Pinched Nasal Tip & Hanging Columella In Revision Rhinoplasty
I just finished a revision open rhinoplasty today on this female patient from San Diego. We took some intraoperative photographs to show others what the anatomy looks like when dealing with a pinched nasal tip and hanging columella. This patient had  a prior rhinoplasty done by another San Diego plastic surgeon. She was still unhappy with the appearance of her nose and consulted with my office for a revision rhinoplasty. Preoperative Rhinoplasty Assessment On preoperative... Continue Reading
Lip Enhancement Augmentation With Juvederm
In order to help let our potential patients know what it looks like immediately after lip enhancement with Juvederm (or Restylane), I have provided the following case example. This young female patient presented for augmentation of her lips using an injectable filler. On examination you can see that her lips were clearly asymmetric with the right upper lip being much smaller than her left upper lip. As is indicated by the white arrow, one can... Continue Reading
Rhinoplasty For Moderately Complex Asymmetry Of The Nose
This particular patient was a great example of how we utilize spreader grafting technique as part of a nasal reshaping process. This pleasant male patient presented with difficulty breathing through his nose as well as cosmetic concerns regarding the appearance of his nose. On nasal examination he was found to have a fairly complex nose in terms of anatomical problems. As you can see in the photo diagrams below, his nasal bridge was fairly displaced... Continue Reading
Avoiding A Hollow or Sunken Eye Look With Blepharoplasty
One of the most common concerns among potential eyelid lift, or blepharoplasty, patients is having a hollow or sunken look to their eyes following surgery. The hollow or sunken look can be seen in some patients who had an eyelid lift by a plastic surgeon who removed not only skin but also underlying muscle and fat. When too much soft tissue is removed from the upper eyelid, for instance, the eye begins to look sunken.... Continue Reading
How Long Do Surgeons Generally Follow Up After a Face Lift?
I like to see my facelift, or face lift, patients fairly regularly following their surgery. I will continue seeing them upwards of 6-9 months out typically. It is around this time that facelift patients seem to reach a plateau in terms of their recovery process. Although facelift scars will continue to evolve up to a year or beyond, a majority of the healing will have taken place by this point in the recovery process.
Anesthesia Choices for Facelift
Many candidates for facelift, or face lift, surgery inquire about the type of anesthesia that is required for the procedure. In my own practice here in San Diego, I typically do a facelift, or face lift, under an IV sedation (twilight anesthesia) or general anesthetic. I also only use a board certified anesthesiologist to put you to sleep. I firmly believe that your safety, care and comfort are of the utmost importance during a facelift... Continue Reading
Ear Reshaping/Otoplasty Debate Over Dissolvable Versus Permanent Sutures
I have seen this issue arise in a number of online forums regarding otoplasty, or ear reshaping. My personal opinion as a facial plastic surgery expert is that permanent sutures are a better choice when it comes to a majority of the ear reshaping process. Cartilage has what we call 'memory' in that if you reshape the cartilage with a temporary measure (or absorbable suture) it is likely to go back to its original shape... Continue Reading
Lower Age Limit For Eyelid Lift Blepharoplasty?
Of lately we have had a series of younger patients coming into our San Diego office for consultation regarding an eyelid lift, also known as blepharoplasty. Many of them inquire whether or not they are seeking treatment too early given the fact they are in their early 30s-40s. The reality is there are many patients who have eyelid lift surgery at this age! You don't have to wait until you are in your 50s-60s before... Continue Reading
How Swollen Am I 3 Months After A Closed Rhinoplasty?
The answer to this question is best answered with a photo example of one of my rhinoplasty patients from San Diego. She is actually a good example of Hispanic rhinoplasty. She really desired to have narrowing of her nose as seen on front view. We chose to perform a closed rhinoplasty procedure to reshape her nose. We performed slight reduction of her bridge height but more importantly narrowing of her nasal bones. As you can... Continue Reading
Update On Necklift With Platysmaplasty & Neck Liposuction
I wanted to post an update on a neck lift patient who had contouring of her neck and lower face using neck liposuction combined with platysmaplasty. She is a wonderfully pleasant young lady from San Diego who desired more definition along her lower face and upper neck region. We consulted with her and discussed in detail the various options including possible liposuction and tightening of the neck muscle, termed a platysmaplasty. Given her anatomy and... Continue Reading
Rhinoplasty Correction – Crooked Nose Deformity
Just saw this very nice young lady back in the office today following a closed rhinoplasty procedure. She is good example of correction of a crooked nose deformity using rhinoplasty technique. She was most unhappy with the frontal appearance of her nose. As you can see in her preoperative photo below left, she has an obvious crooked nose deformity. We performed a closed rhinoplasty procedure on her to reshape the nose. The rhinoplasty procedure included... Continue Reading
