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

I'm sorry to hear about your burns. The treatment for burns is multifaceted and at times requires skin grafting. Most skin grafts will heal in 4-6 weeks. However, it really depends on the area that the grafts are placed and mainly how healthy the tissue under the burn area is. If it is healthy and has lots of blood supply then the skin graft should heal faster. If it is not then it will take longer. I hope you recover fully from your injuries and get back to your daily life.

This is a great question that most patients ask. There is no set time for a nose job (also known as rhinoplasty). It all depends on many factors. First, what exactly will be done? Will the surgeon be removing a bump, making the tip smaller, narrowing the bridge or straightening the nose or all of those and more? The exact time really depends on how much work is needed. Second, have you had any surgeries before? Is it a revision surgery? Are you having any functional work such as septum done with it? I would say that in my hands most primary nose jobs take anywhere from 2-4 hours. Add to that about 30 minutes for going to sleep and waking up and you get a rough estimate of anywhere from 3-5 hours. Hope that answers your question and enjoy your new nose.

To answer this question, first, let me start by saying that any type of procedure or surgery can have risks. However, using injectables to plump your lips is generally very safe and the risks are very low. Now that being said here are some risks and depending on what type of material is used some of these risks are temporary and/or can be reversed. First, there is a chance of swelling and/or bruising. This is understandable, especially since if you have ever bitten or hit your lip you know how much the lip can swell. Ice and cool compresses will usually resolve this. Second, there may be some asymmetry to the lip. If this does happen, however, you can get a touch-up and make the lips more symmetric. Now the more serious risk is one that is called intravascular injection. This is when the material is injected into the vessel. This risk is very low but serious. If this occurs and you had a type of filler that was made of hyaluronic acid then you can get an injection of special medication to dissolve the filler. The lip may need further treatment as well. Luckily this risk is very low and if the injection is done properly it hardly occurs.

This is a great question and good for you to think about this. When you are having cosmetic surgery around areas that serve a function (Such as ears, nose, mouth and eyes) it is always important to consider the effects of the surgery on those functions. You should always seek the advice of a surgeon experienced in surgery in those areas. Luckily, otoplasty (Surgery done to correct a protruded ear) done properly should in no way affect your hearing. The surgery will simply re-create the natural contour of your outer ear and reduced the protrusion of the ear. Your ear canal and vital ear structures that aid in hearing should remain undisturbed.

This is a really good question that everyone who is considering rhinoplasty (Nose job) should consider. When surgery is being done around a structure that serves a function such as the nose extreme care needs to be done not to affect that function. In case of a rhinoplasty it can absolutely affect the way you breath. However, when done correctly, rhinoplasty typically can make your breathing better. I recommend seeking the advice of a surgeon who specialized in functional and cosmetic surgery of the nose. This way you can ensure that your breathing will not be negatively impacted.

Plastic Surgery in general is very safe and carries little risk. This includes liposuction. There are some risks that can be seen with liposuction such as bleeding and infection but they are relatively low. There are some risks that are rarely seen such as poor cosmetics, nerve or muscle weakness and pigment changes, when the surgery is performed by a well trained and experienced surgeon. If you have an experienced surgeon who is appropriately trained then you should not worry about anything.

I’m so sorry you are experiencing this. I know getting a facelift is a big decision and you don’t want to have any hiccups along the way. What I would say to you about your symptoms is that generally most nerve weaknesses that occur after a facelift are temporary and full recovery is expected. Especially if you did not have a deep plane facelift. Lots of times swelling around the nerve is the cause. To that end, if your over all health permits, we can put you on steroids to decrease the swelling further. This should aid in the recovery of the nerve. I hope you recover soon and get to enjoy your facelift as you had intended to.

Hi this is a great question. There are multiple ways to address hair loss. The common procedure we consider "hair transplant" is a follicular unit graft placement. This requires harvest of hair follicles from the back of the head and transplanting them to the areas of hair loss. Depending on the amount of hair loss anywhere from 1500 to 3000 follicular units can be grafted in one sitting. This procedure is not a very invasive or painful procedure. Today most surgeons use a robot to harvest each follicular unit individually and all that is required is to numb the area of the harvest and the area of the transplant. After surgery there is some mild aching or discomfort but it lasts for only a few days.

