Marottamd.com

2011-02-11T08:45:00.000-08:00

Patient Question: Injectables are rumored to last only a short while, are there some procedures MPS offers that provide a longer-term?

Dr. Marotta’s Response: An alternative to temporary injectable treatments is microfat transfer. In microfat transfer, I take microdroplets of fat from the abdomen, inner or outer thighs or buttocks and transfer the fat in multiple fines passes into areas of facial atrophy that occur with aging or that are due to congenital facial asymmetries. The benefits of microfat transfer over fillers are many including utilizing your own natural tissue, an unlimited supply of fat filler material, and more lasting correction of facial aging or asymmetries on the order of 5 years or even permanent. Fat also contains a high percentage of stem cells and, while not yet proven, we believe that microfat transfer may even cause new collagen to generate improving the skin’s appearance for years following fat injections.

Q/A: Face and neck swelling with exercise following a face lift

2011-02-03T06:44:00.000-08:00

Question: I am 59 years old and am 11 weeks post-op after having a lower facelift, forehead lift, and upper & lower eyelid surgery. Around 8 weeks post-op, I began vigorous exercise again with my doctor's approval. However, my neck swells under my chin after exercise, and the swelling lasts a long time(often until the next day). Is this normal? Also, will having my neck swell and decrease in size repeatedly compromise the results of my lower facelift? Should I slow down my exercise?

Dr. Marotta's response: Swelling after exercise that was done 8 weeks ago is entirely normal and will resolve with time. Increased blood flow to the tissues caused by exercise and decreased lymphatic drainage caused by surgery is the reason this happens. It usually happens under the chin, the submental area, because of gravity and the large number of lymphatics in that area. Intermittent swelling with exercise, increased salt intake, or hormonal changes can go on for even up to 3 months following face lift surgery. If the swelling increases rapidly without decreasing or there is any redness or tenderness to the skin, you should see your doctor. Decreasing your exercise, some icing or light compression e.g. with an ace wrap under the chin, can all help decrease the swelling when you do get it.

Men and Plastic Surgery

2011-01-25T08:47:00.000-08:00

Patient Question: Plastic surgery is often thought of as something women do, how can it help men? Are there some procedures that men commonly pursue?

Dr. Marotta’s Response: Plastic surgery is on the rise for the male population and it increases every year. Currently about 30% of all patients seeking plastic surgery are men. Rhinoplasty (Nose Job), eyelid, brow and facelifts, and hair transplantation are the most common procedures for men in my practice. All the options available to women to enhance their facial appearance are available to men. In treating my male patients, I maintain the distinctly masculine qualities to the face through an understanding of the differences between male and female facial anatomy.

Dramatic vs Drastic Plastic Surgery

2011-01-20T11:00:00.000-08:00

Patient Question: What's the difference between dramatic and drastic? If a client is looking for a serious change, like a totally different nose or exceptionally large lips, are there any dangers or warnings s/he should consider?

Dr. Marotta’s Response: In my opinion, you can attain dramatic improvement in a person’s appearance without making a drastic change. Drastic implies unnatural or outside of what would be considered aesthetically pleasing. In my practice, I strive for the most natural results possible by maintaining the harmony dictated by a patient’s natural, “God-given” facial proportions. I would caution the person who wants a totally different nose or exceptionally large lips that not only would these changes not look good, but they also can create problems with function of these important organs like nasal blockage or impaired lip movement.

Q/A: "Fresh Start" Skin Procedures

2011-01-14T08:22:00.000-08:00

Patient Question: A new year always makes people want to feel new, what are some skin procedures that can help accomplish a "fresh start" without a long healing time.

Dr. Marotta’s Response: Working on beautifying your skin is a great way to get a “fresh start” and healthy glow for the New Year. There are a number of procedures which can help repair visible signs of skin damage from the sun and aging with little or no downtime. Microdermabrasion, light chemical peels, intense pulsed light therapy are all procedures done in our facility that can have a major impact on the skin’s appearance. Diet, nutrition, and a topical skin regimen that includes some form of Retin-A and other peeling agents like glycolic acid are additional keys to beautiful skin.

