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Gary R. Culbertson, MD, FACS

Answered Questions

Q:

After eyelid surgery, my right eyelid is drooping down over my eye. What to do?

I had eyelid upper eyelid surgery on both eyes due to sagging upper lids distorting my vision more so on the right. My eye, however, was totally open and not distorted by any means and now 10 days after surgery my right eye is covered somewhat by the upper lid. What can I do?

A:

First, please address your concerns with your surgeon. This may represent post operative swelling, pre existing upper eyelid ptosis, etc. The later is easily corrected. 

 Best,

 

Gary Culbertson, MD, FACS

Eyelid Surgery

Q:

Can Botox injections under the eye and for crow's feet cause Bell's Palsy?

3-5 days after I had Botox injections, 6 under each eye, which seems too much for me as it looks unnaturally smooth now, I was diagnosed with Bell's palsy on the right side of my face and my left cheek and side is swollen. I have chipmunk cheeks on both sides as well. Your opinion would be greatly valued. Thank you.

A:

The most common cause of Bell's Palsy is Viral. Your symptoms seem to go along with this diagnosis ( swelling, etc.). It would be Very Very Very Unusual for Botox to cause a Bells Palsy.

 Best,

 

Gary Culbertson, MD, FACS

 

Botox Injection

Q:

Can anything be done surgically to help with severe enophthalmos, due to orbital fat loss?

I suffered from laceration to the right side of my face 12 years ago from a car accident, no fractures.  I'm now noticing changes in the right cheek and temple area, as if I've lost fat due to aging.  Also, my right eye is sinking back and down, making it look much different than the left. This is causing emotional stress and depression.  Can anything be done to help with these issues?  Maybe fat injections to the cheek area to even out my face, or implants in the orbital area to keep it from sinking?  Please help!

A:

 Yes, there is hope. Fat Grafting to your face certainly sounds like it would be of assistance. The peri-occular area would require an examination and possibly an MRI or CT scan possibly with 3 D reconstruction to give you a definitive answer. Consider a consult with an ASAPS surgeon in your area to address your concerns.

 Best,

 

Gary Culbertson, MD, FACS

 

Facial Implants

Q:

I had a tummy tuck and liposuction in 2002, more liposuction in 2010 - why is my stomach still not flat?

I had a tummy tuck and liposuction in 2002.  In 2010, I had more liposuction and my stomach is still not flat.  Why?

A:

 Thank you for your question. Photographs would be of great assistance. Some patients have a severe anterior flexion of the spine making a completely flat abdomen very tough to achieve. Consider a consult with a member of the ASAPS in your area to address your concerns and answer your questions. They are experts in Body Contouring procedures and corrective cosmetic surgery. 

 Best,

 

Gary Culbertson, MD, FACS

Tummy Tuck

Q:

Can you have fat injected from a family member into your body.

Pertaining to fat injections, can a family member's fat be injected into my body?

A:

 This unlikely to work unless you have a genetically identical twin. 

 Best,

 

Gary Culbertson, MD, FACS

Fat Injection

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