This is a great questions. We know that our nose continues to grow and mature into our early adulthood. It is generally thought that the safest age is when most of the growth has happened. In most that is after the age of 16. However, some people can have surgery a few years before that while others should have surgery a few years after that. This is generally determined based on how much bone structure maturity someone's face has. So the best way to know is to see your facial plastic surgeon.

Unfortunately, no one can promise a 100% result. But the good news is that we can generally have a very good idea of what we can do or not do with a nose prior to the surgery. A crooked nose with a bump is something that can definitely be corrected with a cosmetic rhinoplasty and the results are generally very good and patients are very happy. You just have to make sure you surgeon is a board certified facial plastic surgeon who has completed years of training in facial and nasal surgery.

Sometimes having a deviated septum is obvious. You can look at your nose from the base view and see if the middle wall is crooked. Sometimes it is not so obvious and the deviation is inside the nose. In that case the symptoms are generally a blocked nostril. Sometimes you can have nose bleeds because of a deviated septum. In that case, you will have to see your facial plastic surgeon or ear nose and throat surgeon to know if your septum is deviated. Generally, the only way to improve breathing is to have surgery to get the septum fixed. The surgery is usually outpatient and recovery is about one week.

First, congratulations on losing over 100 lbs. That is a major accomplishment and you should be proud of yourself. Now, there are several treatments for stretch marks which include lasers, carboxytherapy and surgery. If you also have excessive skin after your weight loss then surgery that can remove the excessive skin and address the stretch marks is likely the ideal option for you.

Most of hair transplantation does not need anesthesia but while you are getting numb it is best to have a slight amount of twilight sedation so that you do not feel the discomfort of the injections. This can be done without any breathing tubes placed and is only for your comfort.

I assume what you are referring to is the cross marks from the stitch. To treat this depends on when your last surgery was. If it was less than a year then you should wait as it can continue to fade. If more than a year it can be treated with either topical medication, laser resurfacing or excision and re closure.

This is a great question that comes up often. The answer, however, mostly depends on the exact type of plastic surgery that is being performed. With facial surgery, there are two categories of correction. It can be either soft tissue correction for aging (such as facelift, blepharoplasty, brow lift...) or bony augmentation (such as chin implant, cheek implant...) or a combination of both (such as a nose job or rhinoplasty). Each of these procedures has its own set of risks so without knowing which procedure, the general risks are bleeding, infection, nerve or muscle weakness, scarring or pigmentary changes. There are more specific risks associated with each different procedure.

This is a great question. The best way to address a crooked nose is to have a rhinoplasty surgery. This is the best solution for improving the shape of the nose.

Thank you for asking. The wrinkles around the eyes can be treated in several ways. First, having a good skin care regimen is important. You should always wash makeup at the end of the day and apply a good cleanser to remove any dirt from the skin. then application of a good moisturizer is important. Lastly, a good antioxidant lotion helps to stimulate collagen formation. A special eye cream can also be applied. This regimen should be followed regardless of doing any surgical procedure. Next, plastic surgery can help to remove the wrinkles. This can be done via various techniques and depends on your skin type and extent of the wrinkles. Lasers, peels and surgery can all be done alone or in combination to achieve the desired results.

That is a great question. Botox is a medication and like all medications it can have side effects. However, the risks are very low. Most common complaint is bruising at the site of the injection and temporary headaches. In most cases these are very temporary. Botox is otherwise a very popular product injected safely millions of times each year with a very high patient satisfaction profile. Dr. Zandifar

First let me say that IPL when performed properly is safe and with limited complications. After an IPL or photofacial it is not uncommon for some of our pores to get plugged and we feel the bumps on our skin. This is usually from the lube used on the laser during treatment. This is likely what you are experiencing. If this is the case, it should dissipate in a day or two. Just make sure you are using a non-comedogenic moisturizer. If there is redness or pain associated with it, then you could be getting an infection and I would see your doctor immediately to start the right kind of treatment. Hope this helped. Dr. Hootan Zandifar