Q. What is a blepharoplasty?
A. A blepharoplasty is often called an eye lift, eyelid lift or even just a "bleph." Blephs are one of the most common requests, and a standard procedure in cosmetic surgery. Blephs are performed on either the upper eyelids, under the eyes (lower eyelids) or both. The upper bleph is intended to address excess skin that occurs as we age. In fact, an upper bleph is also the procedure that can help men and women who have such excessive skin on their upper eyelids that inhibits the peripheral vision. Aesthetic surgeons often call this "hooding." In these extreme cases, it is possible that insurance may cover a portion of the costs. For the under eye area, blephs can address puffy, tired looking eyes. In certain cases, fractional CO2 laser skin resurfacing under the eyes is recommended to tighten the skin and reduce wrinkles.
Q. What type of anesthesia is used for an eye lift?
A. Eye lifts (also called blepharoplasty and eye jobs) can be safely and effectively performed under monitored IV sedation (anesthesia) rather than general sedation. Whenever possible, we prefer to use monitored IV sedation over general anesthesia as the risks are lower.
Q. Where will my blepharoplasty be performed?
A. We have a private, fully accredited surgical suite in which the majority of cosmetic procedures are performed safely and effectively under monitored conscious IV sedation.
Q. I'm unhappy with the wrinkles I'm seeing on my forehead. Should I get Juvederm, Restylane or Botox?
A. Botox. Botox (botulinim toxin) is very safe injectable that has been used for decades to temporary weaken muscle function. It is used for people suffering from nervous tics by injecting it into the irritable muscle, and, in recent decades, Botox has also been used to treat chronic headaches. For cosmetic purposes, cosmetic surgeons know that specific muscles are the culprits behind specific wrinkling. Botox addresses several areas: the glabella (area above the bride of the nose between the eyebrows), forehead and the outer aspects of the eyes (these lines are frequently called crow's feet or laugh lines). In the treatment, Dr. Schmid will pinpoint the muscles that are causing the wrinkles and inject them with Botox. The muscles are weakened and, over time, the wrinkles soften and subside. Fillers are quite literally that - they "fill" an area that has lost volume or an area that the patient would like to enhance. For example, very deep, carved out wrinkles can be injected will a filler to restore volume. Hollowness under the eyes, the nasolabial folds (the line from the outer aspect of the nostril to the outer mouth) are very common sites for injectable fillers. Fillers can also be used to enhance the volume of the lips and cheeks. The most common fillers are derived from a substance that naturally occurs in the body: hyaluronic acid.
Q. How soon should I see results after my first Botox injection?
A. Botox Cosmetic® (commonly referred to as "Botox") is performed to weaken very specific muscle groups that we surgeons know are the culprits behind specific wrinkles. Examples of common areas injected are the glabella (area between the eyebrows), crow's feet and forehead. Botox is not immediate. Patients typically see muscle relaxation at approximately 2-7 days after your injection. The wrinkles will relax over time. Subsequent injections spaced 2-4 months apart are recommended to optimize results.
Q. Who is the ideal candidate for Botox?
A. Botox Cosmetic® is safe and effective for men and women who have mild to moderate frown lines on their forehead or around the eyes.
Q. Who should administer Botox?
A. Because Botox is extremely popular, a number of unlicensed or unqualified facilities offer Botox. In many offices, nurses, aestheticians and medical assistants often administer the injectsion. However, to reduce the risk of adverse side effects, in our office board certified facial plastic surgeon Dr. Peter Schmid administers all of the Botox injections. We've found that patients who venture elsewhere for their injections often return because Dr. Schmid's formulation and administration created the patient's better and more long-lasting results.
Q. What is the recovery time for a facial chemical peel?
A. There are a variety of unique chemical peels such as glycolic, Epionce, Obagi Blue Peel, Vivite and Jessner's peels. The recovery time will vary with the strength of the peel and the time it remains on the skin during the treatment. The deeper the peel, the longer the the recovery time. Our aesthetician-administered peels mentioned above range from light to medium depth. Lighter peels may have some mild redness that same day, but generally don't have any downtime associated with them. The medium depth peel doesn't have true "downtime," however there will be some redness and peeling for up to a week.