Nose Surgery by Dr. Piro

Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection, nosebleed, or a reaction to the anesthesia. You can reduce your risks by closely following your surgeon's instructions both before and after surgery.

In the days following surgery, when your face is bruised and swollen, it's easy to forget that you will be looking better. In fact, many patients feel depressed for a while after plastic surgery-it's quite normal and understandable.

Still, healing is a slow and gradual process. Some subtle swelling may be present for months, especially in the tip. The final results of rhinoplasty may not be apparent for a year or more.

Face Lift in Beverly Hills

Los Angeles board-certified Plastic Surgeon Dr. Hoefflin performs facelift surgery using the most advanced techniques, while placing the highest priority on patient safety and comfort. Dr. Hoefflin has lectured and interviewed on safety in outpatient plastic surgery operations.

Hereditary factors, personal lifestyle choices, and sun exposure all contribute to the aging process and changes in our facial appearance. As we age, important structural facial fat is lost or descends in our midface. This, together with the loss of elastic support in our skin can create excessive wrinkling and sagging skin. The result is a tired or drawn out facial appearance. Combined with the very fine lines from excessive sun exposure, the aging process becomes revealed. A facelift can correct these conditions and provide a more natural, youthful, and rejuvenated appearance.

Dr. Hoefflin performs the advanced endoscopic (camera-assisted) technique by placing small inconspicuous incisions within the scalp and the mouth that become invisible when completely healed. The procedure is usually performed as an outpatient under local anesthesia with deep sedation, and may take from 1 to 2 hours. In the properly selected patient, the result is a natural, youthful and rejuvenated midface without any signs of surgery. By rejuvenating the face from the cheek area down to the jowl and neck, this technique offers a rapid recovery, with patients often returning to routine activities within one to two weeks.

During your consultation, an individual facial analysis, along with digital photography, will allow Dr. Hoefflin to provide you with his professional expertise and recommendations for the type and placement of facial implants. Patient satisfaction after facial augmentation is usually very high, with long-lasting results. Patients can expect minimal postoperative bruising and quick recovery times.

Face Lift by Dr. Karam

As a prospective patient seeking aesthetic consultation, you should diligently review your prospective surgeon’s before-and-after results to determine whether or not that practitioner shares your aesthetic vision. Carmel Valley Facial Plastic Surgery has a strong reputation for producing natural looking results no matter how dramatic the change. Depending on the individuals anatomy, lifestyle, degree of age-related changes, and the amount of downtime and cost the individual is able to handle, several options are available to re-contour the face.

The Facelift addresses the upper cheeks, midface, jowls, jawline, corners of the mouth and neck. The difference between this procedure and the Micro Lift (Mini Facelift) is that the upper cheeks and midface are addressed. Essentially, the same incisions are used in both procedures. Individuals with moderate amount of skin and muscle laxity are good candidates for this procedure. The neck is treated with liposuction and the muscle is tightened and repositioned. The midface and upper cheeks are treated by repositioning the malar (cheek) fat pad back toward a more youthful position.

There are so many new and different treatments available now. Even more fascinating - there are also different ways to perform each treatment. Given this great variety, the surgeon's techniques have become as unique as the treatments and the right combination can produce stunning results.


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Rhino Recovery

After the rhinoplasty surgery, the registered nurse monitors the patient closely in the recovery room until he or she is fully awake. After the patient is ready to be discharged by Dr. Keyes, a friend or relative shall escort the patient home and stay with him or her for that same night. The patient will follow specific postoperative instructions as written and discussed with the attending nurse. Although the patient may have some facial swelling and bruising during the first few days, there is minimal discomfort during the postoperative period. The patient will schedule a return visit to The Keyes Surgicenter on the next day for a follow-up evaluation.

Contact the Keyes Surgicentertoday to schedule your rhinoplasty today. You will be handled by the best in the business.

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Your Beautiful Nose

The Keyes Surgicenter for Cosmetic Surgery is designed to provide advanced and comprehensive, cosmetic surgical services for those who wish to improve or refine a facial or body feature. The majority of cosmetic procedures are performed on an outpatient basis.

Nasal surgery patients are very specific on what they want especially when it comes to reshaping their nose. The skin that separates the nostrils inside the nose is comprised of bone and cartilage. It may become twisted or deviated , either through birth, or as the result of an injury. Due to this deviation, the air flow pattern through the nose may be altered causing it to be hard to breathe. The nose may also appear to be crooked with a 'hump'. There are three basic procedures that involve alteration of the nose are: rhinoplasty, septoplasty, and tiplasty.

The approach to nasal surgery or rhinoplasty varies from individual to individual. Patients may have a specific area of the nose they want improved. Ethnic characteristics must be respected when enhancing the appearance of the African-American, Asian, Caucasian, Hispanic or the Middle Eastern nose.

Dr. Keyes has the distinction of being certified by two medical boards, The American Board of Plastic Surgery and The American Board of Otolaryngology - Head and Neck Surgery. Both these surgical specialties substantiate training for cosmetic surgical procedures.

Contact the Keyes Surgicenter today to have your questions answered, or to schedule your consultation today.

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Facial Surgery by one of Beverly Hills Best

A native of Pennsylvania, Dr. Palmer has resided in Southern California since 1973. He graduated with honors from San Diego State University and received his M.D. degree from the University of California Irvine School of Medicine. Major emphasis was placed on Facial Plastic Surgery during his five year residency in Head and Neck Surgery at USC-LA County Medical Center (the largest medical teaching institution in the world). Following board certification, Dr. Palmer completed a one year fellowship with the American Academy of Facial Plastic and Reconstructive Surgery, and is board certified with the American Board of Facial Plastic and Reconstructive Surgery. Dr.Palmer also completed a one year fellowship with the American Academy of Cosmetic Surgery and is board eligible with the American Board of Cosmetic Surgery.

As we age, the eyebrows begin to shift downward from the inexorable pull of gravity. The Tissues around the mouth roll inward forming the Nasolabial Folds (fold from the corner of the nose to the mouth) and the Jowls (fold from the corner of the mouth to the jaw). Similar aging and tissue shifting occurs in the neck where tissues slides towards the midline accumulating under the chin. Reversing the signs of facial aging used to mean some type of open facelift. Although the facelift still remains the gold standard for facial rejuvenation, clearly there are many individuals seeking a more youthful appearance who do not need a facelift. The Thread Lift and Suture Suspension Lifts are a great way to roll back the clock and look years younger with a minimally invasive procedure.

Rhinoplasty can be performed to alter nasal size or shape whether it is traumatic or genetically acquired. Unattractive nasal features such as a wide bulbous tip, wide nasal bridge, large dorsal hump, malformed/asymmetric tip, crooked nose, or a deviated septum causing breathing problems are readily correctable. Even in the case of prior surgery, the nose can most often be substantially softened and the overall shape vastly improved.


Contact Dr. Palmers office today for your consultation. His friendly staff will set you up with an appointment, and ease your mind of any questions you may have.

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There Are Many Benefits To Receiving Rhinoplasty

With Rhinoplasty, you can greatly enhance the face by improving the shape of the nose. While subtle changes are desired by some patients, a complete changes are desired by other patients. Rhinoplasty has the potential to give a self esteem boost to anyone who is self-conscious about their nose.

