It is incorrect if a doctor tells you your strut can not be addressed with closed rhinoplasty. It is more likely that the doctor favors the open approach or has only been trained in open rhinoplasty. A tip strut can be readily approached with closed rhinoplasty which is through the same scar along the sides […]
Read MoreMany patients with a wide bridge and/or correct a flat nose have osteotomies to narrow the upper bony part of the nose concurrent with bridge grafts and a lengthening procedure. It is common in the Far East to have bridge augmentation with silicone implants to raise the profile of the bridge and to concomitantly give […]
Read MoreI tell my patients to not look at the front view with scrutiny for two to three weeks by which time about 80% of swelling is gone. The profile will look better before the front view. Avoiding exercise and hot tubs and such stimulation and strategic post op taping can definitely limit and guide the […]
Read MoreI see at times an otherwise reasonably good rhinoplasty that has not addressed the lip/nose junction [Naso-Labial junction]. There is an ideal ratio of length of upper lip to the length of nose and a “hanging Columella” can not only encroach upon the upper lip and make it too short, but also present an unattractive […]
Read MoreThere is an ideal naso-facial angle which involves the angle of projection of the tip of the nose off the plane of the face [a line drawn from the chin to the forehead]. If your present tip projection is over 40 degrees it is over projected and you may be concerned about a “Pinocchio” appearance […]
Read MoreAs a famous Otolaryngologist, Dr. Ogura, wrote many years ago “As goes the septum, so goes the nose”. You very likely have a deviation of the caudal [lower] end of your septum and it is pushing the columella [skin between the nostrils] downward and to one side. Apparently the deviation is to the right and […]
Read MoreIf the doctor is a plastic surgeon certified by the American Board of Plastic Surgery or an Ear Nose Throat physician with facial board certification you are best served. Dermatologists can be good at injecting fillers yet the more holistic opinion as to whether or not a filler injection or cheek implant or cheek lift […]
Read MoreThis category of ethnic rhinoplasty is not simple since northern Egyptian-type noses may have a much higher bridge than people of a more equatorial African origin and many people who classify themselves as African American are of mixed race and perhaps inherited some Asian or Caucasian or Hispanic or whatever qualities in their nose in addition […]
Read MoreIn combining procedures the surgeon you choose is the most important issue…the rhinoplasty is the more demanding procedure and your quest should be directed toward finding the best nose surgeon. Chin augmentation is routinely done (when needed) at the same time as rhinoplasty. Since the size of the nose is seen relative to the plane […]
Read MorePlastic surgery among more mature demographics has steadily grown in popularity over the last two decades. In fact, facelifts and cosmetic eye surgeries have more than doubled for people over the age of 65 in this short amount of time. Many attribute the increase to the fact that more people are living longer, working longer, […]
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