Plastic Surgeon Los Angeles call  
Home About Us Before & After Testimonial Our practice Locations In the News Contact Us
 

Posts Tagged ‘nose reshaping’

Dr. Grigoryants Reviews Post-rhinoplasty Instructions

Tuesday, May 30th, 2017

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 known as Ocean spray).  Apply Vaseline inside the nose at night for two weeks using a corner of an open paper napkin rolled into a cylindrical shape (Q-tips are too stiff and my cause injury ).  Sutures and dry secretions/dry blood will come out. Breathing will improve.

– Tape your nose only at night.  Although taping will not affect the final result, it will help minimize  swelling that develops overnight during the early postoperative period.

– Avoid alcohol and  blood thinners (aspirin, motrin, advil, excedrin, naproxen, ibuprofen, vitamin E, fish oil, omega 3 fatty acids, herbal  supplements ) for 2 weeks after surgery.

– Showers, make up, facial creams can be restarted.

Nose blowing: Can be started gently 2 weeks after surgery.

Driving:  You may drive when facial swelling is not impairing vision and you are no longer taking pain medications.

Exercises:  Avoid bending for 2 weeks after surgery.  Exercises can be resumed 1 month after surgery.

Swimming:  Swimming with submerging head in the water can be started 2 months after surgery.

Sun exposure: You may be in the sun but avoid prolonged exposure. Use a hat to protect your nose.

Pore strips:  May be resumed 3 months after surgery.

Unpleasant smell in the nose: May occur in some patients after rhinoplasty and will go away over time.

Stiff upper lip and smile:  Usually resolves by 2-3 months after surgery.

Flying on airplanes:  You may fly 7 days after surgery. Dr. Grigoryants will review special in-flight care instructions with you.

If you have additional questions, please contact Dr. Vladimir Grigoryants at 818 952-7070 or via email at  vladgrigor@gmail.com

 

Rhinoplasty surgeon los angeles   rhinoplasty beverly hills

What Is Pollybeak Deformity? Understanding Steps of Revision Rhinoplasty

Friday, February 14th, 2014

Pollybeak deformity after primary rhinoplasty is defined by the appearance of a dorsal hump forms a nasal convexity that resembles a parrot’s beak. This occurs when the area above the tip of the nose on the bridge, known as the supratip, turns downward causing under-rotation. Unfortunately, not all rhinoplasty procedures go according to plan, and the plastic surgeon may not have been equipped for this complex nose reshaping. There are many conditions a revision rhinoplasty specialist has to deal with, one of them being pollybeak deformity. Here we will describe the steps taken by Dr. Grigoryants to resolve this issue.

How Does Pollybeak Occur?

Pollybeak deformity can occur from a variety of causes. In today’s era of advanced plastic surgery however, the possibility of this reaction after primary rhinoplasty is becoming less common. Some of the best plastic surgeons cannot guarantee that it will be avoided, some of the causes of deformity include:

  • Bone and cartilage were reduced from dorsal hump without reducing septum
  • Unpredictable excess scarring in the supratip region
  • Poor healing following primary procedure
  • Patient has thick skin and soft nasal cartilage

Correcting Pollybeak Deformity

Every patient’s case is unique and Dr. Grigoryants applies custom treatment plans for every revision rhinoplasty patient. There are a few steps that are commonly utilized to correct pollybeak deformity. Some of the approaches to this procedure include:

  • Injection of a steroid into excess scarring sites
  • Trimming septum and cartilage in the bridge of the nose
  • Adding or removing cartilage in the tip
  • Support with dorsal grafts

Most plastic surgeons recommend on visiting your primary nose surgeon to seek revision treatment. However, it becomes difficult to achieve a good aesthetic result for some inexperienced with revision rhinoplasty.

If you decide you want to hire a new rhinoplasty specialist in the Los Angeles area to correct your nasal deformity, consider scheduling a consultation with board certified plastic surgeon Dr. Vladimir Grigoryants. His heavy background with revision rhinoplasty transcends patient expectations. Plan your visit for revision rhinoplasty in Los Angeles today.

