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Posts Tagged ‘nose surgery’

When to Turn to Rhinoplasty for Traumatic Sports Injuries

Wednesday, December 4th, 2013

Physical contact is likely to happen in nearly any sport. Chances of injury rises without question, and when the face is exposed the nose is the most vulnerable to experience injury. What athletes are unaware of is the damage caused deep within their nasal structure. Many of us believe that simple home remedies of ice and heat applications can resolve the damage, but depending on the severity of impact there could be a need for corrective nose surgery, otherwise known as rhinoplasty.

After a broken nose, some men and women avoid the opinion of experts, and thus increase their risk for complications and crooked appearance.

Broken Nose Complications

The most common result of a broken nose involves a deviated septum, the wall that separates the two nasal passages. After the nose breaks, it can push the wall out of alignment. Limiting airflow for the individual because there is one narrow airway, making it difficult to breathe comfortably.

A broken nose can result in bleeding and when blood collects in the nostrils, one or both can become blocked. Leaving the injury untreated can result in long-term cartilage damage, blood clots and congestion.

Reconstruction and Functional Use

Upon correcting septum alignment and cartilage, rhinoplasty can reshape the nose. Nasal tissue plays an important role for everyone, acting as a filter for air before entering the lungs. Dr. Gigoryants and his staff will make corrections to deformities and rebuild broken nasal bones to become fully functional.

When to See a Rhinoplasty Specialist

Many people are still unsure when to come in for observation, but normally initial observation should come from a hospital emergency room. If the injury was unattended by a doctor for at least a week, then your nose should be evaluated by an experienced, board certified plastic surgeon. A broken nose can be repaired within the first two weeks from the day of the injury, waiting too long will push back the need for reconstruction to allow the bones to heal on their own.

We recommend anyone with a broken nose, who is unhappy with their appearance to seek the advice from our experienced plastic surgeon, Dr. Grigoryants. Those with permanent damage in nasal breathing and congestion are also welcome to determine their need for rhinoplasty. Traumatic sports injuries can cause severe damage to an athlete’s nose, book an appointment now to learn how to correct new or existing disfigurements with rhinoplasty in Beverly Hills.

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.

Reasons Why People seek Revision Rhinoplasty

Thursday, September 19th, 2013

Nose surgery offers results that can significantly improve your overall appearance. Helping you understanding what the surgery can and cannot do is part of the consultation with the plastic surgeon. Before the patient and surgeon commit to the procedure, predictions of results will settle patient’s expectations. Rhinoplasty is a complex, custom-fit operation that offers substantial aesthetic improvements, but there are occasions where patients are left with imperfections. When deformities and flaws are dissatisfying, revision rhinoplasty may be appropriate and necessary.

Revision rhinoplasty can be done to correct functional or aesthetic issues not addressed or brought about by a previous rhinoplasty procedure. Surgeons advise a revision surgery for patients who developed breathing issues and cartilage loss. Patients also seek revision after initial nose surgery to correct aesthetic flaws that their first surgeon failed to correct. Dr. Vladimir Grigoryants is visited often to treat patients for revision rhinoplasty in Los Angeles. Many of his patients will seek his attention to correct flaws from previous surgeries and he achieves success from the closed rhinoplasty technique.

Closed rhinoplasty allows the nose to be reshaped from the inside. Incisions are not made across the columella and lift the skin as it is in open rhinoplasty, instead the dorsal hump and tip is reshaped from incisions inside the nose. In rare instances where patients received open rhinoplasty, Dr. Grigoryants would resort to the open technique to correct scarred tips.

How Long Should I Wait Before Undergoing Revision Rhinoplasty?

After the initial rhinoplasty procedure the patient may see results within the first few days, but the face needs to adjust to the enhancement for a few months and allow the swelling to subside. Most surgeons advise to wait a minimum of six months to a year before considering revision rhinoplasty.

It is necessary to wait to allow the face to heal and allow scar tissue to mature. This permits the surgeon to perform revision rhinoplasty with healthy scar tissue and achieve better results.

Reasons for Revision Rhinoplasty

Patients undergo revision rhinoplasty for a number of reasons. The most common reason Dr. Grigoryants comes across is the disappointment from the outcome of their initial rhinoplasty procedure. The patient’s nose is now too small or still too large, the shape looks crooked, or the patient is suffering from nasal obstructions. Naturally, aesthetic flaws leads to cosmetic dissatisfaction. Such flaws may include:

  • Displaced implants or cartilage grafts that look round and bulbous
  • Too large, small or wide in appearance
  • Inadequate tip projection, droopy tip
  • Asymmetrical appearance

Functional problems that develop as a result of a primary rhinoplasty procedure that led to nasal obstructions making it difficult to breathe or constantly feeling stuffed up can lead a patient to seek revision rhinoplasty.

