Custom Rhinoplasty Los Angeles by Dr. Grigoryants

Dr. Grigoryants  performs custom rhinoplasty in Los Angeles. One of the best ways for patients to communicate their wishes is by modifying their own nose using photoshop or a free software ( e.g. Plastic Surgery Simulator Lite).  Having patients do the actual computer modifications allows patients to think through what changes they find attractive and spend more time analyzing the changes than having a surgeon do it in the office.  Dr. Grigoryants will ask patients to bring several modified versions of what they like and a version of what they do not want before their rhinoplasty. Dr. Grigoryants will advise which rhinoplasty results are achievable.   This approach maximizes the effectiveness of  communication between the surgeon and patients.   [embed]https://www.instagram.com/p/BZ0YSTKBV1e/?hl=en&taken-by=drvladimirgrigoryants[/embed] Rhinoplasty Los Angeles Rhinoplasty Beverly Hills... read more

Scarless Rhinoplasty (Closed rhinoplasty) Review by Dr. Grigoryants

There are two ways to do rhinoplasty - closed rhinoplasty (sometimes referred to as scarless rhinoplasty) and open rhinoplasty. The main difference is that in open rhinoplasty, an incision is made across the columella and nasal  skin is lifted off the nose.  In scarless or closed rhinoplasty, all incisions are placed inside the nose. Is scarless rhinoplasty truly scarless?   In my opinion, the term scarless rhinoplasty is a bit misleading because in many cases of closed rhinoplasty, the nostril base would need to be narrowed. It is done by placing a small incision in the nostril base groove on each side. This small incision heals well and very difficult to see in most patients. Not performing alar base (nostril base) reduction when needed will result in wide appearing nostrils and patient dissatisfaction.  In those patients who do not need alar base reduction, closed rhinoplasty will truly be scarless. I prefer closed rhinoplasty for nearly all primary rhinoplasty and most revision rhinoplasty cases. Some difficult revisions, I perform using open rhinoplasty techniques.  Having performed numerous rhinoplasties and seen many patients that come to me for revision, I find that  open rhinoplasty scars  result in visible and indented scars with skin thickening in front...... read more

What are spreader grafts? Dr Grigoryants Reviews Spreader graft use in rhinoplasty

Review of Spreader Grafts  by Dr. Vladimir Grigoryants Spreader grafts are frequently used in rhinoplasty.  Spreader grafts are strips cartilage made of patients own cartilage that are placed on each side of the septum ( between the septum and the side wall).   Typically, the mid or lower portion of the septum is harvested to make spreader grafts.  Other synthetic materials or other sources of cartilage (e.g ear cartilage) can also be used for spreader grafts. I prefers to use patient's own septal cartilage to make the spreader grafts. 1. Why are spreader grafts needed?  Spreader grafts are very important to prevent midnasal  collapse (also known as an internal nasal valve collapse or inverted V deformity). The dorsal aspect of the septum (the top or the bridge)  is naturally wider than the portion below it,  looking like a letter  T.  The wider part of the T  holds the side walls apart.  This is the internal nasal valve.   When the dorsal hump is removed that wide portion of the septum  (horizontal part of the T)  is removed in most cases leaving the narrow portion of the septum, looking like an  letter I.  Without reconstructing that  wide portion of the dorsal septum,...... read more

View All