Rhinoplasty: Choosing the Right Shape for the New You

Friday, January 3rd, 2014

Your nose is one of the most definitive parts of your face, and its size is one of the first things people notice. Now that the new year is here you have considered taking the next step in altering your appearance, because the shape of your nose continues to make you feel self-conscious. There are plenty of options to consider during rhinoplasty, and Los Angeles rhinoplasty surgeon Dr. Grigoryants is available to show you the best shape for your nose.

Rhinoplasty is mostly an elective procedure that reshapes the nose for aesthetic purposes, but it is sometimes necessary to resolve functional issues that have been caused by injury of deformity. Being unhappy with the nose shape you were born with is a common feeling among many candidates considering rhinoplasty, so a consultation with your plastic surgeon will help you determine a shape that refines facial harmony.

The alterations made to a patient’s nasal structure considers all the components that make up the person’s nose. This includes:

  • Nostrils
  • Bridge
  • Septum
  • Nasal Bone
  • Cartilage
  • Tip

Depending on the patient’s goals and agreement with their surgeon all of these areas can be addressed during procedure. Results of nasal surgery are never hurried or drastic, which is why a skilled plastic surgeon attempts to bring out near perfect harmony and balance with their patient’s facial features.

Determining Shape

During consultation is the best time to discuss the desired shape of the nose. Cosmetic surgeons agree that people should always strive for a look that is natural, so a female may consider more feminine results that include straight nasal bridge, slight lift and a nose that is not too long or pointed.

Many nose surgery candidates also consider the results of friends or celebrities who had a nose job. A plastic surgeon will remind their patients that a copycat or imitation nose surgery is not the best decision. Attempting to capture someone else’s look may appear artificial or out of balance with genetic makeup. However, this gives the surgeon an idea about how to achieve the shape for you, and the doctor can communicate the features that are achievable.

According to the American Society of Plastic Surgeons, a nose surgery candidate can expect to discuss their expectations and desired results from rhinoplasty during consultation. With respect to their patients’ desires, the plastic surgeon will determine the procedure’s reshaping of the nose as well as likely outcomes of nose surgery.

The goal of nose reshaping surgery is to make the nose as natural as possible. Dr. Grigoryants can show you the steps he takes to define your nose shape to restore facial balance and harmony. Then you can decide how beneficial rhinoplasty can reflect your appearance for the better.

How Nose Reshaping Redefines your look

Tuesday, August 6th, 2013

Nose reshaping is one of the most personalized surgeries that people want to pursue. Some people have a large hump on their nose, and some people have a bulbous nasal tip that makes their whole face look out of proportion.  Then there are some that suffer from chronic breathing complications, because their nose is disrupting airflow. For whatever the reason that applies to you, you chose to have your nose reshaped. Now all that needs to be done is to prepare for it. There are a number of chores to be done up until the day of the surgery. Here are some tips to help you relieve some of that stress and help you plan for the road ahead.

Nose reshaping, known as rhinoplasty, is a surgery to make the nose larger or smaller, changes the angle of the nose, reduces the tip of the nose and can correct bumps or defects. Dr. Grigoryants is a board certified plastic surgeon who has the ability to improve the shape of a patient’s nose, as well as treat any existing nasal airway obstructions. In the initial consultation, he plans together with his patient to decide on what the nose reshaping changes will be. Reviewing the patient’s goals and evaluation of the nose will allow him to produce the best results possible. With his improved techniques of closed rhinoplasty, Dr. Grigoryants leaves no visible scarring and prevents any future airway blockage.

According to the American Society of Plastic Surgeons, nearly 243,000 nose reshaping surgeries were conducted in 2012, ranking second to breast augmentation in cosmetic procedures. Cosmetic or functional problems with the nasal structure can occur at any age, and it is the facial feature that causes the most dissatisfaction in people unhappy with their appearance. Depending on the desired results, some bone and cartilage may be removed, or tissue may be added through the inside of the nose. A splint will be placed outside the nose to support the new shape and nasal packing may be placed inside the nose for additional support.

