Board-Certified Head And Neck Surgeon | McKinney, TX

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When you come to NextGen Head & Neck Surgery in McKinney, TX, you receive top care from a surgeon with advanced training in both head and neck surgery and dentistry. Perhaps you’ve noticed a lump in your neck and want to have it checked out. If you have problems with your vocal cords or ears, you can receive help at our office.

Dr. Eftekhari has many years of clinical experience. He treats disorders that involve the head and neck. This includes pathologies inside the mouth, on your face, inside your throat and anywhere on the head and neck. Many patients are referred to us from other physicians and we take a multidisciplinary approach when diagnosing your condition.

More importantly, Dr. Eftekhari and the entire staff focus on taking care of you. This means asking the correct questions and answering inquiries and concerns that you bring with you. No matter how complex or simple your issue maybe, you receive VIP treatment from the moment you enter our clinic. At NextGen Head & Neck Surgery, you will find a compassionate, caring environment and one of the premier head and neck surgeons.

Meet Dr. Eftekhari

Dr. Eftekhari has three specialties, so we offer a wide range of services in our office. His specialties include:

  • Oral and Maxillofacial Surgery
  • Microvascular Reconstructive Surgery
  • Head and Neck Oncology

Dr. Eftekhari is also a licensed dentist. Enjoy the peace of mind of knowing that you are in good hands when you schedule a consultation with this gifted surgeon. Just a few of the pathologies, cancers and disorders that he treats include the following:

  • Jaw, Neck and Face
  • Throat/Tonsils
  • Oral Cavity, Tongue
  • Thyroid and Parathyroid Glands
  • Tumors and Skin Cancers
  • Salivary Glands and Other Glands

As an experienced head and neck surgeon, Dr. Eftekhari also offers corrective surgery including reconstructive surgery for the removal of malignant and benign tumors.

Dr. Eftekhari’s Credentials as a Head and Neck Surgeon

Dr. Eftekhari received his dental degree in 2009 from the University of Pennsylvania, then went on to complete a medical degree in 2012 at the Oregon Health and Science University in Portland, OR. In 2015, he completed an Advanced Fellowship Training to earn his credential in head and neck surgery, including reconstructive surgery, at the John Peter Smith Medical Center in Fort Worth.

To solidify his skills as a head and neck surgeon, Dr. Eftekhari spent six years in residency training to hone his skills as a talented oral and maxillofacial surgeon.

What Does Head and Neck Surgery Include?

While general practitioners study the entire human body, other physicians specialize in particular areas. As the name suggests, head and neck surgeons concentrate on disorders of the head and neck region. This includes trauma, tumors and any other issues specific to this region of the body.

To become a surgeon, doctors must learn both non-surgical and surgical solutions to manage illnesses and disorders of the jaw, throat, face, head, neck, scalp, ears and nose.

Dr. Eftekhari can remove benign and malignant growths via nonsurgical and surgical treatments as well as various conditions that impact the dental structures and supporting tissue in your mouth and jaw.

Advanced Training for Head and Neck Surgeon

To become a head and neck surgeon, doctors complete five years of intensive study. The first step is passing medical school and then they complete a residency in their specialty. This includes nine months of surgical training.

Through this special training, surgeons gain the experience they need to conduct complex surgery on delicate structures such as the tongue, parathyroid gland, salivary gland, thyroid gland, nose, ears, scalp and face. You can also see a surgeon when you need a doctor who specializes in cancers and other tumors on your head or neck.

At NextGen OMS, our advanced equipment enables Dr. Eftekhari to complete procedures with minimally invasive techniques. The doctor also stays up to date on what’s going on in the field through his association with various professional boards. Because Dr. Eftekhari has such wide experience, patients referred to us seldom have to go to multiple specialists.

