General

HomeGeneral Do you ever perform necklifts on men? What sort of results do they get? Yes, we do perform necklift surgery on men. Men who seek out necklift usually have fullness underneath the chin due to excess fatty tissue as well as neck muscle bands. As well, they have excess skin. Typically, I perform neck liposuction as part of the necklift to further refine the neckline. I treat the neck muscle to further refine the neckline. The incisions for necklift are well hidden behind the ear. Following surgery, I have patients wear a neck wrap for 1 week to allow the […]

HomeGeneral I used to smoke and I’ve just started to notice that I’m getting some awful vertical lines above my lip. Can fillers fix these? Vertical lip lines have a few potential treatment options, depending upon the severity of the lines as well as your skin type and preference. One option is Botox to soften the muscle activity that causes the lines. Another option is filler to fill in specific lines. Finally, one may consider skin resurfacing (chemical peel or laser resurfacing) to achieve a smoother appearance to the skin. […]

HomeGeneral I had a nose job two years ago. It was to repair a broken nose I had as a child. It looks good except that the bridge is too wide. I didn’t think it was too wide at first but now it seems so. Is a full rhinoplasty required to narrow the bridge? If the wide appearance is due to the nasal bone width, then I reposition the nasal bones with osteotomies. If the width is due to the nostrils, then I use nasal base reduction techniques. […]

HomeGeneral Are there general things that Hispanic patients want changed about their nose with rhinoplasty? Some of the more common requests I hear from my Hispanic patients who seek rhinoplasty include a desire to refine the appearance of the nasal tip and narrow the nostrils. The nasal tip refinement in Hispanic patients can be a challenge due to the fact that Hispanics typically have thick nasal skin. This thick nasal skin camouflages the cartilage that forms the shape of the nasal tip. In these situations, I may use several options to achieve refinement of the nasal tip, including suturing techniques and […]

HomeGeneral I’m interested in getting a chin implant in Newport Beach but I’m concerned about how it will look and feel afterward. Does it feel unnatural? The chin implants I use are made of silicone and anatomically shaped to coincide with the patient’s chin. These implants are placed in a small pocket and stitched into place, so movement of the implant is rare. As the swelling resolves, the chin implants look natural do feel more natural. […]

HomeGeneral What scar revision techniques are best for children? It depends upon the scar. If a scar is relatively new (less than 1 year old), then I would recommend conservative measures such as silicone-based scar medication, sunscreen, and time to allow the scar to fully heal. There are several types of scar revision techniques available, from skin resurfacing to surgery. Skin resurfacing options include intense pulse light (to minimize pigmentation), laser resurfacing, and/or dermabrasion. Surgery options include a wide variety of techniques such as direct excision, z plasty, w plasty, geometric broken line closure. Finally, injections with steriod and/or 5-fluorouracil have […]

HomeGeneral I’m Asian and have a very thick nose. I would like this refined. How is this done? My method for nasal tip definition is a graduated approach. First, I use suturing techniques to achieve more refinement of your tip cartilages. In thick skin patients, this tends to provide minimal refinement of the nasal tip. Therefore, I then consider the use of a nasal tip graft. I shave the edges of the tip graft so that the edges of the tip graft blend in naturally with your native tip cartilage. […]

HomeGeneral I have a very small bump on the bridge of my nose. Does removing this mean that my nose has to be broken during my rhinoplasty? Not necessarily. If the bump is small, then the nasal bones may not need to be broken. […]

HomeGeneral I have a hole in my septum. Can this be fixed with rhinoplasty? Rhinoplasty refers to surgery to change the appearance of the nose. Septoplasty and repair of septal perforation can be performed at the same time as a rhinoplasty. […]

HomeGeneral If the nasal bones are fractured during a nose job, does the recovery and healing take longer? If the nasal bones need to be re-positioned during rhinoplasty, you may experience more swelling and bruising after surgery. However, the overall healing process of the nose does not change dramatically. We inform rhinoplasty patients that a significant amount of swelling resolves in the first month after surgery; however, it does take 6-12 months for final refinement of the nasal tip. […]