Patient Questions

Hootan Zandifar is an Expert Contributor on FindaTopDoc. Here are some of their recent answers to patient questions.

Plastic Surgeon
Hootan Zandifar, MD

Thank you for your question. It is really hard to say exactly how many treatments you need without actually examining you and seeing what it is we are treating. Dermabrasion is a procedure that is done to improve the appearance of scars, skin irregularities and certain other skin conditions. A microdermabrasion is a gentle procedure that is done to resurface the skin and give you skin a healthy glow.

I guess the question is what do you want to change about your eyebrows? If you want them to be higher then yes you can have a brow lift to raise them. This can also be achieved using Botox. If you want fuller eyebrows then yes. This can be done with eyebrow hair transplantation. Hope that answers the question.

There are so many factors that play a role in the efficacy of scar revision surgery. First, the type and location of the scar. Then the length, characteristics and color of the scar. Finally, the amount of normal tissue that is around it. For example, it is very difficult to get rid of a scar that involves a big portion of a body location. In those instances you can improve the appearance but not entirely get rid of it.

This really depends on where you are located. There are some cities that still have rules regarding elective surgery but for the most part majority of the country is moving forward with allowing elective surgeries to proceed.

Thank you for your question.  Hair transplant procedures are not generally dangerous.  First, you have to make sure that it is being performed by someone with great deal of experience.  Second, you want it to be done in a clean facility.  Otherwise, hair transplantation using the follicular unit extraction technique (FUE) is a safe and highly effective method to treat balding and thinning of the hair.

Typically after nose surgery I have patients avoid types of food that makes their nose run. These could be spicy or hot foods. Also as the temperature of food goes up so will the blood flow to upper aerodigestive system. So it is best to avoid eating really hot foods and stick with warm or cold food and drinks instead. Good luck with your surgery.

Botox treatment or any other similar treatments (i.e. Dysport or Xeomin) usually lasts 3-4 months. However, it isn't unusual that if you use these medications for a period of time that the duration between each injection increases. I have some patients that go 6-12 months before needing injection. However, they have been with me for years so it takes time for the muscles to not need these treatments as often.

Absolutely not. Ear tubes are inserted on the ear drum which is deep inside your ear canal. Removal of the tubes should not in anyway change the shape of the ear itself.

Both are great treatments to get rid of fat. It really depends on the amount of fat you need to get rid of and the number of treatments you are willing to have. Generally, both can get rid of a good amount of fat but Kybella needs more treatments than CoolSculpting. Procedures such as liposuction on the other hand will only need one treatment and can get rid of more fat from the face.

This is a great questions. There are several ways to augment someone’s cheek. One is through the use of fillers like Restylane, Jeuvaderm, Sculptra and Radiesse. These methods give great results but are no permanent. You can also do cheek implants which is a surgical procedure. In this case, however, the results are permanent. You may want to start by getting fillers and if you like the results move on to a more permanent method.

Cheek lift is usually done through 2 separate incisions. It is either done via a small incision in your mouth along the cheek. This is called a trans-buccal incision. Another incision is done through the inside of the lower eyelid. This is called a trans-conjunctival incision. Either incision heals well and there is no scarring. The best incision is decided after your exam.

The short answer to your question is yes. Plastic surgeons can treat both acute burns and burn scars. However, most acute burns are treated in a hospital settings. As for burn scars, this can be done as an outpatient setting.

There are a few ways to make lips bigger with surgery. One method is via fat grafting. This is where fat is taken from another part of the body (such as the stomach or thigh). Another method is to use a permanent implant for lip augmentation. Both these techniques give great results and have little recovery time.

I am sorry to hear about your accident. There are many ways that plastic surgery can either remove or improve the appearance of scars. It really depends on the location of the scars and the characteristics of the scar. A raised scar can be injected with steroids, can be treated with lasers and dermabrasion. Depressed scars usually do well with resection and re-closure but can sometimes improve with dermabrasion.

Botox is typically a very safe procedure. However, like most other procedures it can have some side effects. The most common side effect is headaches. These are usually temporary. You can also have allergic reaction to Botox. This is, however, very rare. Most other side effects are related to the Botox spreading from the area of injection to other locations. This can lead to a droopy eyelid or fullness of the upper eyelids.

Facial plastic surgery in general is not very painful. However, there are many procedures that fall under the umbrella of facial plastic surgery and some of them can be more painful than others. For example, a nose job that requires hump reduction can be more uncomfortable than a blepharoplasty procedure.

This is a great question. Hair transplantation is a wonderful procedure that gives great natural results. The best part is that it can be done totally with local anesthesia and the reason for this is that the procedure is not very painful. There is some injection involved during the initial numbing process but after that most patients are very comfortable and have no issues. However, I should caution that if your surgeon does strip technique then there is sutures and pain associated with this procedure. Most surgeons now will use a follicular unit extraction technique that is scar less and pain less.

It is completely safe to have a nose job in the summer. My philosophy is that you should have your surgery when you have the most amount of time to recover and often times summer and holiday season are the best times to have a rhinoplasty procedure.

Great questions. Otoplasty is a surgery that is usually done for protruding ears. it allows for tucking back the ears. There is no evidence that otoplasty procedure can affect your hearing.

It is absolutely possible to treat male pattern baldness, however, it depends on the extent of baldness. If you have only a small U shaped hair left you are not a candidate for hair transplantation. Otherwise, hair transplantation utilizing follicular unit grafting is the best way to treat male pattern baldness.