Services Available from a Head and Neck Surgeon

Specialists in the head and neck region gather important information about each patient’s medical history and the specific reason that brought them to the office. We may begin with non-surgical treatments to help alleviate your condition. However, sometimes surgery becomes necessary. If you do require surgery, you can rest assured that you are in good hands. Dr. Eftekhari has many years’ experience treating pathologies and performing reconstructive surgery. The doctor can also perform cosmetic procedures after you have a mass removed.

Dr. Eftekhari examines and diagnoses lumps, lesions, abscesses and other issues in the ear, nose, mouth and other facial features. If you have an overactive or underactive thyroid or parathyroid, the doctor may perform surgery after medical alternatives to resolve the issue fail.

Glands located throughout the head and neck require special treatment and clinical care when something goes wrong. Dr. Eftekhari Has helped hundreds of patients with glandular issues such as tumors, infections and stones. As a head and neck surgeon, he can also treat issues with your tonsils and throat.

Contact NextGen OMS for an Appointment Today

Dr. Eftekhari has the experience needed to perform oral and maxillofacial surgery, head and neck oncology and delicate microvascular reconstructive procedures. Together with a passion for helping patients get well, this makes him one of the finest surgeons in McKinney and throughout Texas.

Set up an appointment today for a consultation with this talented surgeon. You can call us at NextGen OMS at (817) 349-9122 or contact us online for more information about our practice in McKinney, TX.

Cosmetic Treatment With Botox Near Me | Frisco, TX

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Botox offers numerous benefits to both men and women seeking to improve their appearance. If you want a non-surgical way to reduce the appearance of fine lines and wrinkles, this noninvasive injectable technique can help you look younger. By gently freezing the muscles under treated areas, Botox also trains the muscles to remain relaxed. Those looking for Botox near me in Frisco, TX, are in good hands at NextGen OMS.

We understand that using Botox goes beyond cosmetic purposes. Dr. Eftekhari uses Botox to alleviate excessive sweating, incontinence, neck pain, and certain eye issues.

This low risk, outpatient procedure can help you retain your confidence by reversing some of the signs of aging. Let’s take a look at the details behind this modern wonder.

History of Botox

Botox derives from a neurotoxin, clostridium botulinum bacteria, found in soil. When ingested, it causes food poisoning. However, scientists discovered that it also has healing properties. In the 1970s, doctors first used it to treat crossed eyes. That’s when they discovered that it relaxes scowl lines and brow wrinkling.

In 1989, Botox Cosmetic, a purified type A botulinum toxin, was approved for use in neck spasms and crossed eyes. In 2002, it received approval for injection treatment of lines that form between the eyes. The FDA approved Botox for crow’s feet treatment in 2013.

Today, Dr. Eftekhari and other medical professionals use Botox near me to alleviate migraines and to slow the aging process.

Why Should You Choose NextGen OMS for Botox Near Me?

At NextGen OMS, those living in the DFW area looking for Botox near me receive treatments from a qualified Head and Neck Surgeon. Dr. Eftekhari trained as a dentist and doctor before going on to specialize in maxillofacial surgery. His intimate knowledge of interconnected systems in the head and neck enable him to provide the best possible care and treatment for Botox and other cosmetic and medical treatments, including surgical and nonsurgical solutions.

Are you looking for a way to improve your appearance without going under the knife? Botox provides a nonsurgical choice to keep fine lines and wrinkles under control.

Types of Wrinkles Treated by Botox Near Me

Botox is not effective in treating wrinkles related to sun damage and gravity. However, a consultation with Dr. Eftekhari can help you understand if Botox is the right solution for you. If not, he will discuss the best treatment plan for your specific situation. We can find something that works for you.

There are two kinds of wrinkles. Static wrinkles form due to loose tissues. Dynamic wrinkles form as a result of muscle movement. Botox assists with reducing the lines and wrinkles that form as a result of dynamic action. It blocks signals from the nerves to the muscles around the site where we inject it. Those who have wrinkles between the eyes, crow’s feet on the corners of the eyes, wrinkles on the forehead, and fine lines along the lipstick line typically benefit from Botox treatment.

Who Makes the Best Candidate for Botox?

