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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 a Tubinoplasty procedure, or Turbinate Surgery, is performed and learn why it is an important part of an overall rhinoplasty plastic surgery procedure. rnrnTurbinoplasty is the operation performed to reduce the size of the turbinate. Usually, only the inferior turbinates need correction.rnrnLarge turbinates can cause nasal obstruction. In some cases where a deviated septum is present, compensatory hypertrophy of the turbinate occurs on the side opposite the deviation. The nose does its job of filtering, warming and humidifying when the oncoming airstream is about 2-3 millimeters wide. If the airway is too large on one side, the turbinates compensate by getting bigger. That is why turbinate surgery is sometimes necessary when the septum is straightened. Sometimes your doctor will recommend turbinate surgery if medication is not effective in opening your air passages.rnrnMost turbinate surgery is performed under general anesthesia in the operating room. Special instruments are used to remove bone inside the turbinate or the fleshy outer portion is removed. Since the surgical area is not closed with sutures, temporary packing mad of absorbable collagen is placed. This packing will either disintegrate or fall out after a few days. Most patients go home the same day. The typical operation usually takes less than an hour.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 anterior aspects of the turbinates were infiltrated with 1 cc of local. A Joseph elevator was used to outfracture the inferior turbinates. Next, the bipolar cauterizing instrument was placed through the incision along the length of the turbinate. The turbinates were cauterized upon withdrawing the unit (3 passes in each inferior turbinate). The bone was lateralized while fracturing it simultaneously with a Joseph elevator. A Goldman elevator was finally used to lateralize the bone.rnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com
Rhinoplasty with Dr. Paul...
Categories: Surgeries 
Added: 507 days ago
By: sporemedical
Runtime: 1m42s
Views: 8  | 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 world-renowned expert in revision & ethnic rhinoplasty. rnrnIn this video you\'ll discover how a Septoplasty procedure is performed and learn why it is an important part of an overall rhinoplasty plastic surgery procedure. rnrnThe nasal cavity is divided into two halves by a partition made of cartilage and bone, called the nasal septum. The two halves are the nostrils. In as many as 80% of all people, the nasal cavity is not divided equally. When this occurs, it is called a deviated septum. For most people, this imperfection does not cause any problems, but for some, it can lead to difficulty in breathing and even chronic sinus infections.rnrnSymptoms vary from person to person, depending upon the severity of the deviation. Some only experience symptoms when they have a cold or other respiratory infection, and symptoms are usually worse on one side of the nose than the other. Symptoms include:rn1. Blockage of one or both nostrilsrn2. Nasal congestionrn3. Frequent nosebleedsrn4. Frequent or chronic sinus infectionsrn5. Sinus painrnrnThe only way to correct a deviated septum is through surgery. A septoplasty is usually performed on an out-patient basis, with either general or local anesthesia, and usually takes 1-1 1/2 hours. This procedure is performed entirely through the nostrils, and if it is the only procedure performed, it does not cause any bruising or swelling following surgery. A septoplasty can also be performed in conjunction with rhinoplasty.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 septum was infiltrated with 3.0 cc of 1% lidocaine with 1:100,000 Epinephrine. Pledgets soaked in pontocaine and 1:1,000 Epinephrine were placed in the nasal cavity. A left hemi-transfixion incision was made and the mucoperichondrium was elevated on the left side of the incision and extended to beyond the junction of the bony & cartilaginous septum and the mucoperiosteum was elevated. The septum was disarticulated from the bony septum and the contralateral mucoperiosteal flap was then elevated off the bony septum. Takahashi forceps were then used to remove the deviated bony septum. For the spur, a 4 mm osteotome was used to remove it. A strip of cartilage along the floor up to the anterior nasal spine was removed allowing a swinging door septum to be created. The septum was midline after this maneuver. No opposing bilateral perforations were identified. Septal cartilage was harvested for grafting for the rhinoplasty leaving approximately 10 mm of septal support at the anterior and caudal septum. The incision was then closed with a running 4-0 chromic. rnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com
Rhinoplasty with Dr. Paul...
Categories: Surgeries 
Added: 507 days ago
By: sporemedical
Runtime: 2m8s
Views: 14  | 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: 476 days ago
By: sporemedical
Runtime: 2m27s
Views: 174  | Comments: 0
Rating: Not yet rated
One of the top celebrity plastic surgery stories on E!Tv, Ashley Tisdale appears to have undergone surgery to improve a deviated septum as well as the appearance of her nose. Dr. Jennifer Walden comments on the story.
Did Ashley Tisdale Get a...
Categories: Plastic Surgery on TV 
Added: 241 days ago
By: JenniferWaldenMD
Runtime: 3m20s
Views: 92  | Comments: 0
Rating: Not yet rated
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