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A traditional lower blepharoplasty through the skin would allow redraping of the skin with excision of excess skin. Nothing wrong with that approach at all.
A couple of points to consider. CO2 laser resurfacing would likely remove the static wrinkles easily. The dynamic wrinkles present when you smile cannot be treated as you know. I also note that you have some hypertrophy of the orbicularis muscles along the lid margins. If, and only if, that bothers you it could be addressed at the time of the lower eyelid blepharoplasty that your surgeon recommends by simply shaving it down a bit. Alternatively, it could be treated repeatedly with Botox which would reduce the size.
Dermatologic Surgeon, Board Certified in Dermatology
In my opinion, an infection seems unlikely considering the duration of your symptoms. I believe that your neck is hard and lumpy due to swelling of the platysma muscle which is just beneath the skin and possible firmly bound to it.
This can happen when the muscle swells due to a hematoma, seroma (collection of clear fluid) or, most commonly, due to manipulation of the muscle itself. Often the first day after surgery the results often look perfect only to have this problem appear days later.
Frequent injections of dilute steroid will soften things up as will use of an inexpensive ultrasonic hand-held vibratory device available on the web. The problem should resolve over a period of months. If the skin is stretched and bound down during this healing phase, it may appear loose after the swelling of the muscle resolves. In such a case, revisional surgery may be necessary.
I hope this helps. Don't give up hope and hang in there with your surgeon.
Dermatologic Surgeon, Board Certified in Dermatology
KP does not scar, so no worries there.
Certainly microdermabrasion for the scaly bumps and IPL for the redness should help and be very safe. So should a cream containing lactic acid or urea, with a topical steroid cream to combat the redness.
KP is not "curable" but can be very well managed. Most cases eventually resolve spontaneously over a period of years.
Dermatologic Surgeon, Board Certified in Dermatology
Dermatologic Surgeon, Board Certified in Dermatology
Dermatologic Surgeon, Board Certified in Dermatology
Dermatologic Surgeon, Board Certified in Dermatology
Dermatologic Surgeon, Board Certified in Dermatology
Dermatologic Surgeon, Board Certified in Dermatology
Dermatologic Surgeon, Board Certified in Dermatology
Dermatologic Surgeon, Board Certified in Dermatology
I am ecstatic with the results of my S-lift surgery by Dr. Ramsdell. I am as happy as could be. My husband, family, and friends say that I look great, and that I look like myself--just what I wanted. I found Dr. Ramsdell to be knowledgeable, respectful, accessible, and SO SKILLED. His staff---led by Robin--were excellent and kind in the operating room, and with Dr. Ramsdell in follow-up visits. Robin answered all of my questions before and after the surgery. Dr. Ramsdell and Robin followed up my surgery with phone calls. Dr. Ramsdell is Board Certified in Cosmetic Surgery, and a top-notch dermatologist. What counted most for me, however, is his skill and knowledge. I love my time re-wind! Linda D.
So this is my 1st review, wanted to let the ladies know about my experience..So i Found Dr William Ramsdell on Internet ,, he's in Austin . My upper lip was very thin and after debating if i should get filler or lip lift i decided on the lip lift...Im glad i did. It took less then 30 minutes , the procedure was done in office. And i got to go home right after. It honestly did not hurt , i just felt a small pain the 1st hour and i never had to take pain meds. After 10 days the stiches came out. I feel one side is a bit more lifted but the doctor said it looked fine and to give it six months to completly heal.. Will see
I (and especially my wife) are very pleased with the results. The procedure removed skin "bubbling" caused by rosacea, and resulted in smooth new skin. The most painful parts of the procedure were the initial numbing of the skin by injection needles, and then the first week or so of recovery - frequent washing of the skin was not pleasant. After that, the recovery went quickly and painlessly. I definitely recommend the procedure.
I decided to get a second treatment 5 weeks after the first one because of a sale. Now 7 days later I have a fever, my belly was so hot and the cramps so intense that I've had cold packs on it today. Plus I have intense diarrhea for 3 days Yes, sure enough that's a side effect. I am going in tomorrow to get something for the pain. Had I known the second time would hurt this bad, I wouldn't have done it at least not without painkillers. I have taken so much Advil that I'm almost sick from those and also have heart burn. It was helpful to learn from another in this forum that steroids are helpful. I have some of those. Updated on 1 May 2013: I saw my dermatologist, and he suggested I go to the emergency room to get a CT scan to rule out a complication to a hernia and a colon injury. The scan revealed internal bruising meaning bleeding. He prescribed hydrocodone (enough for 1 1/2 days) and told me to see my GP. He also said to "quit this nonsense". I had to take more than recommended dosage of hydrocodone to truly help. So now I'm in the same boat, in bed with an ice pack on my belly. My dermatologist called the manufacturer of the machine to report my experience. Thanks PufferPunk for the Neurontine recommendation. The pain feels like nerve pain so I can see how that might help. Thanks Vixstew for the recommendation to avoid steroids. I usually do avoid them which is why I have full prescriptions filled, but untaken. Updated on 9 May 2013: Hi, this week, 2 1/2 weeks after the procedure, I began to improve significantly and am off the hydrocodone, and almost off the neuron tin. The dermatologist said the manufacturer of the cool sculpting machine says that 1 - 2% experience severe pain. The doctor said he had not been made aware of this until now. Okay, so now I'm really ready to see some results so that this experience was worth it. I am told that beginning with week 3, the results begin to emerge.
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