Posts for: April, 2016
Ask the Doc?
My eyelids are so heavy. What can be done to see better?
Thanks for your questions! I frequently see patients who desire an improvement in their vision which is normally covered under most insurance plans. Some patients have prominent laxity of their forehead skin called brow ptosis while others have an excess amount of skin over their eyelids which we refer to dermatochalasis. Frequently these conditions are seen together and patient's benefit from simultaneous surgery to elevate the brows to their normal position and remove excess skin from the upper eyelids. A minimally-invasive technique called an endoscopic brow lift can be done for many patients often depending on the location of their hair line. Using this technique, I am able to elevate the skin of the forehead and brows to an aesthetically pleasing location and help improve vision all while hiding all potential scars in the hair. No hair is shaved for this procedure.
Like all surgeries, this surgery requires a recovery period. Most people, however, are extremely satisfied with the improvement of their vision and also love the simultaneous rejuvenation of their upper faces.
If you feel like your vision is compromised from heavy brows or eyelid skin or simply would like to discuss rejuvenation of your upper face give me a call at (336) 716-4000 and I would be happy to discuss options for you.
Jordan Wallin, MD
Learn about facelifts and what they could do for you from your Clemmons facial plastic surgeon.
Looking young has never been so important as it has become in recent years. As we age, the elements in our skin which make it firm and taut, such as elastin and collagen, begin to break down. Skin begins to sag and wrinkles begin to form. However, a facelift can tighten the skin, rejuvenating your appearance and giving you a younger appearance in just one procedure.
What is a facelift procedure?
A facelift, known medically as a rhytidectomy, is a surgical procedure to tighten the facial skin and remove unwanted wrinkles or folds in the face. The sagging, excess skin is pulled taught to tighten it, eliminating wrinkles and folds. The best candidates for facelift surgery are from 40 to 70 years old, with some elasticity left in the skin. You should be in good general health and have realistic expectations for the outcome of your procedure. While a facelift is not the fountain of youth, it does provide a rejuvenated, refreshed and younger appearance.
What can I expect during the procedure?
Before the procedure, you will have a consultation with your Clemmons surgeon to go over expectations, what will happen during the surgery and what recovery will be like. Before your surgery, prepare ice packs, gauze, clean towels and anything else you will need during recovery. During surgery, your surgeon makes incisions along the hairline and under the chin. Your surgeon can manipulate the underlying muscle and tissue through these incisions. The procedure takes about two to six hours and recovery lasts about two to three weeks. Bruising and swelling are normal and the first few days of recovery are the hardest.
How can my surgeon help?
Your facial surgeon can provide you with all of the information you will need on facelifts, the procedure itself, reasonable expectations and questions about recovery. Your initial consultation is your time to ask any questions and address any concerns you may have. Consult with your surgeon to determine if a facelift is the best cosmetic surgery procedure for you.
For more information on facelift surgery, please contact Dr. Jordan Wallin and Dr. Brian Downs at Wake Forest Baptist Health in Clemmons, NC. Call (336) 716-4000 to schedule your consultation for a facelift today!
What’s New in Facial Plastics?
Wake Forest welcomes Lewisville-Clemmons Chamber
Wake Forest Facial Plastics is pleased to host the members of the Lewisville-Clemmons Chamber
for an after-hours event tonight. As facial plastic surgeons and a medical esthetician serving the
Lewisville and Clemmons communities we applaud the chamber’s mission to:
- Review, improve, and promote strong business practices
- Recognize leadership and outstanding contributions to the community
- Support the principles of free enterprise and promotes pro-growth policies at federal, state and local levels
- Establish best practices and stays in-step with industry changes
I have lost my neck line, what can I do to bring back my youthful neck?
There are many factors that contribute to a neck that appears aged:
- Skin Quality (age spots and laxity)
- Fatty Tissue
- Gravity's effect on the soft tissues of the face and jaw
- Pulling apart of muscles found in the neck leading to "turkey neck"
Depending on the cause of the aged neck many options exist. Some patients will experience the best result with surgical procedures to lift and tightening the skin. Others might be good candidates for in office procedures to reduce fat along with treatments such as liposuction or Kybella®.
This patient was concerned about her neck and underwent a surgical procedure to lift and tightening the skin helping rejuvenate her neck line.
Call our office today 336-716-4000 to schedule a consultation and mention this blog and receive the consultation for free.
Jordan L. Wallin, MD
Rosacea (Pronouced "roh-Zay-sha")
Red cheeks are usually considered a sign of health and beauty, as attested by the many dollars spent on blush to give the cheeks a flushed glow. However, persistent red cheeks and easy blushing in the adult population are often the first signs of rosacea, which is an unpleasant, incurable skin disorder that is persistent. In addition to the redness of the cheeks, rosacea can appear on the nose, chin and forehead. It can cause dry, rough, and sensitive skin, as well as, papules, telangiectasia (tiny blood vessels), eye irritation , and enlargement of the nose.
What is Rosacea?
Rosacea is a chronic skin conditin that affects the face and appears as a flush or redness, which can make you look as though you are blushing all the time. Rosacea is a result of the enlargement of the small blood vessels (capillaries) on the face. The first sign of this skin condition is a blush of redness around the cheeks and on the nose. Some individuals develop acne-like bumps on the skin around the chin, cheeks and forehead. It can sometimes be mistaken for eczema, acne or sometimes a skin allergy. The severity of the conditions differs will be individual to the effected person. If left untreated, the redness of the face becomes constant. Sensations of burning or stinging sensations may occur as well.
What are the Signs and Symptoms?
The appearance of rosacea will vary among individuals; however rosacea always includes one of the primary signs and symptoms. Secondary signs and symptoms may develop as the skin conditions progresses.
Primary signs and symptoms include:
Bumps and Pimples
Visible Blood Vessels
Other Potential Signs and Symptoms:
Eye Irritation - eyes may be irritated and appear watery or bloodshot, a condition known as ocular Rosacea. Eyelids may become red and swollen.
Burning and Stinging- sensations of burning and stinging often occur on the face.
Dry Appearance - The facial skin may be rough and appear to be very dry.
Plaques- raised red patches may develop.
Skin Thickening - skin may thicken and enlarge from excess tissue, most commonly on the nose. This condition, known as rhinophyma affects more men than women.
What Triggers Rosacea?
Rosacea flare-ups can be trigered by a variety of things and triggers for an individual may change over time. Additionally, each rosacea sufferer may have differing triggers. Some of the factors that can trigger a flare-up or worsen symptims may include: emotional stress, caffeine, sun exposure, overheating, wind, strenuous exercise, alcohol consumption, hot baths, cold weather, spicy foods, humidity, skin care products, and heated beverages.
Rosacea is an extremely complex skin disorder with many individual characteristics. This chronic condition can be managed with lifestyle changes and therapeutic practices. The key to management of rosacea is education, skin care and treatment. Avoiding triggers is the main key to management. Triggers can cause a flare-up of the skin, both exposures and situations such as sun exposure (always use sunscreen and wear hats), alcohol consumption and spicy foods. Facial cleansers, lotions and some cosmetics can aggravate the skin causing a flare-up as well. It is important to learn your triggers and keep exposure to minimal.
See a health care professional to learn about prevention, medications, information regarding trigger avoidance and appropriate skin care regimens. Our esthetician has numerous treatments and skin care products to aid in improving the signs of rosacea. We are happy to help you put your best face forward.
336-716-4000 (option #1)
Matthews, Sarah M. "10" Dermatologic Nursing Essentials. Ed. Norren H. Nicol. 3rd ed. Philadelphia: Wolters Kluwer, 2015. 135-38