New York Facial Reconstructive Surgery doctors

	Fredrick A. Valauri, MD New York Plastic Surgeon 47 East 77th Street Suite 201, New York		2 answers
	Minas Constantinides, MD Manhattan Facial Plastic Surgeon 530 1st Ave Suite 7U, New York		2 answers
	Alexander Ovchinsky, MD New York Facial Plastic Surgeon 1046 South Orange Avenue, Short Hills		1 answer
	Jeremiah Redstone, MD New York Plastic Surgeon 830 Park Avenue, Manhattan		1 answer
	David L. Abramson, MD New York Plastic Surgeon 42A E. 74th Street , New York

Recent Answers

Does the Tip of the Nose Eventually Slim Down After Jaw Surgery?

Minas Constantinides, MD

Manhattan Facial Plastic Surgeon

No Improvement After Orbital Floor Reconstructive Surgery? (photo) Hi, I had a blowout fracture 1986 when i was 12 that was repaired.Fast forward to 2011 and i hated what i saw in pictures,A very droopy eye that had gotten worse over the years so i saw a maxofacial/ocular surgeon and had surgery in Oct 2011.He put some kind of bone type plate in there to "build up the floor" secured with screws and said it would be fixed now.Well it is exactly the same as before and it has been 16 weeks since surgery.I go for my final follow up next week.What are my options?

A: Delayed orbital blowout repair is never easy

Hi Chip,

These delayed repairs are extraordinarily difficult. Unfortunately the photo you supplied is not clear enough to really see what is going on, but my suggestion is that you see a specialist who specifically has had experience with complex bony orbital reconstruction. In my experience, multiple surgeries is the rule, not the exception, with these delayed repairs. Good luck. Minas Constantinides, MD

Minas Constantinides, MD

Manhattan Facial Plastic Surgeon

I Had a FTSG Taken from my Arm for my Eyelid. Can I Do Anything About the Color Mismatch? (photo) I was in a bad car accident when I was 17 (I'm 30 now) and needed a full eyelid skin graft. They took the skin from my ears. After healing it looked relatively good but my eye wasn't closing properly so it had to be redone. They then took skin from my upper arm. It was successful but aesthetically much worse, due to being more 'bulky' and the mismatch in color. I've lived with it sticking out all these years but wonder now if there is anything that can be done to give a more natural color?

A: A Revision May Improve the Cosmetic Result

I agree with the other doctors that the best color match is using skin from the contralateral eyelid. When you were 17 you may have had no excess skin on the contralateral upper eyelid. From your photos it now appears that you may have some excess skin and a revision with a repeat skin graft may be possible.

Because of the size of the original injury it may only be possible to replace part of the graft currently in place, but replacing the upper portion of the skin graft with a better color match could have a significant cosmetic improvement. The function of your eyelid and a thorough evaluation should be done prior to any revision.

Best,

Jeremiah Redstone, MD

New York Plastic Surgeon