Highlands Plastic Surgeons

Poor Dysport Results Last Time, is it Time for Upper and Lower Eyelid Surgery Instead? (photo)

Always had great results with Botox but went with Dysport last time and results were horrible. Made my eyes smaller, brow lower and lids super puffy. It's worn off now but my lids have become so hooded that they stick together, I raise my brow to see better and I always look mad (due to being 45, not result of Dysport). Do I go with Botox/Dysport again or get upper and lower lid surgery? Or given how my lower lids look, would fillers work instead? Thanks!

You have significant hooding of the upper lids from descent of the brow. To improve this, you need some way to elevate the brow. Botox/Dysport can sometimes do this if placed only in the muscles around the eye and not in the forehead (the muscles you need to elevate the brow) and teh forehead muscle is active enough to lift the brow. If you had the forehead injected, this could be one reason for the horrible results. If getting rid of the brow depressor does not result in brow elevation, then your only option is a brow lift of some kind. You need a consultation with an experienced brow and eye Plastic Surgeon who understands the anatomy and muscle function in the area.

Robert T. Buchanan, MD

Highlands Plastic Surgeon

Could U Have Lip Fillers if U Ar on Warfin

We do fillers all the time in people on warfarin and other blood thinners. This has become common since the same population that needs the fillers are the ones that are also most likely to be on blood thinners, and the number of people on blood thinners has risen. We generally use a blunt needle to reduce the chance of bruising and use bromellin and Anrica to help any bruising that does occur absorb faster.

Robert T. Buchanan, MD

Highlands Plastic Surgeon

Tummy Tuck Scar Placement?

I've read that people who have more extra skin will have lower and shorter scars...is how low/long the scar will be based completely on how much extra skin you have or this something that can be controlled? I'm worried about scar that wraps all around my back and up to my bellybutton. I know a consultation will give me those answers, but I'm curious and don't want to get a consultation done until I lose the rest of my weight.

Tummy Tuck scars are always placed low centrally. The lateral extent depends on teh type of swimwear and underwear that you prefer. It can be placed to hide under a low cut Bikini or under clothes with higher lateral leg openings. The length will depend on your anatomy and whether a bulge will appear under a short scar or not. Only an examination and consultation will determine this.

Robert T. Buchanan, MD

Highlands Plastic Surgeon