Williams Bukret, MD

Your eye closing when raising your brow is likely due to nerve miscommunication between the trigeminal (CN V) and facial nerve (CN VII) after surgery. This can often be improved with targeted treatment. Recommended Treatment: Neuromuscular retraining to restore normal movement. Targeted Botox (temporary use) to reduce misfiring signals. Nerve block test to assess potential for nerve resetting. Desensitization therapy to regulate nerve activity. Surgical revision (if needed) to relieve excess tension. Next Steps: Consult a oculoplastic surgeon for evaluation. Starting with therapy and Botox is recommended before considering surgery. With the right approach, improvement is highly likely. Hope this helps. Dr. Bukret, from Argentina

Hello Plucky786813, Thank you for sharing your concerns following your eyelid surgery. Based on your description, here are a couple of considerations that might help: Brow Shape and Position: Since your brows have a horizontal alignment, and lifting the outer aspect of your brow gives you a more youthful appearance and reduces the sad look, a minimally invasive endoscopic upper face lift could be beneficial. This procedure can elevate the lateral brow, improving your overall expression. Upper Eyelid Concerns: The hollowness in your upper eyelid, especially on the inner side of the right eye, can often be addressed by releasing any scar tissue and using microfat grafting. This involves injecting small amounts of fat into the area through a small incision to smooth out the hollow appearance. Botox can be used as an alternative or complement to address mild asymmetry or to temporarily improve the appearance, but it may not be sufficient for more significant changes. It might also be helpful to schedule a consultation to evaluate your specific situation more closely and discuss the most suitable treatment options. I hope this helps clarify your options. Kind regards, Dr Bukret, from Buenos Aires, Argentina

Response: Hello Inventive864500! Outfracture of the inferior turbinates does not alter the external appearance of the nose. The external nasal width is primarily influenced by the ascending part of the maxillary bone, not the position or treatment of the turbinates. The procedure typically focuses on improving airflow and nasal function without affecting the external nasal dimensions. Warm regards, Dr. Bukret, Argentina

Dear Jeanie, Congratulations on having the courage to share your concerns. It's an important step towards finding the right solution for you. Based on the information provided, it sounds like you have some specific issues that need to be addressed: 1 Consultation with a Plastic Surgeon: Given your beautiful face and strong bone and cartilage structure, you appear to be an ideal candidate for rhinoplasty to improve the shape and address any concerns you have. 2 Pre-filler Photos are Helpful: Having pre-filler photos can assist in determining the extent and location of any remaining filler. This can be valuable information for your surgeon. 3 Common Issues such as a Bulbous Tip, High Dorsum, or Nasal Deviation: These can all potentially be corrected with rhinoplasty, improving the overall appearance and function of your nose. Regarding your specific concern about the filler: Persistent Filler: It is possible that some fillers can be stubborn and may require multiple treatments to dissolve completely. Hyaluronidase is typically used to dissolve hyaluronic acid fillers, but the response can vary. If you are experiencing unusual symptoms such as prolonged redness, swelling, or other changes, it might indicate tissue inflammation. Given the persistence of the filler despite multiple dissolution attempts, I recommend seeing a specialist, preferably a board-certified plastic surgeon experienced in filler treatments. They can assess your situation more thoroughly, examine the photos, and provide the most appropriate course of action. I hope this helps, and I encourage you to seek professional advice to ensure your safety and satisfaction with your treatment. Best regards, Dr. Bukret, Argentina

Certainly, while complications such as temporary or permanent vision loss resulting from injections during rhinoplasty are rare, it's still vital for patients and healthcare providers to prioritize safety and awareness. Experienced surgeons typically employ precise techniques to minimize risks, and occurrences of such complications are indeed infrequent. Patients can take reassurance in the fact that adverse events like vision loss are highly unlikely, especially when procedures are performed by qualified and experienced professionals. However, even with the low likelihood of complications, thorough preoperative discussions should occur between patients and surgeons, covering potential risks and ensuring informed decision-making. Continuous vigilance during and after the procedure, along with prompt recognition and management of any complications, further enhance safety. By prioritizing safety and maintaining open communication, patients can approach rhinoplasty procedures with confidence in their healthcare team's ability to minimize risks and ensure optimal outcomes. Kind regards, Dr Bukret