HomeGeneral *Batniji Facial Plastic Surgery, 361 Hospital Road, Suite #329, Newport Beach, CA 92663
#Meridian Plastic Surgeons, Meridian Plastic Surgery Center, 170 W 106th Street, Indianapolis, IN 46290
*corresponding author: Rami K. Batniji, M.D., 949.650.8882/949.650.2293 (facsimile)
Acknowledgements
The authors would like to acknowledge Nancy A. Rothrock for her assistance in the preparation of digital images used in this manuscript.
Introduction
The key to successful nasal tip surgery is precise preoperative analysis, a thoughtful operative plan, and meticulous execution of that plan. To that end, an understanding of the anatomy of the nose, the pathology present, the desires of the patient and the maneuvers necessary to achieve […]
HomeGeneral ABSTRACT
Many techniques have been developed for rejuvenation of the midface. This article describes the technique of subperiosteal midface elevation via an endoscopic brow incision approach developed by the senior author and reviews the results of this technique, with specific emphasis upon the effect on lower facial rejuvenation.
KEYWORDS: Endoscopicmidface lift, midfacial rejuvenation, lower facial rejuvenation, jowl, jawline
One of the goals of surgery for the aging face is to achieve the youthful contour of the neck and jawline. Techniques aimed at lower facial rejuvenation have demonstrated success in achieving this goal. Hamra’s technique of the composite rhytidectomy not only addressed the […]
HomeGeneral
How do you improve a flat, wide nasal appearance as often seen in African American noses?
The flat wide nasal appearance can sometimes be addressed by bringing the nasal bones inward via osteotomies. However, in African American noses, the nasal bones may be very short and wide and the bridge or dorsum of the nose may be flat. In this instance, augmentation of the dorsum will address the flat appearance and, on frontal view, provide the appearance of a narrower nose.
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HomeGeneral What does “pillow face” mean and how is it prevented?
Over time, we lose volume to the face, resulting in older, hollow appearance. One solution is the injection of filler material. If too much filler material is injected, the result can be large, unnatural lips and unnaturally large cheeks. This appearance of “over-injection” of filler material is known as “pillow face”. We avoid this appearance by adding volume to volume-deficient areas in a subtle manner, so that you may appear more youthful without looking overdone. Also, we tend to favor the use of hyaluronic acid fillers which are super forgiving […]
HomeGeneral Is there a gel treatment for crow’s feet?
The treatment options I recommend for crow’s feet include Botox which softens the muscles that form crow’s feet. I also recommend a good eye serum, such as IS Clinical’s eye serum, to hydrate the skin around the eyes. If the crow’s feet are more prominent, I may recommend a laser resurfacing with fractionated CO2 laser or chemical peel with 35 percent TCA or 88 percent phenol. Interestingly, there are trials going on now for a botulinum toxin gel. The initial trials show some promise using this product for the treatment of crow’s […]
HomeGeneral I am Asian-American and am seeking a consultation on rhinoplasty. I would like to have the bridge of my nose raised and narrowed and also have the width of my nose at the nostrils narrowed. I believe that this means some type of augmentation. Can this be done without detracting from my Asian features?
Yes, rhinoplasty can be performed without detracting from your Asian features. To narrow the nostrils, I look at the nostril width and the skin at the floor of the nose. Through a small incision placed strategically at the crease between the nostril and the face, the […]
HomeGeneral
Are there limits to what can be achieved with ethnic rhinoplasty?
Ethnic rhinoplasty limitations include the inherent strength and resilience of the nasal cartilages, the thickness of the nasal skin, and the healing process of the individual. Another consideration is the harmonious balance between the nose and the facial features. In ethnic rhinoplasty, we like to have as a goal a result that “fits the face” and is in harmony with other facial features, such as cheek bones, lips, mouth, eyes, and chin.
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HomeGeneral I’ve heard weak or broad cartilages are common in Hispanic noses, particularly in the nasal tip. How are these improved?
Nasal tip cartilages that are weak can be reinforced through a few different methods. One method is to use suturing techniques to strengthen the cartilage. Another method is to take cartilage from the septum and suture the stronger septal cartilage to the weaker nasal tip cartilage…these are called grafts and can be used in various ways, such as columellar strut graft to strengthen nasal tip support and/or lateral crural strut grafts to strengthen the sidewall of the nose. Broad cartilages […]
HomeGeneral Is it possible to perform rhinoplasty on a patient of ethnicity to improve the appearance of the nose but still maintain some of the ethnic characteristics?
Yes, it is possible to perform rhinoplasty while maintaining ethnicity. For example, a Middle Eastern female patient with a bump along the bridge of her nose and a wide, bulbous nasal tip may request refinement of the bridge and tip of her nose and a strong desire to avoid an overdone or “operated” appearance. She may prefer a more subtle result. This is a common request of our patients and is something that is […]
HomeGeneral Stephen W. Perkins, M.D.*, Rami K. Batniji, M.D.#
*Perkins/Van Natta Center for Cosmetic Surgery, Meridian Plastic Surgery Center, 170 W. 106th Street, Indianapolis, IN 46290, USA. Corresponding author.
sperkins@perkinsvannatta.com
#Batniji Facial Plastic Surgery, 361 Hospital Road, Suite #329, Newport Beach, CA 92663, USA
Introduction
The desire to achieve a more youthful neckline is one of the more common reasons for a patient to seek out facial plastic surgery. At times, the patient would benefit from a proper facelift to address aging changes to the face and neck. However, there are instances when an isolated necklift is indicated. While an individualized approach to the aging […]
