Training and board certification
Source for all rows: source
| Stage | Detail |
|---|---|
| College and medical school | University of North Carolina at Chapel Hill |
| Residency | Otolaryngology - Head & Neck Surgery, Georgetown University, five years |
| Fellowship | Facial Plastic and Reconstructive Surgery, University of California Los Angeles Medical Center |
- Board certification: "double board-certified by the American Board of Otolaryngology–Head & Neck Surgery and The American Board of Facial Plastic & Reconstructive Surgery."
- Associate Professor at Georgetown University Medical Center since 2009, training surgeons in facial reconstructive surgery.
- Author of articles and book chapters on fractionated laser treatment, post-traumatic rhinoplasty and how facial appearance affects perceived personality.
- Has performed reconstructive surgery on trips to Central and South America.
Eyelid surgery work
- Upper blepharoplasty. Done for heavy or hooded lids or for lids that droop into the line of vision. The incision sits in the natural crease, 8 to 10 mm above the lashes; an ellipse of skin is removed, bulging fat is taken out through the same incision, and the skin is closed with a thin absorbable suture. Performed in the operating room or in the clinic under local anesthetic. Candidates also get a full eye exam by an optometrist or ophthalmologist (upper blepharoplasty).
- Lower blepharoplasty. Bags are treated through an incision inside the lower eyelid; excess skin is removed through an added incision just below the lashes. Fat in the medial, central and lateral compartments is either removed or repositioned into the tear trough and held with sutures for a week. A permanent suture to the orbital bone may be placed when the lower lid is weak (lower blepharoplasty).
- Canthopexy. Suspends the outer corner of the lower lid to the orbital bone through a pinpoint corner incision and a 1 cm upper crease incision, for lids that sag from sun damage, prior surgery, aging or paralysis (canthopexy).
- Eyelid weight placement. A platinum weight of 0.6 to 2.0 grams is placed through a 1.5 cm upper crease incision to restore eye closure after facial paralysis (eyelid weight).
- Brow lift. Endoscopic technique through small incisions in the hair, with a dissolvable "Endotine" implant; a separate page covers brow lift for facial paralysis (brow lift, paralysis brow lift).
- Photos. The upper and lower blepharoplasty pages each include a before-and-after section.
Other procedures
The site lists rhinoplasty, facelift, neck lift, chin augmentation, otoplasty, scar revision, skin resurfacing and injectables, plus sinus, septum, skin cancer, parotid, melanoma and facial paralysis surgery.
Insurance and cost
- Cosmetic procedures are considered elective by insurers. Any part of upper blepharoplasty that improves eye function may be partly or fully reimbursable; the team handles authorization and may submit predetermination (upper blepharoplasty).
- Canthopexy: "insurance coverage is frequently available" because lower lid sagging causes symptoms (canthopexy).
- Published prices (pricing): upper blepharoplasty $6,600 in the operating room or $4,000 in the clinic; lower blepharoplasty $8,500; endoscopic brow lift $8,500; initial cosmetic consult $165; overnight hospital stay $900 per night.
Recovery
- Back to work: one week off, then a week of reduced activity.
- Bruising and swelling: 7 to 10 days, greatest on day 2 or 3.
- Sutures: clinic visit at one week to check healing and remove sutures.
- Exercise: no heavy lifting for two weeks; no contact sports for six weeks.
- Makeup and contact lenses: from day 10.
- Final result: complete healing takes 6 to 12 months.