Botox works on all skin types. Both men and women visit NextGen OMS to improve their confidence about lines and wrinkles that broadcast the aging process.

What to Expect When Undergoing Botox Near Me

The procedure only takes a few minutes. You will receive an injection using a tiny needle, and the outpatient procedure takes less than 30 minutes. We administer the injections at our office, so you don’t need to go to a hospital or other facility.

Before scheduling your treatment, Dr. Eftekhari meets with you to discuss whether you can benefit from Botox. At this time, you can discuss which part of the face you wish to improve. The process itself is painless. Although no anesthesia is required, a local anesthetic can alleviate any discomfort associated with receiving the shot.

During your consultation, feel free to ask any questions you have about the procedure. Other patients who have received Botox treatments report a slight pinch during the injection as the needle enters the skin. For sensitive areas around the mouth, we strongly recommend taking advantage of a local anesthetic.

What Happens After Botox Treatments?

You won’t have to take off work or worry about a lengthy recuperation following your Botox treatment. We do recommend lying down for an hour after the procedure to prevent the Botox from moving to other areas of the face. There may be some bruising at the injection site but that heals quickly.

The full effects of the treatment usually develop within five to seven days, with full benefits occurring within two weeks. The shots last from three to four months, and you will need to come back for additional treatments once the effects wear off.

You can receive Botox alone or in combination with other treatments. This versatility is one of the most advantageous aspects of using Botox near me. Talk to the doctor about surgical and nonsurgical options to achieve the results you’re looking for.

FAQs for Botox 

What Areas Does Botox Treat?

Botox has cosmetic and aesthetic utility for erasing wrinkles and lines caused by facial muscles. This includes frown lines, forehead lines, crow’s feet, and lipstick lines.

Where Is Botox Injected?

Dr. Eftekhari administers Botox using fine needles to reduce any discomfort. He applies Botox into the muscle causing your wrinkles.

How Long Does the Appointment Last?

Plan on spending under an hour at the office. Allow time for any remaining paperwork and discussion that may be required.

Where Does the Procedure Take Place?

Botox injections are given at our state-of-the-art NextGen OMS office in Frisco, TX.

Contact us at (817) 349-9122 to set up a consultation for Botox near me or for more information regarding our surgical and nonsurgical solutions in Frisco, TX.

Botox Near Me | Frisco, TX

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Whether you need Botox for medical reasons or want to take a few years off your looks, Dr. Eftekhari can help. Learn more about Botox near me for patients living in Frisco, TX. At NextGen OMS, you can receive an evaluation and Botox injections from a licensed head and neck surgeon. Learn more about how Botox relaxes wrinkles and treats a variety of medical conditions.

Botox Near Me

NextGen OMS serves patients in the DFW area of TX. Botox is actually a brand name for toxins found in food poisoning, but researchers have found cosmetic and functional uses for it. Competitors include Xeomin and Dysport. Dr. Eftekhari can walk through the procedure with you so that you understand the associated risks and benefits. For Texas patients looking for Botox near me, NextGen OMS is conveniently located in the Dallas-Ft. Worth area.

How Does Botox Relax Wrinkles?

Patients find us after searching for Botox near me in Frisco. After a consultation with the doctor, you’ll likely choose us too. During the procedure, Botox is injected into various sites on your face to relax the muscles and soften lines and wrinkles. It works by interfering with messages from your nerves to the muscles and preventing muscle contractions that deep in lines and wrinkles.

Do you have crow’s feet at the corners of your eyes or forehead lines that make you look older than you like? Botox can help most people who want a younger, fresher look. However, there are limitations. Botox does not alleviate wrinkles and lines caused by gravity or from spending too much time in the sun.

What Does It Feel Like to Get Botox Near Me?

When you come to NextGen OMS for Botox, you receive a local anesthetic to prevent pain and discomfort. However, you are awake through the procedure and can go home directly afterward. The entire process takes just a few moments of your time.

