ONABOTULINUMTOXIN-A is the active ingredient in Botox*. The treatment involves several tiny and virtually painless injections into certain facial muscles to block the nerve impulses that cause muscle contraction. The resulting relaxation of these muscles diminishes the look of lines and wrinkles. The target area for Botox* Cosmetic is the forehead, the "worry lines" between the brows, and crows feet around the outer eyes toward the temples. Additional treatment areas can include the lines above the upper lip (smokers lines), and the two bands that stretch the length of the neck vertically. This simple injection is performed in the office and takes about 15 minutes. The results last approximately 3 months. Consecutive treatments tend to have a longer lasting effect and eventually the time between treatments can be increased resulting in less treatments required to maintain the results.
As with all injections, there is always a risk of bruising, bleeding, swelling, and/or tenderness at the injection site. Although not guaranteed, it can be advisable to refrain from blood thinners and alcohol for up to one (1) week prior to treatment in order to minimize the chances of bruising or bleeding.
Juvederm* injectables are specially formulated hyaluronic acid fillers that are injected into target areas in order to plump or fill areas of the face that have deeper lines or have a hollowed appearance. Target areas include the cheeks, lips, nasolabial folds (lines on the sides of the mouth and chin), and temples.
Depending on the treatment area, level of movement, and metabolism, the results can last from 6 to 18 months before the need for subsequent treatments is required.
As with all injections, there is always a risk of bruising, bleeding, swelling, and/or tenderness at the injection site. Although not guaranteed, it can be advisable to refrain from blood thinners and alcohol for up to one (1) week prior to treatment in order to minimize the chances of bruising or bleeding.
The nasal septum, the internal vertical cartilage that gives your nose structure and shape) influences more than just the appearance of your nose. It is the framework for providing an open airway to your lungs. A deviation describes when the septum is slanted to the right or left or has multiple curves, typically due to trauma to the nose. A nasal fracture will typically result in a septal deviation that is visible externally, but less traumatic blows or injury can also result in a deviation that is not noticeable from the outward appearance of the nose but can still result in the same effects on your health. A significant enough deviation may restrict airflow on one or both sides of the nose. It also affects the size and shape of the nasal airway which may reduce the ability of hair and mucous in the nose to filter and trap dust, germs, and allergens from entering further into your airway, sinuses, and lungs. A deviation may also prevent normal drainage of the mucous and sinus cavities, thereby collecting any foreign materials that may have been breathed in and allowing them to remain and proceed further into your body where they cause inflammation and infection.
Resurfacing procedures can reverse up to 10 years of aging in one treatment. C02 Laser treatment is performed in the outpatient setting and is typically (but not always) performed along with another facial surgery procedure.
The down time varies, keeping in mind that the skin cycle is approximately 6 weeks. Until that time, varying degrees of redness, swelling, peeling, and tenderness may be expected as your skin proceeds thru it's normal regenerative cycle.
Moles, lesions, scars, etc. can be unsightly and/or worrisome. Most excisions can be performed in the office setting under local anesthesia. As a facial plastic surgeon, Dr. Brill is experienced in the appropriate techniques required for minimal scarring as is desired for retaining the integrity and appearance of the face. Lesions of the face, neck, scalp, shoulders, and selective other areas of the body can be examined and excised and sent for biopsy.
Post-nasal drip occurs when your body produces excess mucous due to irritants or rapid weather changes, causing drainage from your nasal or sinus cavities to accumulate in the back of the throat, usually while sleeping. This accumulation often causes a feeling of irritation, sore throat, or cough (typical in the mornings).
Blowing your nose and seeing blood on the tissue may be a bit alarming, but having uncontrollable bleeding from the nose can be an unnerving experience. Small amounts of blood may be from a sore or small internal injury, but large amounts of blood that require more than one tissue could indicate a more significant injury, busted blood vessel on the nasal septum or in the nasal or sinus cavity. This type of nosebleed is usually easily controlled with some tissue inserted in the nose and pressure application. Other type of nose bleeds originate from larger blood vessels in the back of the nose and can pose a problem by draining blood down the throat. You should be seen right away if you have bleeding that will not stop with nasal packing using facial tissue tissue and 20 minutes of applied pressure.
Our sense of smell is an evolutionary development for our survival. An odor can alert us of food that has spoiled, dangerous gasses, and fire. It can also lead us to food and water, and subconsciously affect our romantic relationship choices.
Loss of smell, or anosmia, can affect nutrition by affecting interest in food, lack of interest in social engagement (such as sharing meals), and lead to depression and affect quality of life. Temporary loss of smell can indicate infection, and usually resolves on its own, but persistent lack of the sense of smell can be an indicator of a more significant medical condition such as hormonal or thyroid abnormality, or neural damage from Alzheimer's, Parkinson's disease, or stroke.
