Facial Procedures in Houston, Texas — Blepharoplasty (Eyelid Surgery), Rhinoplasty, and More

Dr. Long and his office staff have been most helpful throughout my procedure. They made me feel comfortable and answered any and all of my questions or concerns. They are very professional, yet personable. I would definitely recommend his services to a friend.

- C.P.

Over time, many individuals acquire excess skin on their foreheads or a sagging brow line. Most often this is genetic in nature and cannot be avoided. There are several facial procedures performed by Dr. John K. Long in Houston, Texas, including blepharoplasty (eyelid surgery) and rhinoplasty (nose surgery) that address wrinkles and sagging skin of the face.

Blepharoplasty (Eyelid Surgery)

The operation to correct the problems of excess eyelid skin and/or fat is called blepharoplasty. Although upper eyelid problems can be associated with the sagging of the brow, many are related to the laxity of the upper eyelid skin. Lower eyelid skin can also become lax and cause excessive lower lid wrinkling or bags. What’s more, upper eyelid and lower eyelid skin and fat deposits are also the cause of some cosmetic concerns.

Blepharoplasty Procedure

Patients with excess eyelid skin or fat who visit Dr. Long’s Houston, Texas office are treated surgically with a blepharoplasty. This eyelid surgery is performed on an outpatient basis in a hospital setting under general anesthesia. The time of anesthesia is generally around one hour. After removal of the excess skin and fat is performed, the incisions are closed with one suture that is removed four days after the procedure.

Although general anesthesia is used to control the patient’s discomfort, blood pressure and potential for bleeding, local anesthesia is also administered to decrease bleeding, bruising, and provide post-operative comfort. The blepharoplasty is not an uncomfortable operation, and is easily tolerated by patients of all ages.

Recovery from Blepharoplasty

Patients should rest with an ice pack on the forehead and eyes the day of the eyelid surgery. Showering is possible the day following the procedure, and patients should be able to return to work within a week or sooner if they feel comfortable.

Following blepharoplasty, some patients may experience swelling, bruising, numbness, or burning sensations. These side effects typically fade within a few days. With eyelid surgery, serious complications are rare. During a consultation with Dr. Long at his Houston, Texas office, he will explain the potential blepharoplasty complications associated with this type of eyelid surgery, as well as any concerns a patient may have about the procedure.

back to top

Rhinoplasty (Nose Surgery)

Dr. Long sees many people at his Houston office who want to use rhinoplasty (nose surgery) to improve the appearance of their nose. Most of the time, these patients were born with the problems they present. Other patients have had their nose broken in an accident and wish to have its natural appearance restored. Dr. Long takes great pleasure in restoring and transforming a nose that someone is unhappy with into the nose he or she truly desires.

For some patients, the correction of nasal deformities through rhinoplasty includes complicated problems within the nose, involving the nasal septum and the turbinates. Patients with especially complicated cases may be referred to a plastic surgeon with special ear, nose and throat training to ensure that they receive the best care possible.

Rhinoplasty Procedure

The outpatient rhinoplasty operation is performed in a hospital setting under general anesthesia. The anesthesia time is normally one to two hours. The incisions are closed with absorbable sutures that do not need to be removed. Most patients require very little dressings on their nose; however, some may need to wear a splint for a couple of days. In most instances, rhinoplasty is not a painful operation. Any pain, swelling, and bruising is reduced by using a cold pack on the nose for a few days following the surgery.

