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Teaser

Categories: Plastic Surgery on TV
Added: 698 days ago
By:
Runtime: 1m8s
Views: 2407 | Comments: 0
Rating: Not yet rated

Staff and Facility:...

Categories: Surgeons Staffs and Facilities
Added: 621 days ago
By: DrGrigoryants
Runtime: 0m30s
Views: 385 | Comments: 0
Rating: Not yet rated

Short Scar Facelift: John...

Categories: Face Doc Talk
Added: 601 days ago
By: JohnShermanMD
Runtime: 1m3s
Views: 158 | Comments: 0
Rating: Not yet rated

$http://www.rhinoplastyspecialist.comrnJoin Rhinoplasty Specialist Dr. Paul Nassif, of Spalding Drive Cosmetic Surgery & Dermatology located in Beverly Hills, in the operating room as he performs Tip Cartilage Contouring.rnrnAlthough techniques and methods employed during rhinoplasty surgeries are the same regardless of race, there are some trends that apply to patients of certain ethnic backgrounds.rnrnEast Asian patients often want their noses to appear narrower. This can be done through the use of infractures, where the nasal bones are broken and moved in or reset to thin out the nasal area and add projection in the process. Outfractures, where the nasal bones are broken and moved outwards, are used to widen a too-narrow dorsum. East Asian patients typically seek augmentation (adding material) of the bridge of their nose which will make the nose appear narrower as well. In Asia, patients typically use a variety of alloplastic implants including Gore-Tex, Med-Por, or silicone. Due to the risks of alloplastic materials, natural materials to the bridge of the nose, such as rib cartilage (costal cartilage) or ear cartilage (auricular cartilage) are being used more commonly.rnrnPatients of African descent commonly seek narrowing of wide nostrils. This procedure may include removing sections of the base of the nostrils or sections of the nose where it meets the face. The tip of the nose can be restructured by removing tiny sections of cartilage to give the nose more shape, or even adding cartilage to provide additional structure to the nasal tip.rnrnAFRICAN AMERICAN NASAL ANATOMY:rn1. Skin: Thick, Abundant Fibrofatty tissuern2. Radix: Deep, Inferiorly-Set & Lowrn3. Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flatrn4. Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definitionrn5. Base: Wide, Thick, Horizontal & Flaring Nostrilsrn6. Nasolabial Junction: Retracted, Under-Developed Nasal Spinern7. Maxilla: Usually Retrusive & HypoplasticrnrnHISPANIC NASAL ANATOMY:rn1. Skin: Thick, Abundant Sebaceous Glandsrn2. Radix: Low to Normalrn3. Nasal Bridge: Widern4. Dorsum: Convex (Nasal Hump)rn5. Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definitionrn6. Columella: Short to Normalrn7. Base: Wide, Thick, Horizontal & Flaring Nostrilsrn8. Maxilla: Within Normal Limitsrn rnASIAN NASAL ANATOMY:rn1. Skin: Heavy, Thick & Sebaceousrn2. Radix: Deep & Flatrn3. Nasal Bridge & Dorsum: Low, Wide & Flatrn4. Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definitionrn5. Columella: Short, Minimal Show (Retracted)rn6. Base: Wide, Thick, Oblique & Flaring Nostrilsrn7. Maxilla: Usually RetrusivernrnDESIRED RHINOPLASTY GOALS:rn1. Bridge: Moderately Thinnerrn2. Dorsum: Higher (Augmented)rn3. Tip: Refined, Increased Projection, Increased Rotationrn4. Base: Vertical-Oblique Nostrils & Triangular Nasal Basern5. Columella: Increased Columellar Show & Lengthrn6. Maxilla: Less Retrusivern7. Skin-Soft Tissue Envelope: Moderate Thickness that Provides Good Tip DefinitionrnrnVideo Produced by SPORE Medical,rnhttp://www.sporemedical.com$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 333 days ago
By: sporemedical
Runtime: 1m59s
Views: 200 | Comments: 0
Rating: Not yet rated

