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Posts Tagged ‘Revision Rhinoplasty’

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.

Is Recovery Different After Revision Rhinoplasty?

Thursday, January 16th, 2014

Secondary nose surgery, or revision rhinoplasty, can involve similar motions that were administered in a patient’s initial nose surgery, but not everything will be the same. The goal for patients is to achieve better results than what they gained in their previous nose surgery, and many wonder if the recovery process is similar or different than what they experienced in their primary procedure. With the help of the latest technology, revision rhinoplasty specialists can help determine the accuracy as well as the road to recovery after surgery.

Following the plastic surgeon’s instructions for pre-operative care and postoperative care closely will help ensure the best possible results during the patient’s recovery. During consultation, the patient and Dr. Grigoryants reviews the overall aesthetic and functional goals of revision nose surgery and address the client’s need for revision. Since healing is managed differently with everyone, your plastic surgeon does his best to keep swelling and disrupting delicate areas to a minimum. After surgery Dr. Grigoryants will instruct you to follow his recovery instructions carefully. Utilize these simple tips for a healthy recovery period as follows:

  • Avoid strenuous activity
  • Use only prescribed medications allowed by plastic surgeon
  • Rest and elevate the head as directed
  • Reduce sun exposure
  • Avoid smoking
  • Do not harm or make abrasive contact with the nose until doctor’s approval

Depending on the outcome of the primary surgery and your plastic surgeon’s evaluations revision rhinoplasty may be the best solution to improve facial harmony. Your physician may suggest an alternative solution to correct your irregularities, so keep an open mind and explore the doctor’s options.

Dr. Grigoryants will be able to address your questions about revision rhinoplasty during consultation. He will help you explore the best solution to correct facial flaws from your initial surgery as well as predict your recovery process after revision rhinoplasty. Schedule an appointment with our professionals at your earliest convenience to achieve the look you really want.

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.

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.

 

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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