Training and board certification
Source for all rows: source
| Stage | Detail |
|---|---|
| College | Brown University, BS with honors in Neuroscience; magna cum laude |
| Medical school | Brown University School of Medicine, MD |
| Residency | General surgery, Mount Sinai Medical Center, New York |
| Residency | Plastic and reconstructive surgery, Duke University Medical Center |
| Fellowship | Research fellowship, New York University School of Medicine Institute of Reconstructive Plastic Surgery |
- Board certification as printed: "American Board of Plastic Surgery and the American Board of Surgery." The page describes him as double board-certified in general and plastic surgery.
- Hospital privileges: CaroMont Regional Medical Center, Gastonia. State license: North Carolina.
- Awards from the Northeastern Society of Plastic Surgeons and the Wound Healing Society.
- His bio lists a focus on aesthetic and skin cancer surgery, breast and body contouring, and breast reconstruction.
Eyelid surgery work
PPSD's eyelid and brow lift pages describe the practice's plastic surgeons as a group and do not name an individual surgeon. Dr. Butala is one of the 10 plastic surgeons listed on the providers page (providers).
- Blepharoplasty. Incisions are placed in the natural crease of the upper lid or along the lower lash line; excess skin is removed along with fat that causes under-eye bags, and the incisions are closed with fine sutures. General anesthesia is typical, and surgery takes about one hour (eyelid surgery).
- The page also describes festoons, which it distinguishes from under-eye bags and links to fluid in the tissue.
- The FAQ states upper eyelid skin can impair peripheral vision, and the surgeon will check whether lid or brow position limits the field of vision.
- Brow lift. Three approaches: a coronal lift with an ear-to-ear scalp incision; a temporal lift through short incisions at the temples, sometimes chosen with a blepharoplasty; and an endoscopic lift through tiny hairline incisions, described as the most common technique. Surgery takes 1 to 2 hours under general anesthesia (brow lift).
The blepharoplasty gallery shows four before-and-after cases; the cases do not name the operating surgeon (source). The site has no page for ptosis repair, double eyelid surgery or canthoplasty.
Other procedures
PPSD offers facelift, breast augmentation, lift and reduction, tummy tuck, brachioplasty, Brazilian butt lift, CoolSculpting, Botox, lasers, Mohs surgery and dermatology (source).
Insurance and cost
The site publishes no price for eyelid surgery or brow lift. The eyelid FAQ states that cost depends on which lids are treated and on combined procedures, that an estimate includes surgeon, facility, anesthesia and aftercare fees, and that a consultation gives a customized cost. The site makes no statement about insurance or Medicare coverage. A patient financing page is available (financing).
Recovery
- Head elevated for the first few days; contact lenses avoided for up to two weeks.
- Sutures removed after 7 to 10 days.
- Most patients return to work one week after surgery; the FAQ gives one to two weeks.
- Swelling is usually gone in a week to ten days; the eyelid contour may take several months to settle.
- Normal activities and exercise usually resume within 10 to 21 days.