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Lifting the bridge of the nose

HomeArticles I’m Asian with a very low nasal bridge. What material do you use to raise the bridge, Gore-Tex, cartilage, silicone? In Asian rhinoplasty cases where augmentation is needed to raise the bridge, I prefer to use your own cartilage. That cartilage is obtained from either the nasal septum, the ear, or the rib. […]

Ethnic rhinoplasty for a wide Hispanic nose

HomeArticles I’m a Hispanic male with a wide nasal base. I’ve been doing some research and came across the terms alar wedge and base reduction. Can you explain what these are if they’re the correct techniques? Alar wedge and base reduction refer to techniques to narrow the nasal base. If you have a wide nasal base, these techniques may address the wide nasal base by narrowing it. The issue is to identify why the nasal base is wide…is it due to excess nostril flare and/or excess nasal sill. Once this is determined, a narrowing technique can be designed to address the […]

Can fat taken out from liposuction be used on other areas of the body?

HomeArticles I am having neck liposuction in a month. Is it possible to use some of the harvested fat to have fat injections in my jowl area? It depends. Usually, the amount of fat obtained from neck liposuction is not enough for facial augmentation. However, if there is enough fat harvested from neck liposuction, then it is possible to have that fat injected into specific areas of the face. […]

Can I combine a Botox surgery with a Browlift Surgery?

HomeArticles I am having a browlift surgery, and would like to have Botox done at the same time. Is this possible? How would you ensure that I don’t have a bad reaction to the Botox, while under anesthesia? I favor the use of Botox in conjunction with browlift surgery. The reason for this preference is that I like to minimize the activity of the muscles that pull the forehead down…the frown muscles. This way, those muscles are not working against our desire to elevate the brow. I prefer to inject the depressor muscles with Botox approximately 1 week prior to surgery […]

Can I pair a face lift operation with a chin augmentation?

HomeArticles I have short chin that I have always been unhappy with. Now that I am older and the skin is beginning to sag, I am interested in having a facelift to reduce my double chin. Can I have a chin augmentation at the same time? Yes, you can have a chin implant at the same time as facelift surgery. […]

Is anesthesia applied differently for Ethnic Rhinoplasty compared to Caucasian Rhinoplasty?

HomeArticles I’ve heard that ethnic rhinoplasty is typically more difficult than Caucasian rhinoplasty. Does this mean that general anesthesia is usually needed? Is the surgery usually performed with the open technique? I use general anesthesia for nearly all my rhinoplasty procedures. The reasons I favor general anesthesia include the protection of the airway. During rhinoplasty, blood may drip down the back of the nose and into the throat. If the airway is not properly protected, that blood may go into the lungs. With general anesthesia, the airway is properly protected. As well, general anesthesia provides a controlled, comfortable environment for the […]

Orange County Chemical Peel

HomeArticles I am considering a chemical peel to improve the appearance of wrinkles under my eyes and larger pores on the rest of my face. What type of recovery will this entail, and how long to I need to stay home from work? There are different types of chemical peels available. The VI Peel is a superficial peel that we offer in our office. This peel addresses complexion issues as well as pigmentation. The peel is relatively painless and does not require any anesthetic prior to the peel. The skin does peel for approximately 5 days after the procedure. Another type of […]

Removing a chin implant

HomeArticles I had a chin implant surgery done years ago, and want to reverse it. Do you suggest a new, smaller implant, or complete removal? It depends upon what it is about the current implant you do not like. If you feel the implant is large, it can be removed and replaced with a smaller one. Otherwise, the current implant can be removed and we can assess the aesthetic result of your chin without an implant. If we feel you need augmentation after removal of the implant and time has passed for swelling from surgery to resolve, augmentation can be achieved […]

Asian eyelid surgery

HomeArticles I am Asian and interested in the opposite of a blepharoplasty, do you perform eyelid surgery to add a fold and “westernize” the eye area as well? It depends. Some Asian patients desire improvement in appearance of the eyelid without “westernizing” the eyelid. In these instances, there are options available. […]

Revision eyelid surgery – what are the concerns?

HomeArticles I had eyelid surgery done 15 years ago, and have recently become bothered by pockets of skin above and below my eyes. I believe I need a revision blepharoplasty surgery, but can I have upper and lower blepharoplasty done at the same time? Yes, you can have both upper and lower eyelid surgery performed at the same time. If you had the upper eyelid surgery performed in the past, I would like to evaluate the position of your eyebrows. If the eyebrow position is low, you may benefit from an endoscopic brow/forehead lift to address the hooding of the upper […]

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