HomeArticles
How do you make a nose that’s too large smaller with rhinoplasty?
There are a variety of methods we use to make a large nose smaller. For example, if you have a big hump along the bridge of the nose, we can refine that hump using precise micro-rasps. Unlike traditional methods of taking down a hump, which include a chisel and hammer, the precise micro-rasp allows us to shave down the hump incrementally. Also unlike traditional methods which are performed by “feel”, I am able to directly visualize the hump as we take it down.
[…]
HomeArticles I keep hearing that patients of ethnicity have thicker skin and that special techniques need to be used for rhinoplasty, but what are these special techniques?
In ethnic rhinoplasty, some patients may have thicker skin. Patients with thicker nasal skin pose a challenge to achieve refinement of the nasal tip. There are some special techniques we use to achieve refinement of the nasal tip in the thicker nasal skin. One of those techniques include using sutures to reshape the original nasal tip cartilages. If this technique does not achieve refinement, then we use tip grafts. Tip grafts are made of […]
HomeArticles Is alloderm a good choice when the nose needs to be built up? How is it used?
While alloderm has been used with nice results, I tend to prefer using your own tissue to build the nose back up. My preferred material is something called temporalis fascia. This is a thin layer that covers a muscle in your temple region. I can access and obtain this fascia through a small incision well hidden within your hair. In addition to temporalis fascia to build the nose up, sometimes we need more material if the nose needs to be built up even […]
HomeArticles I’ve heard that chin implant surgery and rhinoplasty are often combined. How does getting a chin implant help with the appearance of the nose?
Occasionally, I see patients in consultation who wish to achieve a smaller nose. In other words, the patient believes the nose is too long for the face. During the consultation, I examine not only the nose specifically, but also how the nose fits the face and whether facial structures are in harmony with each other. Sometimes, I find that the chin might be small or weak, thus giving the impression of a long nose. When I […]
HomeArticles I’ve got dark circles and hollowness under my eyes. Can fat transfer be used to improve this and is it safe?
There are several possible causes for dark circles around the eyes. Some are medical conditions, like allergies and/or thyroid disorders. Identification of these potential medical conditions and, if present, treatment can improve upon the appearance of the dark circles around the eyes. Dark circles can also be due to pigmentation of the skin, blood vessels beneath the skin, and hollowness. Pigmentation of skin is best treated with skin care products and skin resurfacing techniques, like chemical peels or laser […]
HomeArticles I am considering cheek implants. I understand that they are made of a hard silicone. Is there any danger of this material being in your body?
Risks of facial implants include (but not limited to) pain, infection, bleeding, improper position, need for removal and/or replacement. The benefit of facial implants is that it augments areas where the bony skeleton may be deficient. For example, if your cheek bone is rather flat and not prominent, then a cheek implant would be a good option for you to consider. However, if your cheek bone has good prominence, but you have lost soft […]
HomeArticles
I live about 3 hours from Newport Beach and I’d like to know if it would be possible to first consult via the Internet and/or phone regarding rhinoplasty before coming in to see you.
We do offer the opportunity for patients to arrange for consultation via phone and/or internet as an initial consultation. Assuming you are a good candidate for rhinoplasty and I recommend the surgery for you, then we follow up the first consultation with an in-office consultation to further review your desires and allow me the opportunity to more formally examine you and discuss with you my recommendations.
[…]
HomeArticles There seem to be a lot of different lasers used for laser skin resurfacing. Does it make that much of a difference which laser is used? What are some of the more common or more effective lasers and what are they appropriate for treating?
There are several companies that manufacture several types of lasers for skin resurfacing. For patients who have evidence of fine lines, wrinkles, and sun-damaged skin, I tend to favor using a fractionated CO2 laser. There is some discomfort associated with this procedure, but that discomfort is properly addressed with topical anesthetic cream and, at times, injections […]
HomeArticles Hi. I am 54 years old and would like a neck lift. My 56-year-old sister and I have the same wrinkled neck and she is interested in one as well. How long do the effects of the neck lift generally last? Does the tightened skin continue to wrinkle at the same rate?
A necklift is a procedure to address sagging skin of the neck. Occasionally, neck muscle bands beneath the chin also contribute to the loss of a youthful neck contour; these neck muscle bands are also addressed through a necklift. Additionally, we perform liposuction of the neck during a […]
HomeArticles What exactly is the process for scar revision?
Scar revision refers to a procedure that addresses the appearance of a scar. There are several different types of procedures available for scar revision. For example, skin resurfacing procedures may improve upon the appearance of a scar; those skin resurfacing procedures include laser resurfacing. Surgery is another procedure we use in scar revision…cutting out the scar tissue. Whenever we do surgery and make an incision, a scar will form. The key in facial plastic surgery is to make that scar a very faint, thin line so that it is barely perceptible. Success […]