By making your nose more balanced with the rest of your face and enhancing your profile, this procedure can greatly enhance anyone's facial appearance. The Rhinoplasty procedure is customized to specifically enhance each person's face whether their nose has been damaged from an injury or a birth defect has caused them to have a less than desirable nose shape or these problems have caused your nasal airways to not allow regular airflow.

More information can be found on this website I found that I believe should be very useful in teaching more about this procedure and help in making the decision to get Rhinoplasty.

Traveling For Plastic Surgery Is No Longer Exclusive to Celebrities and The Wealthy

Unlike days past when only the rich and famous consulted plastic surgeons across the country - and even the world - patients now are willing to travel beyond their local communities to find the plastic surgeon that best meets their needs. With the advent of the internet, that world has now become smaller and the idea of traveling for plastic surgery is no longer considered unusual. Today's Plastic Surgeons understand the commitment to having plastic surgery in the first place, let alone the added burden of travel, and also realize that in the end, giving you the result that you desire is well worth the journey – and results that will last a lifetime.

Traveling longer distances for a plastic or cosmetic surgery procedure is becoming more common place in modern society. The desire and need to find the right 'fit' for patients and plastic surgeons has become increasingly important both to the success of surgery procedures that must be performed by specialists in their field, such as Breast Reconstruction, reconstructive surgery such as rhinoplasty(nose surgery) to correct a breathing problem, and more.

When one considers traveling for plastic surgery, he/she should always to their homework and research the procedure, and how traveling can promote healing, or can pose potential risks that would not be normally associated with having a surgery procedure locally. One should also consider the costs associated with traveling, lodging, post operative care and follow up visits with the surgeon. Check with your chosen surgeon to see what assistance the Doctor and his/her staff offer regarding travel accommodations, including lodging, flight booking, and post operative care.

These days most surgeons that treat patients from outside their local area also offer services to help with booking flights, providing lodging information and even helping you do the footwork, helping you with all aspect of traveling to another area to have a plastic surgery procedure.

Be sure to consult with your chosen surgeon and have all your questions answered regarding the surgery procedure and traveling. It is also a good idea to research your desired surgical procedure beforehand, to ensure you fully understand all aspect of the procedure. There is a large number of plastic surgery websites on the internet, the best one I have found is lookingyourbest.com. This is a free website the boasts a wealth of in depth and accurate plastic surgery information and they also offer a free service to help you locate experienced and qualified plastic surgeons in your area and around the country.

Nose Surgery in Los Angeles

Rhinoplasty in Los Angeles is a commonly sought after plastic surgery procedure, particularly for Dr. Keyes' practice. Dr. Keyes’ knowledge and aptitude in the area of rhinoplasty (nose surgery) is well respected among members of the public and the professional community at large. Dr. Keyes has been known to meet expectations for people of all demographics including: ethnic backgrounds and those with genetic abnormalities or traumatic injuries.

In the past two years, nearly 600,000 people in the U.S. have undergone rhinoplasty, according to the American Society of Plastic Surgeons. People that have had rhinoplasty usually welcome the subtle enhancement that adds balance and harmony to their faces. Functionality of the nose and aesthetics are Dr. Keyes’ areas of expertise.

Dr. Geoffrey Keyes is a Board Certified Plastic Surgeon in Los Angeles.

Have You Been Thinking About Cosmetic Surgery in San Diego, California?

Plastic Surgeon San Diego - Surf around online looking for pretty much anything, and you're bound to find a lot of information ranging from fact to fiction to kudos to condemnation. Search for plastic surgery and the opinions alone will steer you to every point of a compass. Is it right or wrong to undergo a cosmetic procedure? A better question would be, is it right or wrong for you? A missing tooth is hardly life threatening, for example, but quality of life can be significantly improved by the introduction of a prosthetic made to look and function like the real thing. Jamie Farr did pretty well with a prominent nose, but not everyone is comfortable looking like Gonzo. Moreover, it may be possible to improve one's ability to breathe through rhinoplasty (breathing, so they say, is important to survival).

To make a proper decision, you must weigh all of the information, for and against, and decide if the risk is worth the benefit to you. To weigh the information, you must first have the information, and the most critical information isn't on the internet. A properly qualified, board certified plastic surgeon can combine professional expertise with an examination of your unique physiology to give you critical knowledge you need to make your choice. Dr. Amir Karam is a board certified plastic surgeon in San Diego who specializes in rhinoplasty and in surgical and non-surgical rejuvenation of the eyes, neck, and face.

Could A Rhinoplasty Be Beneficial To Your Facial Balance?

Are you unhappy with the size or shape of your nose? Has a birth defect or nose injury negatively effected your ability to breathe? If any of these questions apply to you than you could be very happy to learn that there is a procedure that can correct all of these problems.

Rhinoplasty is a plastic surgery procedure that can reduce over-projection of the nose, reduce under-projection, re-shape wide or crooked nasal bridges, correct a nasolabial angle that is too small or large to be more normal, get rid of a hump in the nose and many other things.

Rhinoplasty can also open up nasal airways that have been obstructed by birth defects or injuries and through this process it makes it a lot easier to breathe.

For anyone who wants to learn more about this amazing plastic surgery procedure here is a page I have found that can help in teaching more about Nose Surgery.

Making The Decision To Get Rhinoplasty

When considering Rhinoplasty, it is very important to make sure you learn as much as you can about the procedure, so that you know that it is the right procedure for you.

Rhinoplasty is a very life-changing procedure and can greatly effect your appearance through re-shaping your nose, increasing or decreasing it's size or re-shaping the tip and bridge to make your nose more balanced with your face.

This procedure can also be beneficial to anyone who has breathing problems because of birth defects or injuries because it can open up the airways to allow easier breathing.

If anyone is interested in this procedure and would like to learn more about how it works, here is a page that is very informative about this and many other Plastic Surgery Procedures.

Every Person Has A Different Reason For Receiving Nasal Contouring

There are many reasons for a nose job including removal of bumps, reducing the size of the nose, and improving the angle of a person's nose. These conditions may be due to external trauma to the face or they may be natural. Rhinoplasty surgery can also help patients who have difficulty with breathing. The procedure is also able to be performed on all age groups including elderly and teens.

A Rhinoplasty Performed By A Plastic Surgeon Removes Nasal Deformities

Any person that is receiving a rhinoplasty is going to be doing so in order to reshape or re-size their nose. Any person that is not satisfied with the shape and size of their nose has an option. Reconstruction of one's nose was one of the very first cosmetic surgery procedure that was developed. It is also among the most frequently performed procedures today. Nose surgery, or rhinoplasty is a surgical procedure in which any deformities of the nose can be corrected by rearranging, removing, or reshaping the bone or cartilage.

Important Rhinoplasty Information

When deciding to get Rhinoplasty Surgery it is extremely important that you learn as much as you can about the procedure so that you know all of the risks, how it works and whether or not it is the right procedure for you.

Rhinoplasty can be very beneficial to ones facial balance because it can Re-shape your nose to be bigger or smaller, and change the shape of the tip and the bridge of your nose to be more balanced with your face. Nose surgery is also very popular in Opening damaged airways or correcting breathing issues caused by birth defects, making it easier for people with those problems to breath.

If you think you could benefit from this procedure in any of these ways and would like to learn more about them then here is a page I found that could be very useful in learning more about these Nose Surgeries.

Before Deciding To Get Rhinoplasty

Rhinoplasty can be a very life-changing procedure and as such, when considering Nose Surgery, it is extremely important that you try to learn as much about the procedure as possible so that you know how it works and can be sure that it is the right procedure for you.

