For any number of reasons, an individual may be dissatisfied with the outcome of a prior cosmetic surgery procedure. Dr. Epstein regularly performs reparative procedures on individuals looking to improve the results from surgery performed elsewhere. The most common procedures he performs are revision hair transplantation, revision nasal surgery, and the repair of scarring of facelifts and browlifts.
Some of the more common reasons for patient dissatisfaction, according to Dr. Epstein's experience, include: scarring or asymmetric results, unnatural tell-tale results due to the use of outmoded techniques in the prior surgery, unrealistic patient expectations, and most importantly, results that the patient was not looking for as a result of poor communication between patient and doctor prior to the procedure.
For many of the patients looking to repair the results of prior surgery, the first step is the reestablishment of the patient-doctor relationship. The patient must be given an opportunity to express what it is that he/she is looking for, and the surgeon must let the patient know what is technically possible. In addition, with his experience, the surgeon must explain to the patient what features will be in harmony with the rest of the face. Computer imaging, which is performed personally by Dr. Epstein, serves as a valuable communication tool, but does not take the place of the patient being able to see before and after photos of actual results produced by the doctor.
Patient underwent revision facelift with freeing up of earlobes that were left attached and residual neck bands and jowls from prior facelift, repair of lower eyelid weakness with extended blepharoplasty with muscle suspension, and hair transplants.
To "In rhinoplasty, the goal is to create an aesthetic and symmetric appearing nose that fits the rest of the face. In addition, the preservation, or creation, of a clear breathing passage cannot be overlooked because of the problems associated with nasal obstruction. With experience and board certification in both facial plastic surgery and otolaryngology (ear, nose, and throat surgery), Dr. Epstein has extensive experience in all facets of nasal surgery. In addition to restoring breathing, some of the most common areas that require repair in rhinoplasty surgery include: the shortening of or setting back of a hanging tip, the restoring of a collapsed mid-nose, and the straightening of a curve. In the occasional case, cartilage from ear or nasal septum will be used to restore the support and normal anatomy of the nose, while other times, the revisions can be performed using original tissue.
In hair transplantation, it has only been in the last five years or less, using the most advanced techniques, that perfectly natural looking results have been possible. With the procedures performed years ago, or those performed more recently with outmoded techniques, it is not uncommon to see hairlines that are unnatural looking due to either: a "pluggy", unnaturally abrupt, or uneven hairline, donor sites that have scarring, hair that grows in unnatural directions, or even scarring or pitting of the skin around the planted grafts due to errors in the technique. Dr. Epstein is considered one of the world's foremost experts in this area, with hundreds of case experiences and several articles on the topics he authored in the scientific press.