Newport Beach

Beverly Hills

Rhinoplasty

How do you make a large nose smaller?

HomeRhinoplasty How do you make a nose that’s too large smaller with rhinoplasty? There are a variety of methods we use to make a large nose smaller. For example, if you have a big hump along the bridge of the nose, we can refine that hump using precise micro-rasps. Unlike traditional methods of taking down a hump, which include a chisel and hammer, the precise micro-rasp allows us to shave down the hump incrementally. Also unlike traditional methods which are performed by “feel”, I am able to directly visualize the hump as we take it down. […]

What are special rhinoplasty techniques?

HomeRhinoplasty I keep hearing that patients of ethnicity have thicker skin and that special techniques need to be used for rhinoplasty, but what are these special techniques? In ethnic rhinoplasty, some patients may have thicker skin. Patients with thicker nasal skin pose a challenge to achieve refinement of the nasal tip. There are some special techniques we use to achieve refinement of the nasal tip in the thicker nasal skin. One of those techniques include using sutures to reshape the original nasal tip cartilages. If this technique does not achieve refinement, then we use tip grafts. Tip grafts are made of […]

How is alloderm used?

HomeRhinoplasty Is alloderm a good choice when the nose needs to be built up? How is it used? While alloderm has been used with nice results, I tend to prefer using your own tissue to build the nose back up. My preferred material is something called temporalis fascia. This is a thin layer that covers a muscle in your temple region. I can access and obtain this fascia through a small incision well hidden within your hair. In addition to temporalis fascia to build the nose up, sometimes we need more material if the nose needs to be built up even […]

Can a chin implant help with appearance?

HomeRhinoplasty I’ve heard that chin implant surgery and rhinoplasty are often combined. How does getting a chin implant help with the appearance of the nose? Occasionally, I see patients in consultation who wish to achieve a smaller nose. In other words, the patient believes the nose is too long for the face. During the consultation, I examine not only the nose specifically, but also how the nose fits the face and whether facial structures are in harmony with each other. Sometimes, I find that the chin might be small or weak, thus giving the impression of a long nose. When I […]

Internet consultation for a nose job

HomeRhinoplasty I live about 3 hours from Newport Beach and I’d like to know if it would be possible to first consult via the Internet and/or phone regarding rhinoplasty before coming in to see you. We do offer the opportunity for patients to arrange for consultation via phone and/or internet as an initial consultation. Assuming you are a good candidate for rhinoplasty and I recommend the surgery for you, then we follow up the first consultation with an in-office consultation to further review your desires and allow me the opportunity to more formally examine you and discuss with you my recommendations. […]

Deciding how your nose will look with a rhinoplasty

HomeRhinoplasty I’m from Newport Beach and interested in getting a nose job. I’ve been looking through magazines to get an idea of what I would like my nose to look like. If I find a picture I really like, is it possible to make my nose look just like it? When you come to see me for a consultation to discuss rhinoplasty, we start the conversation with your concerns regarding the appearance of your nose and what changes you hope to achieve through the procedure. Sometimes, photos of other noses may allow for us to both get a sense of your […]

Long term results for an Asian rhinoplasty

HomeRhinoplasty I’m 27, Asian, and I’d like to get a nose job. I heard that the nose grows and changes as you get older. Is this true? What does this mean for the results of the nose job then? The nose does change over time. For example, the nasal tip support mechanisms may weaken over time, thus giving the appearance of a longer nose with a droopy nasal tip. During rhinoplasty, we use techniques to maintain, and sometimes enhance, those tip support mechanisms. […]

Fixing the appearance of an old broken nose

HomeRhinoplasty I’m from Newport Beach and I have a very noticeable twisted nose due to breaking it when I was younger. How is this fixed? A twisted nose is corrected with surgery. This surgery usually incorporates rhinoplasty (changing the appearance of the nose) as well as addressing a deviated nasal septum (septoplasty). Sometimes insurance may cover a portion of the procedure. A twisted nose may be due to a variety of factors, including asymmetry of the nasal bones, deviated nasal septum, asymmetries of the nasal cartilages. Furthermore, a twisted nose may be a reflection of further facial asymmetries…a proper facial analysis […]

Challenges with ethnic revision rhinoplasty

HomeRhinoplasty I’ve heard that ethnic rhinoplasty is more challenging. Is this true of ethnic revision rhinoplasty? Ethnic rhinoplasty is a challenge due to various factors inherent in the ethnic patient and ethnic nose. First and foremost, an understanding of the desired aesthetic goal is paramount. Once this understanding is achieved in the context of the individual’s ethnic background, facial features, and desires, the next step is the analysis. Ethnic patients may have variable strengths of cartilage of the nose, variable lengths of the nasal bones, and variable thickness of the nasal skin; all these variables have implications in the rhinoplasty procedure. […]

Septorhinoplasty with ENT or plastic surgeon

HomeRhinoplasty I am looking to have a combined rhinoplasty and septoplasty. What is the difference between having this done by an ENT vs. a plastic surgeon? As a facial plastic surgeon with a background in ENT, we approach the nose to address both functional and aesthetic concerns. Doing both procedures at the same time is a good idea because we typically use cartilage taken from the septum at the time of the septoplasty to use for various grafts in rhinoplasty. These grafts are strategically-placed pieces of cartilage to improve function and/or achieve a desired aesthetic goal. […]

Book Your Consultation