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Categories: Body
Added: 116 days ago
By: LeonardHochsteinMD
Runtime: 5m5s
Views: 210 | 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 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

$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

$http://www.rhinoplastyspecialist.comrnSee 1st hand how nose surgery is performed with R hinoplasty Specialist Dr. Paul Nassif. A world-renowned expert in revision & ethnic rhinoplasty, watch and learn as he performs a Vestibular Tissue Release. His practice, Spalding Drive Cosmetic Surgery & Dermatology, is located in Beverly Hills, CA.rnrnIt can be performed under a general anesthetic or with local anesthetic. Incisions are made inside the nostrils (closed rhinoplasty). Sometimes, a tiny, inconspicuous incision is also made across the columella, the bit of skin that separates the nostrils (open rhinoplasty). The surgeon first separates soft tissues of the nose from the underlying structures, then reshapes the cartilage and bone. Most people remain at home for a week. If there are external sutures, they are usually removed 4 to 5 days after surgery. The external cast is removed at one week. If there are internal stents, they are usually removed at four days to two weeks. The periorbital bruising usually lasts two weeks. Due to wound healing, there are minor and subtle shifting and settling of the nose over the first year.rnrnIn some cases, the surgeon may shape a small piece of the patient\'s own cartilage or bone to strengthen or change the structure of the nose. Usually the cartilage is harvested from the septum although if there isn\'t enough which can often occur in revision rhinoplasty, cartilage can be taken from the concha of the ear or rarely the ribs. In the rare case, again usually revision rhinoplasty, where bone is required, it is harvested from the cranium or ribs. Sometimes a synthetic implant may be used to reconstruct the nose. This is most common when augmenting the bridge of Asian noses.$
Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 476 days ago
By: sporemedical
Runtime: 1m51s
Views: 152 | Comments: 0
Rating: Not yet rated

Rhinoplasty with Dr. Paul...

Categories: Surgeries
Added: 476 days ago
By: sporemedical
Runtime: 3m40s
Views: 209 | Comments: 0
Rating: Not yet rated

$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
Rating: Not yet rated

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