We do not need to use anesthesia for this minimally invasive treatment. Also, we use a fine needle so that we can carefully pinpoint the distribution of Botox. This enables us to focus on specific muscles or muscle groups to achieve the youthful look that you desire.

It takes up to seven days to achieve the full benefit of your Botox treatment. Follow the doctor’s instructions to ensure the best results for healing. Before the procedure, it’s a good idea not to drink, take aspirin or use anti-inflammatory medication. If you feel that you need to use anti-inflammatory medication or aspirin prior to the procedure, please call our office for advice and instructions.

Will the Botox Work for a Long Time?

Botox only relaxes the muscles temporarily. While it varies from individual to individual, you can expect to maintain your youthful looks for three to four months. Since this treatment requires multiple visits to a provider, when looking for Botox near me choose the best qualified medical professional available. Dr. Eftekhari is an accomplished doctor and surgeon with many years’ experience treating patients with surgical and nonsurgical procedures.

As the Botox wears off, muscles awaken, and you begin to notice the wrinkles and lines that were there before the treatment. When this happens, stay calm and make an appointment for a Botox injection. Let us help you reduce frown lines and lines along with the corners of your mouth and neck.

Are There Any Side Effects?

Yes, there may be side effects to using Botox. While the procedure is considered safe and routine after decades on the market, it’s important to be aware of the risk and side effects associated with using Botox.

Some patients report bruising around the injection site for the first few days after the treatment. More rarely, clients suffer headaches that last one to two days. We urge patients who receive Botox injections to lie down for at least an hour following the treatment. Avoid rubbing the injection site so that the Botox stays localized. When Botox travels throughout the body it can cause unintended side effects such as drooping eyelids. If you do happen to have an adverse reaction to Botox, it usually dissipates within three weeks.

When Do We Recommend Patients Avoid Botox?

Certain conditions may trigger adverse reactions if you go ahead with Botox near me. Women who are breastfeeding or pregnant should not receive a Botox injection. Also, children under 18 should avoid getting Botox injections. If you or someone you love has a neurological disorder, Dr. Eftekhari discourages Botox treatment.

Can I Use Botox Near Me for Medical Use?

At NextGen OMS, you receive Botox treatment from an experienced cosmetic and reconstructive surgeon. Dr. Eftekhari uses Botox to treat an array of conditions unrelated to wrinkles and fine lines on the face. Botox injections prevent muscles from contracting involuntarily. This makes it beneficial for numerous conditions, including the following:

  • Cervical dystonia or neck spasms cause painful contortions of the neck. When muscles contract involuntarily, victims of cervical dystonia can experience yanks and twists that cause pain and impact on numerous activities.


  • Lazy eye mainly results from issues with the muscles that support your eye. Botox relaxes these muscles and prevents involuntary movement that can cause issues with the placement of your eye.


  • Involuntary muscle contractions due to cerebral palsy cause an inward contraction of your legs and arms. We are the premier provider of Botox near me for many patients. We can inject Botox into the limbs to help lessen the severity of these contractions.


  • Hyperhidrosis is a condition that causes people to sweat profusely even when they are not exercising or stressed. Botox alleviates the condition by reducing excess sweat.

Come to NextGen OMS to find out if Botox can help with your incontinence or eye twitching conditions or reduce lines and wrinkles in your face. Call NextGen OMS in Frisco, TX at (817) 349-9122 to make an appointment today.

Botox for Cosmetic and Medical Treatment in McKinney, TX

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Botox can be used to improve your appearance by relaxing the muscles of the face for a more youthful look. However, there are also numerous medical uses of Botox. For those seeking Botox near me in the McKinney, TX area, NextGen OMS is a reliable provider for all your Botox needs. 

Botox for Cosmetic Use

NextGen OMS uses Botox to treat wrinkles and creases in the face. Botox is a brand name but there are other manufacturers of the toxin, which is called bacterium Clostridium botulinum. Other brand names include Xeomin and Dysport.

