds in a week. I am extremely worried about the bruising, actually more than the results themselves! I have a dentist appointment a couple of days before to get some fillings; will that affect the bruising process when I get my juvederm, giving the fact that I will be put under anesthetics when I get my fillings? And what can I do to make sure the bruising is kept to a minimum?

You should be fine to have dental fillings done a week before you get Juverm.  Just be sure to avoid products such as ibuprofin (Motrin) and naproxyn (Aleve), which might increase your chances of bruising.  Use acetaminophen (Tylenol) if you need a pain reliever.  Also, be sure to use cold compresses intermittently throughout the rest of the day you get your Juvederm.

I actually tell my patients to avoid dental work for several weeks after they have fillers anywhere around the mouth.  I worry that excessive retraction on the cheeks may affect the placement or longevity of the filler.  This may sound overly cautious to some, but why take the risk in your investment?

James Bartels, MD

Manchester Facial Plastic Surgeon