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Am I Able To Have Rhinoplasty At 18 Years Old?

This question or a variation thereof is commonly asked in online rhinoplasty forums. The answer is that I frequently perform rhinoplasty on female patients 17-18 years of age. In fact, I have done rhinoplasty on a female patient here in San Diego who was 15 years old (although there were extenuating circumstances). Females in this age range have typically reached a plateau in terms of their nasal shape and size. Males usually take a little... Continue Reading
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San Diego Otoplasty Update

This was a great example of otoplasty, or ear reshaping, in an ethnic patient from San Diego who desired to have his ears reshaped for excess prominence. Overall, however, he did not wish to have a significant change. In fact, a majority of what we did during his ear reshaping procedure involved his lobule and lower auricle. As you can see in his photo series below, it was the lower half of his ear that protruded... Continue Reading
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Revision Rhinoplasty To Create A More Feminine Profile View

This revision rhinoplasty patient was recently in the office for a follow-up evaluation and was a great example of how to create a more pleasing, feminine profile view. She had surgery by a plastic surgeon in the Beverly Hills area and was unsatisfied with her original outcome. She then sought consultation with our office for a formal revision rhinoplasty. She was mostly displeased with her profile view, especially the tip to bridge transition. In addition,... Continue Reading
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Septoplasty (Septal Reconstruction) Tutorial

We are proud to announce that we have added a new page to our San Diego Rhinoplasty Tutorial focusing on septal reconstruction, or septoplasty. Here is the link to the new septoplasty tutorial page. We hope this provides some assistance to those patients out there who are considering septoplasty surgery for difficulty breathing through the nose.
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Lengthening The Short Nose in Rhinoplasty

Perhaps one of the most difficult procedures to perform in the world of rhinoplasty and revision rhinoplasty is lengthening the short nose. By 'short nose' I am referring to a nose that is overly rotated or turned up. In rare cases a short nose can be congenital, meaning it is simply the result of one's genetics. In a majority of cases, however, the short nose is something that is the result of prior rhinoplasty surgery... Continue Reading
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Asian Rhinoplasty Surgery

Asian rhinoplasty is a form of ethnic rhinoplasty that involves a much different approach compared to the standard rhinoplasty surgery. First off, Asian rhinoplasty patients typically present with complaints about their bridge being too low, which often translates into the frontal appearance being too wide. A frequent comment from Asian rhinoplasty candidates is that they actually have difficulty wearing eyeglasses and sunglasses because their bridge is too low to actually support the glasses. In addition,... Continue Reading
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Blepharoplasty Eyelid Lift Cold Compresses

I just saw one of my blepharoplasty or eyelid lift patients back in the office. She is doing quite well and gave me a quick suggestion that I thought would be helpful to pass on to my other patients. For years now we have recommended our eyelid lift patients use Karo syrup, or corn syrup, as a cold compress to reduce swelling and bruising after surgery. It can be placed in sandwich bags and put... Continue Reading
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Rhinoplasty Incision Care

As part of my normal preoperative consultation for planned rhinoplasty and revision rhinoplasty I will to to emphasize the importance of taking care of the incision line following surgery. I thought I would post a quick blog entry regarding this since, as they say, pictures are worth a thousand words. Here is a link to my post rhinoplasty instruction guidelines to familiarize yourself with my recommended routine. It is a three step process that includes... Continue Reading
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Rhinoplasty Fascia Grafting

I happen to perform fascia grafting as part of rhinoplasty and revision rhinoplasty on a fairly regular basis. I do this type of grafting mostly in rhinoplasty patients with thin skin. In this patient population, anything done to reshape the nose can cause unwanted visible contour irregularities post-operatively because thin skin has a tendency to rapidly shrink wrap down to the new shape. In order to minimize risks of visible contour irregularities after rhinoplasty or... Continue Reading
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Rhinoplasty For Hump & Poorly Projected Nasal Tip

One of the most common complaints among patients seeking rhinoplasty is a dorsal hump and lack of tip projection. Because how common this is noted among rhinoplasty candidates, I decided to post a quick blog entry using a case example. Most of these patients present with a chief complaint of a bump along the bridge. When this is combined with poor tip projection, both issues can be exaggerated more than there are individually. For instance,... Continue Reading
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Nasal Base Reduction in Ethnic Rhinoplasty

My practice happens to see quite a variety of ethnic rhinoplasty patients on a regular basis. I would say that the two most common issues I see in ethnic rhinoplasty patients are insufficient bridge height and excessively wide nostrils. These particular case example of ethnic rhinoplasty highlights the latter issue - an excessively wide nasal base in an African American female patient seeking rhinoplasty. In this particular case, this patient required nasal base reduction as... Continue Reading
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San Diego Ethnic Rhinoplasty Case Study

Ethnic rhinoplasty is a particularly specialized form of nasal reshaping that takes into account the fact that different ethnicities demand different approaches when it comes to cosmetic nose surgery. Unfortunately, there are still many rhinoplasty surgeons practicing out there who simply perform the same type of rhinoplasty procedure whether they are treating an ethnic patient or not. In many of these cases, patients are left unhappy because their new nose is inconsistent and out of... Continue Reading
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Appearance of Ear After Rhinoplasty With Auricular Grafting

Rhinoplasty and revision rhinoplasty patients commonly ask what their ear is going to look like following nasal reshaping procedures where a portion of the ear is used for grafting purposes. In my practice, which emphasizes rhinoplasty and revision rhinoplasty, ear cartilage grafting, or auricular cartilage grafting, is done on a routine basis. The cartilage is taken from the ear and used to help reconstruct and reshape the nose in cases where the existing cartilage of... Continue Reading

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