Cosmetic Surgeons

Introduction:
Chin augmentation is a way to bring balance to the facial structure of correcting a weak chin due to the related bone resorption or facial trauma. This procedure can be as simple as injecting a tissue augmentation filler to implanting a silicone or porex chin implant. A weak chin can also make a normal nose appear large and an already pronounced nose larger. It may also give the appearance of a fleshy neck. This also brings a balanced relationship within the structure of the face. Consult with Austin plastic surgeon David Wishnew about this plastic surgery procedure.

Pre operative preparations:
# When you are undergoing surgery, pre operative preparations have to be done. You have to arrive on time which is the most important thing to be remembered.
# You will be instructed to bath, clean hair - do not apply lotions.
# You have to wear loose, comfortable, and easily accessible clothes with slippers.
# You are advised not to eat anything after midnight on the evening prior to your surgery.
# Do not wear rings, watches, or other jewelery to the surgery center.
# The patient should not have a fever, chills or other signs of a cold or other infection.

In case of complications:
# Have your emergency numbers handy, or have your caretaker contact information or surgeon’s phone number to let them know of your problem as soon as you can.
# If you are going to the emergency room don”t forget to tell your surgeon which hospital.
# Bring all of your medications with you to the hospital.
# It may be cautionary to pack an over night bag ahead of time “just in case”
# If you are able, keep a written journal of your symptoms and complaints.

After operation effects:
Be sure that you get enough sleep, your body can heal better while it is resting. You should take a sponge bath until you feel better enough to take a proper bath. You might also need assistance. The surgeon after the surgery will tell you about bathing. Even though you may not like it, you need to move and walk around as you might develop clots and hold fluid a lot longer.

For chin augmentation in Austin Texas contact Plastic Surgeon Dr. David Wishnew today.

Rhinoplasty, or nasal surgery, is popular among men and women who are dissatisfied with the size and/or shape of their nose. Being such a prominent feature, the size and shape of the nose may be the most defining characteristic of one’s face. Dr. Samuel Gershenbaum performs rhinoplasty for both cosmetic and functional (breathing) indications at our facility in Miami, Florida. Rhinoplasty surgery frequently involves the external appearance, as well as the internal structure and breathing apparatus.

Typical Reasons for Rhinoplasty Include:
* Decreasing or Increasing the Size
* Removing the Bump
* Narrowing the Nose
* Increasing or Decreasing the Projection
* Correction of a Crocked Nose
* Correction of a Hanging or Drooping Tip
* Relief of Airway Obstruction

Conditions requiring rhinoplasty may be a result of natural causes, birth defects or traumatic deformities. Frequently, patients who desire rhinoplasty are concerned that their nose appears too large or out of proportion to the face. The nose and chin are important balancing features of the profile, and can often affect one’s appearance. A small, flattened or receding chin may also be a contributing factor to a patient’s complaint of an “unattractive profile.” For these reasons, chin enlargement or augmentation or a chin implant may be considered and discussed at the time of the nasal surgery consultation as this procedure is frequently performed at the same time as rhinoplasty to improve and balance the facial proportions.

Before performing rhinoplasty at our practice in Miami, Dr. Gershenbaum always works with the patient to agree on a treatment plan. The objective of nasal surgery varies with each individual patient, and the ideal nose varies from face to face depending on skin type, ethnic background, facial shape and proportions. The end result of rhinoplasty should reflect the agreed upon plan, and the nose should be completely natural in appearance. It should never look “operated.” Rhinoplasty can be performed after the mid-teens, when the growth spurt has ended.

Deformities of the nose can be corrected by adding to, removing, reshaping and/or rearranging bones and cartilage. Rhinoplasty can be accomplished through a closed technique, where incisions are made inside the nose only. Dr. Gershenbaum performs closed nasal surgery with more minor rhinoplasty procedures, such as removing a nasal hump or narrowing the nasal bridge.

For more extensive rhinoplasty procedures, Dr. Gershenbaum generally prefers an open approach, in which an incision is also made across the columella (the skin bridge between the nostrils), which connects the internal incisions. Dr. Gershenbaum believes this approach to rhinoplasty is unparalleled for exposure and accuracy for precision work with greater predictability in results. The resultant scar is generally near imperceptible. It is also at times desirable to narrow the nostrils, which generally leave near imperceptible scars as well.

The degree of nasal improvement through rhinoplasty depends on the basic structure of your nose and skin, as well as on the operative plan that is applied. At the Aventura Center in Miami, the goal is not to give you a new nose, but to improve and enhance your old nose in a natural way that compliments your face.

