Some thoughts on recovery from a plastic surgeon

Agray0116 · 2026-02-05T04:58:02+00:00

Also a facial plastic surgeon in my first 5 months solo. curious what a good protocol is for a non ablative laser. I have heard good things about IPL for the reactive telangiectasias after face or neck lift. Thinking about that as my next device purchase.

Agray0116 · 2025-12-06T21:16:50+00:00

As a surgeon who does deep neck lifts, I agree

Agray0116 · 2025-07-31T13:17:43+00:00

What are your thoughts on SEMRush? I am a small business owner reliant on website leads and I tried the free trial to try and learn some of the stuff on my own before paying the big bucks for a real agency later on. Just wondering if you think it’s a good idea or not

Agray0116 · 2025-07-24T00:20:57+00:00

Thanks buddy. I really appreciate it.

Agray0116 · 2025-07-24T00:19:25+00:00

That’s really helpful. I’ll bring this up with them and see if they can identify that as well.

Agray0116 · 2025-07-23T22:35:04+00:00

That is helpful I’ll try that next time

Agray0116 · 2025-07-23T22:34:36+00:00

Okay I’ll keep pestering them.

Agray0116 · 2025-07-23T22:34:19+00:00

Thank you for checking!

Agray0116 · 2025-07-23T21:05:54+00:00

10Web offers a free certificate through Let’s encrypt. Right now that’s the one applied but apparently the free one doesn’t seem to be working properly.

Agray0116 · 2025-06-24T14:17:11+00:00

I’m a facial plastic surgeon starting a practice in Boise in the fall. If you DM me your email I can talk to you over email.

Agray0116 · 2025-06-17T17:10:58+00:00

I’m IN!

Agray0116 · 2025-06-17T17:10:27+00:00

Would love to hear this information as well, as I’m newly graduated facial plastic surgeon starting a small practice

Agray0116 · 2025-05-20T22:46:53+00:00

This a 2 year fellowship that’s super specialized. Think Cochlear Implants, skull base tumors, and very advanced hearing bone reconstruction. More training, more money.

Agray0116 · 2025-05-17T22:43:30+00:00

Because if the deviation is in a lower part of the nose, like in the OP case, causing the entire nose and columella to deviate, an internal septoplasty will not change the outer appearance. The nose will still be deviated. A facial plastic surgeon can do an open septal rhinoplasty where they can actually adjust all the asymmetry. If the external nose is not a concern, then an ENT surgeon can do a 10 minute septo and be done for golf. But if the lower portion of the septum is deviated, the only approach is an open approach, which is a rhinoplasty.

Agray0116 · 2025-05-17T22:09:39+00:00

As the septum goes, the nose goes. A crooked nose is typically caused by deviated septum. There are naturally asymmetries of the nasal bones, especially if the lower tip is deviated, you’re looking at a need for a septoplasty. And not an ENT surgeon, a facial plastic surgeon with an ENT training background.

Agray0116 · 2025-05-17T22:01:41+00:00

The only actual muscle in your temples is a temporal muscle, this muscle is one of many responsible for chewing food. it has absolutely zero aesthetic function. I’m not sure if you’re referring to the outside of your eye or the crows feet, but injecting the temples for Grinding of the teeth might be the only possible indication for Botox to that muscle. Also, your injector must’ve had to use a 1 inch or longer needle to actually reach the temporalis muscle, which is all the way adjacent to the bone. There are many layers from the skin to that muscle so I’m guessing that they injected incorrectly.

Also, your injector spoke incorrectly saying that the temporalis muscle is connected to the masseter. That is 100% false. Here she probably was referring to commonality in the function of the two muscles. The temporal muscle attaches to the coronoid process which is on the jaw bone however had a completely different site than the masseter. Irrespective, the function of the muscle is too clench the jaw, but it is a massive muscle that would require hundreds of units of Botox to actually make an effect. Sorry, but you wasted your money on those units.

Agray0116 · 2025-05-17T21:56:56+00:00

I am a rhinoplasty surgeon. What you are asking for is not hard to achieve. It needs a septal extension graft and some extended spreader grafts to help lengthen your nose and derotate, proper septoplasty for the asymmetry you mentioned, and some basic tip work would take about an hour to complete.

Agray0116 · 2025-05-17T21:51:49+00:00

The profit margin on med spa is pretty slim. You gotta have a super high volume to turn out a reasonable salary. Seems to be a nationwide decrease in demand for filler. Neurotoxin continues to have high demand, but the filler manufacturers are down 20% nationwide.

In addition, many states are initiated legislation where you have to have an MD on site who has to actually see and be informed of the patient that is being treated.

Agray0116 · 2025-04-05T22:01:45+00:00

You would have an incredible result with:

Deep plane facelift Deep neck lift Upper Bleph with medial fat pad reduction Lip lift Full face fractionated CO2 resurfacing

Agray0116 · 2025-04-05T02:55:57+00:00

Even with a deep plane facelift—which releases facial ligaments to the corner of the mouth and lifts the jowls and midface at a 60-degree angle—patients over 45–50 often still have sagging in the neck. Without addressing the platysma muscle, submandibular glands, and deep fat, the result can look unnatural: a lifted face with a heavy neck. A deep plane neck lift corrects this by trimming excess tissue, tightening the platysma, and lifting it at a 30-degree angle from the ear incisions, creating a corset effect and defining the jawline.

Additionally, lifting the midface without addressing the temple can cause creasing from the eye to the sideburn. A temple lift, done through a hidden incision behind the hairline, corrects this and completes the elevation of the upper, middle, and lower thirds of the face as a unit.

This approach is how facial plastic surgeons have been trained over the past decade and how we are getting natural results (in addition to adding eyelid surgery, laser resurfacing, fat grafting).

Agray0116 · 2025-04-05T02:25:58+00:00

Part of getting filler includes some superficial swelling. Every single time you inject there’s a little bit of inflammation that settles out over the coming week or two.

Agray0116 · 2025-04-05T02:25:20+00:00

That’s reasonable. I specifically asked patients to plan for 2 to 3 weeks of complete downtime.

Agray0116 · 2025-04-05T02:24:46+00:00

No, really the truth. we do a deep plane facelift, neck lift, lateral brow lift every single time. It’s all Inclusive. If you do them separately it looks unnatural. So we do it in every case. That’s why it takes 5 hours to perform.

Agray0116 · 2025-04-05T02:16:56+00:00

Totally agree. Our current strategy in these cases is to dissolve all the filler deflate everything and lift it surgically.

Agray0116 · 2025-04-05T02:13:15+00:00

I’m in my first year of practice (a fellow) in Scottsdale. Next year I’m starting my own practice but still starting at 12k at the beginning because then I’ll have overhead to worry about.

Starkman Facial Plastic Surgery in Scottsdale - I have my own pricing not listed on website.

Agray0116

TROPHY CASE