$http://www.rhinoplastyspecialist.comrnEnter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.rnrnIn this video you\'ll discover how a shield graft added to the nasal tip aids in nasal tip support, strength, definition and projection. The combination of a lateral crural strut graft and alar rim graft is used to add support to the natural cartilage and soften the transition around the nose. They will also help support the nostrils and keep the nasal airway open.rnrnWatch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... rnhttp://www.youtube.com/watch?v=QobQdRapPfsrnrnDr. Nassif\'s practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.rnhttp://www.spaldingplasticsurgery.comrnrnOPERATIVE TECHNIQUE:rnThe shield graft was fixated to the intermediate crura and dome and a bruised onlay graft and columellar onlay graft were placed caudal to the shield graft with 5-0 PDS horizontal mattress sutures. Combined lateral crural strut grafts/rim grafts were placed on the posterior caudal surface of the lower lateral cartilage and fixated with 5-0 PDS.rnrnAfrican American Nasal AnatomyrnSkin: Thick, Abundant Fibrofatty tissuernRadix: Deep, Inferiorly-Set & LowrnNasal Bridge & Dorsum: Short Nasal Bones, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal DefinitionrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted, Acute Nasolabial AnglernMaxilla: Usually Retrusive & HypoplasticrnrnHispanic Nasal AnatomyrnSkin: Thick, Abundant Sebaceous GlandsrnRadix: Low to NormalrnNasal Bridge: WidernDorsum: Convex (Nasal Hump)rnTip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal DefinitionrnColumella: Short to NormalrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted & Acute Nasolabial Angle rn Maxilla: Within Normal LimitsrnrnAsian Nasal AnatomyrnSkin: Heavy, Thick & SebaceousrnRadix: Deep & FlatrnNasal Bridge & Dorsum: Low, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal DefinitionrnColumella: Short, Minimal Show (Retracted)rnBase: Wide, Thick, Oblique & Flaring NostrilsrnMaxilla: Usually Retrusivernrnhttp://www.spaldingcosmeticsurgery.comrnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 333 days ago
By: sporemedical
Runtime: 3m24s
Views: 123 | Comments: 0
Rating: Not yet rated

$http://www.rhinoplastyspecialist.comrnEnter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.rnrnIn this video you\'ll discover how Plumping grafts are a helpful technique in correcting a retracted or acute nasolabial angle. The nasolabial angle is the angle formed by the labial surface of the upper lip at the midline and the inferior border of the nose. It is a measure of the relative protrusion of the upper lip.rnrnIdeally, the angle between the upper lip and the nose should be between 90-105 degrees in women, and between 90-95 degrees in men. When this angle is smaller than 90 degrees, it gives the appearance that the tip of the nose is drooping and it can also make the individual seem older than their age.rnrnCorrection of this angle with Plumping grafts involves placing bits of the patients own natural cartilage beneath the skin into the lower columella at the base of the nasolabial angle. This can produce cephalic rotation and illusory increased tip projection. rnrnWatch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... rnhttp://www.youtube.com/watch?v=QobQdRapPfsrnrnDr. Nassif\'s practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.rnhttp://www.spaldingplasticsurgery.comrnrnOPERATIVE TECHNIQUE:rnA pocket down to the nasal spine was made between the medial crura and an extended columellar strut was placed and using 5-0 PDS, the strut was sutured to the medial crura with horizontal mattress sutures while suturing the intermediate crura to the strut which also helped project the nose. Plumping grafts and mucoperichondrium made from diced septal cartilage were placed. The shield graft was fixated to the intermediate crura and dome and a bruised onlay graft and columellar onlay graft were placed caudal to the shield graft with 5-0 PDS horizontal mattress sutures. Combined lateral crural strut grafts/rim grafts were placed on the posterior caudal surface of the lower lateral cartilage and fixated with 5-0 PDS.rnrnAfrican American Nasal AnatomyrnSkin: Thick, Abundant Fibrofatty tissuernRadix: Deep, Inferiorly-Set & LowrnNasal Bridge & Dorsum: Short Nasal Bones, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal DefinitionrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted, Acute Nasolabial AnglernMaxilla: Usually Retrusive & HypoplasticrnrnHispanic Nasal AnatomyrnSkin: Thick, Abundant Sebaceous GlandsrnRadix: Low to NormalrnNasal Bridge: WidernDorsum: Convex (Nasal Hump)rnTip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal DefinitionrnColumella: Short to NormalrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted & Acute Nasolabial Angle rn Maxilla: Within Normal LimitsrnrnAsian Nasal AnatomyrnSkin: Heavy, Thick & SebaceousrnRadix: Deep & FlatrnNasal Bridge & Dorsum: Low, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal DefinitionrnColumella: Short, Minimal Show (Retracted)rnBase: Wide, Thick, Oblique & Flaring NostrilsrnMaxilla: Usually Retrusivernrnhttp://www.spaldingcosmeticsurgery.comrnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 333 days ago
By: sporemedical
Runtime: 1m31s
Views: 100 | Comments: 0
Rating: Not yet rated