Rhinoplasty can make a big impact on your face and is very popular for it being able to correct birth defects and reverse the unwanted results of injury. Rhinoplasty can help you in many ways including reshaping your nose to create more facial balance, making it bigger, making it smaller or even correcting breathing problems.

I hope this information helps anyone who is looking to receive a Rhinoplasty procedure. If I find any more information on this procedure I will be sure to add it to this post.

Cosmetic Surgery

Ever looked in the mirror and wanted to improve your appearance in one way or another? Thought about cosmetic surgery and worried about the procedure, recovery and cost? The procedures in cosmetic surgery increase year after year, leaving millions of patients happy with their results. The aim of cosmetic surgery is to enhance a particular appearance through surgical techniques. These surgeries are aimed to maintain, restore or enhance some aesthetic feature of the patient. Some patients elect to have cosmetic surgery due to a birth mark, physical defect, burns or an injury. Other patients elect to have cosmetic surgery with hopes of changing certain features of their body in a positive way.

Surgeons reshape the appearance of body parts through cosmetic surgery. The most common forms of cosmetic surgery are:
• Breast augmentation or breast implant
• Rhinoplasty or the reshaping of the nose
• Abdominoplasty or a tummy tuck
• Liposuction or the removal of accumulated fat in the body
• Buttock augmentation or implants into the buttocks to cause tightening or lift
• Rhytidectomy or a face life, which can also include browplasty (brow lift) and mid face life (cheek lift)
• Blepharoplasty or surgery that reshape the eyelids and can include the permanent application of eye makeup to the patient
• Otoplasty or the reconstruction of a patient’s ears, typically pinning the lobes closer to the head
• Botox is a non-surgical form of cosmetic surgery that uses injections to help reduce wrinkles on the face

To help ensure you have a successful surgery, doctors typically state good candidates are patients that are at least 18 years of age and in good overall health with no medical history of heart problems, blood conditions or any other medical condition that may negatively impact the recovery or success of the surgery.

Deciding to have cosmetic is a major decision. It is a personal decision and one that should be thought out thoroughly and discussed with an accredited physician at length. Request reviews from previous patients and verify the doctor has performed this particular procedure successfully before. The process can be costly, with numerous procedures not covered by insurance. Often, physician’s offices can establish payment plans to help with the cost of surgery.

For cosmetic surgery in Utah - contact Dr Brent Kennedy. For cosmetic surgery in Seattle contact Dr Marosan. For cosmetic surgery in Miami contact Miami Plastic Surgery.

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Rhinoplasty in California

Rhinoplasty, also known as Nose Surgery, is a procedure meant to improve the appearance of the nose through surgery. Most female patients generally have a nose surgery procedure to reduce the prominent "hump"(also referred to as a nasaldorsum) on the bridge of the nose. Rhinoplasty surgery also provides for narrowing the shape of the nose from a frontal view which aids in creating a more feminine appearance and giving balance to the nose in relation to other facial features.

The tip of the nose is is also refined during a rhinoplasty procedure. By narrowing the tip of the nose and altering its position, the tip of the nose looks more feminine. The techniques utilized by a plastic surgeon to refine a nasal dorsum and tip of the nose are achieved through the process of selective removal of cartilage in one area of the nose, while adding cartilage in other areas. The precision use of a technique called 'cartilage suturing' is also employed to give the tip of the nose a more attractive appearance.

Men who desire nose surgery may have some nasal deviation and desire cosmetic improvement to the nose. The overall goal of a rhinoplasty procedure is to provide a nose that has been straightened through cosmetic refinement of the dorsum and tip of the nose, while preserving each individuals unique facial character and masculine appearance.

Plastic Surgery Q&A - Nose Surgery

Nose Surgery, also referred to as Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

Rhinoplasty can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your plastic surgeon.

The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you're physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate.

Nose Surgery - Santa Monica, CA

Plastic surgery quickly conjures breast augmentation and face lift surgery. Nose surgery may even come to the mind, but usually when I think of plastic surgery, the reason behind it is always cosmetic. I was visiting the web site of Santa Monica nose surgery Doctor, Steven Teitelbaum, however, and was reminded that there's more to the nose than meets the eye. Of course, there are cosmetic reasons to have nose surgery; it may be too large for its face, it may have a hump, or a bulbous tip or oddly shaped nostrils. There can also be deformities on the inside, though, which can cause difficulty breathing. Repair if these issues also falls on the plastic surgeon, and may even be covered by insurance. Perhaps a closer look at Los Angeles facial rejuvenation might even help a body breathe a little bit easier.

Getting A Nose Job Can Be A Life Changing Experience

Rhinoplasty is a plastic surgery procedure that changed my life. I was born with an abnormally large nose that caused my face to look very out of balance and a few months ago I decided that now that I have finished growing, now would be a good time to search for a plastic surgery procedure to possibly reshape my nose and make it smaller so that it might be more balanced with the rest of my face.

I decided to search the internet and while I was searching I found a site called www.nabavian.com and on that site I learned that "Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems."

I was very relieved to find out that there was a procedure that seemed to be perfect for what I wanted to accomplish and I decided to talk to a plastic surgeon near me and have this procedure done.

It has now been 3 months since the surgery and I am extremely happy with the results.

Could You Benefit From A Rhinoplasty Surgery?

Rhinoplasty is a plastic surgery procedure that can reshape your nose to be more balanced with the rest of your face. Rhinoplasty can also be used to open up nasal airways that previously made it hard for you to breathe. I wish that I had learned about Rhinoplasty earlier because it has changed my life in so many ways.

A few months ago I broke my nose and because of the way it healed, my nose developed a large lump on top and it became hard to breathe through my nose also. It wasn't until a few weeks ago that a friend of mine informed me of a website that could teach me everything I needed to know about a plastic surgery procedure that could fix my nose and get rid of all my problems with it.

I decided to take a look at that website that he referred me to which was my-plastic-surgeon.com and on that website I learned about Rhinoplasty and how "Presently it is one of the most popular aesthetic surgery procedures in the United States. Although most of the patients are young, there are no contraindications based on age. Unlike many aesthetic procedures, rhinoplasty is not performed for rejuvenation, but to fundamentally change appearance."

This was just the information I needed to be able to know that this was what I wanted to do, and now that I have had it done I am already extremely happy with the results and my breathing issues are gone also.

Selecting a Plastic Surgeon in San Diego

The decision to pursue cosmetic surgery is a very personal one, and can be daunting. Choosing a doctor to provide your treatment is often every bit as personal and complicated a decision. All the same, there are some tried and true means of making your selection that improve your odds. One suggestion from San Diego cosmetic surgeon Dr. Karam of Carmel Valley Facial Plastic Surgery is to carefully review before-and-after documentation of your potential doctor's past work to determine whether you share his aesthetic taste. Speaking to others who have been treated by the doctor you are considering can give you an excellent indication of what you can expect your own experience to be like. For his own practice where he offers facial rejuvenation in San Diego, Dr. Karam states, "We pride ourselves on our open and honest dialogue with each of our patients and strive to provide every patient with all of the information and options they need to make the most informed and appropriate decision possible to achieve their aesthetic goals."

What Can Rhinoplasty Do For You?

A Rhinoplasty surgery can be very beneficial in many different ways including changing the shape and size of your nose to make it more balanced with the rest of your face. Rhinoplasty can also open up nasal airways to make it easier for those who have trouble breathing, to be able to breath.