How Botox Works

Once injected, Botox prevents nerves from sending signals to the muscles. This means that muscles injected with Botox no longer contract, softening wrinkles in your face. Many people receive Botox injections to soften forehead wrinkles, frown lines, and crow’s feet at the edges of the eyes. However, if you have wrinkles caused by gravity or due to sun damage, Botox is not a solution. Dr. Eftekhari also uses Botox for lines at the corner of the mouth.

What Is the Process of Injecting Botox Like?

It only takes a few moments to get a Botox injection. No anesthesia is required for this minimally invasive procedure. When you come to NextGen OMS for a Botox injection, we use a fine needle to target a specific muscle group or muscle and the shot causes minimal discomfort. Allow three to seven days to realize the full benefit of Botox to take effect. For best results, avoid using alcohol one week prior to your appointment. The doctor may also ask that you refrain from taking aspirin or anti-inflammatory medication prior to the procedure.

How Long Does the Injection Last?

Since the effects of Botox are temporary, we recommend choosing a provider of Botox near me when you search for reputable sources for this beneficial treatment. NextGen OMS serves clients in McKinney, TX and throughout the DFW area for your convenience. As the muscles gradually awaken, you may notice lines and wrinkles. This means that it’s time to schedule your next appointment to maintain a youthful look. Using Botox helps your muscles train to stay relaxed.

What Are the Side Effects of Using Botox?

You can expect temporary bruising as a result of a Botox injection. In rare cases, some clients report headaches that last up to two days. Some patients react with a drooping eyelid that improves within 21 days. Avoid rubbing the treated area to help prevent eye drooping. It’s a good idea to lay down following the procedure to prevent the Botox from moving away from the injection site.

Who Shouldn’t Use Botox?

If you are looking for Botox near me, ensure that you do not meet any of the following conditions: breastfeeding, pregnancy and children under age 18. Those with neurological disorders should also abstain from Botox use. If you have any questions about these conditions or other questions about the cosmetic use of Botox, schedule a consultation with Dr. Eftekhari to discuss your concerns.

Botox for Medical Use

At NextGen OMS, a licensed neurosurgeon administers Botox for medical purposes. Are you looking for Botox near me for neck spasms or excessive sweating? Make an appointment with Dr. Eftekhari today.

Botox reduces the appearance of wrinkles, but it’s also used for other conditions. Cervical dystonia or neck spasms and hyperhidrosis or excessive sweating are just two of the conditions Botox can alleviate. Do you have an overactive bladder or a lazy eye? Find out if Botox injections can help you for these conditions or to reduce the severity of migraines.

Botox injections prevent muscle contractions and are sourced from a toxin that produces food poisoning. Other products also use Botulinum toxin.

As discussed, Botox injections block chemicals from the nerves from reaching muscles. By preventing muscle contractions, Botox can be used to treat certain conditions including the following: 

  • Cervical dystonia. Some people have neck muscles that contract, causing pain and embarrassment. This can cause your head to turn in awkward positions.
  • Lazy eye. When the muscles that keep your eye in place don’t work properly, Botox can help.
  • Muscle contractions. Cerebral palsy and other conditions cause muscles in the limbs to contract involuntarily. You can find a provider of Botox near me to inject Botox into the affected muscles to prevent severe muscle contractions.
  • Hyperhidrosis. If you sweat profusely even when you’re not exerting yourself, Botox can alleviate your condition.
  • Chronic migraine. If you have migraines every other day or more often, consider Botox injections to help prevent migraines.
  • Eye twitching. For Botox near me, NextGen OMS is the Premier provider of Botox injections to reduce twitching eye muscles.
  • Bladder dysfunction. Botox injections calm your bladder to reduce incontinence.

Risks Associated with Botox for Medical Purposes

Those looking for Botox near me for medical purposes may wonder about the associated risks and complications. Some clients report bruising at the injection site, flu-like symptoms, a droopy eye, involuntary drooling, headaches, dry eyes, and similar conditions. However, most of these reactions are rare. You can discuss your risk factors when you make an appointment with Dr. Eftekhari to consult with him regarding whether Botox can help you.

