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
My Ethnic Rhinoplasty ( Nose Job ) Surgery in Beverly Hills
http://www.rhinoplastyspecialist.com
Watch my experience from initial consult to final result as I have ethnic rhinoplasty performed.
There where many procedures performed to get the incredible results I received including:
Deep Temporalis Fascia Harvesting
Septoplasty
Turbinate Reduction
Open Rhinoplasty
Nasal Smas Excicion
Vestibular Tissue Release
Tip Cartilage Contouring
Cephalic Trim
Columella Strut Placement
Shield Graft
Ear Cartilage Harvest
Rim Graft
Narrowing of Nasal Dorsum
The results are incediblle! It’s like a dream come true. I am so happy that I chose Dr. Paul S. Nassif as my surgeon. He is truely a gifted and wonderful surgeon.
Every year, half a million people who are interested in improving the appearance of their nose seek a consultation with a Facial Plastic Surgeon. Some are unhappy with the nose they were born with, and some with the way aging has changed their nose. For others, breathing may be a problem, or an injury may have distorted the nose. A slight alteration of the nose can greatly improve ones appearance. Rhinoplasty (reshaping the nose), could improve ones looks, self-confidence or health. As with all facial plastic surgery, good health and realistic expectations are prerequisites.
The goal of rhinoplasty is to improve the nose aesthetically (without creating a surgical look) in order to create harmony with other facial features. Additionally, many patients have a chin augmentation in conjunction with rhinoplasty to create a better balance of features. Rhinoplasty is usually performed with local injections of anesthesia with intravenous sedation, or in some cases, under general anesthesia.In rhinoplasty, the majority of incisions are made inside the nose, where they are invisible. In some cases, an incision is made in the area of skin separating the nostrils. Certain amounts of bone and cartilage are then removed or rearranged to provide a newly shaped nose. If the patient has a deviated septum (cartilage and/or bone causing obstruction inside the nose), septal surgery, called septoplasty, is simultaneously performed. The incision is placed entirely inside the nose. The septoplasty removes portions of cartilage and/or bone that are causing the obstruction. The incisions are then closed with fine suture, followed by placement of a splint to the outside of the nose. The splint helps retain the new shape while the nose heals.
Duration : 0:7:0