Rhinoplasty procedures are performed in an outpatient surgical facility located on the outskirts of Miami. Rhinoplasty can be comfortably performed using local anesthesia with I.V. sedation or under general anesthesia. It generally takes 2 to three hours. Afterwards there is usually a nasal splint, sutures (stitches) and nasal packing. Nasal packing is removed in two to four days. The splint is removed in five to seven days. Internal sutures dissolve by themselves and external sutures, if used, are removed in five to seven days. Swelling and bruising around the eyes, nose and cheeks are common. Bruising is usually gone in one to two weeks.

After rhinoplasty, most of the obvious swelling resolves in several weeks after the surgery; however, it can take up to twelve months for all the swelling to resolve. Some numbness may be present for several months and optimal breathing may take weeks or months following surgery. Patients generally report being uncomfortable rather than having pain. Regardless, pain medications are always prescribed.

Most rhinoplasty patients are up and about within two days, and able to return to work or school within seven to ten days. Strenuous activity is generally avoided for four to six weeks.

Dr. Richard Pavese focuses on plastic surgery and cosmetic surgery procedures including rhinoplasty and other reconstructive surgical procedures. Please contact us today to learn more about this procedure.

A Rhinoplasty or nose job is one of the most common plastic surgery procedures. It can effectively change the size of your nose, reshape the nose, resize the nostrils, or make other adjustments to match your nose to the shape of your face. The procedure can help to improve the appearance and balance of a face. Such factors may improve an individual’s confidence, leading them to seek their own rhinoplasty in Tempe.

The rhinoplasty in Tempe can be performed through slightly different procedures. In each of the procedures, the nose and cartilage are reshaped to create the desired shape. Dr. Pavese in Tempe accomplishes such effects by either removing the skin from the nose to reshape it or through an incision made through the nostrils. This not only helps to improve the physical appearance of the patient, but also restores self-confidence and respect to the patient. Please contact this plastic surgeon to learn more about getting a rhinoplasty in Tempe.

A rhinoplasty is a very individualized procedure in which your goals should be realistically determined and discussed with your physician in Tempe. Together you will determine what specific procedures will be performed. A rhinoplasty can be performed in conjunction with other procedures such as a face lift to enhance the balance of the patient’s facial features. Once your goals have been determined, you will set a date for this procedure in Tempe and will be given instructions about how to prepare.

The patient should remember to have realistic expectations about what a rhinoplasty can accomplish. Your surgeon may instruct you regarding physical activity, medication, drinking, smoking, or washing your face in order to help you prepare for the surgery. You may need to find someone to help you for the first few days of your recovery since movement is initially discouraged.

When the date for your rhinoplasty in Tempe has arrived, you should plan on the surgery taking several hours depending on which procedures you are having performed. When the procedure is finished, the nose will be secured in place and given a splint to help preserve its shape as it heals. Patients should plan on taking about two days of rest before being up and active. A week should be given before returning to work for office workers and a period of approximately three weeks will be needed for full recovery. All procedures are performed with anesthesia to minimize any discomfort or pain. Please visit our home page to learn more about rhinoplasty in Tempe.

Dr. Richard Pavese can help you to achieve your goals. This doctor specializes in procedures relating to rhinoplasty in Tempe including procedures such as brow lifts, breast augmentation, chin augmenatation, eyelid surgery, liposuction, and tummy tucks. To schedule an appointment or to learn more about rhinoplasty, please contact us today.

WHO IS A CANDIDATE?
If you consider your chin small, you may benefit from surgery. Having a larger (or “stronger”) chin can help balance one’s appearance, creating equal weight in the upper, middle, and lower thirds of the face. It can offset the prominence of a large or even medium-sized nose. Enlarging the chin can also make the neck look longer and more graceful, and this can be a helpful addition to a facelift when there is blunting of the angle between lower neck and the under-chin region.

WHAT CHANGES CAN BE EXPECTED?
The chin will protrude further from the face. In some people this can make a substantial change in their overall facial appearance. The hollow between the lower lip and the chin may become deeper.

HOW IS CHIN AUGMENTATION DONE?
There are two ways: 1) A plastic implant can be placed via an incision under the chin or one in the mouth. 2) By way of an incision in front of the lower teeth, the bony chin can be cut free from the lower jaw and slid forward. This is a way of using the body’s own tissues to produce the desired change. Either way,the operation is usually done under general anesthesia.

AFTERCARE
Tapes are placed around the advanced chin for a few days. Mild narcotics are given for pain, usually for 3 or 4 days. If there is a wound in the mouth, you will be on a liquid diet for two days and then soft foods for a few days.

Dr. Michael Cedars in San Francisco can help you to achieve your goals. He specializes in procedures relating to chin augmentations including procedures such as facelifts, breast augmentation, nose jobs, eyelid lift, liposuction, and tummy tucks. To schedule an appointment or to learn more about a chin augmentation, please contact us today.

