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Custom Rhinoplasty Los Angeles by Dr. Grigoryants

Saturday, October 7th, 2017

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.

 

Before | Morphed by patient | After Closed or scarless rhinoplasty by Dr. Grigoryants. _______________________________ ~Surgery Duration: 2 -2 1/2 hrs ~Recovery: about a week ~Email Consultation: email front, side, bottom views of face to vladgrigor@gmail.com Indicate what changes you want to achieve, any medical problems, or previous nose surgery. ~In-person Consultation: tel (818)952-7070 www.vgplasticsurgery.com _______________________________ #closedrhinoplasty #Rhinoplastybeforeandafter #rhinoplastyla #rhinoplasty #drgrigoryants #drgrigoryantsrhinoplasty #nosejob #nosesurgery #rhinoplastyspecialist #drgrigoryantsnosejob #beverlyhills #glendale #hollywood #pasadena #plasticsurgeon #plasticsurgery #cosmeticsurgery #socal #transformation #beforeandafter #ethnicrhinoplasty #plasticsurgeryinstagram #perfectnose #naturalresults #losangeles #orangecounty #sandiego

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Rhinoplasty Los Angeles

Rhinoplasty Beverly Hills

Closed rhinoplasty for an overprojected nose by a Los Angeles rhinoplasty surgeon Dr. Grigoryants

Friday, September 29th, 2017

 

 

Overprojected nose with a dorsal hump is reshaped using closed rhinoplasty.  Overprojected noses frequently have a tenion lip.  The upper lip is pulled forward by the overprojected nose. In these patients, the tip will usually move when the patient talks or smiles.  During surgery, the tip was deprojected,  dorsal hump removed, tip refined, tension lip relaxed, and nostrils shortened.

 

 

 

 

 

Rhinoplasty surgeon Los Angeles

 

 

 

Scarless Rhinoplasty – Closed rhinoplasty Los Angeles and Beverly Hills

Wednesday, September 20th, 2017

The advantages of closed (scarless) rhinoplasty is that there is no scar going across the columella. By now, I have seen a number patients with visible/notched columella scars after their open rhinoplasty from elsewhere. Unfortunately, open rhinoplasty results in visible scarring more commonly than thought especially in ethnic patients.
Therefore, for primary rhinoplasty I prefer closed rhinoplasty.  Performing closed rhinoplasty requires experience and skills.  Every surgeon who performs closed rhinoplasty should be able to not only to shave a  bump but also to refine and raise the tip when necessary, support the tip so that it does not droop over time,  and perform all the functional steps to preserve or improve nasal airway patency including correction of a deviate septum, reduction of large turbinates, and support of nasal valve to prevent collapse.  Not every surgeon rhinoplasty surgeon in Los Angeles or Beverly Hills performs closed rhinoplasty.  Patients seeking closed rhinoplasty should inquire about the surgeon’s operative volume, experience, and view as many before and after photos of closed rhinoplasty patients as possible.

Case Study:  Immediate result is shown after closed rhinoplasty.  The dorsal hump was reduced,  tip narrowed and lifted, and nostril arching reduced.  No external scars present.

Rhinoplasty result from this morning, by Dr.Grigoryants. _______________________________ ~Surgery Duration: 2 -2 1/2 hrs ~Recovery: about a week ~Email Consultation: email front, side, bottom views of face to vladgrigor@gmail.com Indicate what changes you want to achieve, any medical problems, or previous nose surgery. ~In-person Consultation: tel (818)952-7070 www.vgplasticsurgery.com _______________________________ #closedrhinoplasty #Rhinoplastybeforeandafter #rhinoplastyla #rhinoplasty #drgrigoryants #drgrigoryantsrhinoplasty #nosejob #nosesurgery #rhinoplastyspecialist #drgrigoryantsnosejob #beverlyhills #glendale #hollywood #pasadena #plasticsurgeon #plasticsurgery #cosmeticsurgery #socal #transformation #beforeandafter #ethnicrhinoplasty #plasticsurgeryinstagram #perfectnose #naturalresults #losangeles #orangecounty #sandiego

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Rhinoplasty Los Angeles specialist  Dr. Grigoryants

Rhinoplasty Beverly Hills

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

Tuesday, May 30th, 2017

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 Drawing

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, the side walls will invariably  collapse causing nasal valve obstruction (breathing obstruction) and cosmetically collapsed nose, called an  inverted V deformity.   Therefore,  in nearly all cases, when  dorsal hump reduction is performed, spreader grafts should be used to prevent the sidewalls from collapsing.    In some patients, with or without the dorsal hump, the wider portion of the T is naturally narrow causing nasal valve collapse on inspiration. Spreader grafts are used to reconstruct the internal nasal valve and improve nasal airway patency in these patients.

