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Posts Tagged ‘rhinoplasty’

Physical Activity After Rhinoplasty

Thursday, March 6th, 2014

Instructions given to Dr. Grigoryants Patients

Walking –   The next day after rhinoplasty

No bending for 2 weeks

Light running – 3 weeks after surgery

Weight Lifting-   start gradually 1 month after surgery.

Swimming – 2 months after surgery .

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.

Revision Rhinoplasty for the New Year

Wednesday, December 18th, 2013

The holiday season is in full effect, and what a better time to talk about redesigning your nasal structure for the new year. You may be thinking of some of the flaws that occurred after recovery from your primary rhinoplasty and feel the need to correct them. While many of us attempt to resolve our nasal humps, uneven nostrils and saddle noses, there are also a number of issues that cause damage from your initial nose surgery. Plastic surgeons know how difficult it is to successfully complete a nose job, fortunately Dr. Grigoryants has years of experience in revision for patients with continuous or newly developed issues. Those in need of help turn to him for guidance around this time of year for correction of poorly executed rhinoplasty surgeries.

Revision rhinoplasty, or revision nose surgery, is offered to those who experience a need for repair or continued maintenance for a previous nose surgery. Patients are not always upset or accuse their previous plastic surgeons for botched nose jobs, rather they wish to receive a second helping of correction to maintain proper function and cosmetic results. Revision nose  surgery is performed for multiple reasons, including:

  • Correction of asymmetry or depressions
  • Replace implants or cartilage grafts
  • Restore normal breathing
  • Make the nose smaller and narrower
  • Correct droopy nasal tips

How Long Should I Wait for Revision Nose Surgery?

It is important for patients to know when to return or seek further assistance after primary rhinoplasty. About a whole year is required in order for a person’s nose to completely heal. The skin and softer tissues shrink down to size and swelling reduces after recovery. Roughly patients should consider waiting a minimum of a year to observe the outcome of their new appearance.

After a first rhinoplasty, the structure of the  face becomes altered and different than its initial shape. The nose now has scar tissue which may or may not have healed properly, which is why most all plastic surgeons urge their patients to wait before seeking a second nose surgery.

Common Mistakes to Avoid After Rhinoplasty

Nose surgery is not a one-size-fits all procedure, many precautions are taken by the plastic surgeon to avoid future issues from evolving. Many patients however fail to take care of their new nose after primary rhinoplasty. They turn to revision nose surgery for help because of their poor after care treatment. To avoid the need for revision they can commit to following a number of steps to ensure proper healing and shape, including:

  • Following plastic surgeon instructions carefully before and after procedure
  • Attending all follow-up appointments for healing progress
  • Avoiding incidental contact during recovery
  • Abstaining from sports and strenuous activities until permitted by surgeon

According to the American Academy of Facial Plastic and Reconstructive Surgery, careful consideration of your surgeon’s instructions and follow-up care are crucial to success in rhinoplasty. The surgeon knows what needs to be done to correct unexpected swelling, poor healing, and excessive bleeding. If a patient fails to meet with their surgeon regarding any of these issues then a patient’s appearance will fail to enhance without flaws.

A board certified plastic surgeon like Dr. Grigoryants will be able to give you the new look you were destined for. Book an appointment now for revision rhinoplasty to get the right look for the new year.

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.

Common Reasons Patients Seek Revision Rhinoplasty

Wednesday, November 13th, 2013

Just as any other surgery, there are certain misfortunes that cannot be avoided. Rhinoplasty is probably one of the most difficult cosmetic surgeries and most plastic surgeons will admit to this. No one can claim to provide their patients with the perfect nose. However, years of experience, practicing up to date techniques and utilizing the latest technology will attempt to meet and surpass patient expectations. Revision rhinoplasty is called upon rare instances in which patients feel unsatisfied with their initial results and seek advanced aesthetic improvements. There are many reasons patients seek a secondary nose surgery, today we will discuss the common reasons why patients request secondary rhinoplasty.

Results of Initial Procedure were Undesirable

It is a rarity when the patient and the surgeon are not on the same page to meet expected results. This is when the need for thorough consultation with the surgeon is advised to avoid such outcomes. Careful planning and execution the second time will to ensure that aesthetic results match the patients’ preference.

