Minneapolis Facial Plastic Surgeons

Are There Any Approaches to Nostril Reduction?

Some nose jobs I've seen seem to have included nicely done nostril reduction. Is there just one approach to achieve such result (which will require external incisions on both sides of the wedges), or are there more approaches?

Nostril reduction which requires external incisions around the nostril on the face should be thoughtfully considered. The incisions may not always heal to your satisfaction and scarring is difficult to correct.

If the nostril reduction is absolutely required for nasal proportions, the benefit justifies the scar. If nostril reduction is optional, often I suggest doing the primary nose surgery first, and then re-evaluate whether the nostril reduction is even necessary.

Edward Szachowicz, MD, PhD

Minneapolis Facial Plastic Surgeon

Cheek Implants VS. Botox in Cheeks ?

Do you Think It Is better To have Botox in cheeks or do cheek implants cosmetic surgery?

Fillers are gaining in popularity over cheek implants. Sometimes surgical cheek implants can come to have an "edge' effect as we age, because the fat pad over the cheek  implant atrophies with age, esp. after menopause.

I prefer to use Sculptra over other injectable fillers. The increase in cheek  volume is created by you- growing your own, new collagen in the area of injection. Also, Sculptra can be used to balance the rest of the face (temples, nasal folds, chin, etc.), so that the new cheek contour is not overwhelming your facial proportions.

Edward Szachowicz, MD, PhD

Minneapolis Facial Plastic Surgeon

Can Too Much Botox Cause Eyebrows to Drop?

I have been getting Botox for about 4 years and everything has been great. This time when I got it, it made my one eyelid look like it was a double eyelid (kind of baggy).  However, I thought I noticed that my eyelid needed a lift before I went this time, but now it's worse. And both my eyes are baggy in the corners. Both my eyes feel heavy. I'm 40 years old but never had any of these problems before. Will this go away when the Botox is out? Did she give me too much??

I have been using Botox since the 1990's when everyone wanted a "frozen forehead'-without a line or crease. But the trend quickly shifted to a softer, non- paralyzed look in the forehead.

If you have a tall forehead or already have heaviness in the upper eyleids, I recommend treating the frown lines and crow's feet before the forehead, to minimize the brow droop.

Edward Szachowicz, MD, PhD

Minneapolis Facial Plastic Surgeon