Furthermore, the spreader grafts also used close the open roof following dorsal hump reduction. Click on the diagram above to enlarge it. 

So, spreader grafts support the sidewalls, preventing them from collapsing and maintaining or improving  the  internal nasal valve.   Aesthetically, spreader grafts allow to produce smoother nasal contour line from the forehead to the tip on the front view, knows as dorsal aesthetic lines.  The spreader grafts are not visible as they are placed between the septum and the lateral walls.

Please google Inverted V deformity in Google images to see what an Inverted V deformity looks like when spreader grafts are not used.

 

2. Will spreader grafts make the nose wider following dorsal hump reduction?

Patients with a wide dorsum (bridge) will have narrower noses following dorsal hump reduction, spreader graft placement and nasal bone narrowing via osteotomies.

Those patients with a narrow midportion of the bridge preoperatively will have a slightly wider midportion of the nose after spreader graft placement, which would be aesthetically more appropriate and better functionally.

Patients with an average dorsal width of about 7 -12mm will usually have about the same width after surgery as before surgery.  It is possible for the width of the midnasal area to be slightly wider after surgery  if the nose is significantly deviated and additional spreader grafts are needed to keep the nose straight.

It is very important to note  that even 12 months after rhinoplasty there is  still a small amount of swelling that takes years to go away. So, the nose may initially appear wider and continue to narrow during the first several years.

 

Case Example

This patient underwent rhinoplasty almost three years ago. Her dorsal hump was removed and the  tip and nasal bones were narrowed.  Spreader grafts, septoplasty and turbinate reduction were performed to treat nasal airway obstruction.  The bridge/midnasal area and tip  appeared wide preoperatively. Spreader grafts allowed to produce smooth dorsal aesthetic lines (lines from the forehead to the tip on each side of the dorsum) and prevent nasal wall collapse. The midnasal area is narrower postoperatively.

Dr. Grigoryants rhinoplasty

 

 

To learn more visit  http://www.vgplasticsurgery.com/los%20angeles%20nose%20reshaping(rhinoplasty).htm

 

 

 

Dr Grigoryants Reviews | Dr Vladimir Grigoryants Reviews

Friday, May 13th, 2016

When selecting a plastic surgeon, patient frequently turn to online reviews.  We would like to warn our prospective patients that recently   someone  started writing negative reviews about our practice on various websites.  This poster under different user names creates  posts  with with false and misleading stories accusing us of causing different rhinoplasty complications.

        I have been performing rhinoplasty for over 10 years. Rhinoplasty is the most commonly performed procedure in my practice and I do this surgery every day. Over 90% of my patients are happy with their results. My practice is busy and based on numerous referral from my patients and colleagues, including their family members and friends. I have performed rhinoplasty on many of my own family members, employees, colleagues, and celebrities. Having performed numerous rhinoplasty procedures, we have been able to improve closed rhinoplasty techniques over the years  to produce better cosmetic and functional results.
Despite our high satisfaction rate,  occasionally we have patients who are not  happy with their results. Every busy rhinoplasty surgeon has patients who are unhappy with their rhinoplasty results. By now, I have re-operated or consulted on patients from most busy plastic surgeons in the country and many patients from abroad. Many unhappy patients actually have good noses and not every patient can be made happy.
       I do my best to understand what kind of result the patient is looking for and discuss surgery on the day of our consultation, on the day of our preoperative visit, and again on the day of surgery. I show patients in the mirror what to anticipate based on our discussion. Some patients want an upturned nose, some want a straight profile, some prefer to raise the tip of the nose and some do not. I do what we agree on before surgery. Despite my efforts, not every patient can be made happy. Patients who are sure about what they want and do not want, communicate to me their goals well, and have realistic expectations are typically happy with their results.
  Perception of a good or bad result after rhinoplasty is very subjective. Therefore, anyone considering rhinoplasty should look at the before and after photos and decide for themselves if they like the results.
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You can view real patient  rhinoplasty results here:
– Rhinoplasty videos on our instagram page   –   drvladimirgrigoryants
–  Realself review –  Rhinoplasty with Dr. Grigoryants , happy!  by Flowii
– RealSelf review –   Rhinoplasty with Dr. Grigoryants by LifeofPi– Hello all, I ‘ve been a member here on Realself…
– Realself review –  Very Happy After Rhinoplasty with Dr. Grigoryants !- Glendale CA by Juno1
– Realself review –  Grigoryant’s Gal-Posop 1 Year! by RoxZDr. Grigoryants review
– Realself review – Dr Grigoryants . Yes. He’s the BEST. Glendale, CA by TLC_14
– Realself reviw  –  Waiting list for Revision Rhinoplasty Dr Vladimir Grigoryants -Glendale, CA by Joegal
– Realself review – 20 year old, Rhinoplaty with Dr. Grigoryants by audreyy99
– Realsefl  review – Nose Master, Glendale CA  BelleChanel
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This post discusses dr grigoryants,  dr vladimir grigoryants, dr grigoryants reviews