Patients Experienced Unfavorable Healing

Following recovery many patients observe excessive scarring as a result of poor healing. The initial surgery was smooth and recovery may have gone well, but the nasal structure did not conform to its natural state. In this case revision may restore nasal shape and remove excess scar tissue.

Breathing Complications Arose

The patient’s ability to breathe comfortably following rhinoplasty is an important part of the procedure. In some instances, breathing issues develop. Revision for this complication restores the patient’s breathing while improving appearance to excess cartilage or bone previously removed.

Post Surgical Injury Affected Nasal Structure

The nose is the most vulnerable part on our face, and it is more likely to receive injury when objects strike the head. The sensitivity levels increase when the patient sneezes following rhinoplasty. Plastic surgeons always instruct their patients to practice safe habits to avoid injury, but we all know that accidents are bound to happen when least expected. Hold in sneezes and avoid blowing the nose until your surgeon allows full use after recovery.

Patients often worry that they may be going back under the knife too soon, so the ideal time to consider revision is after a full year following the initial procedure. This allows time for incisions to heal and allow the shape to conform with the face.

Plastic surgeons never admit to performing the perfect treatment. They provide their patients with accurate expectations and will make corrections that achieve balance with facial features. Every rhinoplasty procedure is different for every patient and it is not a failed surgery if expectations are not met or complications follow, it is a part of the cosmetic process. If you feel that your nasal appearance is unrealistic or unsatisfactory, schedule an appointment to discuss revision rhinoplasty with board certified plastic surgeon Vladimir Grigoryants in Los Angeles.

Friends Starlet Shares How Nose Surgery Changed Her Life

Wednesday, November 6th, 2013

Beauty, brains and friends are some of the most important things every young girl struggles with, even Hollywood actress Lisa Kudrow found herself as an outcast among peers. The former Friends star, known as Phoebe on the hit NBC show, revealed that she had undergone rhinoplasty, and celebrates her experience as a one that altered her life for the better.

Kudrow, 50, expressed no regrets for her decision in an interview with the Saturday Evening Post about her decision to have nose surgery at the age of 16. In her mind, she went from “hideous to not so hideous,” which made her feel the experience as “life-changing” as she transitioned through high school.

From Outcast Teen to Emmy Winner

A few of her childhood friends felt they needed to spare their friendship with Kudrow entering junior high school, leaving her friendless and disappointed. Being depressed going into high school with the same group of peers was no picnic either.

“For your own good, you need to see what would happen if we weren’t here,” said Kudrow about the experience of her friends evicting her. A difficult pill for her to swallow.

She took the initiative to gain a spark of confidence and had nose reshaping surgery during one summer and transferred to a new school. Only then was she able to feel the excitement about attending school and feel comfortable with her appearance. It turned her life around for the better, Kudrow said.

She dove deeper within academics and attended Vassar College in New York. She flirted with ideas of medical school, but it was then where she decided to get into acting. After her breakthrough role on Friends, she has become a highly requested actress, performing in about 30 films as well as many appearances on other television series, including her latest role on ABC drama Scandal.

Advantages of Rhinoplasty

In Kudrow’s high school days, teens were not frowned upon as they are now for undergoing plastic surgery. Surgeons express that maturity is a big concern for making the decision to get nose surgery, and in Kudrow’s case she understood the role rhinoplasty played. Photos of Kudrow before the surgery depicted a nasal tip that protruded and was bulbous in shape. Now the actress’s nose is shorter and smaller, which continues to prevent the hideous feeling that she once felt about her appearance. According to the American Society of Plastic Surgeons the changes of rhinoplasty include:

  • Corrections to nasal asymmetry and deviation
  • Reduction of wide, large or upturned nostrils
  • Adjustments to visible humps or depressions
  • Reshaping nasal tip that is bulbous, drooping or upturned
  • Promotes balance of facial features

Kudrow fans continue to show their praise for her performance on Friends. Her Twitter feed and Facebook display young girls who look up to her character. Kudrow expressed that it is a good feeling to be a role model for her fans beyond the end of the series. Her nasal appearance may have made an impact to her roles as an actress, but she feels that her procedure played an important role in her life. She was able to display her character with confidence, without having to worry about the overbearing and unbalanced features from her youth. Learn more about what rhinoplasty has to offer to help inspire a change in your life.

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.

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.

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.

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.

 

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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