Q/A: Does a midface lift help the jowls?

2011-01-03T10:41:00.001-08:00

Question: I am 54, but look slightly younger. I don't mind the normal aging around my eyes, etc. but my sagging jowls bother me. My Plastic Surgeon says he would not recommend having a lower face lift without at least also doing a mid-face lift, as well as a brow lift. Now he has agreed he would feel comfortable doing the lift without a brow lift, but says he would definitely recommend a mid-face lift with the lower face lift. Is it really necessary to also have a mid face lift with a lower face lift?

Dr. Marotta's Response: Depending upon the technique used, a midface lift can improve the "jowls" much more than a traditional lower facelift alone. What appears to be jowl fat may frequently be drooping buccal or cheek fat. In my technique of an endoscopic midface lift, I reposition this drooping cheek fat higher in the cheek which improves the jowl and corner of the mouth much more than a standard facelift. In addition elevating the cheek also tends to elevate the jowl fat along the jawline. When combined with an extended Sub-SMAS lower facelift which further tightens the jowls and jawline, the improvement in the jowls can be much more complete. Sometimes the entire procedure can be done endoscopically with small incisions hidden behind the hairline.

Q/A: Am I too old for rhinoplasty?

2010-12-15T08:34:00.000-08:00

Q: Are you ever too old get a nose job? I am in my 60s and have always hated my nose. I just never had the nerve to do anything about it. I am wondering if it is too late.

Dr. Marotta's response: You’re certainly not too old for a nose job. I frequently perform rhinoplasty on patients in their 60s and older. Age is generally not as much a concern as your physical health. As long as your in good health, you’ll be an excellent candidate. Your nose may be a concern even more for you now because the nose ages just like the rest of our face. With age the nasal cartilages and skin tend to weaken resulting frequently in a “hook” nose appearance with a drooping tip and more prominent bump. These changes can be corrected with rhinoplasty. Recovery is relatively quick with rhinoplasty with most people returning to activity in about a week. As long as your in good physical condition, age is not a factor in healing or recovery.

Q/A: I have a lot of sagging of my neck skin but I don't want a facelift. Anything else I can do?

2010-11-30T13:45:00.000-08:00

The only procedure that is truly effective in eliminating sagging neck skin is a well done face and neck lift. In addition, sagging in the neck can be due to more problems than just skin. Sagging muscle, glands and excess fat can all deleteriously effect the aging neckline. Some problems with the aging neck are more than skin deep and only surgery can correct all these issues. For minimal skin laxity in the neck, I have found fractional ablative CO2 laser, the Active Fx (Ultrapulse Encore) to be the most effective non-surgical treatment for wrinkled neck skin. It improves skin texture, fine horizontal wrinkles, and tightens neck skin.

Q/A: At 31, I have developed signs of premature aging with hollow eyes and sunken cheeks -- Should I have fillers, fat injections or a midface lift?

2010-11-30T13:34:00.000-08:00

Fillers like restylane, juvederm, radiesse or perlane can be very effective in restoring midfacial volume in the cheeks and restoring youthful fullness in a young person who feels they have prematurely aged. Hyaluronic acid fillers like restylane or juvederm are currently the only safe fillers in the periorbital region but must be done by an experienced injector. Artful injection is required to create a natural looking eyelid/cheek junction. Alternatively, microfat transfer can provide more lasting improvement that is softer but requires more downtime than fillers. I think either would be appropriate for you from what I can tell from your picture. I usually reserve an endoscopic midface lift for patients with fuller cheeks that show evidence of drooping like hollow eyes, a deep nasolabial fold or buccal fat herniation. An endoscopic midface lift with fat repositioning of the orbital fat, buccal fat, and malar fat pads can be very effective in these situations to restore facial volume and lift a sagging face.

Q/A: What is the best age for a facelift?

