HomeGeneral I’ve heard that the thickness of the skin is a greater factor in ethnic rhinoplasties. Why is this?
Thick nasal skin makes refinement of the nasal tip challenging because the thick skin hides the underlying nasal tip cartilages. Therefore, we use a variety of techniques to achieve nasal tip refinement in the ethnic rhinoplasty patient. The first maneuver is to re-shape your nasal tip cartilages to refine the appearance. This includes trimming some excess cartilage and using stitches to re-shape the cartilage. If more refinement is still needed, we can use cartilage from your nasal septum to achieve further refinement […]
HomeGeneral When it comes to deciding between a closed and open rhinoplasty, how much of that decision is the patient’s vs. the doctor’s?
The decision is a combination of dialogue between patient and doctor. First, the patient expresses his or her desires for rhinoplasty. Then, the doctor evaluates the nasal anatomy and determines the best approach to perform the maneuvers needed to achieve the desired result. Some surgeons may only use the closed, or endonasal approach and some surgeons may only use the open, or external, approach. I use both approaches and the factors I take into consideration when deciding which […]
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What type of chemical peels do you use? Does it depend on the individual? I have uneven pigmentation on my face and the texture is rough, perhaps from the sun.
I use a variety of chemical peels. These include the 35% TCA peel and 88% phenol peel. The most common peel we perform is the VI Peel. This peel contains TCA, retinol, salicylic acid, vitamin C, and phenol. It is an excellent option for all skin types. We have a specific protocol for the darker complexion patients which makes this a wonderful peel option for patients like you.
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HomeGeneral I have a flabby neck and a double chin. Are these things that the neck lift can fix?
I would recommend a neck lift. The first part of the neck lift is performed through an incision underneath the chin. Through this incision, I perform neck liposuction. I then tighten the neck muscle underneath the chin; this is called the platysma muscle. Then, through incisions behind the ear, we re-position the platysma muscle up and back, thus further refining the neck line. The excess skin is trimmed behind the ear. Occasionally, patients who benefit from a neck lift also benefit from […]
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Can Latisse be used on the eyebrows or is it just intended for the eyelashes?
Latisse is FDA-approved to treat thin eyelashes. There are patients who use the product on the eyebrows; however, it is not an FDA-approved use of the product.
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HomeGeneral What ethnicities do you have experience in performing rhinoplasty in?
We have experience in performing a wide variety of ethnic rhinoplasty, including Middle Eastern, Persian/Iranian, and Asian rhinoplasty. When performing ethnic rhinoplasty, we take into consideration a variety of factors. One factor is anatomy specific to that ethnic group. For example, some ethnic groups tend to have thick nasal skin and weak cartilage; cartilage grafting helps address both these issues. Another factor to consider is aesthetic goals. Asian patients tend to desire augmentation of the bridge of the nose, while Middle Eastern patients wish for refinement of a bump along […]
HomeGeneral I know everyone says that the incision on the columella for open rhinoplasty is barely noticeable, but I’d rather not even chance that and just have closed rhinoplasty. Are there any reasons not to have closed rhinoplasty?
The decision to perform an open (also known as external) rhinoplasty or a closed (also known as endonasal) rhinoplasty depends upon a variety of factors. One factor to consider is your goals for rhinoplasty. If you wish to address a bump along the bridge of the nose only, then a closed approach would be my preferred approach. If you wish to achieve tip […]
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Because African Americans are more prone to keloid scars in general, is this something to look out for after an ethnic rhinoplasty?
Keloid scar after rhinoplasty is very rare.
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HomeGeneral
I am a 25-year-old man with what I consider to be a very weak facial profile. I am considering a chin implant procedure, but I would like to know what the chin implant is composed of, and how likely is it that my body will reject the implant.
The chin implants we use are made of silicone and very well tolerated with very low rejection.
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HomeGeneral
I had lip augmentation years ago. My lips don’t look natural and I would really like to improve them. I’m from Pacific Palisades and would like to know if you can revise previous unnatural lip augmentation results.
If you had lip augmentation with a hyaluronic acid filler, such as Restylane or Juvederm, the product can be dissolved with an injection of enzyme called hyaluronidase.
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