Even Iconic Beauties Can Benefit from a Little Nip/Tuck

Thursday, October 31st, 2013

Today when you look at Maxim magazine how many of the cover girls do you think had plastic surgery? It is not too shocking to learn that they had work done, but Marilyn Monroe on the other hand, was perceived as a natural beauty. A Southern California plastic surgeon claims to hold evidence proving that the legendary model and actress had cosmetic surgery. Monroe’s au natural presence continues to thrive well beyond her death in 1962, and now X-rays and doctors notes report that the icon had enhancements including chin implants and rhinoplasty.

Marilyn was constantly in front of the camera, so the fact that she had work done shouldn’t change her legacy. She wanted to maintain her appearance and be her best on the silver screen and in public. In the 1950s, the rise of Monroe’s career, there was not a presence of paparazzi that hounded their lives as they do today. Her surgical visits went unnoticed by the press. In that era plastic surgery was fairly new and kept under wraps if you were a public figure. Photos of her early days in modeling compared to work later in her career show differences in her chin and nose, which indicate surgical enhancements.

Did She or Didn’t She?

Monroe will forever remain a woman of beauty and her legacy will continue to thrive as a legend in the modeling and film industry, and evidence of surgery would only indicate that she was interested in keeping up with her appearance in Hollywood stardom. She may have been made over by Michael Gurdin in two procedures as early as 1946, coinciding with her name change and signing with Twentieth Century-Fox Studios. A chin augmentation, using bovine (cow) cartilage, would have filled her jawline out to give her a more distinct shape and improve facial proportion. Her nose was said to be fractured in the year of her death and the X-rays indicate that she may have had a nasal tip refinement.

Justifying Her Unveiled Medical Records

Much of society and public authorities are up in arms to the news that her medical records are going up for public auction. According to the Department of Health and Human Services, Health Insurance Portability and Accountability privacy act rules prohibit disclosure of medical records until 50 years after a person’s death. Many are unaware, but Marilyn passed away 51 years ago. The unveiling of her records is legal and her records are to go up for auction in November. The proceeds are to be donated to U.S. veterans in need of medical work.

Cosmetics and Beauty Today

Plastic surgeons of today strive to achieve natural beauty for every patient that improves their facial form and body contour as they see fit. Chin augmentation is no longer with the use of cow cartilage, but with FDA approved silicone implants. Aesthetic improvements for the nose are to improve shape and restore balance for a bulbous tip, improve breathing or reduce nasal humps.

Model or not, everyone has a fair share of aesthetic improvements they wish to achieve for their appearance. Plastic surgery only proves to show that if Monroe did in fact have the procedures done, without advanced technology of today, made her appear natural. Those interested in exploring options with plastic and reconstructive surgery can visit Dr. Vladimir Grigoryants in Los Angeles. He is a board certified plastic surgeon offering comprehensive treatment with amazing, natural appearing results.

Improve Facial Harmony with Rhinoplasty

Saturday, October 19th, 2013

Nose surgery (nose job) can produce a very pleasing  aesthetic  balance of the face especially in  patients with large noses preoperatively. Common changes performed in rhinoplasty in such patients  are reducing the dorsal hump, refining and possibly raising the tip, and shortening the projection of the nose.   In some patients, the size of the nostrils is also reduced.

Aesthetic benefits achieve with rhinoplasty are the following:

-Reducing the dorsal hump allows to accentuate the eyes and cheek bones.