According to a study from the American Society of Plastic Surgeons, most secondary rhinoplasty cases are considered appropriate to correct new developments or unresolved conditions from initial procedures. There were 150 participants seeking revision and 90 percent of those patients were determined as acceptable candidates. After revision, 97 percent of the patients treated were satisfied with the outcome.

Candidates for Revision Rhinoplasty

Secondary rhinoplasty may be appropriate to fulfill patient expectations that primary procedures could not reach. Candidates for revision should be in good health and present valid reasons of dissatisfaction of results. They must possess realistic expectations for results of treatment.

Patients must wait a minimum of six months for the site to fully heal before secondary surgery. Depending on the body’s healing abilities, patients may need to wait longer than six months to obtain revision. Scar tissue must be healed and healthy before the surgeon can treat the site properly.

Schedule a Consultation

Dr. Grigoryants plans a custom revision rhinoplasty to treat the needs of his patients. He considers the details changed from previous surgeries and applies precise techniques to correct new developments or untreated aesthetic flaws. Book your appointment in Los Angeles for revision rhinoplasty, you can still achieve the results you deserve. If you are dissatisfied with your initial rhinoplasty discover the quality results of revision rhinoplasty with Dr. Grigoryants.

Combining rhinoplasty with other surgeries

Saturday, August 17th, 2013

Rhinoplasty is frequently combines with other procedures in our practice.  Patients undergoing rhinoplasty will undergo another procedure such as breast augmentation, liposuction, breast reduction, lip augmentation, ear reshaping or labioplasty.  The advantage of combining surgeries is one anesthesia, one recovery period, and lower cost as compared to doing these procedures separately.  As long as the total duration of surgery is not excessive, the procedures can be safely combined.  The duration of surgery depends on the surgeon’s skill and complexity of surgical problem.   For example,  rhinoplasty and breast augmentation with Dr. Grigoryants takes about 3- 3.5 hours. Patients will return to work in one week and can resume exercises in 4 weeks afte surgery.  It important to have the procedures performed in a certified surgical facility (surgery center or  hospital).   Visit http://www.vgplasticsurgery.com/los%20angeles%20nose%20reshaping(rhinoplasty).htm to get more information about rhinoplasty with Dr. Grigoryants

Dr. Vladimir Grigoryants reviews swelling after rhinoplasty

Wednesday, August 14th, 2013

Patient undergoing rhinoplasty need to be prepared to experience different staging of swelling.
Unfortunately, there is no way to have rhinoplasty without swelling and take more time for swelling to resolve after rhinoplasty than after other plastic surgical procedures. Swelling after closed rhinoplasty tends to resolve faster than after open rhinoplasty.

1. Onset of swelling. Swelling develops around the nose and upper face day 1-3 after surgery and tends to look more pronounced during these first 3 days. This usually happens in patients who had work on the nasal bones.

2. Splint Removal . In our practice, the splint comes off on day 5-7 after surgery. At this stage, most of pronounced swelling around the eyes has improved. There may be swelling in the bridge of the nose, face, and upper lip. Noticeable facial swelling improves fast over the next 7-10 days. The upper lip may appear longer and the smile may feel stiff. This resolves gradually within 30-60 days. The tip may look more upturned and it will come down over the next 7-14 days.

3. Upper part of the nose. Although the entire nose will be gradually shrinking and softening, swelling in the upper part of the nose will be resolving faster. By 30-60 days after surgery most upper nasal swelling will subside and the skin will feel soft in the upper part of the nose.

4. The tip. Although one may read online that it takes one year for all nasal swelling to go away, the reality is that it takes several years for all swelling to go away before you can see the final shape. At the end of the first year after surgery, the patients are likely to see 85-90% of swelling resolution and by the end of the second year almost all of swelling will resolve. Patients with think nasal skin may take longer to heal. Once nasal tip swelling resolves, the tip feels softer and tip cartilages become more visible and easier to feel.

To learn more about rhinoplasty with Dr. Vladimir Grigoryants, visit our rhinoplasty page.

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.

 

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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