Recovery from Rhinoplasty

Patients will be able to shower the day after rhinoplasty, and should be able to return to work within a week. Patients may experience side effects such as bruising, swelling, and numbness or burning sensations. Typically, theses side effects improve in a few days to a week following rhinoplasty. Complications are rare, and if they do occur, Dr. Long will treat them to make sure they do not progress into serious problems. Prior to your surgery, you will meet with Dr. Long at his Houston office and he will explain potential rhinoplasty complications in detail, as well as discuss any concerns or questions you may have about the procedure.

back to top

Rhytidectomy (Facelift)

A facelift removes excess skin on the mid face and improves the appearance of the neck by re-draping the excess neck skin. The primary points of improvement are the jaw line and neck, with noticeable but less-dramatic improvements to the excess skin around the mid portion of the face. Dr. Long’s goal for a facelift is to improve the aging face and neck without creating a drawn or unnatural appearance. At Dr. Long’s practice in Houston, some patients also choose to have a blepharoplasty (eyelid surgery) in conjunction with a facelift to further rejuvenate the face.

Rhytidectomy Procedure

The rhytidectomy (facelift) operation is performed under general anesthesia on an outpatient basis, with the time of anesthesia between three and four hours. Absorbable sutures, non-absorbable sutures, and/or staples may be used to close the incisions. The use of drains is uncommon, but may be required for some patients.

Recovery from Rhytidectomy

Patients will leave the operating room with a compression dressing that is removed the following day. Showering is possible after the dressing is removed, and patients should be able to return to work within ten days to two weeks following the procedure.

Patients may experience numbness or burning sensations, swelling, and bruising. These side effects tend to fade within a week following a facelift. Dr. Long will pay close attention to your recovery to ensure that any problems are treated immediately so that they do not cause any long-term or serious problems. Complications are rare, but can include loss of hair or skin, nerve damage, poor healing, the formation of abnormal scars, or collections of blood under the skin which may need additional surgery.

back to top

Brow Lift

Many women complain that their sagging brow line causes others to think they are constantly angry or upset; other patients simply desire a more youthful appearance in their upper eyelids and face. Although injections of BOTOX® Cosmetic or Restylane® can successfully improve the appearance of this area, the brow lift achieves a more dramatic result.

The goal of the brow lift is to elevate the fallen brow to a new, higher location to rejuvenate the entire face. The brow lift tightens the skin at the bridge of the nose and the area around the eyes, broadens the upper eyelid, and enhances the curve to the brow. Patients at Dr. Long’s Houston, Texas practice may also want to consider a blepharoplasty (eyelid surgery) to address signs of aging throughout the entire eye area.

Brow Lift Procedure

Although there are several approaches to the brow lift, Dr. Long typically uses the coronal brow lift approach for the best long term results. The coronal brow lift is performed in a hospital setting under general anesthesia on an outpatient basis, with the time of the anesthesia at one to two hours.

An incision is made behind the hair line, and the forehead and scalp are elevated to allow the brow to be lifted. The incisions are generally closed with a combination of absorbable and non-absorbable sutures and/or staples that are removed a week after the operation. The scalp does not need to be shaved, and only the hair that is in the removed skin is lost.

Recovery from Brow Lift

The brow lift scar is within the hair line and is generally not noticeable. Patients can expect to return to normal activities within ten to fourteen days after surgery. A noticeable improvement in the appearance of the face and eyes is immediate; however, final results may not be achieved for up to one year. Results typically last for five to 10 years.

Any side effects that are experienced, such as bruising and numbness, are usually temporary and improve within a few days or weeks following brow lift surgery. Some areas behind the incision may be numb for a long period of time, and there is a risk for permanent loss of feeling in these areas. Similar to a facelift, complications following brow lift, and can include poor scarring, hair loss, and infection.

back to top

Contact Dr. Long for Rhinoplasty, Blepharoplasty (Eyelid Surgery), and More

Contact Dr. Long’s practice in Houston, Texas, to learn more about rhinoplasty (nose surgery), blepharoplasty, facelift, and other facial plastic surgeries he performs.

Contact Dr. Long at his practice in Houston, Texas to learn more about blepharoplasty (eyelid surgery), rhinoplasty (nose surgery), and the other facial plastic surgery options he offers.

John K. Long, M.D., F.A.C.S.
1200 Binz St., Suite 1275
Houston, Texas 77004
Phone: (713) 522-5664
Fax: (713) 522-9618