Persistent lack of smell should be discussed with your doctor to identify the cause and rule out other health issues.
Nasal lesions can range from simple skin irritation from blowing your nose when you have a cold to cancer of the nose. Symptoms can include visible lesions or sores, inflammation/swelling, tenderness, pain, nasal discharge or crusting, difficulty breathing, and epistaxis (nosebleeds).
Nasal polyps, benign teardrop shaped growths, may obstruct breathing but typically have no other symptoms. Some medications can shrink polyps, but surgical excision may be necessary. Polyps are likely to continue to recur, even after successful treatment.
Most lesions will clear on their own as long as they are kept clean and left to heal. Non-healing lesions, intranasal lesions that interfere with breathing, severely painful lesions, or lesions that frequently bleed or drain yellow or green fluid or material should be examined for appropriate treatment to avoid further complication.
Any lesion removed in our office or during surgery will be sent for biopsy. As a Board Certified Facial Plastic and Reconstructive Surgeon, skin cancer of the nose can be excised and expertly repaired/reconstructed by Dr. Brill. He has many years of experience with repair of cancer defects including Mohs closures (repair of the large, deep layer holes left after a Mohs excision of skin cancer-excision is typically performed by a dermatologist and then repaired by a plastic surgeon.)
Foreign Body in NoseForeign bodies may lodge in the nose and require assistance in removal. Many times beads, small toys, and food are inserted in the nose by younger patients under the age of 5. Children of this ager are often not yet capable of blowing their own nose to dislodge foreign objects. The nasal passage is much smaller in young children and the object itself combined with any attempt to retrieve the object will likely cause irritation and inflammation, further increasing the difficulty of retrieving the foreign object.
Adults will sometimes inadvertently inhale material or matter that will lodge in the nasal passage. Irritation, pain, and drainage are indicators that a foreign object or material may be in the nose.
A special microscope and tools are readily available in the office for removal of foreign bodies of the nose. Younger children or patients who find the removal attempt in office to be intolerable may require excision under a form of anesthesia in an outpatient setting.
Rhinophyma is an inflammatory condition of the nose associated with Rosacea. The inflammation causes an enlarged, red, bulbous (bulb shaped) nose with a bumpy, crusty, and waxy surface with large visibly expanded pores and capillaries. Because the symptoms are so visible and cannot be concealed the conditions tends to not only affect quality of life and social interactions, but mental health as well. The inflammation and expanded tissue can also cause nasal and airway obstruction.
The condition continues to progress and will not resolve on its own. Some treatments to reduce the redness and inflammation include prescription topical creams, such as retinol, to promote shedding of the upper layer of of the dermis and allow for the release of excess oil from the sebaceous glands. Co2 Laser therapy and deep, physician grade TCA chemical peels can provide significant improvement, but a surgical procedure may be required for correction. Corrective procedures are often covered by insurance policies as medically necessary.
Rhinophyma is an inflammatory condition of the nose associated with Rosacea. The inflammation causes an enlarged, red, bulbous (bulb shaped) nose with a bumpy, crusty, and waxy surface with large visibly expanded pores and capillaries. Because the symptoms are so visible and cannot be concealed the conditions tends to not only affect quality of life and social interactions, but mental health as well. The inflammation and expanded tissue can also cause nasal and airway obstruction.
The condition continues to progress and will not resolve on its own. Some treatments to reduce the redness and inflammation include prescription topical creams, such as retinol, to promote shedding of the upper layer of of the dermis and allow for the release of excess oil from the sebaceous glands. Co2 Laser therapy and deep, physician grade TCA chemical peels can provide significant improvement, but a surgical procedure may be required for correction. Corrective procedures are often covered by insurance policies as medically necessary.
Rhinophyma is an inflammatory condition of the nose associated with Rosacea. The inflammation causes an enlarged, red, bulbous (bulb shaped) nose with a bumpy, crusty, and waxy surface with large visibly expanded pores and capillaries. Because the symptoms are so visible and cannot be concealed the conditions tends to not only affect quality of life and social interactions, but mental health as well. The inflammation and expanded tissue can also cause nasal and airway obstruction.
The condition continues to progress and will not resolve on its own. Some treatments to reduce the redness and inflammation include prescription topical creams, such as retinol, to promote shedding of the upper layer of of the dermis and allow for the release of excess oil from the sebaceous glands. Co2 Laser therapy and deep, physician grade TCA chemical peels can provide significant improvement, but a surgical procedure may be required for correction. Corrective procedures are often covered by insurance policies as medically necessary.
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