A few months ago, before I knew about Rhinoplasty, I was in a car accident and in the process my nose was broken badly and healed in such a way that my nose had a large lump on the top of it making it very ugly. My nasal airways also had become smaller through the healing process, making it hard for me to breathe. I decided that it would be beneficial for me to research different plastic surgeries to see if there was one that could correct my breathing problems and make my nose go back to normal.

While searching the internet I found a site called drgolshani.com and on that site I learned about Rhinoplasty and how through this procedure I could have both my breathing problem corrected and my nose reshaped to a normal state. This was perfect, I could finally have my old nose again, and I was very excited. Soon afterward I called the surgeon and set up a consultation to talk about how this procedure will be done, and now that I have had it done I am very happy with the results.

Rhinoplasty in Dallas

Rhinoplasty, or nose surgery, can alter the shape of your nose at the tip or bridge, change its size, and more. It may also help relieve some breathing problems by straightening and sometimes reduction of the septum. Doctor William Adams is a board certified plastic surgeon who performs rhinoplasty in Dallas, Texas.

In your consultation, Dr. Adams will examine your health generally, and discuss with you the techniques which are most appropriate to your individual situation. Some of the factors you will discuss about your nose surgery with Dr. Adams which can affect your procedure include your bone and cartilage structure, your age, your face shape, and your expectations. Surgical procedures naturally involve a measure of risk, and rhinoplasty is no exception. Dr. Adams will help you understand both the risks and the potential rewards of your choice.

What Is A Primary Rhinoplasty?

Primary rhinoplasty indicates that it is the first time an operation is being performed. The first operation offers the best opportunity to obtain an excellent and predictable outcome. Seeking out a rhinoplasty specialist for this first operation significantly increases the chances of obtaining an excellent rhinoplasty result and decreases your chances of a revision.

Every Nose Job is Different, There is No One Perfect Nose

When looking to perform a rhinoplasty, realistic expectations from the patient's perspective are very important. The goal of rhinoplasty is to reshape and sculpt a new nose that fits harmoniously with the face and fits into the facial balance for each individual patient. Every nose job is different. There is no one perfect nose.

Improve Your Nose Aesthetically

It is important to have realistic goals and expectations regarding the outcome of the surgery. It is also important to consider why you want to have nose surgery. The goal is to improve the nose aesthetically to better balance with the other facial features; sometimes breathing is improved at the same time. Rhinoplasty is performed by making small incisions on the inside of the nose. There are no external incisions. The skin is lifted off of the cartilage and bone and the nose is then sculpted to the appropriate shape. The skin is then placed back in position and dissolvable sutures are used to close the incisions inside the nose.

Create a Natural-looking Nose that Balances With the Rest of the Face

Rhinoplasty, most commonly referred to as a "nose job," is a surgical procedure designed to create a natural-looking nose that balances with the rest of the face. It is a highly refined procedure and not an easy one to master. Deformed noses are often accompanied by breathing problems, and most rhinoplasty techniques can easily worsen these problems. It is best to trust your nose to a specialist who has many years of experience and judgment. Often rhinoplasty is accompanied by a chin implant to produce a more balanced and harmonious face, and on some occasions a chin implant alone will correct an apparent prominent nose. Recovery is rapid, discomfort rarely lasts more than one day, and almost everyone can return to normal social activity in six days.

Risks Involved With Cosmetic Nasal Surgery

Because of the special nature of the blood supply to the nose and surrounding area, it is possible for retrograde infections from the nasal area to spread to the brain during cosmetic nasal surgery. To reduce the risks follow the doctor's advice both before and after the surgery.

Reasons For A Nose Job

Reasons for a nose job include reducing the size of the nose, removal of bumps as well as improving the angle of a nose. Conditions may be natural or due to external trauma to the face. This operation will also help patients who have difficulty breathing. The operation can be performed on all age groups, including teens and the elderly.

The Surgery of Rhinoplasty

Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of the sculpting will depend on your problem and your surgeon's preferred technique. Finally, the skin is redraped over the new framework.

The Best Candidates for Rhinoplasty

The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. It is helpful to have specific and realistic goals in mind for the improvement of the appearance and breathing, although it is not necessary to know every detail about how you would like your nose to change. Your surgeon will spend considerable time with you in consultation going over exactly what your goals are and how they might be accomplished. They will specifically review the goals with you and also go over the fine points of your specific situation and your specific type of rhinoplasty with you so that together with you he can achieve the best appearing and most natural result possible.

Nose Reshaping Produces a More Attractive Nasal Shape

Nose reshaping is intended to produce a more attractive nasal shape and/or a nose in better proportion to other facial features. Rhinoplasty is most often done on an outpatient basis under sedation, and local or general anesthesia. Your plastic surgeon will decide which techniques should be used.

Sculpt and Change the Shape and Size of your Nose with Rhinoplasty

Surgery of the nose or Rhinoplasty is performed to increase or decrease the size of the nose, sculpt and change the shape of the tip, bridge, bones, cartilage or nostril size. Nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance.

It is important to have realistic goals and expectations regarding the outcome of the surgery. It is also important to consider why you want to have nose surgery. The goal is to improve the nose aesthetically to better balance with the other facial features; sometimes breathing is improved at the same time. Surgery is performed by making small incisions on the inside of the nose. There are no external incisions. The skin is lifted off of the cartilage and bone and the nose is then sculpted to the appropriate shape. The skin is then placed back in position and dissolvable sutures are used to close the incisions inside the nose.

Rhinoplasty is One of the Most Complex Procedures Performed by Plastic Surgeons

Rhinoplasty, or surgery of the nose, is one of the most complex procedures performed by plastic surgeons. Each individual part of the nose influences the others and can have a significant effect on both function and appearance.
Some plastic surgeons are double board certified in both plastic surgery and also otolaryngology - head and neck surgery, the two specialties which focus most on the nose and its function. This unusual dual background allows them to achieve the highest aesthetic results while at the same time maximizing both breathing and airway.

The History of Cosmetic Nasal Surgery

Rhinoplasty was first developed by sushruta, an important physician, who lived in ancient India circa 500 BC. He and his later students and disciples used Rhinoplasty to reconstruct noses that were amputated as punishment and for crimes. He developed the techniques of forehead flap Rhinoplasty which is practiced almost unchanged to this day. This knowledge of plastic surgery existed in India up to late 18 century. The first intranasal Rhinoplasty in the west was performed by john Orlando roe in 1887. In 1898 Jacques Joshep used it for cosmetic purposes to help those who felt that the shape or size of their nose caused them embarrassment and social discomfort.

Rhinoplasty can Enhance your Appearance

Rhinoplasty can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you're physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate.

Rhinoplasty can be performed to meet aesthetic goals or for reconstructive purposes-to correct birth defects or breathing problems.

Age may also be a consideration. Many surgeons prefer not to operate on teenagers until after they've completed their growth spurt-around 14 or 15 for girls, a bit later for boys. It's important to consider teenagers' social and emotional adjustment, too, and to make sure it's what they, and not their parents, really want.

All surgery carries some uncertainty and risk When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection, nosebleed, or a reaction to the anesthesia. You can reduce your risks by closely following your surgeon's instructions both before and after surgery.