How to prepare for nose reshaping

Dr. Grigoryants will give his patients guidelines to follow two to three weeks before the surgery, but here is what needs to be done for the patient to prepare in the months or weeks before surgery date:


  1. Get lab testing or medical evaluation to determine if the body is healthy for surgery

  2. Take medications or stop certain medications to avoid surgery complications

  3. Avoid taking aspirin, anti-inflammatory drugs or herbal supplements to avoid increase of bleeding

  4. Stop smoking in advance of surgery

There are also chores that need to be done at home to ensure a successful recovery in the weeks post-operation, which include:

  1. Stock up on medication or painkillers

  2. Stock up on ice packs or ice bags to apply for soreness

  3. Have ready made meals for after the operation (Soup, juice, soft foods, snacks)

  4. Wash your face thoroughly with antibacterial soap to eliminate germs

  5. Avoid use of makeup and hair products on surgery date

  6. Dress in loose, comfortable clothing the day of surgery

  7. Do not eat until after the procedure

  8. Have a driver available to take you home after the operation

  9. Arrange for a caretaker for two days, post-surgery

  10. Plan to take off work or school for at least a week to recover

If the patient becomes sick or catches a minor illness in the week or on the day of the surgery, call your surgeon to reschedule for a later date. Being sick can increase the risk of complications during surgery.

The nose takes time to settle into its new shape, so allow the body to rest as much as possible. Avoid strenuous activities for two to six weeks and try to avoid sun exposure for at least eight weeks.

The final results will achieve the shape and feel that the patient was determined to get. Now that you are ready for the surgery, you will no longer experience defects or breathing issues and you will be able to enjoy an improved quality of life. Dr. Grigoryants performs every nose reshaping case to transcend his patients’ goals. Ask him how he can improve the shape of your nose today.

Why Rhinoplasty Might be Right for You

Wednesday, July 31st, 2013

Nose surgery serves more than just a cosmetic purpose. People today are having work done to improve more than just their looks. With advanced technology and experienced surgeons, society is able to get their nose worked on to repair trauma from accidents, improve self-esteem and relieve medical issues. These reasons make it easier for people to understand that getting plastic surgery is not always about looking good, but about feeling better emotionally and physically.

Nose surgery, known as rhinoplasty, produces a natural shaped nose and achieves balance with respect to the face. Dr. Grigoryants is a board certified plastic surgeon who has the ability to improve the shape of a patient’s nose, as well as treating any existing nasal airway obstruction. His specialty in closed rhinoplasty procedures leaves no visible signs of scarring and prevents any future airway blockage. Dr. Grigoryants will consult with his patients to determine what needs to be done in order to improve their nasal structure.

According to WebMD, rhinoplasty improves the shape, size, and angle of the patient’s nose. Not only that but the surgery is known to correct the nasal structure that cause chronic congestion and breathing issues.

What corrections can be made with nose surgery?

Your nose is repaired for medical issues. Patients who struggle breathing daily can have serious health complications later in life. A lower oxygen count makes the heart pump harder and adding that strain to the heart can cause it to weaken over time. Lower oxygen will also affect a person’s concentration and brain function. Rhinoplasty will relieve these health problems and achieve proper breathing for people with these issues.

A deviated septum is a condition where the cartilage of the nose is off center and also creates difficulty breathing. This can sometimes result in sinusitis or sinus infections. It is estimated that more than 80 percent of all nasal septums are off center. For these cases the nose can be repositioned in conjunction with rhinoplasty.

After an accident to the head, sometimes the nose is broken and deforms its original shape. If the patient undergoes rhinoplasty within the first few weeks of the accident, the surgery will show the most beneficial results. After the nose is broken the first two weeks is the window of repair before the bones start to heal, which makes it more difficult to straighten. Some patients are even happier with the new shape of their nose before the occurrence of the incident.