$http://www.rhinoplastyspecialist.comrnEnter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.rnrnIn this video you\'ll discover how the thick, soft tissue (nasal SMAS) overlying the nasal tip prevents the tip from having definition, which is why it is removed, and learn why this is an important part of an overall rhinoplasty plastic surgery procedure.rnrnOnce removed, this soft tissue is saved and used as a grafting material.rnrnWatch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... rnhttp://www.youtube.com/watch?v=QobQdRapPfsrnrnDr. Nassif\'s practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.rnhttp://www.spaldingplasticsurgery.comrnrnOPERATIVE TECHNIQUE:rnThe columellar incision was marked with a surgical marker. The nose was infiltrated with a total of 17 cc of 1% lidocaine with 1:100,000 Epinephrine. Using a 15 blade, bilateral marginal incisions connected to a transcolumellar broken line incision were made and the soft tissue (3+ mucoperichondrium) was then elevated off the lower lateral cartilages and nasal dorsum and saved.rnrnAfrican American Nasal AnatomyrnSkin: Thick, Abundant Fibrofatty tissuernRadix: Deep, Inferiorly-Set & LowrnNasal Bridge & Dorsum: Short Nasal Bones, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal DefinitionrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted, Acute Nasolabial AnglernMaxilla: Usually Retrusive & HypoplasticrnrnHispanic Nasal AnatomyrnSkin: Thick, Abundant Sebaceous GlandsrnRadix: Low to NormalrnNasal Bridge: WidernDorsum: Convex (Nasal Hump)rnTip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal DefinitionrnColumella: Short to NormalrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted & Acute Nasolabial Angle rn Maxilla: Within Normal LimitsrnrnAsian Nasal AnatomyrnSkin: Heavy, Thick & SebaceousrnRadix: Deep & FlatrnNasal Bridge & Dorsum: Low, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal DefinitionrnColumella: Short, Minimal Show (Retracted)rnBase: Wide, Thick, Oblique & Flaring NostrilsrnMaxilla: Usually Retrusivernrnhttp://www.spaldingcosmeticsurgery.comrnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 333 days ago
By: sporemedical
Runtime: 1m35s
Views: 19 | Comments: 0
Rating: Not yet rated