The Best Candidates for a Rhinoplasty

The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you're physically healthy, psychologically stable, and realistic in your rhinoplasty expectations, you may be a good candidate.
Rhinoplasty can be performed to meet aesthetic goals or for reconstructive purposes-to correct birth defects or breathing problems.
Age may also be a consideration. Many surgeons prefer not to operate on teenagers until after they've completed their growth spurt-around 14 or 15 for girls, a bit later for boys. It's important to consider teenagers' social and emotional adjustment, too, and to make sure it's what they, and not their parents, really want.

The Three Basic Procedures That Involve Alteration Of The Nose

The three basic procedures that involve alteration of the nose are: rhinoplasty, septoplasty, and tiplasty. Rhinoplasty is surgery of the nose to augment, shorten, elongate, thin, straighten, or otherwise balance the overall impression of the face. Patients who seek nasal surgery for more cosmetic reasons often elect rhinoplasty, which includes alteration of the nasal bone and cartilage. Septoplasty is surgery of the nose that restores or improves its functionality in terms of breathing more easily. This procedure corrects a deviated nasal septum as mentioned earlier. Tiplasty is surgery of the cartilage of the nasal tip. Patients elect this procedure to refine and define the tip of the nose. Because rhinoplasty refers to the overall reconstruction of the nose, it may also include straightening of the nose, refinement of the nasal tip, narrowing of the nose width, or reduction of the “nasal hump,” as a combined surgery.

Reasons People Receive Rhinoplasty Surgery

Most rhinoplasty patients have a definite idea as to how they would like to “improve” or refine the shape of their nose. Usually they don’t like the “hump” on the bridge, the thickness of the tip, or the width of their nose.
The nasal septum, (the structure that separates the two nostrils inside the nose), is composed of cartilage and bone. It may become deviated or twisted, either through the trauma of birth or as the result of an accidental injury. This deviation may alter the pattern of air flow through the nose, making it more difficult to breathe. In addition, the nose may appear crooked with a “hump”.

Importance Of Nose Aesthetics

The nose is a very important central feature of the face. In both front and profile views, nasal characteristics affect the overall balance and aesthetic appeal of the entire face. Rhinoplasty is one of the most difficult procedures in plastic surgery because very small changes can drastically affect the appearance. Careful evaluation, planning, and surgical precision are critically important. Overly operated noses appear unattractive and unnatural. To preserve your individuality and maintain the uniqueness of your nose, surgeons will spend a lot of time with you, discussing your desires and explaining how the changes you desire will affect other features of your nose and face. By changing only the negative features and carefully preserving your positive characteristics, your nose will blend aesthetically with your face but not appear overly operated.

In general, features of the nose should blend in a pleasing fashion with other facial features. Overly prominent or detracting features of the nose such as a large hump or an excessively round or bulbous tip which detract from a pleasing balance can be improved by rhinoplasty.

Enhance and Correct your Nose with a Rhinoplasty

Rhinoplasty, or nasal surgery, can enhance the shape, size, and general appearance of your nose by correcting a drooping nasal tip, a bump on the nasal bridge, and other unfavorable attributes. Chin enhancement is a procedure often performed alongside rhinoplasty to achieve optimal facial balance.
The procedure is done on an outpatient basis under sedation or general anesthesia. Working through nasal incisions, the nose’s framework of bone and cartilage is sculpted to the desired shape. Changes may be made to reshape the tip, reduce the size or width of the nose, increase or decrease the nasal bridge, or change the angle between the nose and the upper lip.

Preoperative Care For a Nose Job

After the patient makes the decision to undergo rhinoplasty surgery, he or she will proceed with completing specified laboratory tests and a history and physical examination. The plastic surgeon will provide the patient with written preoperative and postoperative instructions, which are also discussed in their entirety. The patient will receive a list of medications that may conflict with the use of anesthesia. In addition, a re-evaluation appointment is available to the patient prior to the date of surgery. During this time before surgery, the patient should direct any and all questions and concerns to the plastic surgeon and his or her staff.

A Nose Job Improves Your Nasal Features

Many features which are not desirable in a nose may be improved through cosmetic surgery. Noses may be made narrower, straighter, longer or shorter. Humps may be removed and the shape, size and angle and definition of the tip of the nose may be altered. Breathing problems caused by a deviated septum may be corrected. Rhinoplasty may be performed at any time after facial growth has been completed that is age 15-16 for women and age 16-17 for men. The ideal outcome in rhinoplasty is a natural appearing with balance and harmony, enhancing beauty of the eyes and lips.
Because of the special nature of the blood supply to the nose and surrounding area, it is possible for retrograde infections from the nasal area to spread to the brain. To reduce the risks follow the doctor's advice both before and after the surgery.

A Nose Job Improves Your Nasal Features

Many features which are not desirable in a nose may be improved through cosmetic surgery. Noses may be made narrower, straighter, longer or shorter. Humps may be removed and the shape, size and angle and definition of the tip of the nose may be altered. Breathing problems caused by a deviated septum may be corrected. Rhinoplasty may be performed at any time after facial growth has been completed that is age 15-16 for women and age 16-17 for men. The ideal outcome in rhinoplasty is a natural appearing with balance and harmony, enhancing beauty of the eyes and lips.
Because of the special nature of the blood supply to the nose and surrounding area, it is possible for retrograde infections from the nasal area to spread to the brain. To reduce the risks follow the doctor's advice both before and after the surgery.

Rhinoplasty is the Most Intricate Cosmetic Surgery Performed Today

Rhinoplasty (or Nose Refinement Surgery) is the most intricate cosmetic surgery performed today. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury and help relieve some breathing problems.

The best candidates for rhinoplasty are people who are looking for improvement in the way they look, are physically healthy, psychologically stable, and have realistic expectations. During the initial consultation, the surgeon will evaluate the structure of your nose and face and discuss the possibilities for enhancement with you. The doctor will also explain some factors that can influence the procedure and results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.

Considering a Nose Job?

Rhinoplasty, most commonly referred to as a "nose job," is a surgical procedure designed to create a natural-looking nose that balances with the rest of the face. It is a highly refined procedure and not an easy one to master. Deformed noses are often accompanied by breathing problems, and most rhinoplasty techniques can easily worsen these problems. It is best to trust your nose to a specialist who has many years of experience and judgment. Often rhinoplasty is accompanied by a chin implant to produce a more balanced and harmonious face, and on some occasions a chin implant alone will correct an apparent prominent nose. Recovery is rapid, discomfort rarely lasts more than one day, and almost everyone can return to normal social activity in six days.

Achieve a More Attractive Nose with Nasal Surgery

Nose reshaping is intended to produce a more attractive nasal shape and/or a nose in better proportion to other facial features. Rhinoplasty is done on an outpatient basis under sedation, and local or general anesthesia. Your plastic surgeon will decide which of the following techniques should be used:

* STANDARD RHINOPLASTY: Incisions are made inside the nostrils. The nasal bones, cartilage, and soft tissues are reshaped to improve the external contour.
* OPEN RHINOPLASTY: Frequently used for difficult or larger noses. Involves one external incision across the columella (strut between the nostrils). Bones, cartilage, and soft tissues are reshaped under direct vision.
* TIP-PLASTY: If only the nasal tip is abnormal, it may be corrected with either a standard or external (open) approach.
* Large nostrils may be reduced through tiny incisions at the outer base of the nostrils with either type of rhinoplasty.

A Nose Job Creates a More Delicate Nasal Structure

Rhinoplasty can be used to make the nose more delicate, remove bumps, and to sculpt it. A California board certified plastic surgeon employs the newest techniques available, using grafts to augment the nose, as opposed to older techniques that remove cartilage and sometimes lead to a "ski jump" appearance. Every patient's goals are different, so your surgeon will work with you using computer imaging to achieve your ideal.