Then there are patients that were just born with prominent noses, bumpy nose shapes and crookedness. Their nose makes them very self-conscious and reduces self-esteem. There are even the rare few that have experienced faulty previous nose jobs and they want to correct those results. Dr. Grigoryants wants his patients to feel good about their nose and give them that confidence back. He provides his patients with results that achieve their goals.

As long as the patient has realistic expectations Dr. Grigoryants performs every case to transcend those goals. A good nose job will relieve pain, breathing complications and improve self-esteem. A nose surgery will do more than just make a better shaped nose, it will impact and improve the quality of life.

Top Nose Surgeon in Los Angeles

Friday, June 14th, 2013

Rhinoplasty, also referred to as nose surgery or nose reshaping helps correct imperfections of the nose and enhances a person’s appearance. In a place like Los Angeles, where physical appearance is of utmost importance, finding the best plastic surgeon can be a major part of having surgery that will produce results that look natural and that the patient is happy with. Finding a qualified surgeon that you feel confident is the single most important part of getting the desired outcome from surgery.

When looking for a nose surgeon, you want to look for a surgeon with a state of the art practice that utilizes the most advanced equipment and techniques to give you the results that you love. The first and most obvious thing that you want to look for is a surgeon that is board certified. When you are thinking about having surgery that has such visible results as rhinoplasty, you want to be sure that the surgeon that will perform the surgery has extensive experience in performing nose surgeries. You can request before and after pictures of his most recent work to see for yourself what they have been able to accomplish for previous Los Angeles rhinoplasty patients.

When a person decides to get a nose job, it can be for purely cosmetic reasons to correct an asymmetry or deformity that has been present since birth or was caused by an injury. Expectations have to be discussed at length before the surgery to insure satisfaction and make sure that the surgeon and the patient understand each other in order to get the desired results. Other reasons why patients seek out rhinoplasty is to help correct troubles breathing. Nose surgery can correct nasal deformities and open up the air way for easier breathing. A big part of any cosmetic surgeons practice should be the consultation that happens before the surgery. If you don’t feel comfortable with your consultation, chances are you won’t be satisfied with the results either so look to other reviews and make a different choice.

If you are thinking about nose surgery, you can learn more here to find out about what the procedure can do for you and if you are a good candidate.

Nasal airway obstruction

Monday, February 9th, 2009

Nasal airway obstruction is very common. In fact many people may not know they have at least a partial obstruction of breathing as they may have never experienced what it is like to breath well. Many patients presenting to plastic surgeons for nose reshaping or rhinoplasty are diagnosed with a nasal airway obstruction. The patients will typically report that they have no breathing problems through the nose. However, during examination a partial or complete nasal airway obstruction is diagnosed. On further questioning, it becomes evident that many of such patients do not sleep well at night or even experience worsening breathing during exercises.

There are several causes of nasal airway obstruction. Chronic allergies are a common cause of difficulty breathing. Allergies do not respond to surgical treatment and are treated with medications. Obstruction due to a deviated septum or enlarged turbinates (sometimes referred to as “meat”) can be effectively treated surgically during a procedure called rhinoplasty. It poses a surgical challenge for a plastic surgeon who is performing cosmetic rhinoplasty on a patient who also has difficulty breathing.

As the nose is made smaller and narrower during rhinoplasty, the patency of nasal airway decreases. Unfortunately there are many patients who do not breath well following their rhinoplasty procedures. Most experienced rhinoplasty surgeons will take measures to also open nasal airways to improve or at least maintain the breathing function of the nose since creating beautiful nose that is blocked is simply a useless nose. Being able to breath well is important is as the quality of sleep, ability to exercise, and the health of the heart all depend on this important function.

Vladimir Grigoryants, MD

plastic surgeon Los Angeles specializing in rhinoplasty Los Angeles

 

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.

Plastic Surgery Website Design and Search Engine Optimization by www.intactinfo.com