In very rare cases, when you receive a Botox injection, the toxin can travel to other areas of the body. That’s why it’s so important to find a reputable provider of Botox near me. Dr. Eftekhari is a trained neurosurgeon with a precise understanding of how the nerves and muscles in your face may react to Botox.

Call our office right away if you notice issues with your vision, muscle weakness, breathing trouble, trouble speaking, or loss of bladder control. If you feel the condition is life-threatening, call 911 or visit your nearest emergency room immediately.

Contact NextGen OMS in the McKinney, TX area to make an appointment for Botox near me or to discuss any questions you may have about our services.

Skilled Head and Neck Surgeon in Plano, TX

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A head and neck surgeon has gone through an accredited residency that encompasses surgical and medical care for disorders impacting the upper digestive and respiratory systems, and other structures of the neck and head. At NextGen, our doctor offers a solid core of skills and knowledge to our patients in Plano, TX.

From a medical perspective, this specialization includes knowledge of the chemical senses as well as allergy and immunology. Audiology and speech-language structures are also under the purview of head and neck surgery. This interdisciplinary specialty requires mastery of endocrinology and neurology and gives patients access to a broad array of services.

From a clinical perspective, Dr. Eftekhari provides diagnosis and treatment that includes surgical therapy and prevention of deformities, diseases, disorders and injuries to the ears, upper digestive system, jaws, phase, nose and other structures of the head and neck. Another area under this specialty includes cancer of the head and neck, including reconstructive surgery when required.

Dr. Eftekhari spent five years in residency including many months of surgical science training and practice. This residency includes progressive education leading to mastery of head and neck surgery and treatment. During the final year, candidates must serve as chief residents within approved institutions for this specialization. 

What Procedures Are Included in Head and Neck Surgery?

General practitioners and internists have a good working knowledge of the human body. Other practitioners specialize in certain areas of the body. Head and neck surgeons focus on pathologies, diseases, trauma and other conditions related to the head and neck.

Head and neck surgery includes surgical methods required when nonsurgical options cannot effectively manage diseases and disorders of the mouth, jaw, throat, neck, face and head. Our surgeon removes skin cancer and tumors on the neck, face and scalp. Dr. Eftekhari is an expert in surgical and nonsurgical treatments of the dental structures and other parts of the face.

Training for Head and Neck Surgeon

On their way to becoming a head and neck surgeon, physicians complete a 5-year program of study. First, they have to pass medical school and then they have to complete a residency that includes over four years of intensive study and nine months of surgical training.

These surgeons prepare to perform surgery on patients with diseases, pathologies and disorders of the face, mouth, tongue, neck, parathyroid gland, thyroid gland, salivary gland, nose and scalp. Additionally, head and neck surgery requires mastery of complex reconstructions following trauma and surgical removal of cancers and malignancies.

At NextGen OMS, we provide the most up-to-date techniques and state of the art equipment to ensure we are ready to care for every type of surgery that may be needed by our patients. This means that clients rarely have to go to multiple specialists for conditions impacting the head and neck. 

Dr. Eftekhari has extensive training in oral and maxillofacial surgery and reconstructive surgery. Following an advanced fellowship in these areas, he went on to pursue a career of helping patients with complex head and neck disorders, including pathologies and cancers. Dr. Eftekhari also performs microvascular reconstruction with finesse and expertise.

Types of Services Offered by a Head and Neck Surgeon

A head and neck specialist consults with patients and provides treatment that includes surgical and nonsurgical solutions for different conditions. Many patients with cancer in the head and neck area come to Dr. Eftekhari for reconstructive surgery. He also provides reconstructive and cosmetic surgery for those who have had noncancerous tumors and masses removed.

As a head and neck surgeon, Dr. Eftekhari examines, diagnoses and treats masses, lumps and lesions in the mouth, ears, nose, and other facial structures. For those with thyroid and parathyroid issues, he can perform surgery or provide medical treatment to treat irregularities.

