PLASTIC SURGERY: ASIAN RHINOPLASTY TESTIMONIAL
http://www.lamfacialplastics.com
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In English and in Vietnamese:One of Dr. Lam’s patients talks about her experience with Dr. Lam following rhinoplasty in both English and in Vietnamese
Dr. Lam performs the full gamut of ethnic rhinoplasty including Middle Eastern, Asian, Hispanic, and African-American rhinoplasty. Ethnic differences and aesthetic desires vary based on the individual from mild changes to preserve ethnicity to more dramatic changes that may further soften what may be deemed overly ethnic features. After a detailed consultation with Dr. Lam he can help you better understand what is possible and what may be preferable in your case.
Dr. Lam is board certified by the American Board of Facial Plastic & Reconstructive Surgery and a Fellow of the American College of Surgeons. He has authored three major facial plastic surgery textbooks, including Comprehensive Facial Rejuvenation: A Practical and Systematic Guide to the Aging Face, Cosmetic Surgery of the Asian Face, and the recently published Complementary Fat Grafting. Dr. Lam has also published over 100 book chapters and scientific articles on the subject of facial plastic surgery and lectures nationally almost on a monthly basis on facial plastic surgery and has lectured over 100 times to date. Visit www.lamfacialplastics.com.
KEY WORDS: PLASTIC SURGERY, RHINOPLASTY, NOSE JOB, ASIAN, ASIAN RHINOPLASTY, FACIAL PLASTIC SURGERY, COSMETIC SURGERY, COSMETIC ENHANCEMENT, FACIAL PLASTIC SURGEON, DR. LAM, WWW.LAMFACIALPLASTICS.COM.
Duration : 0:1:50
Rhinoplasty Operating Room Footage – Tip Cartilage Contouring (Nose Job)
http://www.rhinoplastyspecialist.com
Join 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.
Although 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.
East 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.
Patients 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.
AFRICAN AMERICAN NASAL ANATOMY:
1. Skin: Thick, Abundant Fibrofatty tissue
2. Radix: Deep, Inferiorly-Set & Low
3. Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition
5. Base: Wide, Thick, Horizontal & Flaring Nostrils
6. Nasolabial Junction: Retracted, Under-Developed Nasal Spine
7. Maxilla: Usually Retrusive & Hypoplastic
HISPANIC NASAL ANATOMY:
1. Skin: Thick, Abundant Sebaceous Glands
2. Radix: Low to Normal
3. Nasal Bridge: Wide
4. Dorsum: Convex (Nasal Hump)
5. Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition
6. Columella: Short to Normal
7. Base: Wide, Thick, Horizontal & Flaring Nostrils
8. Maxilla: Within Normal Limits
ASIAN NASAL ANATOMY:
1. Skin: Heavy, Thick & Sebaceous
2. Radix: Deep & Flat
3. Nasal Bridge & Dorsum: Low, Wide & Flat
4. Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition
5. Columella: Short, Minimal Show (Retracted)
6. Base: Wide, Thick, Oblique & Flaring Nostrils
7. Maxilla: Usually Retrusive
DESIRED RHINOPLASTY GOALS:
1. Bridge: Moderately Thinner
2. Dorsum: Higher (Augmented)
3. Tip: Refined, Increased Projection, Increased Rotation
4. Base: Vertical-Oblique Nostrils & Triangular Nasal Base
5. Columella: Increased Columellar Show & Length
6. Maxilla: Less Retrusive
7. Skin-Soft Tissue Envelope: Moderate Thickness that Provides Good Tip Definition
Video Produced by SPORE Medical,
http://www.sporemedical.com
Duration : 0:1:34
How Nose Surgery is Performed – Septoplasty (Rhinoplasty)
http://www.rhinoplastyspecialist.com
See 1st hand how nose surgery is performed with Rhinoplasty Specialist Dr. Paul S. Nassif. A world-renowned expert in revision & ethnic rhinoplasty, watch and learn as he performs a Septoplasty. His practice, Spalding Drive Cosmetic Surgery & Dermatology, is located in Beverly Hills, CA.
To improve nasal breathing function, a septoplasty may also be performed. If there is turbinate hypertrophy, an inferior turbinectomy can be done.
Although 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.
East 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.
Patients 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.
Video Produced by Spore Medical
http://www.sporemedical.com
Duration : 0:1:37
Rhinoplasty Operating Room Footage – Turbinate Reduction (Nose Job)
http://www.rhinoplastyspecialist.com
Enter the operating room with Rhinoplasty Specialist Dr. Paul Nassif, a world-renowned expert in revision & ethnic rhinoplasty, as he performs a Turbinate Reduction. His practice, Spalding Drive Cosmetic Surgery & Dermatology, is located in Beverly Hills, CA.
In anatomy, a nasal concha (or turbinate) is a long, narrow and curled bone shelf (shaped like an elongated sea-shell) which protrudes into the breathing passage of the nose. Turbinate bone refers to any of the scrolled spongy bones of the nasal passages in humans and other vertebrates. [1]
In humans, the turbinates divide the nasal airway into three groove-like air passages and are responsible for forcing inhaled air to flow in a steady, regular pattern around the largest possible surface of cilia and climate controlling tissue.
It 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.
In 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.
Video Produced by Spore Medical
http://www.sporemedical.com
Duration : 0:1:53
PLASTIC SURGERY:ASIAN RHINOPLASTY (NOSE JOB) TUTORIAL DALLAS
http://www.lamfacialplastics.com
WIN $5000 CASH!, visit http://www.lamfacialplastics.com for details. Just send Dr. Lam your best idea for his business and win cash to CONTEST@LAMFACIALPLASTICS.COM
PLASTIC SURGERY ASIAN RHINOPLASTY TUTORIAL: Dr. Samuel Lam discusses with you his philosophy for Asian rhinoplasty. For more information about facial plastic surgery, cosmetic facial surgery, facial rejuvenation, rhinoplasty etc., please visit www.lamfacialplastics.com.
Dr. Lam is board certified by the American Board of Facial Plastic & Reconstructive Surgery and a Fellow of the American College of Surgeons. He has authored three major facial plastic surgery textbooks, including Comprehensive Facial Rejuvenation: A Practical and Systematic Guide to the Aging Face, Cosmetic Surgery of the Asian Face, and the recently published Complementary Fat Grafting. Dr. Lam has also published over 100 book chapters and scientific articles on the subject of facial plastic surgery and lectures nationally almost on a monthly basis on facial plastic surgery and has lectured over 100 times to date. Visit www.lamfacialplastics.com.For more information, visit www.lamfacialplastics.com.
KEY WORDS: PLASTIC SURGERY, FACIAL PLASTIC SURGERY, COSMETIC SURGERY, COSMETIC ENHANCEMENT, FACIAL PLASTIC SURGEON, DR. LAM, WWW.LAMFACIALPLASTICS.COM.
Duration : 0:9:29