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Can Breast Augmentation Make Up for Lack of Cleavage?

December 27th, 2013

When it comes to breast augmentation, women are likely to ask how well their cleavage can be enhanced with breast implants. One of the reasons women turn to breast augmentation is because they desire flattering cleavage than before. In terms of breast augmentation we do not advise to place implants too close together on the chest, nor should they be placed far apart. The goals that breast augmentation meets first and foremost are improving the shape, volume and size of the breasts with respect to the patient’s body type.

A woman in search of more cleavage is attempting to close the gap between her breasts. What we typically view as attractive cleavage is narrow space of breasts naturally closer together. Depending on the patient’s anatomy, breast augmentation can close the gap slightly, but does not aim to fill in the gap completely. With respect to the patient’s natural distance between breasts and nipples, Dr. Grigoryants can place the implants slightly closer together for a natural cleavage appearance, otherwise the placing them too close will not achieve the patient’s results and may feel unnatural in the end.

When Breast Implants Sit Too Close Together

Some patients desire their breasts to be bunched closer together for a plunged effect, but it could only lead to a condition called symmastia, otherwise called the uniboob. This occurs when the breasts naturally sit close together, the implants are too close together or the implants  shifted to the center after the procedure. The condition may also be a result from inserted implants that were too large.

Implants that Rest Too Far Apart

Lateral displacement is the opposite of symmastia where the breasts sit too far apart to produce a desired appearance of cleavage. Natural breasts sometimes position themselves farther apart than normal, and if implants are placed the final appearance may look too wide. Correcting this may be done to draw the breasts slightly closer together.

Best Approach for Cleavage Enhancement

Dr. Grigoryants is experienced with patients of both narrow and wide cleavage. Consultation will allow him to understand where to place the breast implants without causing the complications listed above. Every patient ends up with different cleavage depth and width after their augmentation. However, Dr. Grigoryants is able to predict the surgical outcome before procedure to match patients’ aesthetic goals as closely as possible.

According to the American Society of Plastic Surgeons, breasts change over time due to aging, weight fluctuations, hormonal issues and gravity. After breast implants are in place, they provide long-lasting results that can be changed or altered by your plastic surgeon in the future.

While it is a myth that breast implants create noticeable cleavage, some women achieve better cleavage if they had an average chest wall size before procedure. Anatomy varies in patients so cleavage is not a guarantee with breast augmentation. Patients are encouraged to bring in expectations and pictures of what they wish to achieve. In some cases improved cleavage is achieved after augmentation, and with proper bra selection a woman’s cleavage expectations can be met accordingly.

Revision Rhinoplasty for the New Year

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

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.

Managing Healthy Weight After Tummy Tuck During Thanksgiving

November 25th, 2013

The holiday season is upon us and the meal that we feared the most has come and we find ourselves dreading the damage that we are most likely to cause at the dinner table, but this Thanksgiving give yourself something to celebrate. The average American Thanksgiving meal consists 3,000 calories. That is in just one meal! According to the Calorie Control Council, the average weight gained on the holidays is 1 to 3 pounds. It may not seem like much, but after an invasive tummy tuck procedure it may disrupt your weight loss plan.

Here are some tips to help plan a healthy Turkey Day, to maintain that smooth and slim midsection.

Plan to Eat Beforehand

Most of us succum to spontaneous eating habits around the holidays, but that should not be a factor after abdominoplasty. We are adapting to a healthier lifestyle, which means having a well-balanced meal with minimal fatty foods and sugars daily. Instead of packing on the fat from Thanksgiving buffets, eat and fill your cravings at home. This way your stomach is full and you avoid making unhealthy choices of building more unwanted fat cells.

Take a Bite of Flavor

Mindfully eating the flavors you crave most on the holidays is easier said than done, but keeping to your daily intake of food is still important. Instead of filling up your plate by the mouthful, take a fork and acquire only a bite of the foods you enjoy most. Sugars and starches tend to cling on to us longer, so avoiding such foods when possible is recommended.

Earn Your Meal

Kick your physical activity up a notch and avoid the dangers of holiday weight. Our bodies can burn up to 100 calories per mile when running or walking, so know the facts about the calories on your plate, before stuffing your body. The average dishes served on Thanksgiving are followed with the distances of exercise to burn off the calories:

  • Three turkey slices – 1.5 miles
  • Half a cup of sweet potatoes – 1.3 miles
  • One cup of mashed potatoes, added with gravy – 2.9 miles
  • One slice of pumpkin pie with whipped cream – 4.8 miles
  • One cup of eggnog – 3.4 miles
  • One glass of wine, 4 ounces – 0.9 miles

Add Your Own Dish

The holidays are a time of celebration, but you do not need to eat everything that is in front of you, especially when it affects your weight management. Make your own contribution to the holiday dinner and bring along your own healthy dish, which will allow you to get your fill while avoiding the fatty and unhealthy portions of processed foods.

According to the American Society of Plastic Surgeons, tummy tucks help improve weight loss in patients as it increases satiety, the feeling of being full after eating. Most overweight women who undergo abdominoplasty report that they achieve continued weight loss when they follow their healthy diet, all because they feel full throughout the day. The fat cells removed, reduce the patients’ need to feed in order to feel full, and during the holidays it will be a great contribution to avoid the calorie fillers.

Get to Bed On Time

Naturally, we feel the need to stay up well into the night since we do not have to go to work or school the day after Thanksgiving or Christmas, however research shows that weight loss can be disrupted if we do not follow a regular sleep schedule. A study from Brigham Young University reported that women who slept and woke up at regular hours daily had lower body fat than those who did not.

There are many advantages to maintaining your diet during the holidays. Your abdominal section will remain tighter and slimmer, your clothes will fit better, and you will feel happier about your body contour for the new year. Sticking to a structured holiday eating plan will help maintain results after tummy tuck. Abstaining from processed an unnatural foods will ensure that unwanted fat cells do not return. Add some of your own holiday flavor with your own healthy dish to achieve your filling this Thanksgiving.

Common Reasons Patients Seek Revision Rhinoplasty

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

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

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

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

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

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. 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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