There are many glands in the head and neck area that require specialized training to care for. This includes the salivary glands, thyroid and parathyroid glands that can develop infections, masses and stones. Head and neck surgeons also handle issues with the throat and tonsils.

Dr. Eftekhari is an adept surgeon with great communication skills and compassion for his patients. He takes the time to explain the microvascular, maxillofacial or other procedure during the consultation or follow up visits.

What Medical Insurance Do We Accept?

Dr. Eftekhari takes major insurance carriers and we also accept Medicare. In our experience, patients’ medical insurance covers most of the treatment cost of seeing a head and neck specialist. Make sure that you contact your carrier directly to see whether they will cover the cost of treatment, surgery and follow up care.

Some procedures require pre-approval, so it’s important to understand what your insurance provider will pay for and what you have to pay on your own. To simplify the process, NextGen OMS also accepts major dental and medical insurance.

If you need or desire a procedure that isn’t covered by your insurance, we will work with you to come up with a treatment plan that fits your needs.

Contact a Head and Neck Surgeon in Plano, TX

It can be frightening to face a cancer diagnosis or to go through another serious condition. However, partnering with a head and neck surgeon can give you the best chance of a successful outcome. Some patients come to us after being referred by their primary care physician. Others find us on their own. Dr. Eftekhari often provides the answers and the consolation that patients need to hear during critical times.

We perform most surgeries in hospitals throughout North Dallas. This includes Medical City Plano, THR Presbyterian Hospital and Methodist and Baylor Scott & White Hospitals.

If you or someone you love has an abnormal mass, pain, lesions or swelling in the head or neck area, contact NextGen OMS today for an appointment with Dr. Eftekhari.

Oral Surgeon: Here’s All You Need to Know Before You Schedule Your First Visit | Frisco, TX

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An oral surgeon treats severe dental problems. They provide treatment for health problems of the mouth (teeth, jaw, gums) and face. Technically referred to as an oral and maxillofacial surgeon, these surgeons must complete six years of education in addition to receiving training as a dentist.

The most common surgeries that an oral surgeon performs are dental procedures that involve the jawbone. These include dental implants and wisdom tooth extraction. Some oral surgeons can also perform facial cosmetic surgery, and provide treatment for cancer-related conditions.

What Is Oral and Maxillofacial Surgery?

Oral and maxillofacial surgery (OMS) is more than just an extended form of dental surgery. Unlike a dentist, an oral surgeon can also administer anesthesia, perform microvascular head/neck surgery and treat congenital abnormalities such as cleft palate or lip.

OMS can be inpatient, outpatient, emergency, elective or scheduled procedure. It depends on the patient’s condition. In many cases, a surgeon will work alongside other surgeons (such as otolaryngologist or orthopedic surgeons) in severe facial or head trauma cases or to treat complex medical conditions.

Purpose of Oral and Maxillofacial Surgery

OMS treats numerous medical conditions of the mouth, jaws, face, skull and neck. Generally, the procedures can be diagnostic, reconstructive, dentoalveolar or cosmetic.

Diagnostic procedures treat the following conditions.

  • Sleep apnea
  • Temporomandibular joint (TMJ) disorder
  • Migraines
  • Trigeminal neuralgia
  • A deviated septum
  • Abnormal growths

Reconstructive procedures are suitable in the following cases.

  • Correcting congenital abnormalities such as cleft palate
  • Restoring appearance and function of lips after skin cancer removal
  • Redirecting blood vessels after tumor removal in head/neck cancer patients
  • Performing skins flaps or grafts

Dentoalveolar procedures include the following.

  • Corrective jaw surgery
  • Dental implants
  • Wisdom tooth extraction
  • Pre-prosthetic bone grafting

Cosmetic procedures include the following.