Rhinoplasty scars are hidden within the nostrils. You may not see the final results of your surgery until swelling resolves, which may take several weeks.

Having a hard time breathing?

Difficulty in breathing can be caused by deformities of the nasal septum. Nasal septal deviation can occur during nasal growth or from trauma to the nose. Internal nasal surgery, if needed, can be combined with surgery of the external nose to improve airway function as well as appearance.

Nasal surgery, can improve the appearance of the nose externally as well as the internal function of the nasal airways. Rhinoplasty is the term for surgery of the external nose. Internal procedures correct deformities of the septum or turbinates which can obstruct the nasal airway.

Rhinoplasty in Seattle Washington

Surgery of the nose or Rhinoplasty is performed to increase or decrease the size of the nose, sculpt and change the shape of the tip, bridge, bones, cartilage or nostril size. Nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance.

How long has Rhinoplasty been around?

Rhinoplasty was first developed by sushruta, an important physician, who lived in ancient India circa 500 BC. He and his later students and disciples used Rhinoplasty to reconstruct noses that were amputed as punishment and for crimes. He developed the techniques of forehead flap Rhinoplasty which is practiced almost unchanged to this day. This knowledge of plastic surgery existed in India up to late 18 century. The first intranasal Rhinoplasty in the west was performed by john Orlando roe in 1887. In 1898 Jacques Joshep used it for cosmetic purposes to help those who felt that the shape or size of their nose caused them embarrassment and social discomfort.

Would you Like to Improve your Nose?

Most patients have a definite idea as to how they would like to ‘improve’ or refine the shape of their nose. The common concerns are the “nasal hump” on the bridge, the thickness of the nasal tip, and the width of their nose. The most important step in the process of learning about rhinoplasty or nasal surgery is for the prospective patient to have an in-depth consultation with a board certified plastic surgeon.

Frame your Smile with a Nose Job

Good aesthetic judgment is essential to fit your face and frame your smile. Surgery can reduce or increase the size of your nose, taper the bridge or tip, narrow the nostrils or even improve the angle between the nose and upper lip. And, all can be accomplished through one operation.

Rhinoplasty could be for you!

The nose is the most prominent feature of our face. Its size and shape influence our entire facial appearance. A well-shaped nose appears balanced and in harmony with all of a person’s facial features. When the nose is too large or too small for the face it will seem out of balance or asymmetric. Even if the nose is properly sized, but the individual parts of the nose are not well proportioned to one another, then the nose will appear out of synch with the rest of the face. These problems can be due to trauma, genetics, or previous surgery. A well-balanced, proportionate and harmonious nose is essential for a beautiful or handsome appearance and it is for this reason that so many people seek to change and improve the shape of their nose. The Plastic surgical procedure to improve the appearance of the nose is called a Rhinoplasty.

Improve Your Appearance with Nasal Surgery

Surgery of the nose or Rhinoplasty is performed to increase or decrease the size of the nose, sculpt and change the shape of the tip, bridge, bones, cartilage or nostril size. Nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance.

Nasal Surgery Can Boost One's Self-Esteem

Nasal Surgery, or surgery to reshape the nose, is one of the most common of all Cosmetic Surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

Reasons People Decide to Have Nasal Surgery

The nose is the most prominent feature of our face. Its size and shape influence our entire facial appearance. A well-shaped nose appears balanced and in harmony with all of a person’s facial features. When the nose is too large or too small for the face it will seem out of balance or asymmetric. Even if the nose is properly sized, but the individual parts of the nose are not well proportioned to one another, then the nose will appear out of sync with the rest of the face. These problems can be due to trauma, genetics, or previous surgery. A well-balanced, proportionate and harmonious nose is essential for a beautiful or handsome appearance and it is for this reason that so many people seek to change and improve the shape of their nose.

A Nose Job Adresses Both Aesthetic and Functional Concerns

Reconstructive nasal surgery, or rhinoplasty, can be done for cosmetic and/or functional problems, such as septal deviation. As the most prominent feature on one's face, the nose is a defining characteristic of your overall appearance. The nose also functions as an important organ of respiration. Rhinoplasty addresses both aesthetic and functional concerns.

Nasal Surgery is One of the Most Common Plastic Surgery Procedures

Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

I always thought nasal surgeries were only for cosmetic purposes.

Are You a Candidate for a Nose Job?

Rhinoplasty may be appropriate for you if you are dissatisfied with the shape of your nose or if you do not breathe well through your nose. The operation is rarely done before facial growth is completed, that is, age 14 -16. The thickness of the skin on the nose is different in different people. Thinner skin allows any changes made in the underlying skeleton of bone and cartilage to show through clearly. Thick skin tends to hide such changes and may limit the production of a fine delicate look. As we get older it becomes harder to adjust to the look of a very different nose, and dramatic changes may not be a good idea after age 35. Only a Board Certified Plastic Surgeon can help you achieve the look you desire.

I find is interesting they recommend you not get a nose job after the age of 35. Has anyone had one done after that? How has it affected you?

Board Certified Plastic Surgeon Rhinoplasty

Many features which are not desirable in a nose may be improved through Rhinoplasty. Noses may be made narrower, straighter, longer or shorter. Humps may be removed and the shape, size and angle and definition of the tip of the nose may be altered. Breathing problems caused by a deviated septum may be corrected. Rhinoplasty may be performed at any time after facial growth has been completed that is age 15-16 for women and age 16-17 for men. The ideal outcome for Rhinoplasty is a natural appearing with balance and harmony, enhancing beauty of the eyes and lips. Always use a board certified plastic surgeon to perform your rhinoplasty.
I never realized how many different things they can fix performing nasal surgery on someone. Do you have any personal experiences with rhinoplasty? Please discuss.

San Diego Rhinoplasty offered by La Jolla Cosmetic Surgeon

Perhaps no other operation in plastic surgery has a greater impact in enhancing the way you look than rhinoplasty. Rhinoplasty is a procedure designed to improve the shape of the nose. Even a subtle change can have a big impact on the attractiveness and balance of the face.

Primary rhinoplasty indicates that it is the first time an operation is being performed. The first operation offers the best opportunity to obtain an excellent and predictable outcome. Seeking out a rhinoplasty specialist for this first operation significantly increases the chances of obtaining an excellent rhinoplasty result and decreases your chances of a revision. Contact facial plastic surgeon Amir Karam for more information about having a nose job in San Diego California.

Forehead Lift San Diego - Brow Lift Skin Tightening Southern California

Forehead/Brow Lift Information provided by La Jolla Plastic Surgeon Dr. Kincaid M.D.

Years of gravity and use can cause the eyebrows to droop or sag and frown lines to form on the forehead. These problems can be treated using forehead/brow lift surgery. This procedure is often coupled with a face lift and/or eyelid surgery to achieve a more youthful appearance.

Procedure
Forehead/brow lift surgery is conducted on an outpatient basis using local anesthesia with sedation. An endoscopic technique has gained popularity for forehead/brow lifts because it is less invasive than traditional surgery and causes less scarring. Small incisions are made behind the hairline and a small instrument with a camera is inserted. Using this device, the surgeon removes any excess skin and tightens and lift the muscle and tissue. Small sutures are used to close the incision. The surgery generally takes 1 to 2 hours.