2010-08-19T11:06:00.000-07:00

While there is no ideal age for a facelift, patients who are younger or who have less severe facial aging do tend to get more complete improvement or correction from facelift procedures where sometimes no signs of facial aging are apparent following a mini facelift, endoscopic forehead and midfacelift or deep plane facelift. The patients of more advanced age with more facial aging with poor skin turgor/elasticity usually require skin resurfacing like laser, chemical peel or dermabrasion in addition to full facial surgery to optimize their results and approach their goals.

Q/A: Is it risky to have a third revision facelift?

2010-08-02T06:46:00.000-07:00

Having a third revision facelift is not inherently "risky" but certainly you should do your homework and choose an excellent surgeon who is capable of addressing the precise anatomic issues that are causing your problems in the safest way possible. Fat transfer can be an excellent adjunct to a revision facelift and help to correct contour problems. It is difficult to say what procedures would address your concerns without photos but especially with revision surgery there is no substitute for a thorough physical exam.

Q/A: Should I have punch excision for my acne scars?

2010-08-02T06:19:00.000-07:00

I find most people have a combination of various types of scars that may require varied surgical techniques including punch excision, punch elevation, subcision, punch grafting and standard excision. I agree with your decision to do laser following and I have had good success with following up 6 weeks after punch excision with the Ultrapulse CO2 Total Fx laser. Good luck!

Q/A: Fillers or facelift for marionette lines, sagging around mouth, looking sad?

2010-07-16T10:22:00.000-07:00

Question: Due to 30lb weight loss I have sagging in the marionette line area. Its not too bad but it bothers me that I look sad. I talked to a plastic surgeon about a lower lift. He said this would also help my jaw line. What would this entail. Is the recuperation difficult. I am 48. Would juvederm help to hold off the surgery for awhile? Can it help the neck? I have already had my eyes done and rhinoplasty so surgery isn't new to me.

Dr. Marotta's response: Both fillers like Juvederm and a facelift can help marionette lines and sagging or looking sad around the corners of the mouth. You would probably get the most improvement in marionette lines doing both because they work by different but complementary mechanisms. A facelift will tighten drooping skin, fat and muscle and fillers can help finish the job by filling in areas of skin with depleted collagen. Fillers will not help the neck at all and only a facelift helps to tighten neck skin. The recuperation from a facelift varies by technique and surgeon. Bruising and swelling usually lasts for a 10-14 day period with most patients returning to work in 10 days.

Q/A: Will I have more wrinkles when fillers like Restylane, Juvederm or Radiesse dissolve?

2010-07-16T09:42:00.000-07:00

Dr. Marotta's response: This is a common question that patients have following filler treatments. The general feeling by most physician's is that fillers don't make the skin or wrinkles worse after they've dissolved. In fact there is some scientific evidence that suggests that the slight skin stretch with fillers may cause collagen production by fibroblasts (collagen producing cells) and make skin/wrinkles better long term. This has yet to be proven. But even barring this effect the skin has a tremendous capacity to expand and contract and any permanent irreversible stretching from fillers is highly unlikely. In my own practice, I think patients are the same if not better after the filler dissolves.

Q/A: Sagging around corners of mouth and jawline, fine lines around the mouth

2010-07-08T12:04:00.000-07:00

Question: What should I do about sagging around mouth and jaw?

I'm noticing sagging around mouth and jaw. small fine lines around my mouth and a slight sagging around mouth and jaw.

