| Q | Name: kathy
Question: i would like to have a eyelid
surgery.(non cutting)
so i want to have a counseling 4 that.
do i have to pay the counseling fee and can u tell me the price of the surgery??
thank you. |
| A | First time consultation at this office for non-revisional cosmetic surgery is free of charge. Please call the office to obtain estimates on surgical costs. (213) 384-7555
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| Q | Name: Sun Lee
Question: Dr. Bae, I want to get a nose job to raise the bridge and slightly define/sharpen the tip. Is it possible to sharpen the tip and get a little projection without getting an implant in the tip? Also, does the procedure require packing of the nose after surgery? If so, when does the packing have to come out? If you could answer these questions for me, I'd really appreciate it and I'd come in for a consultation for further questions. Thank you. |
| A | If you have well developed cartilage on your nose tip area, we can use that to achieve better projection without using any implant. Packing is used only when there's need for osteotomy (fracturing of the nasal bone) or septoplasty. For nasal dorsum and tip augmentation, packing is not necessary.
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| Q | Name: Tina
Question: Hello Dr. Bae. I was wondering..if I used a cutting method for a double eyelid surgery, is it possible to do a revisional surgery using a different method? Also, how long would I have to wait before I attempt to do another surgery? Another thing is..I've heard that decreasing the fold height is easier than increasing the fold height when you're using the cutting method..
is this true?? Thank you. |
| A | If you already had full incisional surgery, it will be a mute point trying to use non-incisional or limited incisional methods at this time. You already have full length scar from previous surgery! And you have the information in reverse. Increasing the fold height is much easier than decreasing the fold height.
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| Q | Name: Tina
Question: Oh, one more thing...what does it mean when your eyes are retracted?
Also, when you're doing a double eyelid surgery, and your eyes swell up while
doing the surgery... as a doctor do you somewhat have to guess where your gonna
be putting the sutures and etc? ( I was wondering..because this is what another doctor had told me and I can't seem to comprehend ) |
| A | I am not able to tell you what "retracted" means without actually examining you in person. Also the comments made on the swelling during the surgery... Most of the swelling occurs within 48 hours following the surgery. Intraoperative swelling is mostly due to excessive local injection or less than delicate surgical technique in my opinion. Although cosmetic surgery is not 100% science and rather involves artistic input, there's no "guess-work" involved in double eyelid plasty!
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| Q | Name: Sarah
Question: Dr. Bae.. I'm so dissatisfied with my double eyelid surgery that was done by another doctor..I don't like the contour as well as the fold height is too big ..I don't think there's anything that I could do to improve the image of
my eyes because I've used a cutting method for my double eyelid surgery. Can I use some type of a cream to get rid of my fold lines so that they will fade away?? ( that way I could somewhat start over as if I'm having my first surgery if the crease line is mostly faded away) Would it almost completely disappear within time or is there a product that i can use? Also, when you use a cutting method, do you cut the outer layer of the skin on your eyelids? Thank you. |
| A | Just because you had your surgery done by full incisional approach, you should not blame the outcome on the procedure itself. Surgical outcome depends on the surgeon's skill, your preoperative anatomy and skin type, post-procedural care, etc. Your scar will fade with time, but will not disappear completely. And there isn't any magic cream to return your eyelids back to the way they were.
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| Q | Name: sarah
Question: do you use gortex or silicon for nasal implant? and for the tip, if I
have no more septal cartilage left, do you use the ear cartilage for graft? |
| A | I use silicone, Gortex, Medpore, AlloDerm, and autologous tissues including septal and ear cartilages. The implant choice depends on the preoperative condition of your nose and the desired nasal shape and contour.
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| Q | Name: julie
Question: Dr.Bae,I had my eye lid surgery done 4 years ago. I'm not satisfied with the result because my eye lid still look puffy. I have a lazy eyes so my eye lid doesn't fold completely. I was wondering what kind of procedure can I do to change this. HOw much would it cost? do you receive payments?and would I receive any side effects? |
| A | If you had your surgery done more than 6 months ago and your eyelids still remain puffy, then it is most likely due to inadequate removal of lid margin tissue beneath the fold line or due to the excessive scarring following surgery. Also, lazy eyes (also known as eyelid ptosis) should have been improved at the time of eyelid surgery by tightening the muscle that elevates eyelid. Revision can be done at this time but will be little more involved than the initial surgery. For the questions regarding fee estimates, please call office. (213) 384-7555
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| Q | Name: gracepak
Question: Hi, Doctor.
