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Facelift Technique Update

I often times get asked what type of facelift technique do I prefer to do on my patients. The answer to this is – it depends on the type of facial anatomy that I am presented with and the desired change. Essentially any facelift procedure done today involves some type of lifting of the SMAS layer (also known as the superficial musculo-aponeurotic sytem). This is the thicker fibrous layer of tissue that sits below the... Continue Reading
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Appearance After Blepharoplasty (Eyelid Lift)

One of the more frequently asked questions is what will my eyes look like after an upper blepharoplasty, or eyelid lift, procedure? Or what can I expect at one week out from my eyelid lift? Within the first 72-96 hours your eyes will swell and might even bruise. We always recommend ice compresses (or Karo syrup bags) to the eyes during this period to minimize swelling and discoloration. Within 5-6 days, I will see you... Continue Reading
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Rhinoplasty and Revision Rhinoplasty Photos

Question: Why do some plastic surgeons only show the lateral or profile view of the nose following rhinoplasty or revision rhinoplasty? Answer: This is a great question. In my opinion, plastic surgeons should provide at least two views of the nose in their before and after photos. Nasal reshaping is such a 3-dimensional process that I don’t a single lateral view can represent an accurate outcome of the surgery. Plastic surgeons should always try to... Continue Reading
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Is It Normal to Have My Ear Look Overcorrected After Otoplasty Procedure?

Question: Is it normal to have my ear look like it is overcorrected after having an otoplasty? Answer: The answer to this is – yes. It is entirely normal and even expected that the ear(s) looks much closer to the surface of the head early on after otoplasty, or ear reshaping. The cartilage of the ear has what is termed ‘memory’ that gives it a tendency to go back to its original position. This is... Continue Reading
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Cast After Rhinoplasty or Revision Rhinoplasty?

Question: Do you always put a cast on the nose following rhinoplasty or revision rhinoplasty? Answer: The answer is – no. I will only place a cast on the nose if I have performed osteotomies (breaking the nose) during the rhinoplasty procedure. The cast, like for a broken arm, is intended to keep the bones in position during the early healing process. Unlike with your arm, however, we take the cast off within the first... Continue Reading
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Nasal Base Reduction in Rhinoplasty and Revision Rhinoplasty

Question: If I just want to narrow my nose by reducing the width of the base, do I have to undergo an anesthetic? Answer: The answer to this is ‘no’ if that is all you want done in terms of a limited rhinoplasty or revision rhinoplasty. We have several patients every year that only want to narrow the base of the nose where the nostrils attach to the cheek and lip. There are a variety... Continue Reading
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Straightening a Crooked Septum With Suture Technique

Many patients inquire about septoplasty for nasal obstruction, or difficulty breathing through the nose, and ask whether I perform suture technique to straighten the septum. The answer to this is ‘no’ in terms of my primary surgical technique for septoplasty. The reason for this is that the cartilage of the septum has what we call ‘memory’, which means that it has a tendency to go back to its original shape if given the opportunity. Conservative... Continue Reading
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Temporary Injectable Fillers for the Nose

I just completed an interview today with an independent journalist here in San Diego who was researching the topic of injectable filler use for the nose. This idea has actually been around for many years but has been gaining increasing media attention. It has been called among other things the non-surgical nose job as well as injection rhinoplasty and lunchtime rhinoplasty. These names and labels all refer to the technique of injecting a dermal filler... Continue Reading
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Asian Rhinoplasty

Question: What is Asian rhinoplasty and how is it different from standard rhinoplasty? Answer: Asian rhinoplasty is quite different than the average rhinoplasty procedure. The reasons for this are multiple but primarily involve the desired endpoint in terms of esthetic outcome and the unique underlying anatomy. With regard to the desired esthetic outcome, any experienced rhinoplasty surgeon is going to agree that you cannot reshape an Asian (or any ethnic nose) the same as you... Continue Reading
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Pain with nasal exercises after revision rhinoplasty

One of my San Diego revision rhinoplasty patients was just in and asked what many patients ask regarding nasal exercises. Is it normal to have pain with the exercises? The answer is absolutely. In fact, if you are not pushing hard enough on your nose to elicit some degree of pain, you are likely not pushing hard enough! In order to effectively move the nasal bone after we perform an osteotomy (fracture or break the... Continue Reading

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