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Sherman Oaks / Encino Plastic Surgery Office

Dr. Jonathan Hoenig relocates his San Fernando Valley office, where he sees patients on Wednesdays. Click for new address info and directions.

The Beverly Hills office remains open Monday through Friday. Please call 866.HOENIG.9 (866.463.6449) to schedule your appt.


SKINCARE LINES RECENTLY ADDED
Apotek, Circadia, Dermaquest Skin Therapy, Hovans,
Hyalogic
, IS Clinical , LifeCell, LushBust, Relax Wax, Revaleskin

NuFace Microcurrent Toning Device

Following the natural contours of your face, NuFace delivers gentle micro current impulses to strategic locations diminishing minor lines and wrinkles, restoring the tone and facial muscles to a more youthful balance.

By increasing cellular blood flow, cell turnover is increased, leading to increased amounts of collagen, elastin, and connective tissue. NuFace assists with skin rejuvenation, delays aging of the skin, and reduces the appearance of facial wrinkling.

 
How often do you take vitamins?
Everyday
Once in a while
When I'm getting a cold
Never

what to expect after browlift surgery

dressings : After brow lift surgery, expect a light gauze dressing to be placed over the incisions, usually wrapped around the head to absorb chin. The dressing may also go under the chin to keep it in place. Most doctors remove the dressing the first day after surgery, revealing dried blood and matted down hair. (Some doctors have rinsed your hear at the end of surgery before applying bandages). Usually, a gauze dressing is not put back on unless you are still oozing. You may want to put an old towel over your bed pillow to prevent any drops of blood from staining your sheets.

drains: Many doctors do not use drains with a browlift. If they do, it is a small tube connected to a bulb that will collect fluid for the first night. If you have a drain, it will likely be removed the day after surgery. Be sure to take your antibiotics because having a drain increases your risk of infection.

hygiene : Your doctor will advise you as to when you can shower. Most request that you rinse your hair a day or two after surgery to remove blood and betadine (surgical scrub). The cleaner your scalp, the less chance of infection. Just be sure not to rub the incisions, as this may cause bleeding or disruption of the stitches.

food : After sedation or general anesthesia, it's advisable to start with clear liquids and then a soft diet before having a more substantial meal. Juice, gatorade, soup broth, jello, pudding, applesauce, and yogurt are all good starter foods. (Yogurt is especially helpful to balance the natural bacteria in your gut that will be wiped out from the antibiotics). Crackers, bread, toast, or rice are good to munch on before taking your medications to minimize the chance of nausea from the drugs. (read nutrition section)

activity: The less you do after surgery, the quicker you will heal. No exercise, lifting, straining, or bending forward for at least a week or two. Anything that increases your blood pressure (like exercise) increases your chance of bleeding and hematoma. Check with your doctor for specific instructions.

swelling/bruising : Some patients swell and bruise very little, while others are just the opposite. It is not uncommon for the eyelids to swell significantly after a browlift. You may also develop bruising around the eyes (black eyes or "racoon eyes") as the blood drains down through the tissue planes from your forehead. Both swelling and bruising worsen over the first three days after surgery. To minimize swelling and bruising, your doctor may advise you to use cold packs on your head (20 minutes on, 20 minutes off while awake). Keeping your head and shoulders elevated or the first 1 to 2 weeks, even while sleeping, will also significantly help to reduce swelling. It can take weeks for both swelling and bruising to resolve.

stitches and scarring :Many surgeons prefer using skin clips or staples in the scalp instead of sutures because it allows for swelling of the scalp without cutting off the blood flow, and since hair will cover the staple marks (if any). Stitches or skin clips (staples) are removed in about a week, and stabilization screws, sutures, or other devices used to hold the forehead up while it heals are removed 2 to 3 weeks after surgery. The tendency to scar is inherited as well as dependent on the surgeon's technique. If the incision is in the hair, scarring is usually not an issue unless significant hair loss makes the scar more noticeable. Scars in the scalp usually resolve on their own within a year, but injections of steroid into the scar can help if the scar is thick and raised.

nerve sensation : About half of patients report areas of numbness or decreased sensation in the scalp and forehead after a browlift, and moreso in patients with a coronal incision. As the nerves recover, you may experience itching, tingling, and electrical shock sensations. While your scalp and/or forehead are numb, be extra careful not to burn yourself with a hair dryer, curling iron, or even ice packs as you wont be able to tell when it's starting to burn. Nerve sensation will usually recover within 6 months to a year, although the sensation may never return fully.

pain/discomfort : The pain after a browlift ranges from mild to moderate, and rarely, severe. For most, the discomfort is described as a feeling of tightness or pressure, such as in wearing a hat band too tightly. This can give some patients the feeling of a headache. Many patients only need Tylenol after surgery, and some use stronger pain medications for the first few days to a week. If at any time you have significant pain, increasing pain, or pain that seems out of proportion to what you expected, call your doctor.

misc- You may be pretty "out of it" after your surgery, especially after having deeper anesthesia so it's important to have someone to take care of you. Your vision may be blurry from ointment that was placed during surgery to protect your eyes during the operation, and your eyelids may be heavy and tired from swelling. Although you may be sleeping alot the first few days, some people enjoy books on tape to help pass the time without straining the eyes. Antibiotics can wreak havoc with some women's gynecologic systems. If you develop a yeast infection, don't be shy about asking your doctor for treatment. If you know that you're prone to this problem, your doctor can even prescribe some medication ahead of time for you to have on hand.

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Awake Face Lift Beverly Hills - Natural looking results with local anesthesia.