  • Cheek implants
  • Eyelid surgery
  • Hair transplantation
  • Aesthetic chin surgery
  • Reshaping of the outer ear)
  • Neck liposuction
  • Facelift
  • Nose job

How to Prepare for Surgery

The results your oral surgeon plans to achieve determines how you prepare for OMS. The surgeon may require that you undergo a pre-operative evaluation. Ask your Frisco, TX  surgeon any questions you have about the procedure. Here is some information that a good surgeon will readily share.

  • The number of times they have performed the procedure
  • What to expect after the surgery
  • Alternative surgeries that you can undergo and why they recommend the current one
  • The form of anesthesia they will administer and why
  • Possible risks of the procedure
  • Any special care need after the surgery
  • The timeframe for recovery
  • How soon you can resume normal activities
  • Steps to take if the procedure in unsuccessful

What to Expect on the Day of the Surgery

Expectations for OMS vary widely. Nonetheless, here are some common things to expect for an oral surgery in Frisco, TX.

Before the Surgery

On checking in, a patient completes necessary medical forms and then undergoes pre-operative preparations. The form of anesthesia the oral surgeon plans to use determines these preparations as follows.

  • Local anesthesia. It’s delivered via nitrous oxide (“laughing gas”) or an injection that numbs the skin. The surgeon may review your vital signs (heart rate, temperature and blood pressure).
  • Regional block. It’s delivered via an injection that blocks nerve function. Like local anesthesia, it requires pre-operative evaluations and a review of vital signs.
  • Monitored anesthesia care (MAC). It’s delivered intravenously and is sometimes used alongside local anesthesia or regional block. Throughout the procedure, the surgeon monitors the patient’s heart and blood oxygen using an electrocardiogram (ECG) and pulse oximeter, respectively.
  • General anesthesia. Similar to MAC, general anesthesia requires extensive preoperative evaluations, which include arterial blood gas (ABG) test and complete blood count (CBC).

During the Surgery

After pre-operative preparations and administration of anesthesia, the surgery commences. It may be minimally invasive open surgery, endoscopic surgery or open surgery. Open surgery is an invasive procedure during which the surgeon makes large incisions whereas minimally invasive open surgery involves small incisions.

The procedure may also fall into the category of aesthetic (cosmetic) or reconstructive (corrective) surgery. The surgeon may use tape, staples or sutures to close incisions following the surgery. After that, they apply a sterile bandage.

They may also require the patient to use spacers, splints or braces (such as jaw wiring, mouthguards and headgear) to immobilize the nose, jaw or skull and ensure it heals in the correct position.

After the Surgery

After surgery, a patient is taken to a post-anesthesia care unit (PACU) or recovery room. There, they are monitored until they fully regain consciousness. Local anesthesia typically takes 10­–15 minutes to wear off while general anesthesia often takes around 45 minutes.

A family member or friend can usually take the patient home after their vital signs normalize and they regain the ability to walk stably. In some cases, the patient may stay in the hospital for one or several days to recover.

The surgeon gives the patients instructions for wound care. They may prescribe pain medications to alleviate pain following the surgery and antibiotics to help the patient avoid post-operative infection.

Recovering from the Surgery

As with the expectations, the recovery times for oral and maxillofacial surgeries vary. For example, most people can resume day-to-day activities and work a few days after a wisdom tooth extraction whereas people who undergo orthognathic surgery may need several months to fully recover.

The factors that affect recover times include a person’s overall health before they undergo OMS, the way they take care of their surgical wound, and lifestyle habits such as smoking.

Important to note is that the ability to resume work does not necessarily indicate full recovery. The body often needs additional time to properly heal.

For that reason, it’s best to avoid heavy exertion, sports, driving and exercise until the doctor approves. Oral surgeons often advice patients to adhere to a dietary plan that includes soft or liquid diets, and to ensure proper nutrition by consulting a dietitian.

A Final Word

When someone is in need of a specific procedure that is beyond the scope of a doctor or dentist, they are referred to an oral surgeon. If you need an oral surgeon in Frisco, TX, contact NextGen OMS and schedule an appointment!