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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.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: 476 days ago
By: sporemedical
Runtime: 1m59s
Views: 295 | 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: 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

Categories: Surgeries
Added: 476 days ago
By: sporemedical
Runtime: 2m39s
Views: 160 | 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

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 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: 476 days ago
By: sporemedical
Runtime: 1m25s
Views: 169 | Comments: 0
Rating: Not yet rated

Categories: Surgeries
Added: 476 days ago
By: sporemedical
Runtime: 2m42s
Views: 234 | 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
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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 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
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