Any one or combination of the following conditions may indicate that you are a good candidate for a forehead lift:

• sagging or low position of the eyebrows, creating a tired or sad appearance
• deep horizontal creases across the forehead
• frown lines, or furrows, between the eyebrows and sometimes across the top of the nose

A forehead lift can improve all of these problems. It may often be performed at the same time as a facelift which removes excess skin and tightens muscles in the mid and lower face. If there is significant skin overhang in the upper eyelids, or puffy bags beneath your eyes, eyelid surgery may be recommended in addition to a forehead lift. Your plastic surgeon will provide further information if you have an interest in these procedures.

Facelift Surgery San Diego - Face Lift Surgeon Temecula Inland Empire

Face Lift Information provided by La Jolla Plastic Surgeon Dr. Kincaid M.D.

A facelift (technically known as rhytidectomy) can't stop the aging process. What it can do is improve the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. Over time, during normal aging or even with weight loss, the face will change resulting in excess skin laxity, joweling, wrinkling and even elongation of the facial skeleton itself compelling patients to seek correction. A face lift helps to restore the more youthful look to your face and neck - smoothing the contours and wrinkles that aging causes. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping. A facelift usually takes several hours-or somewhat longer if you're having more than one procedure done. Incisions usually begin above the hairline at the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the earlobe to the lower scalp. In general, the surgeon separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. The surgeon then tightens the underlying muscle and membrane, pulls the skin back, and removes the excess. Stitches secure the layers of tissue and close the incisions.

How long does a facelift last?
The traditional answer is about 10 years, however, this depends upon various factors such as technique, facial type, quality of skin, sun exposure and, yes, smoking. Despite the fact that the process of aging cannot be stopped, one can expect that they will tend to always look better after a face lift - at any age - than if they never had the procedure at all.

Rhinoplasty Surgery in San Diego - Nose Surgery Temecula Inland Empire

Rhinoplasty Information provided by San Diego Plastic Surgeon Dr. Kincaid M.D.

Some of us are unhappy with our nose, either because of its size or shape or because of breathing problems. Rhinoplasty reshapes the skin as well as the bone and cartilage inside to alter the size and shape of the nose. Work on the cartilage that separates the two nasal air passages can help with breathing problems. This so-called “septoplasty” is often done as part of rhinoplasty or as the sole procedure. Sometimes this same cartilage is also used as a graft to help in the nose reshaping. Rhinoplasty, or nose surgery, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. Finally, the skin is redraped over the new framework. Many plastic surgeons perform rhinoplasty from within the nose, making their incision inside the nostrils. Others prefer an "open" procedure, especially in more complicated cases; they make a small incision across the columella, the vertical strip of tissue separating the nostrils. When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages

Tummy Tuck in San Diego - San Diego Plastic Surgeon

Tummy Tuck Surgery in San Diego - San Diego Plastic Surgeon Dr. Kincaid M.D.

Abdominoplasty, known more commonly as a "tummy tuck," is a surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. Abdominoplasty can dramatically reduce the appearance of a protruding abdomen. Often after pregnancy or weight loss, excess skin and stretch marks deform the once flat and tight abdomen. But, despite diet and exercise, loose skin still remains. Abdominoplasty is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved. The best candidates for a tummy tuck are men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin.

What are the incisions used in a tummy tuck?
Tummy tuck surgery or abdominoplasty is the surgical excision of excess skin to the abdomen. An ellipse of skin is removed between the umbilicus (navel) and the hairline of the mons area. This also means that C-section scars are removed as well. This skin above the umbilicus is then lifted off the abdominal wall muscles up to the level of the rib cage and then pulled down to the level of the mons and closed. Before this is done, however, the loose abdominal wall muscles are tightened - which, also narrows the waistline. It does produce a permanent scar.

What is a mini tummy tuck?
In selected patients, a limited skin excision can be performed, which can then be combined with direct liposuction of the abdomen (this is usually not advised in a traditional abdominoplasty as it can significantly compromise the blood supply and increase risks of wound development). The umbilicus is not cut out but only relocated and the abdominal wall is tightened before completing the procedure. Although the scar length is shorter, the final result is usually not as tight and so most candidates for a tummy tuck elect to undergo the traditional abdominoplasty.

Can other procedures be performed with a tummy tuck?
Patients often have multiple procedures at the same time. The most common include breast augmentation, breast lifts and/or liposuction. This saves both time and money since costs are often reduced when multiple procedures are combined. Additional procedures would also include facial cosmetic surgery or those related to weight loss such as thigh or buttock lifts. If you're considering abdominoplasty, this will give you a basic understanding of the procedure - when it can help, how it's performed, and what results you can expect.

Smartlipo Surgery performed by Dr. Kincaid San Diego Plastic Surgeon

Smartlipo in San Diego

LaserBodySculptingSM, Laserlipolysis

The Smartlipo^TM is the first laser system designed for LaserBodySculpting^SM and for the disruption of fat cells. It is ideal for treating localized deposits of unwanted fat, fat tissue irregularities and for coagulating tissue leading to a tightening effect.
Smartlipo is ideal for treating small areas of the face, neck, arms, male breasts (gynecomastia), and other areas of loose or lax skin (flabby skin).

How does the Smartlipo work?

Smartlipo laserlipolysis is a minimally invasive surgical procedure. The procedure disrupts the fat cells through a thermal and photodisruptive action – heating and shattering the fat cell membrane. The laser coagulates the underlying vessels due to the hemostatic properties of the laser, resulting in less bleeding, bruising, trauma as well as less down time. As an added benefit, the system has also been reported to promote tissue tightening through bulk thermal heating and tissue coagulation.

The procedure is commonly performed under local and tumescent anesthesia. A laser fiber is introduced through a handpiece and detachable cannula. The cannula is then inserted through a 1 to 2 mm incision in the skin and into fat pockets. The cannula, with the tip of the fiber exposed approximately 2 mm, is then moved in a “back and forth” fanning motion. The laser’s aiming beam can be visualized through the skin, allowing the physician to identify the treatment area. As the fiber tip comes in contact with the fat cells it ruptures the cell membranes and releases the fatty oil from the fat cells. This end product may then be aspirated from the site.

What are the benefits of Smartlipo?

• Treats unwanted fat and fat tissue irregularities
• Promotes tissue coagulation resulting in skin tissue tightening
• Treats flabby or lax skin and areas of high vascularity
• Minimal edema and bleeding due to the laser’s hemostatic properties
• Minimal bruising
• Causes less trauma and faster healing time than traditional liposuction

What type of system is used?

The Smartlipo is an Nd:YAG laser with high peak power and a high rep rate of 40 Hz. The laser energy is delivered using a 300 micron fiber which is threaded through the handpiece and cannula.

Are there disposable costs associated with the procedure?

Laserlipolysis with the Smartlipo system has very few disposable costs associated with the procedure. The handpiece and cannulas are re-usable and would only be replaced due to normal wear and tear. The fiber is warranted by the manufacturer for one use. However, the fiber is a “cut and cleave” design, meaning you could simply continue to trim down the end of the fiber after each case.

Does this procedure have FDA Clearance?

The Smartlipo has been cleared by the FDA for laser-assisted lipolysis. It is also cleared for incision, vaporization, ablation and coagulation of soft tissue.

Who can use the Smartlipo?

