Holcomb – Kreithen Plastic Surgery and MedSpa offers surgical and non-surgical treatments and programs that enhance the lives of both women and men so they can look and feel their best at every age. Our staff is comprised of an extraordinary group of professionals who enjoy empowering individuals to reach their full potential. We are committed to treating patients and each other with kindness, compassion and dignity at all times.
I'm 4 days post op and slightly uncomftorable, no pain, but I'm really worried about this tape holding my tip. My only post op instructions were to use hydrogen peroxide and ointment with a q-tip as needed. I am so congested still breathing through mouth and feel like I am supposed to be using a spray or saline wash? And should I be worried about this piece of tape being stuck over my stitches? Updated on 30 Dec 2021: It was normal lol! Don’t fear if your tape looks gross and bloody, there’s going to be uncomfortableness until your cast removal! Good luck to whoever sees this :) Dr Holcomb did an amazing job, and everything I wanted and more for my revision rhinoplasty Updated on 4 Jan 2022: My first rhinoplasty was 5 years ago, mainly to fix my deviated septum but I was so unhappy with the results. I told Dr Holcomb all of my concerns and he did everything I wanted and more! I’m not even 3 weeks post op and am over the moon with results (and it’s still pretty swollen so I can’t imagine how happy I will be in a few more months)! He’s the best :)
I was a little bit nervous about the procedure, but Holcomb Kreithen came so highly recommended I thought I'd try it. I couldn't be happier with the results! Dr. Kent was so easy to talk to and made me feel so comfortable and the results are amazing! Entire staff was terrific. I wish I had come sooner!
For as long as I can remember, I have had stubborn fat to the lower abdominal area after having 3 children. I chose to do the CoolSculpting Treatment as it is non-invasive and has no downtime. The staff made me feel extremely comfortable in addressing my concerns. I am certain that my treatment will restore my confidence once again! I'm ready to book my next session!!!!
As I first time customer I was very impressed with staff.. from the front desk to my esthetician Teuta! She has a gentle touch and was very informative on my treatment.. I got the Hydrafacial!!!.... my skin is still glowing! She sent me home with some products by skin medica...love them!
Teuta is the best esthetician I’ve ever been to. She is very thorough and makes you feel so comfortable. I saw her for the hydra facial and I’m still glowing! I am really looking forward to my upcoming appointment
I had saline breast implants 20 years ago and this winter one of them deflated. I had been researching Plastic surgeons in Sarasota the past couple of years for facial surgery and had decided on Holcomb-Kreithen Plastic Surgery. Then suddenly, I needed breast plant replacement. So I Had the replacement done by Dr. Kreithen. So happy, so pleased. First class plastic surgery center. Even though someone has a good review or reputation you never know for sure. But Unknowingly, I found, probably the best Doctors in Sarasota. Every detail was addressed. Dr Kreithen makes sure he's on the same page concerning your expectations. And my outcome was better than expected.
Dear AD17,
BBL/IPL treatment should not cause significant changes in facial volume - at least this is not among the well known complications and side effects of this type of light treatment. Certainly unusual outcomes can occur but loss of facial fat volume may more likely be the result of something else (e.g. radio frequency treatments, metabolic changes). Elevated temperature certainly does induce fat emulsification and fat cell destruction (lipolysis) but both the temperature and length of time required for this to happen are not achieved during typical BBL/IPL treatment sessions.
J. David Holcomb, MD
Thank you for your question.
The injector's technique and choice of product do make a difference here. It is important to distinguish where the volume loss is anatomically – mostly at and above the orbital rim, mostly below the orbital rim, or both. For patients with slight hollowing at/above the orbital rim a softer product such as Belotero Balance is ideal while for patients with deeper hollowing below the orbital rim (this is the mid face) a heavier product such as Voluma is much more effective.
Creating the “chemical brow lift” effect with neuromodulator injections (e.g. Botox Cosmetic, Dysport) is not possible for all patients. The chemical brow lift occurs when the balance between brow depressor and brow elevator muscles is shifted in favor of the latter. This works best in patients with very little actual ptosis (sagging) of the brows but both hyperactive brow depressor muscles and reasonably strong brow elevator muscles. The key to success is appropriately reducing the hyperactive brow depressor muscle activity while also preserving enough brow elevator muscle activity. So this means adequate injections of the eleven line area (procerus and corrugators), lateral brows and upper crows feet (orbicularis) and, if the horizontal forehead lines are to be targeted, it is important to preserve the ability to elevate the brows.
Lip swelling after filler injections is common. Swelling is typically more significant with greater trauma (more needle sticks, more filler volume) - both of these can be minimized by using micro-cannulas and conservative filler volumes. Occasionally there may be more swelling and bruising on one side – even with the best injection techniques and identical injection volumes side to side so to your question it’s too early to tell. Cold compresses (for the initial several hours after injection), elevation of the head while sleeping and time (for resolution of the acute swelling and for the filler to settle) are needed. The good news is that if there is some asymmetry it can be corrected by either adding more filler to the other side or by reducing the bulkiness on the affected side with an enzyme injection (e.g. Hylenex).
Topical Arnica Montana containing products generally help. Certain laser treatments such as the excel V 532 nm KTP can also have a dramatic and almost immediate benefit by lightening the bruises several shades within minutes – we do this for post-surgical and post-injection patients routinely – generally a single session but the treatment can be repeated if necessary.