Dr. Marotta's Response: Sagging around the mouth and jaw occurs as a result of weaking of the facial ligaments and drooping of the cheeks and facial tissues that begins early in the aging process. Smile lines or nasolabial folds that run from the corner of the nose to the corner of the mouth and labiomandibular folds or marionette lines that run from the corner of the mouth toward the mandible can be the result. This can be seen in even as early as the late 20s or early 30s. Fine lines around the mouth, smoker's lines, lipstick lines or now "waterbottle" lines occur as a result of repetitive pursing and loss of collagen and elastin. There are both surgical and non-surgical options for these problems. For the sagging around the mouth and jaw an endoscopic midface (cheek) lift with buccal fat repositioning can help elevate the sagging tissues of the cheek that are pushing on the corner of the mouth and jaw creating the folds. Microfat transfer into the folds helps lessen them even more. For fine lines around the mouth fractional CO2 laser resurfacing, dermabrasion or chemical peel work quite well and offer more lasting improvements. Non-surgical options include fillers like juvederm, restylane, radiesse or perlane to mask the folds around the mouth and jawline and to augment or volumize the cheeks. Botox can be used to elevate the corners of the mouth by injecting the depressor anguli oris muscle. Fine lines around the mouth can be alleviated with Botox and fillers as well.

Q/A: Correction of restylane lump under eye

2010-06-30T09:13:00.001-07:00

Question from Denmark, Europe: I will try to make it as brief as possible. I got restylane under my eye 4 years ago. 1st time was great. 4th time he injected way too much. Thats now 2 ½ years ago. I still got a huge lump under my skin under right eye. If i try to massage it, it is a very hard lump and about 1-2 cm long beneath the skin. I'm so so tired of this saggy look. I'm only 28 years old. I don't want to see that doctor again. What should i do? Could this be scar tissue? Or what do you think?

Dr. Marotta's response: Restylane can persist for quite a while even years under the eyelids presumably because of lack of significant movement of this area. Good technique is critical to achieving good results in the eyelid region and should only be done by physicians with advanced training and years of experience in injectable filers like Restylane. The good news is that the Restylane can be easily dissolved with an enzyme called hyaluronidase (generic) Vitrase (brand name). Find a doctor who performs this procedure and the lump will be gone. Good luck!

Q/A: What kind of lift is best to take care of nasolabial problems?

2010-06-23T09:50:00.001-07:00

Question: What kind of lift is best to take care of nasolabial problems?

lifestyle lift and Quick Life, Slift. Which one takes care of nasolabial problems?

Dr. Marotta's response: The facelift techniques you mentioned have little if any effect on the nasolabial folds. The most effective facelifting technique to improve the nasolabial folds is the endoscopic midface lift. Adding microfat transfer to the nasolabial folds during the endoscopic midface lift provides additional benefit and the best long improvement in the nasolabial folds. Fillers like restylane, juvederm, or perlane can correct nasolabial folds as well, but of course are temporary and don't have the benefits for the other parts of the face that endoscopic midface lifting and fat transfer offer.

Q/A:Options for Cheeks following extreme weight loss

2010-06-23T09:36:00.000-07:00

Question: I am a 36 year old man who desires a more youthful appearance. I've gone from 400-200-280 pounds in 20 years time. After researching all of the procedures, the only one I trust is the smas lift. Am I being closed-minded towards the endoscopic procedure? From my photo, would fillers work?

Dr. Marotta's Response: Generally SMAS procedures have little in any effect on the cheeks. From your pictures, Microfat transfer would be your best option for your cheeks and lower eyelid region. Other options to address the lower eyelid and cheeks include fillers like Restylane or Juvederm, collagen stimulators i.e. Sculptra or Cheek implants. If you have hanging or excess neck skin from your profound weight loss indeed a SMAS facelift would be best to address that area but not your cheeks.

Q/A: Cheek lift and other options for patient in their 20s

2010-06-18T11:27:00.000-07:00

Question: I am 23. I have droopy cheeks, extra skin/fat in the jowl/chin area, and visible lower eye whites. When I smile these issues are accentuated. Would a cheek lift address these issues and how do I find facial surgeons who have extensive experience on younger patients?

Answer: I have a lot of experience with cheek lifts or midface lifts in younger people and my preferred technique is the endoscopic forehead/midface lift with buccal fat transposition. Midfacial aging does begin to occur in the mid to late 20s. But generally mid to late 30s is the minimum age I would consider for this procedure. Sounds like your issues may be somewhat congenital or skeletal since you have them at such a young age. Adding volume whether with microfat transfer, fillers, sculptra or cheek implants is probably the way to go at your age but difficult to tell without a thorough evaluation. Adding volume with one of these methods can give you the same look as having a lift with less trouble.