I want to inquire about reduction of so called dark circle under the eyes or
puffyness under the eyes.
I know that in Korea they do different type of surgery, i think just removing
fat under the eye by lasier or some sort. I don't want to cut and sew under my eyes(no stitches). If you do perform this type of surgery i would like to make an appointment.
thank you |
| A | The procedure that you are referring to is called transconjunctival lower blepharoplasty. Small incision is made inside of the lower lid (thus no incision or stitches outside) and the protruding fat is removed.
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| Q | Name: TL
Question: Dr. Bae, someone I know got their revisional double eyelid surgery
and now they can't close their eyes properly...Can you possibly do another
revisional and correct this matter? ( I was wondering about this because I
know that there is a possibility that your eyes might not close right with a
revisional surgery..and I'm afraid that if I myself get a revisional..it might
happen to me as well).
Also, I've gotten a lot of wrinkly
looking skin after the surgery due to the way that the fold folds...it folds
very unnaturally so my skin somewhat budges...can this also be corrected? |
| A | Inability to close your eyes fully can occur after either the initial or revisional surgery. It is usually due to over-excision of lid skin or damage to the muscle that opens your eyelid. You may see some improvement over time. However, if the surgery was done long time ago and the the problem is persistent and severe enough to cause dry eye syndrome including irritation and visual decline, then something needs to be done rather quickly. Also the lid skin wrinkling after double eyelid plasty can result from the improper designing which can improve with revisional surgery. Be advised that specifics can only be attained after in-office examination.
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| Q | Name: M. Lee
Question: Dr. Bae, thanks for your informative site. I have a 16 year old
daughter. She's been using tape and lately glue to create double eye lid. I am so unhappy with the time it takes for her to do that as well as the look, that I have finally come to a decision to get her surgery. One question I have has to do with the fact that her eyes don't close completely when sleeping. Would the surgery exacerbate this condition? Thanks in advance for your reaply. |
| A | Long term use of tapes or glues can result in the premature sagging of upper lid skin necessitating skin removal at the time of double eyelid plasty. However, at age 16, most likely the procedure can be performed without skin excision. Under these circumstances, double eyelid plasty will not improve eye closure, but will not worsen it.
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| Q | Name: sandy
Question: what is the aesthetic difference between medpor, silicon and
alloderm. Which one gives that "pretty, defined" look? I have two friends that
both got silicon in their nose, and one of them is well defined, and the other
one looks washed out. You can't really see the definition of the bridge. |
| A | Medpore is a porous implant material so that capillaries (small blood vessels) can grow into the implant with time thus deemed more tissue friendly. However, it is a very hard material and the end result feels somewhat bony especially when it's used in the nasal tip. AlloDerm undergoes various degree of reabsorption after implantation, thus the end result may be dismal even if the immediate post-op result may be very natural and stunning. Silicone is the most widely used nasal implant material, and it is the most versatile choice in terms of shaping the nasal contour. However, it too has drawbacks including implant displacement, nasal tip skin thinning with time, and implant extrusion, etc. Another option is to use Gortex on the nasal bridge and ear cartilage graft on the tip which gives very natural appearance and feel. However, it is limited in terms of the degree of nasal augmentation and shaping. As you can see, all the implant options have its own pros and cons, and the best implant choice really depends on your nasal shape and the shape that's desired. Final result will depend on the implant choices, skill levels of your surgeon, and your current nose size and shape.
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| Q | Name: sandy
Question: I was also wondering, do you use botox as one of your methods for
recontouring the jaw bone? |
| A | Botox cannot recontour the jaw bone. What it does is that by blocking the nerve stimulus to the jaw muscles, it can induce atrophy from disuse (ie, muscles getting smaller when it's not used). Botox treatment can reduce the size of the jaw muscles by 20-30% over 2-3 months although individual variations exist. Be informed that this type of treatment is off-label use of botox.
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| Q | Name: michelle
Question: I had a revision in the past and my eyes cannot completely close
without effort and the fold is still too low. I was wondering in order to createa higher fold, is it really necessary to remove more skin? |
| A | It's not necessary to remove more lid skin in order to increase the fold height. Moreover, if more skin is removed, it may worsen your situation by making the eye closure even more difficult.
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