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Frequently Asked Questions

Facial Related

How long does eyelid surgery last?
10 years or more.

How soon after eyelid surgery can contact lenses be worn?
7 days after surgery.

Will the fine wrinkles around my eyes go away with eyelid surgery?
Eyelid surgery will not correct the wrinkles around the eyes, commonly called crow's feet. There are several other ways to handle crow's feet. Botox, a chemical peel, or laser therapy can be effective. 

I am considering having the bags removed under my eyes. Will the procedure also take care of my dark circles?
Dark circles under the eyes may improve a bit if this is related to large bags, but most often the dark appearance of the lower eyelid skin remains. Chemical peels or other types of skin resurfacing can lighten the dark circles in some cases. 

Is there a risk to my vision if I have eyelid surgery? 
Vision more than likely will improve with eyelid surgery. However, postoperative hemorrhage could lead to serious vision problems. This is an extremely rare condition and is completely preventable with good postoperative care. 

Will my eyes still close completely after eyelid surgery? 
Eyelids may not close tightly for a few weeks after surgery. This condition will subside as healing progresses and the swelling subsides.

What causes the skin above the eye to droop?
Gravity, sun, heredity and life stresses can cause the eyelid to sag and puff below the eye. 

How long will a facelift last?
Result vary among different individuals. However, 10 years later you will still look better than if you had never had the surgery. Many patients never have a second facelift.  

Can I color or perm my hair after a facelift?
Hair coloring and perming of the hair may be done 10 days prior to a facelift. The patient will need to wait 4 weeks after the facelift for subsequent coloring or perming. 

What is Tisseel?
Tisseel is a surgical tissue "glue" made out of natural materials that helps stop bleeding and seals tissues. Tisseel is made out of two substances naturally found in the human body, fibrinogen and thrombin. Tisseel is applied as a liquid to coat the area under the skin that the doctor is working on. It sets within seconds to form a natural fibrin clot or "patch" over the wound. In time, the fibrin clot is naturally absorbed and, eventually, the patient's own wound tissue heals underneath the fibrin clot. With the use of Tisseel the healing process has been dramatically shortened and bruising minimized.  

How old must a child be to have ear surgery? 
The surgery should be performed on a child that is of school age. 

Is there much pain associated with ear surgery? 
The pain associated with ear surgery is easily treated and is not severe.  

Where are the incisions for a forehead lift? 
There are 4 tiny incisions hidden in the hairline. 

Is any hair shaved during a forehead lift?
No. The incisions are placed in the hairline, but no hair is shaved. 

Is it true that anyone who has a brow lift experiences an upset stomach? 
While this was true 20 years ago, today preventive medication is used to prevent this from occurring. 

If you are considering a browlift, what is done if you already have a "high" forehead? 
The procedure is performed in such a way as to maintain proportion.  A hairline or "pretrichial" incision is used to maintain the forehead height while raising the brows. 

Will the nose look natural after surgery? 
A skilled surgeon will create a nose that is proportionate to the patient's face for a natural look. 

Will the nose be packed with gauze? 
No. A simple splint will be applied to the nose, which will be worn for approximately a week. No packing is required. 

Will nasal surgery correct my deviated septum? 
A deviated septum is corrected by a procedure called a septoplasty, which improves breathing. This is a separate procedure, but can be done at the same time a cosmetic rhinoplasty is performed. 

Will my eyes turn black and blue after nasal surgery? 
Some patients experience minor bruising and swelling. Cold compresses applied to the area often reduce the swelling. Sleeping with the head elevated after surgery also decreases the swelling.   

Can the nose be blown after surgery? 
Patients are advised to refrain from blowing their nose for about a week.



Dr. Holzapfel has been selected for Top Doctors in Cincinnati, the prestigious list of peer-voted distinction, each year since 2013.



In her practice of plastic surgery, Dr. Lied is particularly interested in body contouring, facial rejuvenation and breast reconstruction.

Top-rated, board-certified facial plastic surgeons and board-certified plastic surgeons in Cincinnati and Northern Kentucky, offering eyelifts, browlifts, facelifts, breast implants and breast reductions, rhinoplasty, reconstruction after cancer or trauma, liposuction, CoolScultping, Fraxel, Botox, Dysport, peels and fillers such as Restylane, Radiesse and Juvederm, and other procedures to refresh and renew your appearance.   Voted Best Doctors 2015-2016