Q/A: Acne scars - Fillers

2010-06-16T08:37:00.000-07:00

Question: Can a boxcar type of acne scar with smooth edges be filled via an injection of sorts?

Dr. Marotta's reply: The answer is maybe. It really depends on how tethered or attached the scar tissue is at the base of the scar to determine whether fillers like restylane, juvederm or radiesse would be effective in raising the depressed areas of your scar. Sometimes combining subcision, a procedure where scar tissue is released with a small needle or knife, with fillers is more effective than fillers alone for tethered scars. Silicone can be very effective as a filler in even the most tethered scars but you need to seek out a very experienced injector and realize this treatment is "off-label" (non-FDA approved). Other treatment options for the acne scar you described include surgical excision, punch elevation, punch skin grafting, and fractional CO2 laser with the deep fx and active fx.

2010-05-26T03:56:00.000-07:00

Dr. Marotta was featured on WMJC 94.3 talking about sun protection and ways to reverse sun damage.

Click the link below to hear the radio interview.

http://c1-preview.prosites.com/10424/wy/media/943WMJC-Interview.mp3

2009-11-13T15:05:00.000-08:00

You Get What You Give!

Marotta Facial Plastic Surgery's Holiday Deal is a present for all!

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This holiday season, Marotta Facial Plastic Surgery is giving back! We will be donating 10% of the profits from every gift card we sell during the month of December to a charitable organization in need. But here’s the best part…for every $100 gift certificate you buy for someone else, get a $25 gift certificate to keep for YOURSELF*! It’s all part of our “You Get What You Give” celebration. Gift certificates can be used for any treatment or product* offered at Marotta Facial Plastic Surgery – like Botox, Juvederm, Restylane, Medical-grade Microdermabrasion, Photofacials, Permanent Hair Removal, Facials, and more!

Purchasing a gift certificate is fast and easy! You can either come into our office where a member of our staff will assist you in person, or you can call and we will process the transaction right over the phone. Don’t have time for wrapping? We can gift wrap or direct mail the gift certificate for you if you’d like! It’s simple, it’s easy and it makes a super gift! Your family and friends will thank you for treating them to a gift of luxury and beauty and you’ll be thanking yourself too. It’s a gift you can feel extra good about because your purchase will help people who are in need.

ABOUT THE CHARITY

Marotta Facial Plastic Surgery helps support The Damien House Foundation, a charitable hospital and clinic in Guayaquil, Ecuador that transforms the lives of patients with Hansen’s Disease (leprosy). Hansen's Disease is a mild but persistent infectious disease caused by bacteria that enter the body by aerosol droplets and cause symptoms including nerve damage, lumps and/or ulcers on the skin, selective muscle paralysis, and blindness. Although rare in developed countries such as the US, the disease is prevalent in impoverished areas of Asia, Africa, and South America. According to Dr. Julie Gerberding, the director of the United States Center for Disease Control, "leprosy could be eradicated worldwide, if that goal were to be set." The disease is completely curable. After only two weeks on antibiotics, Hansen’s patients are no longer contagious. Full treatment to cure the disease takes anywhere from six months to two years, depending on the individual's immune system and the severity of disease present.

All money donated by Marotta Facial Plastic Surgery to The Damien House Foundation will be directly applied to providing medications & treatment to Hansen’s patients at the Damien House hospital and clinic.

ABOUT MAROTTA FACIAL PLASTIC SURGERY

Led by Dual Board Certified Facial Plastic Surgeon Dr. James C. Marotta, the practice offers facial rejuvenation/anti-aging surgeries & non-surgical treatments in a private, luxurious setting. Dr. Marotta’s extensive training in the highly complex anatomy of the face makes him a leader in injectable treatments. Recognized as a full facial rejuvenation specialist, he expertly performs all procedures in the comfort of his state of the art, on-site, AAAHC accredited operating suite.

