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For patients of ethnicity who are prone to keloid scarring, is it better to perform rhinoplasty with a closed technique? Is it possible for keloids to form inside of the nose then and would this have any negative impact after surgery?
The risk of keloid scar following an open (aka external) rhinoplasty is very rare. During a closed (aka endonasal) rhinoplasty at Batniji Facial Plastic Surgery in Newport Beach, all incisions are placed inside the nose, thus further minimizing risk of keloid formation.
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Do you offer earlobe repair, or “ear jobs” at your Orange County plastic surgery practice?
I do perform surgery to reduce the size of large earlobes, or repair torn earlobes due to heavy earrings.
Also, I perform surgery to address the changes to the earlobes that can occur following a facelift. This change results in the earlobe being pulled down onto the lower cheek and is commonly referred to as pixie ear deformity. During facelift surgery, I minimize this risk by avoiding tension on the ear at the time of closure of the facelift surgery.
These procedures are rising in popularity in recent […]
HomeGeneral My nose is too droopy, especially in the tip. I’m Middle Eastern and I would like to know how you would fix this without making me look too Westernized.
The appearance of a droopy tip may be related to a variety of factors. One is excess septal cartilage that is “driving down” the nasal tip; conservative resection of this part of the septum will improve the appearance of the droopy tip. Second is weak tip support; improving tip support through a variety of techniques (columellar strut placement, suture techniques) can improve tip support and thus appearance of a droopy tip […]
HomeGeneral I am a 27-year-old Hispanic woman. I have my family’s nose, which includes a very wide nasal bridge and wider nostrils. How would you fix these things but still retain my Hispanic identity?
If you have wide nasal bridge on frontal view and good appearance or hump to the bridge of the nose on profile view, then you would benefit from repositioning of the nasal bones with osteotomies to narrow the appearance of the nose. If you have a wide nasal bridge on frontal view and a weak dorsum or bridge of the nose, then you would benefit from dorsal […]
HomeGeneral I have a very large, undefined nasal tip. I’m Pakistani. How do you refine the tip?
I refine the nasal tip through a variety of methods. First, I use suture technique to refine the cartilage of your nasal tip. Most of the time, this technique achieves the desired result. In ethnic noses, such as your nose, you may have thick nasal skin at the tip of the nose. In this case, other techniques may be beneficial to achieve further refinement of the nasal tip. For example, well designed and placed grafts can achieve further refinement of the nasal tip. These […]
HomeGeneral
I’m Jewish and I have a small hump on my nose that I would like to fix. I also feel like I have a small chin. When I get rhinoplasty, would it be possible to have a chin implant at the same time?
When evaluating the profile view of the nose, it is important to also consider the appearance of the chin. Some of my patients do benefit from rhinoplasty and chin implant at the same time. Yes, it is possible to perform chin implant at same time as rhinoplasty.
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HomeGeneral
I’m Middle Eastern and I have a slight hump on my nose that I would like to improve. Are injectable fillers an option? How do they disguise a hump?
Injectable fillers can be placed above the hump (in an area called the radix) and below the bump (in or near an area called the supratip) to disguise the hump. The potential aesthetic downside to this technique is that it may make the nose appear larger on profile view.
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HomeGeneral How would you correct a large or bulbous nasal tip as seen in many Middle Eastern noses?
I address large/bulbous nasal tip in Middle Eastern noses using a graduated approach. First, I like to use suturing techniques to achieve refinement of your nasal tip cartilages. Sometimes this is all that is required for refinement of a Middle Eastern nose. If the nasal skin is very thick and/or the nasal cartilage is very weak, I may need to use soft cartilage from the septum to achieve further refinement. If the nasal skin is very thin, I may need to use tissue […]
HomeGeneral What are some characteristics most often seen in ethnic noses that people want changed with rhinoplasty and how are these changes achieved?
The most common requests my patients have when it comes to ethnic rhinoplasty are refinement of the nasal tip and minimizing the appearance of a bump along the bridge of the nose. They wish for these changes to fit their face and avoid the “operated appearance” of a scooped out/ski slope appearance to the bridge of the nose and a nasal tip with sharp edges and irregular definition. The manner in which I address these concerns is through […]
HomeGeneral Although I feel rested and youthful, my eyes look tired. What kind of techniques do you use for people like me?
Most of my patients wish to address heaviness or hooding of the upper eyelid. Hooding of the upper eyelid may be due to excess skin of the upper eyelid. If this is the case, then I recommend an upper eyelid lift, also known as an upper blepharoplasty (click here for more information on upper eyelid surgery). Occasionally, the hooding of the upper eyelid may be due to the eyebrows. Over time or for hereditary reasons, the eyebrows may drop […]
