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

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

Dr. Grigoryants Reviews Post-rhinoplasty Instructions

The following instructions are given to Dr. Grigoryants' patients after rhinoplasty. These instructions may be modified for each patient depending on what was performed during surgery. First day after surgery:  Keep you upper back elevated 30-40 degrees.  Apply cold compress (cloth soaked in cold water or crushed ice  in a glove placed over a cloth) during the first 24 hours. Avoid applying anything frozen directly on the skin.  Start taking antibiotics (prescribed by Dr. Grigoryants) the same evening and prescribed pain and nausea medications as needed (read instruction labels on the medications). Facial swelling tends to get worse during the first 3 days after surgery and improves by the fifth day after surgery.  Call Dr. Grigoryants' office to schedule your postoperative appointment 5-7 after surgery. Starting day 3 : Start cleaning the bottom of the nose gently using cotton balls or facial tissue soaked in warm water.  Apply Vaseline on the  rims of the nostrils once a day. Do not put Q-tips inside the nose. Day 5-7:  Dr. Grigoryants will remove your splints and sutures if nostrils were narrowed.  Having the nostrils lubricated with vaseline prior to the appointment makes suture removal less uncomfortable.  Dr. Grigoryants does not use nasal packing. - Irrigate the nose with saline spray (also... read more

View All