Marotta Facial Plastic Surgery is also a center for medical grade aesthetic skin care. Licensed aestheticians and medical assistants skillfully provide medical microdermabrasion, permanent hair removal, photofacials, anti-aging facials & chemical peels. Additionally, the practice offers an extensive line of Jane Iredale Mineral Makeup, PCA products and is the exclusive retailer of the MarottaMD Anti-Aging Skin Care Line.

Give a gift — Get a gift — Help a cause!

Call (631) 982-2022 to purchase a gift certificate today!

* $25 Free Gift Certificates for purchaser apply solely to services at Marotta Facial Plastic Surgery and cannot be used for products. Coupons and other discounts offered by Marotta Facial Plastic Surgery may not be applied to gift certificate purchases.

Q and A: Juvederm or Restylane for under eye hollows?

2009-10-06T10:46:00.000-07:00

I use Juvederm and Restylane I think equally effectively for filling in under eye hollows or the tear trough deformity. Both products are clear, gel-like and made of hyaluronic acid which is probably the filler with the greatest safety profile. Injections around the eyes of any filler should not be taken lightly. You must seek expert advice from a Dr. that performs a lot of fillers in this area. Artistic injecting technique in the proper deep area or plane is critical to avoid filler visibility
and get a natural looking outcome.

Q/A Cheek Implants - Fat Injections

2009-08-25T14:33:00.000-07:00

Question: I am a single 27 years old female from the U.A.E. (Dubai). I have a very flat cheeks which make me look older and more tired than I am. I have tried fillers which last for only few months and they are too expensive as well as painful. I want a permanent solution. Do you suggest cheek implants? Can I custom the implants? I also want to place one between my lower lip and chin area, is this possible. I am not happy with my submalar area. Would it be difficult to talk if I used a thin implant in this area? What are the best materials that give natural look? Do you visit Dubai? If yes, when is you future visit? If no, can you suggest a friend surgeon who has practiced this procedure in my area (Dubai)?I had rehnoplasty a month ago, do I have to wait before I undergo cheek implants? You answers are very much appreciated. Please don't not publish my name or contact details. Thanks

Dr. Marotta's Response: The two permanent options for flat cheeks are cheek implants and microfat transfer. Cheek implants come in various sizes and configurations and are chosen based on your anatomy to give you the best look. Most surgeons use silicone implants because they are very well tolerated in the cheeks. Both the malar and submalar area can be augmented with a combined malar/submalar implant. The other option is Microfat transfer to the cheeks and submalar area. The benefit of fat injections is that they are your own tissue so the chance of infection is even less. Which option I choose in a patient really depends on how much facial fat loss or how much cheek augmentation we’re looking for. For changing the lower lip and chin area, a chin implant or fat injections are a more permanent solution.

I do not visit the U.A.E. but would love to someday. I do not know of any surgeons in your area with expertise in these procedures. You could always visit the U.S. as we have many international patients from Turkey, Germany, Italy… You do not need to wait after your rhinoplasty; the surgeries do not interfere. You can rest assure your contact information will not be published.

Hope this helps. Best wishes,

James C. Marotta, M.D.

Question/Answer on Midface Lift

2009-06-24T14:53:00.000-07:00

Question: Are all midface lifts done endoscopically these days?
Is it now common for the procedure to be done endoscopically? Are there any advantages to having mid facelift done NOT endoscopically (can you see more, have more control, precision)? Is it enough the "standard of care" that I should look skeptically at a surgeon who doesn't do this procedure? I'm thinking of having it done to improve the sagging of my cheeks but not sure its the right procedure.