-Decreasing the projection of the nose improves the balance between the nose and the chin ( and lips)

The angle between the columella and upper lip is considered aesthetically desirable  to be 95-100 degrees in women and 90 -95 degrees in men.   This results in a more youthful appearance of  the nose in patients with droopy noses preoperatively

 

 

These are general guidelines. Patients’ preferences need to be considered when formulating a rhinoplasty plan.  For example, some patients prefer to preserve ethnic or family features and may not wish to reduce the size of the nose much. A combination of surgeon’s recommendations and patients goals typically results in a better nose reshaping balanced plan.

 

Dr. Vladimir Grigoryants Plastic Surgery

Rhinoplasty to Improve a Facial Balance – Front View Analysis

Saturday, October 19th, 2013

 

Rhinoplasty requires  not just surgical skills but also understanding of facial proportions.  Preoperatively, patients frequently ask how narrow should my bones or tip be or how much will my tip be lifted.

The following are general observations of facial-nasal relationship found in models.

1.  The width of the nostrils is about the width of the vertical lines drawn from the inner corners of the eyes

2. Nasal bony base width is narrower than the alar (nostril) base width

3. Tip width slightly wider than the width of the filtrum (cental portion of the upper lip)

4. Position of the tip slightly higher than base of the nostrils

 

The front view of the patient below shows how nose surgery can improve facial-nasal harmony.  This patient underwent closed rhinoplasty.

Many patients, however, may have specific preferences as to how they would like their noses reshaped.  A detailed discussion between the patient and  nose surgeon  considering the  patient’s goals and reshaping suggestions from the  surgeon typically results a well thought out plan and best chances for a successful outcome.

To view more before and after photos of Dr. Vladimir Grigoryants patients, visit  our photo gallery

Rhinoplasty: Your Nose, Not Clones

Friday, October 18th, 2013

A controversial epidemic swept through Korea earlier this year when a group of aspiring Miss Korea 2013 contestants had faced claims that cosmetic procedures left all of them looking the same. Currently, South Korea boasts a booming plastic surgery industry with more young people turning to plastic surgery than any other country. Much of South Korea’s booming plastic surgery industry is fueled by an obsession to look more “westernized.” In the United States most surgeons feel that patients can turn to plastic surgery to achieve aesthetic results to make improved versions of themselves, NOT to look like someone else.

Rhinoplasty, offers men and women the ability to reshape their nose for a more balanced and natural appearance. Surgeons do their best to achieve the desired results for their patients, but they do not recommend nasal surgery to look like someone else. That person’s nose is suitable for their facial contours, it does not mean that a flattering nose will look good on everyone else. There is no one size fits all procedure, a patient’s goals will be established during consultation and the surgeon will predetermine results.

Why Men and Women Seek Rhinoplasty in Los Angeles:

Most patients that seek out Rhinoplasty in Los Angeles want a nose that matches the rest of their facial proportions. They want to correct a large dorsal hump on the bridge of the nose or shrink down a bulbous nasal tip. State of the art technology aims to give the surgeon assistance needed to achieve the best results possible, while maintaining the natural look of the patients facial features.

Other patients go through surgery to restore breathing function when they are limited to certain breathing levels because of a deviated septum. Patients turn to nose surgery for reasons including the following:

  • Unhappy with size and shape
  • Feeling of a crooked or disproportionate nose
  • Correct upturned nose or drooping tip
  • Repair unusually large or small nostrils
  • Injured nasal structure did not heal properly
  • Appearance of the nose reduces confidence
  • Wish to combine rhinoplasty with other facial enhancements

According to the American Society for Aesthetic Plastic Surgery, rhinoplasty is one of the most frequently performed procedures that has a greater impact on a patient’s appearance. The nose is the most defining characteristic of the face and even a simple alteration can achieve great improvements for a person’s appearance.

Striving for a Natural Look

Even the greatest plastic surgeons tell their patients that perfection cannot be achieved and their goal is not to make the nose appear like someone else. The goal is to achieve the patients desired results while maintaining the natural contours of the face, this creating facial harmony that makes the patient proud to show off THEIR features.

Surgical skills alone will not guarantee a successful outcome, patients with good tissue and complimentary healing responses will promote a successful procedure. With today’s advanced technology and Dr. Grigoryants vast training and experience a natural and beautiful nose that will compliment the facial proportion for a lifetime can be achieved through Rhinoplasty in Los Angeles.

Should breast implants be replaced after 10 years?

