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What is a liquid facelift and how is it different from a normal facelift?
Posted January 06, 2010 4:26 PM

Question:
What is a liquid facelift and how is it different from a normal facelift?

Answer:
The term liquid facelift is a name given to the use of a combination of facial fillers (such as Restylane and Perlane) with Botox or Dysport. The Botox or Dysport are used to treat the upper one third of the face. This improves the forehead and glabellar wrinkles. The fillers are used for the nasolabial folds and the marionette lines. In addition, they are sometimes used to augment the cheeks. The traditional facelift is a surgical procedure that helps to improve the neck and jowls.

Posted by Dr. Bustillo

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How long does a rhinoplasty procedure take, and will it all take place in your office or will I need to go to another surgical center?
Posted January 05, 2010 10:31 AM

Question:
How long does a rhinoplasty procedure take, and will it all take place in your office or will I need to go to another surgical center? Will I need to arrange transportation to and from the surgery?

Answer:
The rhinoplasty procedure last about two hours. The surgery is performed in an AAASF accredited surgery center located next to Baptist Hospital here in Miami. Because you will be under anesthesia, we ask that you have someone bring you and pick you up after surgery.

Posted by Dr. Bustillo

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How long after my facelift procedure will I be able to resume my exercise regimen?
Posted January 04, 2010 5:11 PM

Question:
How long after my facelift procedure will I be able to resume my exercise regimen? I typically go to the gym 5 days per week for an hour.

Answer:
Patients undergoing a facelift procedure need at least three weeks of recovery before returning to exercise. This gives ample time for the immediate swelling to subside. Doing exercise before three weeks may cause excessive swelling as well as increase the risk of bleeding.

Posted by Dr. Bustillo

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I have heard the term “weekend facelift.” To what does this refer?
Posted January 03, 2010 8:17 AM

Question:
I have heard the term “weekend facelift.” To what does this refer? If so, how does this differ from a regular facelift?

Answer:
The “weekend facelift “ is a term given to a mini-facelift done under local anesthesia. Unfortunately, this is many times a marketing gimmick. The results are usually short lived and less than desirable.

Posted by Dr. Bustillo

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I am a heavy smoker and want to look into a facelift procedure in order to enhance the appearance of my skin.
Posted January 02, 2010 2:19 PM

Question:
I am a heavy smoker and want to look into a facelift procedure in order to enhance the appearance of my skin. In preparation for the surgery, can I use nicotine replacement therapy (NRT) or do I have to stop smoking cold turkey?

Answer:
Nicotine is the substance found in cigarettes and in the nicotine replacement patches and gum. Nicotine is detrimental to healing after surgery because it constricts, or closes, the small blood vessels. This in turn, prevents blood from getting to the healing tissues. The outcome is death if the skin in operated area. Therefore, if you are a heavy smoker, you must stop smoking at least two weeks before surgery and refrain from using any nicotine replacement therapy.

Posted by Dr. Bustillo

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I will be going on vacation this spring
Posted January 01, 2010 11:13 AM

Question:
I will be going on vacation this spring, and I want to schedule my facelift such that I can be recovered and ready to resume normal activities in time. How far out shall I schedule it?

Answer:
This is a common question that many patients have. Patients can return to normal activity, such as exercise, training or similar activities at about three weeks. However, I recommend that the facelift procedure be performed about at least six weeks ahead of a special event, such as a wedding. This gives additional time for further healing and takes into account any possible delays in healing.

Posted by Dr. Bustillo

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Facelift Consultation
Posted July 01, 2009 9:33 AM in Facelift

Michelle
Question:
I recently requested a consultation for a facelift. I am 41 years old. I have started to see sagging, but mostly on one side of my face. I wanted a more "refreshed-younger look- but nothing too drastic. I was ready to schedule my surgery when the plastic surgeon I had selected said that he took a closer look at my face and said he wanted me to see his associate that specializes in chins. Up until now I never really had a problem with my chin- however I was told that my chin was weak. They both agreed that without the chin augmentation, my miniface lift would actually look worse. I can't afford a chin lift at this time and so I'm feeling a little hopeless and very disappointed. Is it possible that without a chin surgery a little skin lift would look worse? I really would like a second opinion.

Dr. Bustillo
Answer:
Michelle,
Chin augmentation is sometimes used during the facelift procedure in patients that have weak chins. However, there people with weak chins that are happy with this characteristic. A facelift procedure can be performed on a patient with a weak chin with satisfactory results. In my opinion, a facelift performed on a patient with a weak chin will not look worse. I suggest you seek another opinion.

Posted by Dr. Bustillo

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Is it possible that my eye bags are hereditary?
Posted June 24, 2009 2:37 PM

Sandra
Is it possible that my eye bags are hereditary?
I am 22 years old and my under eye bags are enormous. The bags that I have are below my eyes and I am constantly being told I always look so tired and I am actually well rested. My bags look kind of like sacks of water.

I think it is hereditary because my relatives also have these unusually big sacks under their eyes.

Dr. Bustillo
Sandra,
The lower eyelid "bags" that you are seeing is actually fat that bulges out from beneath the eye. This typically occurs in older individuals, but there are situations where this occurs in younger people. This is sometimes hereditary, so that's probably why other family members may have the same condition.

In younger individuals like yourself, the operation typically consists of removing some of the fat through a tiny incision inside the eye. Occasionally, some of this fat can be draped to fill in the "tear trough," a valley that runs from the inside of your lower eyelid towards the face.

Posted by Dr. Bustillo

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