Currently, only physicians who have previous liposuction experience are able to purchase the Smartlipo laser. Prior liposuction experience will shorten the learning curve significantly. Those without prior liposuction training and experience should be trained based on the guidelines of the American Academy of Cosmetic Surgery.

How is training for the Smartlipo system handled?
Once a customer purchases the unit, they will receive training on the procedure at a designated Cynosure training site.
Due to the nature of the product and procedure there will be no demonstration of the Smartlipo sytem.

Does laser-assisted lipolysis produce lasting results?
Yes! The Smartlipo procedure permanently destroys the treated fat cells. Adults do not create new fat cells. When a person gains weight, that person’s fat cells simply expand. Should you gain weight, that fat will most likely be deposited in areas where the procedure was not performed.

Who is a good candidate for the procedure?

Ideal candidates are in good health, close to normal body weight and have realistic expectations for the results. If the person has areas of fat that will not respond to diet and exercise, then that person is a candidate for laser-assisted lipolysis.

How many treatments are required?

For most patients, typically only one treatment is required. The session may last from 45 minutes to one hour for each area treated. Laserlipolysis is also an ideal choice for “touch ups” and revisions.

How can facilities become training sites?

Cynosure is very interested in establishing training sites for the Smartlipo through out the country. The qualified training centers should perform 10-20 liposuction cases per month and be willing to follow Cynosure training guidelines.

How does the Smartlipo compare to the Vaser?

Smartlipo is a laser system with the energy transmitted through the fiber (which is threaded through the cannula) and deposited directly to the tissue, disrupting the fat cells. The laser’s aiming beam allows visualization of the treatment area.

The Vaser is an ultrasonic device that transmits energy throughout the entire probe and not just the tip. The energy is more difficult to control and has been known to cause burns near the incision. The probe is much larger than the laser fiber and requires a larger skin incision.

The company provides the system and all accessories to the customer and charges $500 per procedure with a minimum of 4 procedures per month.

How does the Smartlipo compare to the new ultrasound systems such as Ultrashape or Liposonix?

These systems are non-invasive and deposit focused ultrasound energy that does not differentiate between fat and other structure within the body. Extreme care must be taken to guide the system through out the treatment area. The scanner remembers where the system had fired. For example, the Ultrashape device has a 5 mm spot size used via a scanning mode. A 10x10 cm area can take over one hour to treat.

Liposuction surgery in San Diego by San Diego Plastic Surgeon Dr. Kincaid M.D.

Liposuction in San Diego

Liposuction or suction assisted lipectomy (SAL) is the process of contouring the body through the removal of fat. A long, hollow, blunt, metal canula (tube) is inserted through small incisions and fat is removed using a vacuum suction devise. This allows sculpting those diet and exercise resistant areas to achieve the figure that you desire. Liposuction can help sculpt the body including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods.

Who are good candidates for liposuction?
The ideal patients are those who are close to their ideal body weight and in good physical condition. Liposuction is not a substitute for weight loss - it is a contouring procedure for areas of the body that are diet and exercise resistant. These would include the abdomen, hips, and thighs in women and the abdomen and flanks in men. The face, breasts, back, and calves are also areas that liposuction can be effective. Finally, the quality of skin can also be a factor since skin retraction will occur after liposuction. In most cases, liposuction can be an excellent procedure with a relatively quick recovery and noticeable improvements in body contour.

What are the different types of liposuction?
Traditional liposuction uses mechanical vacuum assisted aspiration to remove fat through metal canulas. The other commonly used method - ultrasonic liposuction - involves the use of ultrasonic vibration to explode fat cells. The fatty material is then removed by vacuum suctioning. This method generally reduces the overall operative time but there is the risk of burn injury and even permanent irregularities if areas of fat are dissolved where not intended. Another method of liposuction combines traditional liposuction combined with an oscillating canula to help facilitate breakdown and aspiration; this is called power assisted liposuction (PAL).

What are the incisions used in liposuction?
Liposuction uses a number of very small incisions - about ¼ inch each - placed at various sites to allow insertion of the canula. These are often not even closed since they will seal all by themselves and fade to almost nothing in about a year.

Breast Lift surgery in San Diego

San Diego Breast Lift Information provided by Board Certified San Diego Plastic Surgeon

As time passes, all skin looses some of its elasticity. For some women, this leads to breast sagging, which can be severe. Childbearing and nursing contribute to breast sagging. A breast lift is used to restore the shape and firmness of breasts and/or to reduce the size of the areola (the dark area encircling the nipple).

Breast Lift Procedure
Breast lifts are usually conducted on an outpatient basis using a general anesthetic. An anchor-shaped incision is made that goes around the areola, vertically from the areola to the natural crease under the breast and horizontally across the crease under the breast. Excess skin is removed and the areola is repositioned. The incision is sutured closed. A modified procedure is used for women with smaller breasts or with less sagging. In the modified procedure, an incision is made around the areola. All excess skin is removed, the areola is replaced and the incision is closed. The surgery generally takes between 1-1/2 and 3 hours.

Recovery
Following the surgery, a gauze dressing is placed on the breast and covered with a tight elastic bandage or surgical bra. This helps reduce swelling. There is the possibility of infection following any surgery. Your surgeon will likely prescribe antibiotics to avoid infection in addition to any pain medication. Stitches are removed in 3 to 5 days, at which time a softer, support bra is worn over a gauze dressing 24 hours a day for 3 to 4 weeks. Swelling, bruising and numbness, particularly around the incision, are normal and generally subside over 6 weeks. Most patients return to work in 7 to 10 days, but must avoid heavy lifting and strenuous activities for 4 weeks.

Breast Augmentation Surgery in San Diego, La Jolla

Breast Augmentation Information provided by Board Certified San Diego Plastic Surgeon

Am I a good candidate for breast augmentation?

One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

• you are bothered by the feeling that your breasts are too small
• clothes that fit well around your hips are often too large at the bustline
• you feel self-conscious wearing a swimsuit or form-fitting top
• your breasts have become smaller and lost their firmness after having children
• weight loss has changed the size and shape of your breasts
• one of your breasts is noticeably smaller than the other

Your Personal Consultation

During the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important.

This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.

How will my ASAPS plastic surgeon evaluate me for breast augmentation surgery?

Your plastic surgeon will examine your breasts and perhaps take photographs for your medical record. He or she will consider such factors as the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). If your breasts are sagging, a breast lift may be recommended in conjunction with breast augmentation.

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. You will be asked whether you have a family history of breast cancer and about results of any mammograms. It is important for you to provide complete information.

There is no scientific evidence that breast augmentation increases the risk of breast cancer. The presence of breast implants, however, makes it more technically difficult to take and read mammograms. This may be a special consideration for women who perhaps are at higher risk for breast cancer because of their family history or other reasons. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination, but other factors may also need to be considered with regard to implant placement. Your plastic surgeon will discuss this with you.

If you are planning to lose a significant amount of weight, be sure to tell your plastic surgeon. He or she may recommend that you stabilize your weight prior to undergoing surgery.

If you think that you may want to become pregnant in the future, you should mention this to your surgeon. Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of your breast augmentation. There is no evidence that breast implants will affect pregnancy or your ability to breast-feed, but if you have questions about these matters, you should ask your plastic surgeon.

How will my breasts look and feel after the breast implants have been placed?

A day or two after surgery, you should be up and about. Any dressings will be removed within several days, and you may be instructed to wear a support bra. Your plastic surgeon will probably permit you to shower between three and seven days following surgery. Stitches will be removed in about a week.

Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.