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Facial Plastic Surgery and Upcoming Holiday Season

We have been quite busy around the office lately, consulting with many of you about a wide variety of facial plastic/cosmetic surgery procedures. As my staff has likely already explained to many of you, we are embarking on a very busy time of year when it comes to facial plastic surgery. Traditionally, this time of year is very popular for plastic surgery since many patients take advantage of holiday vacation time to assist in their... Continue Reading
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How To Minimize Bruising Following Rhinoplasty and Revision Rhinoplasty

All patients undergoing rhinoplasty or revision rhinoplasty by my office are counseled on how to minimize chances of bruising following surgery. The onset and severity of bruising after cosmetic rhinoplasty is dependent on multiple factors, which can usually be accounted for by careful planning. All patients are instructed to review our list of restricted of medications that is handed out to you and is always on our website for reference. I prefer my patients avoid... Continue Reading
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Rhinoplasty and Spreader Grafts

In many cases where patients are undergoing reshaping of the dorsum (bridge) I will recommend that we place spreader grafts at the time of the surgery. Spreader grafts are long, rectangular-shaped pieces of cartilage that are placed in parallel with the bridge in between the septum and the upper lateral cartilage. They are what we term ‘hidden’ grafts in that they are placed within a precise pocket without contacting the skin directly. This is in... Continue Reading
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Ear Grafting (Auricular Cartilage Grafting) and Revision Rhinoplasty

Many patients who are scheduled to undergo revision rhinoplasty require ear cartilage grafting (also known as auricular cartilage grafting) as part of their surgery. This is commonly done when we need to add structural support and/or additional contour to the nose following prior rhinoplasty where too much cartilage or bone was removed. Patients often wonder what the ear is going to look like after the cartilage has been removed from their ear. As I tell... Continue Reading
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Artefill – Permanent Dermal Filler Update

We have had a lot of inquiries lately about the return of the only FDA-approved permanent dermal filler on the market in the United States – Artefill. I am excited to report that Artefill is officially back as of several months ago. Artefill was previously manufactured and distributed by Artes Medical before they went bankrupt. Many patients were concerned about this development and mistakingly thought it may be due to something about the actual Artefill... Continue Reading
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Taping The Nose After Rhinoplasty

Many times I will ask that my patients begin taping their nose following rhinoplasty. This is recommended to encourage your nose skin to adhere down to the underlying cartilage and bone that was just reshaped. In rhinoplasty patients with thin skin, this is usually not necessary. In rhinoplasty patients with thick skin, however, taping for several weeks to months following surgery can be of significant benefit. I will direct you if and when to start... Continue Reading
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Karo Syrup and Eyelid Swelling After Blepharoplasty

Eyelid swelling following blepharoplasty, or an eyelid lift, is quite common within the first 72 hours of the recovery period. The eyelid skin is rather thin and, therefore, even a small amount of inflammation will contribute to moderate swelling of the region. Because of this I recommend that all patients apply a cold/ice compress to the eyelids during the first three days of recovery. One handy trick that was recommended to me by one of... Continue Reading
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How Common Is Rhinoplasty Done With A Chin Implant?

The answer to this question is – quite commonly. I would say that nearly 20% of our patients seeking primary rhinoplasty (1st time rhinoplasty) also consider chin augmentation with an implant. One of the main goals of rhinoplasty is to achieve improved harmony with the rest of the face. In cases where the nose is disproportionately large compared to the rest of the face, the aim would be to make it smaller. Most of these... Continue Reading
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Are There Visible Incisions With Otoplasty (Ear Reshaping)?

In essentially all cases of routine otoplasty for prominent ears the incisions (skin cuts) are hidden completely behind the ear. Although some plastic surgeons still make incisions in front of the ear, I have been quite successful with keeping our incisions behind the ear. My otoplasty technique involves an incision made in parallel with the attachment of the ear to the scalp. This type of approach provides me sufficient exposure to reshape the entire ear... Continue Reading
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Can I Do An Upper Eyelid Lift In The Office?

Many patients seeking an upper eyelid lift, or blepharoplasty, are pleasantly surprised to hear that they can undergo the procedure in the office setting. An upper eyelid blepharoplasty is one of the most gratifying procedures for both patient and surgeon. The procedure can have quite dramatic, yet natural appearing, results that provide a significant improvement in terms of looking more rested and youthful. Plus, upper eyelid blepharoplasty can usually be done in the office using... Continue Reading
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What Are Nasal Exercises For After Rhinoplasty?

In many rhinoplasty cases where I have performed osteotomies (breaking the bone) I may ask my patients to do what we term are nasal exercises. Basically these involve pressure strategically placed along the side of the nasal bone using the patients’ fingers. During the rhinoplasty procedure we break the bone and reshape the nose to the desired position. A cast is then placed to fixate the bones during the first week or so. Once the... Continue Reading
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Do You Pack The Nose After Rhinoplasty or Septoplasty?

One of the most common fears following rhinoplasty and/or septoplasty is the possibility that the surgeon is going to pack the nose. This means the surgeon places gauze or similar material inside the nasal passages to put internal pressure on the tissues. This is done to minimize chances of bleeding as well as to promote stable healing of the internal lining (called the mucosa). Unfortunately, nasal packing after rhinoplasty/septoplasty is extremely uncomfortable. Not only is... Continue Reading
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Downtime After Rhinoplasty

I often get asked, “What is my downtime going to be following rhinoplasty?” The answer can certainly vary among different patients. However, in general, the first week you will have tape and possibly a cast on the nose. I usually remove sutures around 5-6 days out from surgery along with the tape and cast. On that day, your new nose will be ‘revealed’ but don’t expect it to look like the finished product. It will... Continue Reading

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