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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 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: 476 days ago
By: sporemedical
Runtime: 3m24s
Views: 183  | 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 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: 476 days ago
By: sporemedical
Runtime: 1m31s
Views: 140  | 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: 476 days ago
By: sporemedical
Runtime: 1m35s
Views: 27  | 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 patients own natural cartilage and fascia is used to build-up, or augment, the nasal dorsum, also known as the bridge of the nose, increasing it\'s height which makes the nose appear less wide.rnrnMany different materials are used to elevate the bridge of the nose. The main decision that the surgeon makes is whether to use natural materials taken from the patient or whether to use one of the artificial materials that are safe to place in the nose. rnrnThe most common natural material is cartilage, which can be taken from the nasal septum, or from the ear, or from a rib. The location from which the cartilage is taken depends mostly on how much cartilage is needed. If a very large graft is required, rib will be used. The nasal septum or the ear can serve as a source of cartilage for smaller grafts.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:rnBruised conchal cartilage wrapped in temporalis fascia was placed as an onlay dorsal graft from the radix (approx 4 -5mm) to the supratip (approx 3 mm) region. Mucoperichondrium was placed over the shield graft. rnrnVideo Produced by Spore Medical,rnhttp://www.sporemedical.com
Rhinoplasty with Dr. Paul...
Categories: Surgeries 
Added: 476 days ago
By: sporemedical
Runtime: 2m7s
Views: 170  | 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: 476 days ago
By: sporemedical
Runtime: 2m24s
Views: 149  | 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
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: 476 days ago
By: sporemedical
Runtime: 2m43s
Views: 140  | Comments: 0
Rating: Not yet rated
http://www.rhinoplastyspecialist.comrnJoin Rhinoplasty Specialist Dr. Paul Nassif, a world-renowned expert in revision rhinoplasty, in the operating room as he performs a Columella Strut Placement. His practice, Spalding Drive Cosmetic Surgery & Dermatology, is located in Beverly Hills, CA.rnrnThe columella is the central portion of the nostril that is composed of soft tissue overlying the cartilage structures known as the medial crura.rnrnA cartilage graft typically composed of harvested septal cartilage ensconced between the medial crura of the columella used to maintain nasal tip support necessary following rhinoplasty.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: 476 days ago
By: sporemedical
Runtime: 3m40s
Views: 209  | Comments: 0
Rating: Not yet rated
http://www.rhinoplastyspecialist.com This is my plastic surgery before and after story as I have a closed (endonasal) rhinoplasty in Beverly Hills, CA. My sister had a rhinoplasty procedure before me that left her with undesirable results. Learning from her experience, I did my research and chose one of the Top Rhinoplasty Specialists in the world, Dr. Paul S. Nassif, to perform my surgery. rnrnClosed rhinoplasty refers to procedures in which the incisions are confined to the inside of the nose. Open rhinoplasty refers to procedures in which an additional small incision is made between the nostrils on the underside of the nose. Closed rhinoplasty results in no visible scarring while open rhinoplasty results in a well-concealed, fine-line scar.rnrnAs a patient, you wonder why this is happening to me. You wonder why do I need a revision rhinoplasty 9 months following my initial nose surgery. You wonder why everything looked great and the next thing you notice is pinched nostrils and progressive nasal obstruction. Well, you are not alone. Whether its the result of aggressive surgery or scar contracture with the healing process, unfortunately this problem is not that rare. Nationally, approximately 5 12% of patients that undergo rhinoplasty need a revision of some kind, whether it is major or minor. Even in the hands of the best rhinoplasty surgeons across the country, the need for revision sometimes occurs. Without a doubt, revision rhinoplasty surgery is the most challenging procedure that we, Facial Plastic & Reconstructive Surgeons, perform.rnrnAnother important detail is to ascertain if you have nasal obstruction. I will determine if the nasal obstruction was present preoperatively. If the obstruction is a result of the surgery, a number of questions need to be answered. Did you have reductive rhinoplasty surgery? I will have you point out where the obstruction is. Is it static or dynamic? Present with normal or deep inspiration? What alleviates and worsens the nasal obstruction? What are the characteristics of the nasal obstruction? Was septal surgery performed? With these important questions answered I am now ready to perform the physical examination.rnrnMany procedures were performed on Luisa\'s nose including: 1. Septoplasty & Septal Battan Graft, 2. Turbinoplasty, 3. Closed Rhinoplasty - Exposing Nasal Anatomy, 4. Removal of Bony-Cartilaginous Dorsal Hump, 5. Columella Strut Placement, 6. Bruised Infratip Lobular Graft, 7. Osteotomies, 8. Spreader Grafts & 9. Closed Rhinoplasty - Closure of Intercartilaginous & Hemitransfixion Incisions.http://www.spaldingplasticsurgery.comrnrnVideo Produced by SPORE Medical http://www.sporemedical.com
Plastic Surgery Before &...
Categories: Before and After 
Added: 507 days ago
By: sporemedical
Runtime: 6m30s
Views: 416  | Comments: 0
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This is my rhinoplasty before and after videornrnWatch my experience from initial consult to final result as I have an ethnic rhinoplasty procedure performed by Dr. Paul S. Nassif of Spalding Drive Cosmetic Surgery & Dermatology located in Beverly Hills.rnrnThe results are incredible! It\'s like a dream come true. I am so happy that I chose Dr. Nassif as my surgeon. He is truly a gifted and wonderful surgeon.rnrnThere where many procedures performed to get the incredible results I received including:rnDeep Temporalis Fascia HarvestingrnSeptoplastyrnTurbinoplastyrnOpen RhinoplastyrnNasal Smas ExcicionrnVestibular Tissue ReleasernTip Cartilage Contouring / Cephalic TrimrnColumella Strut PlacementrnShield GraftrnEar (conchal) Cartilage HarvestrnRim GraftrnOsteotomiesrnNarrowing of Nasal DorsumrnBuild up of Radix & Dorsum (cartilage and fascia grafts)rnAlar Base ReductionrnrnRhinoplasty in Los Angeles also specializes in ethnic rhinoplasty for African American, Hispanic and Asian patients. As part of his information campaign on cosmetic surgery in Beverly Hills, those who are interested in rhinoplasty and plastic surgery can get loads of up-to-date information straight from Dr. Nassif through his websites Media Page. This web page contains articles written by Dr. Nassif that have been published in famous plastic surgery journals and books. rnrnThe Media Page also contains actual rhinoplasty and revision rhinoplasty surgery captured on video. These videos were aired in Discovery Channel, ET, and other shows. Patients who want to know more about Dr. Paul Nassif can check out his curriculum vitae. Whether you decide to attempt this procedure or not, rhinoplastyspecialist.com can give you an accurate and detailed perspective.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
Plastic Surgery Before &...
Categories: Before and After 
Added: 507 days ago
By: sporemedical
Runtime: 6m59s
Views: 366  | Comments: 0
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Plastic Surgeon, Doctor John Sherman of New York, New York says that patients of all ages can benefit from rhinoplasty.
Patients Young and Old:...
Categories: Face  Doc Talk 
Added: 744 days ago
By: JohnShermanMD
Runtime: 1m53s
Views: 158  | Comments: 0
Rating: Not yet rated
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