Plastic Surgery employs many creative techniques, each chosen to help address a particular area of concern. For example there are at least five different procedures to improve the look of the eyelids. Which technique is selected depends on the individual’s anatomy and their desired appearance. For every area of the body, there are many techniques available so that each procedure performed is really an individualized solution for that particular person. There is rarely any one best technique for everyone. The best technique is the one that produces the desired look safely, reliably and beautifully for that person.

After surgery, each patient receives Dr. Anthony’s personalized attention all the way through the recovery process. After the recovery process, Dr. Anthony can recommend a maintenance program to help you keep looking your best.

Listed below are the procedures performed by Dr. Anthony. Some procedures may have several different names so if you do not see the procedure you are interested in listed below, please call us and ask.

PROCEDURES
Facial Plastic Surgery
Eyelid and Eyebrow Lifts
Cheek and Facelifts
The Neck - Neck lifts and Neck Liposuction
Nasal Surgery (Rhinoplasty)
Lip Augmentation
Chin and Cheek Augmentation
Wrinkle reducing procedures - Obagi®, Botox®, “Injectables” such as fat injections, JuvedermTM, Restylane®, SculptraTM

Breast Surgery
Breast Enhancement
Breast Lift
Breast Reduction

Body Sculpting
Liposuction
Abdominoplasty (Tummy Tuck)
Arm Lift
Thigh Lift
Buttock Lift
Lower Body Lift

Procedures For Men

If you are considering rhinoplasty in Southern California including Beverly Hills, Santa Monica and Long Beach from a Board Certified Female Plastic Surgeon continue reading …

What is rhinoplasty?
This is a surgical procedure which is done to improve the appearance of the nose and/or the ability to breathe through the nose. The operation, therefore, may be considered cosmetic, functional or, for some patients, both. Nasal deformities may be present at birth or develop with aging and growth. Traumatic injuries (broken nose) or changes from previous surgeries may result in significant deformity. (Chin augmentation with a small synthetic implant may help create better facial harmony and an improved profile and may also be recommended simultaneously.)

What features can be altered?
Most often, patients request removal of a “hump” on the nose, refinement of a round nasal tip, or elevation of a drooping tip. Noses which are crooked, too wide, long pointy or flat may be improved. Realistically, there are limitations in achieving the final goal and the ultimate outcome will vary from patient to patient.

How are the breathing problems corrected?
Frequently, the nasal septum (the cartilage separating the right and left nasal passages) is deviated and needs to be corrected. A crooked nose may worsen this disorder and therefore require correction at the same time. This operation is called a septorhinoplasty. Turbinates are parts of the nose which help to add moisture and filter inspired air. These structures can be enlarged for many reasons and contribute to airway blockage. When this occurs, the doctor will recommend their removal as part of the nasal surgery. Other problems such as narrowed passages and airway “collapse” may require placement of cartilage grafts for structural support. On rare occasions, scar tissue within the nose, from previous injury or surgery, may block air flow and require correction.

What type of anesthetic is used?
Cosmetic rhinoplasties are frequently done with general anesthesia. Functional surgeries with septal turbinate, scar correction, or the need for grafts also require general anesthesia. These operations most often are outpatient procedures but on occasion an overnight hospital stay may be required for unusually long or difficult cases.

Where are the incisions?
Most cosmetic rhinoplasties have incisions hidden within the nostrils inside the nose. A small “nick” in the skin is sometimes placed at the upper nose near the corner of the eye. More complex nasal operations often require a small incision in the skin at the base of the nose (columella). This tiny scar is barely visible yet it allows the surgeon to “lift” the nasal skin and directly vien all of the cartilage and bone requiring correction. This is termed an “open rhinoplasty“. To narrow the base of the nose small incisions (Weir incisions) are placed in the groove where the nostril meets the cheek.

Where are grafts taken from?
Cartilage and bone grafts are often taken from within the nose (septum). Ear cartilage, rib, hip, or outer portion of the skull are other possible grafts. Synthetic nasal implants which are made of silicone or Medpore , may also be used to build-up portions of the nose.

Will insurance pay for the surgery?
Changes necessary to correct functional breathing problems or deformity from an injury should be covered by insurance. The insurance carrier will not cover charges that they determine are cosmetic in nature. Often this will not be determined until the insurance company reads the operative report and compares pre-operative and post-operative photos.

What is the recovery period like?
Generally, there is a small plastic splint covering the nose which will be moved 5-10 days after surgery. Bruising around the eyes may last for 10-14 days. With functional surgery, plastic splints and/or packing may be used inside the nose. Much of the swelling is reduced within weeks of surgery with continued improvement over months. Areas of sensitivity or numbness will slowly resolve; the tip of the nose will feel stiff or “woody” and this will improve over the first several months. Other temporary conditions may include some airway or sinus blockage, nasal drainage, lumps and irregularities.

Are there alternatives?
Cosmetic, functional , or a combination of these operations can be performed. The various use of incisions and implants are described above. Consent form – Rhinoplasty/Nasal surgery