$http://www.rhinoplastyspecialist.comrnEnter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.rnrnIn this video you\'ll discover how the nasal dorsum is narrowed by fracturing the nasal bones.rnrnThe nasal osteotomy is an integral element in rhinoplasty. A reproducible and predictable technique for the nasal osteotomy is a significant contributor to operative success. rnrnOsteotomies are typically necessary when the nasal hump has been reduced. They are also often necessary to narrow an over-wide nose or to improve a twisted nose.rnrnA small bone knife or osteotome is placed at the edge of the bone as shown. A gentle tap-tap technique is used to advance the osteotome along the planned path. Now the bone is cut and may easily be shifted as needed.rnrnWatch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... rnhttp://www.youtube.com/watch?v=QobQdRapPfsrnrnDr. Nassif\'s practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.rnrnrnAfrican American Nasal AnatomyrnSkin: Thick, Abundant Fibrofatty tissuernRadix: Deep, Inferiorly-Set & LowrnNasal Bridge & Dorsum: Short Nasal Bones, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal DefinitionrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted, Acute Nasolabial AnglernMaxilla: Usually Retrusive & HypoplasticrnrnHispanic Nasal AnatomyrnSkin: Thick, Abundant Sebaceous GlandsrnRadix: Low to NormalrnNasal Bridge: WidernDorsum: Convex (Nasal Hump)rnTip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal DefinitionrnColumella: Short to NormalrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted & Acute Nasolabial Angle rn Maxilla: Within Normal LimitsrnrnAsian Nasal AnatomyrnSkin: Heavy, Thick & SebaceousrnRadix: Deep & FlatrnNasal Bridge & Dorsum: Low, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal DefinitionrnColumella: Short, Minimal Show (Retracted)rnBase: Wide, Thick, Oblique & Flaring NostrilsrnMaxilla: Usually Retrusivernrnhttp://www.spaldingcosmeticsurgery.comrnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 333 days ago
By: sporemedical
Runtime: 1m25s
Views: 112 | Comments: 0
Rating: Not yet rated

$http://www.rhinoplastyspecialist.comrnEnter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.rnrnIn this video you\'ll discover how the grafts used in the primary aspects of the nasal tip are finessed and softened so that the final results look very natural.rnrnIt\'s these small finishing touches which can take a good nose and make it a great nose.rnrnWatch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... rnhttp://www.youtube.com/watch?v=QobQdRapPfsrnrnDr. Nassif\'s practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.rnhttp://www.spaldingplasticsurgery.comrnrnOPERATIVE TECHNIQUE:rnA columellar strut, #3 shield graft, infratip lobular onlay grafts were carved from the septal cartilage. Lateral crural steal (2 mm lateral to dome) was then performed using a 5-0 PDS horizontal mattress suture to increase projection to each alar cartilage. A pocket down to the nasal spine was made between the medial crura and an extended columellar strut was placed and using 5-0 PDS, the strut was sutured to the medial crura with horizontal mattress sutures while suturing the intermediate crura to the strut which also helped project the nose. Plumping grafts and mucoperichondrium made from diced septal cartilage were placed. The shield graft was fixated to the intermediate crura and dome and a bruised onlay graft and columellar onlay graft were placed caudal to the shield graft with 5-0 PDS horizontal mattress sutures. Combined lateral crural strut grafts/rim grafts were placed on the posterior caudal surface of the lower lateral cartilage and fixated with 5-0 PDS. Bruised cartilage was placed around the superior edges of the shield graft. Additional bruised rim grafts were placed. rnrnAfrican American Nasal AnatomyrnSkin: Thick, Abundant Fibrofatty tissuernRadix: Deep, Inferiorly-Set & LowrnNasal Bridge & Dorsum: Short Nasal Bones, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal DefinitionrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted, Acute Nasolabial AnglernMaxilla: Usually Retrusive & HypoplasticrnrnHispanic Nasal AnatomyrnSkin: Thick, Abundant Sebaceous GlandsrnRadix: Low to NormalrnNasal Bridge: WidernDorsum: Convex (Nasal Hump)rnTip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal DefinitionrnColumella: Short to NormalrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted & Acute Nasolabial Angle rn Maxilla: Within Normal LimitsrnrnAsian Nasal AnatomyrnSkin: Heavy, Thick & SebaceousrnRadix: Deep & FlatrnNasal Bridge & Dorsum: Low, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal DefinitionrnColumella: Short, Minimal Show (Retracted)rnBase: Wide, Thick, Oblique & Flaring NostrilsrnMaxilla: Usually Retrusivernrnhttp://www.spaldingcosmeticsurgery.comrnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 333 days ago
By: sporemedical
Runtime: 2m24s
Views: 109 | Comments: 0
Rating: Not yet rated

