If my plan is to perform both a brow lift and upper eyelid surgery, I
like to do the brow lift first, and then work on the upper eyelids about six weeks
later. It's a small hassle for the patient, but I think it gives better
When performing the upper eyelid surgery, I like to take off enough skin that
the patient can't quite get her eyelids closed for a couple days after
surgery. By the end of the week, the lids are closing fine. That
way, I am convinced that I removed all of the skin that I could safely remove.
If I'm elevating the brows during the same operation, it's not safe to be
that aggressive with the skin excision on the upper lids. I have to skimp
on the lid excision, and the result isn't quite as good.
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Is it good to get a rhinoplasty done by a doctor that uses computer imaging than one does not?
i have been reading dr in tx that uses this technology in the surgery room. is it necessary to get an optimum out come with out it?
(Questioner submitted photos)
Dr. Denenberg's answer: Don't select your doctor based on whether he uses imaging, But ...
Computer imaging can be very, very helpful in rhinoplasty. It's helpful mostly so that you can communicate better to your surgeon what you want to change, and by how much you want to change it. I use imaging on almost every rhinoplasty. It's useful to show the patient how much change is possible, but even more, it's useful to me because I can understand even better what bothers the patient and what our goal should be.
It's best if the doctor runs the program, so you can continually address different areas and make changes. It's not useful to you as the patient if the nurse makes an unrealistic perfect morph that you don't get to modify or bring into the area of realism.
Having said all that, don't reject a doctor for not using imaging, **as long as he has excellent before and after photos**, but understand that without imaging, it might be harder for you to communicate to him accurately what you want.
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