Thursday, September 26th, 2013

Women considering breast augmentation may be thinking about just how long their breast implants will last. Implants are man made devices that are not guaranteed to last a lifetime. However, depending on their function and care they may never need to be replaced or removed. Due to the highly specific nature of each breast augmentation procedure, the need for replacement depends on the patient. It is important to maintain regular follow-up visits after your procedure to check on the condition and placement of the implants.

Breast augmentation allows women to achieve improved volume, shape and size of their breasts. The size of the breast implants vary and are available in silicone and saline substances. Upon consultation the patient and board-certified plastic surgeon, Dr. Vladimir Grigoryants, will determine which breast implant should be used to achieve the desired results of the patient. He reviews and answers all questions about the procedure during consultation.

Will Breast Implants need to be changed every 10 years?

Many times patients ask if they need to replace their breast implants every 10 years. No, they will not need to be changed if the patient is not experiencing any issues with them.

The overwhelming majority of Dr. Grigoryants’ patients in Los Angeles do not need replacement breast implants. However, some women will need to undergo a second procedure if they decide they want a different size, experience a lifestyle change, or experience trauma or injury to the chest area which causes the implant to rupture.

What Causes the need for Replacement Breast Implants?

Although there is no standard reason to replace breast implants, there are a few reasons why patients may need to remove or replace implants. Surgeons will replace implants for many reasons including lifestyle changes, desire to increase or decrease the size of the implants, or due to a rare complication such as capsular contracture, implant rupture or implant rippling.

Capsular contracture is a condition that forms tough scar tissue around the implant, making it firm and sometimes painful. A person with mild conditions may not feel discomfort, maintain quality appearance and touch of the implants. If the patient is comfortable with this condition there is no need to change or remove them.

Implant ruptures are likely, but they are not harmful as most women believe. If a saline implant ruptures, the implant becomes noticeably deflated. The solution is comprised of a solution that is naturally absorbed by the body and does not cause any harm. Silicone implants are more difficult to detect ruptures, but the gel is thick and designed to stay within the implant casing. It may change shape or feel different, but it will not be harmful to the body.

Implant rippling occurs mostly in saline implants. The saline solution shifts with changes in body position, and rippling is most visible at the top of the breasts.

Average Lifetime of Breast Implants

There is no pre-determined lifetime of implants, but most breast implant manufacturers say that their products will last about 10-15 years, on average. According to the American Society for Aesthetic Plastic Surgery, implants will not last forever and will likely need to be replaced in another operation. The length of the implant life varies in each patient, but if the implants do not give the patient any problems there is no set time or need to replace old implants.

Some implants may last a lifetime, but others may need to be replaced within five years due to an unforeseen change in lifestyle or injury suffered which causes a complication with the implant. Surgeons say there is no way to predict how long the implants will last, but the best way to determine if they need to be replaced is to visit the surgeon once a year to be sure the implants are intact and not causing problems for the patient as they mature.

Patients considering breast augmentation can expect their implants to last anywhere from 10 to 25 years. Manufacturers give implants an average time of use of 10 years, but if they do not cause any problems there is no need to replace them. Ask Dr. Grigoryants how long his patients have had their implants and see if their implant type matches your ideal results. Discover what breast implants can do to change your body.

 

Dr. Grigoryants Los Angeles cosmetic surgeon provides plastic surgery services throughout Southern California including Glendale, Burbank, Pasadena, Los Angeles, Encino, Huntington Park, Studio City, Arcadia, Montrose, Hollywood, La Crescenta, La Canada Flintridge, Valencia, Monrovia, Eagle Rock, Altadena, San Marino, Sherman Oaks, Thousand Oaks, North Hollywood, Long Beach, Beverly Hills, Van Nuys, Santa Monica, Calabasas, Palmdale, Fresno, Northridge, and Westlake Village, and Simi Valley.

Our Plastic Surgery center in Glendale, Los Angeles, California specializes primarily in Cosmetic Plastic Surgery inclding breast enlargement, breast augmentation, breast implants, liposuction, tummy tuck, abdominoplasty, cosmetic facelifts, rhinoplasty (nose surgery, nose job), Forehead Lift, Eyelid Surgery and other body contouring procedures. The center led by an expert Los Angeles Plastic and Cosmetic Surgeon. As a board certified Los Angeles plastic surgeon, Dr. Grigoryants is dedicated to providing high quality yet affordable cosmetic plastic surgery options to Los Angeles patients and being the best plastic surgeon in Los Angeles, Glendale, Pasadena, Beverly Hills.

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