$http://www.rhinoplastyspecialist.comrnEnter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.rnrnIn this video you\'ll discover how deep temporalis fascia, a tissue in the scalp, is harvested for use as a grafting material in open rhinoplasty procedure. The deep temporalis fascia is harvested by making a small incision inside the temple, without creating a visible scar, and removing the tissue. Fascia is a soft tissue that is far superior to cartilage for use as a grafting material to build up the radix of the nose.rnrnWatch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... rnhttp://www.youtube.com/watch?v=QobQdRapPfsrnrnDr. Nassif\'s practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.rnhttp://www.spaldingplasticsurgery.comrnrnOPERATIVE TECHNIQUE:rn3.0 ccs of 1% lidocaine with 1:100,000 epinephrine and 10 cc of tumescent solution (500 cc of NS mixed with .5 cc of 1:1000 Epinephrine, 5 cc of sodium bicarbonate and 25 cc of 2% Lidocaine plain) were infiltrated into a 3.0 cm right temporal incision and over the temporalis region. The face and neck were prepped in the usual sterile manor. A 15 blade was used to make the incision above the right ear in the direction of the hair follicles. Hemostasis was controlled with bipolar cautery. Blunt dissection was performed in between the superficial temporalis fascia and deep temporalis fascia. The deep fascia (4.0 cm) was harvested. Hemostasis was maintained with bipolar cautery. The wound was irrigated with antibiotic irrigation and 3 cc of ¼% marcaine with epi were washed into the wound. The wound was closed with staples.rnrnAfrican American Nasal AnatomyrnSkin: Thick, Abundant Fibrofatty tissuernRadix: Deep, Inferiorly-Set & LowrnNasal Bridge & Dorsum: Short Nasal Bones, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal DefinitionrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted, Acute Nasolabial AnglernMaxilla: Usually Retrusive & HypoplasticrnrnHispanic Nasal AnatomyrnSkin: Thick, Abundant Sebaceous GlandsrnRadix: Low to NormalrnNasal Bridge: WidernDorsum: Convex (Nasal Hump)rnTip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal DefinitionrnColumella: Short to NormalrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted & Acute Nasolabial Angle rn Maxilla: Within Normal LimitsrnrnAsian Nasal AnatomyrnSkin: Heavy, Thick & SebaceousrnRadix: Deep & FlatrnNasal Bridge & Dorsum: Low, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal DefinitionrnColumella: Short, Minimal Show (Retracted)rnBase: Wide, Thick, Oblique & Flaring NostrilsrnMaxilla: Usually Retrusivernrnhttp://www.spaldingcosmeticsurgery.comrnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 333 days ago
By: sporemedical
Runtime: 2m27s
Views: 135 | Comments: 0
Rating: Not yet rated

