THE HORNDESKI LIPT LIFT IMPROVES 4 FEATURES
Photographs are taken.
The patient simulates her desired appearance in front of the mirror.
The excess skin is measured and marked.
Local anesthesia is used.
The excess skin is resected.
Two layer closure is performed.
Deep layer of self-dissolving sutures
The superficial suture is removed after two weeks by the patient.
Nerves and muscles are not cut or repositioned.
The patient is awake and able to drive after surgery.
The procedure takes less than one hour.
Out of town patients can leave the same day if desired.
Patients may return to work in 1-2 days.
Swelling resolves in about one week.
No makeup or ointments are applied to the incision line until its completely healed.
Local patients are followed with office visits.
Out of town patients are followed with serial photographs sent electronically.
Consultation for out of town or international patients are available via Skype, Facetime, Go To Meeting or telephone.
Dr. Horndeski’s desire to implement the latest in technology to provide a quantitative and qualitative experience involves the use of the IRISS Medigrid app. This handy phone app is the ultimate in measuring and documenting tool for medical professionals. It precisely records and measures pre-op and post-op results. It is also available to use by patients.
WHAT TO EXPECT AFTER SURGERY
Your upper lip will be considerably swollen from the local anesthesia injections. A mustache dressing will be applied to absorb any drainage you might have over night. There will be sterile strips holding the pull out the stitch in place. Please keep the dressing on until the next day or change it if it becomes excessively bloody. A few drops of blood are normal. Please take pain medication as soon as possible as the effects of the local anesthesia wear off in a couple of hours or sooner depending on your metabolism. Swelling is at its worst the first and second day after the procedure.
You will be given an antibiotic and pain medication after the procedure. Do not take aspirin, Motrin, Advil or any other pain medication not prescribed. Tylenol is the only pain medication you may take if the prescribed medication is too strong. Refills for narcotic medication need to be in the form of a written script. We are no longer allowed to call them in. There are no exceptions.
You may shower or wet incision after 24 hours. Wash face with usual cleansing products but avoid incision. Do not rub incision or attempt to remove scabs. Gently blot incision dry. Avoid stretching top lip down at any time. Avoid eating food that requires excessive chewing for a couple of days. Minimize excessive talking or laughing for a few days. Make certain incision is clean and dry at all times. DO NOT REMOVE scabs by wiping or picking. Scabs will loosen on their own with time. If you decide to remove scabs by force, you run the risk of opening the incision and causing undesirable scarring. Do not use ice or heat to minimize swelling. Sleeping in an upright (sitting) position for the first 4-5 days will minimize swelling and bruising. Use of a neck pillow (U shaped) will keep your head straight while you sleep and more comfortable. The “pull out stitch” is removed by the patient 2 weeks after the procedure. Before pulling the stitch out, trim one end as close to the skin as possible. Grab the other end and pull the stitch out using a firm but gentle steady motion. Do not use any type of lotion, potion or ointment until the incision is fully healed. “Fully healed” means: no crusts or scabs, no drainage of any sort or raw spots on the incision line. You may begin scar therapy of your choice once the incision is fully healed. If applied before being fully healed, you will be at risk of an infection. Please follow these guidelines to minimize scarring and speed healing. Any deviation from the above recommendations can lead to complications. Please take all antibiotics and use pain medication as needed. We require weekly pictures for those patients that live out of state/country to follow your progress and detect any issues. Make certain pictures are taken in a fully lit room and that photographs are in focus.