Dr. Marotta's Response: There are really only a few ways to do a true midface or cheek lift. The "endoscopic" approach you mention is done through small incisions hidden behind the hairline; 2 in the temples and 2 behind the hairline above the forehead. Through these incicisions sagging forehead and cheek tissues (upper 2/3 of the face) can be elevated giving the patient a younger appearance. This is sometimes called the "Endoscopic Forehead Midface Lift" or the "Temporal Approach to the Midface" because it bascially it was developed from the endoscopic forehead lift procedure. This is my preferred technique and I have published papers about it. Some surgeons attempt to elevate sagging cheek tissues through the same incision as a lower blepharoplasty or eyelid lift. This is called the "subciliary approach" to the midface lift. In general this approach is less effective because there is notihing in that region strong enough to hold the sagging cheek while it heals. There is no more precision in either approach inherantly and I think it depends on the skill and experience of your surgeon.
Looking at your pictures you are an excellent candidate for an endoscopic midface lift because most of your aging is due to a sagging cheek, deeper smile lines, and hollow eyes all of which a midface lift will help. In my own practice I combine an endoscopic midface lift with microfat transfer to get even more dramatic and natural looking iimprovement in these areas.
It is very important to be clear on what a midface lift does vs. a facelift. You must understand the majority of cosmetic surgeons cannot do a true midface lift because they have not received the necessary training/experience in these procedures which can be technically difficult. These surgeons may dismiss the procedure as unimportant and offer a facelift or alternate procedure that really does nothing for the sagging cheek and nasolabial folds. Most facelifts offered are some kind of SMAS lift which really helps more the lower face, jowls, and neck. From your pictures these are not your problem areas. The only facelifts which may help the cheek and smile lines are the deep plane facelift or the composite lift. These procedures again are done by surgeons with advanced training and you won't find them in every office. I do alot of deep-plane facelifts as well but would offer that more to a patient who has not only a sagging cheeks but a sagging jawline or jowls and a sagging neck and who does not want a midface lift in addition to a "lower" (jowls/neck) facelift.

Question/Answer on Rhinoplasty Recovery

2009-06-24T13:43:00.000-07:00

Q: How many days to recuperate after rhinoplasty surgery?

Dr. Marotta's Answer: I tell patients to take about a week off from work or school to recover. In a majority of patients, the bruising and swelling has resolved by then. I also take the cast off the nose on the seventh day so people generally feel free to resume their daily routines especially if they want to keep their rhinoplasty surgery
confidential. In terms of the recovery from anesthesia and generally
feeling good, that happens much more rapidly; within 1 to 2 days.

Question/Answer on Puffiness Under the Eyes

2009-06-22T11:10:00.000-07:00

Question: I have always been very puffy under my eyes, and it makes me look tired.
People ask if I have been crying. I think I look sad. Is there anything that can be done to permanently reduce the puffiness?

Dr. Marotta's Answer: Puffiness under the eyes is usually due to fat that is protruding in the lower eyelid. This puffiness can be permanently reduced with a lower eyelid lift or blepharoplasty (pronounced blef-ah-row-plast-ee). In this procedure the excess lower eyelid fat is reduced or removed. A lower blepharoplasty can be done under local anesthesia, takes less than an hour, and frequently can be done with no visible external incision.

Question/Answer on Brown Spots and Laser

2009-06-22T08:22:00.000-07:00

Question from patient who received treatment elsewhere: IS THERE ANY PRODUCT OUT THERE THAT WILL REMOVE THE LARGE DARK SPOTS ON MY FACE. I HAD 2 LASER TREATMENTS THAT DID NOTHING!

Dr. Marotta's Response:
There are a number of very effective treatments available to remove "large dark spots". However, the first and most important thing to do is have a doctor who is qualified to treat the skin examine the spots and form a proper diagnosis. "Dark spots" can be many different things and you want to make sure the lesions are not pre-cancerous or even cancerous. The proper and most effective treatment also depends on the right diagnosis and can range from surgical excision, to chemical peels, laser, intense pulsed light or topical medicines.
If you did see a qualified doctor for your treatment with laser, return to them and ask them why it didn't work.