$http://www.rhinoplastyspecialist.comrnEnter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.rnrnIn this video you\'ll discover how cartilage is harvested from the ear for use in rhinoplasty procedure as nasal grafts. This patient had a previous Otoplasty (Ear surgery) so we were able to follow the original incision behind her ear.rnrnWatch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... rnhttp://www.youtube.com/watch?v=QobQdRapPfsrnrnDr. Nassif\'s practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.rnhttp://www.spaldingplasticsurgery.comrnrnOPERATIVE TECHNIQUE:rn3 ccs of 1% lidocaine with 1:100,000 epinephrine was infiltrated into the left postauricular incision (previous incision) and ear. A left 3 cm postauricular incision was made and a combination of blunt and sharp dissection was performed elevating in a submucoperichondrial flap along the cartilage. Next, the cartilage was excised laterally to the EAC with support intact for the external auditory canal. The mucoperichondrium was left intact anteriorly. Support was left intact medially in the conchal region. Hemostasis was controlled with bipolar cautery. The wound was irrigated with antibiotic irrigation and 1 cc of ¼% marcaine was sprayed into the wound. The wound was closed with a running 4-0 chromic. A bolster suture (3-0 nylon) was placed through the two flaps with cotton soaked in antibiotic ointment and contoured to fit the conchal bowl. rnrnAfrican American Nasal AnatomyrnSkin: Thick, Abundant Fibrofatty tissuernRadix: Deep, Inferiorly-Set & LowrnNasal Bridge & Dorsum: Short Nasal Bones, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal DefinitionrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted, Acute Nasolabial AnglernMaxilla: Usually Retrusive & HypoplasticrnrnHispanic Nasal AnatomyrnSkin: Thick, Abundant Sebaceous GlandsrnRadix: Low to NormalrnNasal Bridge: WidernDorsum: Convex (Nasal Hump)rnTip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal DefinitionrnColumella: Short to NormalrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted & Acute Nasolabial Angle rn Maxilla: Within Normal LimitsrnrnAsian Nasal AnatomyrnSkin: Heavy, Thick & SebaceousrnRadix: Deep & FlatrnNasal Bridge & Dorsum: Low, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal DefinitionrnColumella: Short, Minimal Show (Retracted)rnBase: Wide, Thick, Oblique & Flaring NostrilsrnMaxilla: Usually Retrusivernrnhttp://www.spaldingcosmeticsurgery.comrnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 333 days ago
By: sporemedical
Runtime: 2m43s
Views: 100 | Comments: 0
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$http://www.rhinoplastyspecialist.comrnEnter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.rnrnIn this video you\'ll discover how alar base reduction is used to narrow a nose that is too wide at the bottom. The procedure involves the removal of a portion of the nostril at the base of the nose. The strategically placed incisions at the base of the nose are then meticulously sutured so that any scarring imperceptible.rnrnWatch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... rnhttp://www.youtube.com/watch?v=QobQdRapPfsrnrnDr. Nassif\'s practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.rnhttp://www.spaldingplasticsurgery.comrnrnOPERATIVE TECHNIQUE:rn3.5 mm alar resections were drawn and a Sheen type I alar resection (cutaneous) was performed after infiltration of the ala with local. An 11 blade was used to make the inferior incision extending medially along the alar base and culminating lateral to the nasal sill. 5-0 vicryl subcutaneous sutures were place followed by skin running sutures using 6-0 prolene.rnrnAfrican American Nasal AnatomyrnSkin: Thick, Abundant Fibrofatty tissuernRadix: Deep, Inferiorly-Set & LowrnNasal Bridge & Dorsum: Short Nasal Bones, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal DefinitionrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted, Acute Nasolabial AnglernMaxilla: Usually Retrusive & HypoplasticrnrnHispanic Nasal AnatomyrnSkin: Thick, Abundant Sebaceous GlandsrnRadix: Low to NormalrnNasal Bridge: WidernDorsum: Convex (Nasal Hump)rnTip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal DefinitionrnColumella: Short to NormalrnBase: Wide, Thick, Horizontal & Flaring NostrilsrnNasolabial Junction: Retracted & Acute Nasolabial Angle rn Maxilla: Within Normal LimitsrnrnAsian Nasal AnatomyrnSkin: Heavy, Thick & SebaceousrnRadix: Deep & FlatrnNasal Bridge & Dorsum: Low, Wide & FlatrnTip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal DefinitionrnColumella: Short, Minimal Show (Retracted)rnBase: Wide, Thick, Oblique & Flaring NostrilsrnMaxilla: Usually Retrusivernrnhttp://www.spaldingcosmeticsurgery.comrnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 333 days ago
By: sporemedical
Runtime: 2m58s
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