HomeGeneral Rami K. Batniji, M.D.*, Kamal A. Batniji, M.D., F.A.C.S.#
*Batniji Facial Plastic Surgery, 361 Hospital Road, Suite #329, Newport Beach, CA 92663. Attending, Department of Plastic Surgery, Hoag Memorial Hospital Presbyterian, Newport Beach, CA 92663.
#Chairman, Department of Otolaryngology-Head & Neck Surgery, Hoag Memorial Hospital Presbyterian, Newport Beach, CA 92663.
*corresponding author: Rami K. Batniji, M.D., 949.650.8882/949.650.2293 (facsimile)
Introduction
The nasal bones are the most commonly fractured bones in the face. Acute nasal fracture may result in both nasal deformity as well as nasal airway obstruction. However, some controversy still surrounds the management of acute nasal fractures, in that a review of the literature […]
HomeGeneral FACIAL PLASTIC SURGERY CLINICS OF NORTH AMERICA
Stephen W. Perkins, MD*, Rami K. Batniji, MD
Surgical technique
Discussion
Summary
Acknowledgments
References
Since Hunt’s description of the coronal brow-lift in 1926, many techniques for surgical rejuvenation of the upper third of the face have been described in the literature [1]. Although the coronal forehead-lift has been the standard with which all other techniques have been compared, most surgeons and patients prefer the endoscopic approach to forehead-lifting. The disadvantages of the coronal approach include the potential for poor scarring with a noticeable scar in the temporal recession, alopecia, forehead paresthesia, hypoesthesia or numbness of the scalp which may […]
HomeGeneral Stephen W. Perkins, M.D.1 and Rami K. Batniji, M.D.1
ABSTRACT
Blepharoplasty is one of the most common cosmetic surgeries performed on the male patient. Whereas in the past the male patient would present later in life for eyelid surgery to address functional issues, he now presents earlier in life with an interest in aesthetic improvement as the primary motivating factor. This article reviews the approach of the senior author (SWP) to rejuvenation of the lower eyelid complex. Specifically, we discuss the indications for and techniques of the transcutaneous and transconjunctival approaches for blepharoplasty. As well, adjunctive procedures for rejuvenation of the […]
HomeGeneral Rami K. Batniji, MD; Edward D. Buckingham, MD; Edwin F. Williams III, MD
Hemangiomas are the most common tumor of infancy and childhood, affecting approximately 10% of infants by the age of 1 year. The diagnosis can nearly always be made by the patient’s history and findings on physical examination. Prior to the classification system outlined by Mulliken and Glowacki, the natural course of hemangiomas was poorly understood and treatment was inconsistent, ranging from benign neglect to deforming surgical intervention. However, with an improved understanding of the natural course of hemangiomas, as well as advances in anesthesia, laser technology, medical […]
HomeGeneral Rami K. Batniji, MD; Joseph L. Hutchison, MD; Ravi Dahiya, MD; Samuel L. Lam; Edwin F. Williams III, MD
Background: Expanded polytetrafluoroethylene (ePTFE) and silicone are safe and relatively biocompatible materials.
Objective: To compare, using multiple histologic parameters, the tissue response to a standard silicone soft tissue implant with the response to a modified ePTFE implant. The modified form of ePTFE is reinforced with fluorinated ethylene propylene (FEPRePTFE), which provides increased pliability and material integrity.
Methods: The implants were placed into a subperiosteal pocket over the skull of adult New Zealand white rabbits. At 7, 30, and 90 days after implantation, en […]
HomeGeneral
How does skin thickness effect rhinoplasty on Asian patients?
Asian patients typically have very thick skin at the nasal tip. As such, refinement of the nasal tip is a challenge. Also, swelling after surgery may last longer in thicker skinned patients as compared with thinner skinned patients. Some methods to achieve nasal tip refinement in thick skinned patients include suturing techniques and cartilage grafts to the nasal tip.
[…]
HomeGeneral
When performing rhinoplasty on African American patients, do you more commonly use an open or closed approach and why?
It depends. If a patient requests refinement of the nasal tip, I typically recommend an external, or open, approach. Through this approach, I have the exposure necessary for me to perform the maneuvers to achieve reliable, long lasting results to the nasal tip. If the patient requests refinement of the nasal bridge only, I may recommend an endonasal, or closed, approach.
[…]
HomeGeneral
How would you improve a bulbous tip as often seen in African American noses?
There are a variety of techniques we use to achieve refinement of a bulbous tip. Suturing techniques is the preferred method. If not enough refinement of a bulbous tip is achieved with suturing techniques, then I look to grafting techniques to achieve further refinement.
[…]
HomeGeneral I am Asian and have a nose that does not project enough and I would like rhinoplasty to repair it. But I had a nose job for deviated septum when I was younger. Would the previous nose job affect a new repair?
In an effort to achieve more projection, we may need to use cartilage to achieve this aesthetic goal. That cartilage is typically obtained from the septum. Given the face you already had a septum surgery, you may not have enough septal cartilage to achieve this goal. As such, we may need to look at alternative sources for cartilage. […]
HomeGeneral How common is augmentation in Asian rhinoplasty and how is this achieved?
A common request from Asian patients who seek rhinoplasty is agumentation of the bridge of the nose. This can be achieved through a variety of methods. One method is injection of filler material. This is an in-office procedure. The filler material (such as Radiesse, Juvederm, Restylane) is not permanent and may last approximately 6 months to 1 year. Another method is surgery. During rhinoplasty surgery, augmentation can be achieved with an implant, such as silicone. The risk of such implant is infection, extrusion of the implant, and loss […]
