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Posts Tagged ‘rhinoplasty glendale’

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

Nasal taping after rhinoplasty

Thursday, August 15th, 2013

Dr. Vladimir Grigoryants removes the nasal splint 5-7 days after rhinoplasty. His  patients are instructed to tape the nose for at least  3-4 weeks every night. Although taping affect the final result, it will reduce swelling in the morning.  The nose, especially the tip of the nose tends to swell overnight. Having the tape minimize that swelling.  Our patients frequently report that when they do not tape the nose, they wake up with a thicker appearing nose.   A special light brown paper tape will be given to our patients when the splint comes off. We will also show how to tape the nose.  Some patients may develop irritation from the tape in which cases they will be instructed to stop taping.  Foods rich in salt, alcohol, and strenuous physical activity may increase swelling.

Visit our rhinoplasty page to learn more about rhinoplasty with Dr Vladimir Grigoryants.

Nasal airway obstruction

Monday, February 9th, 2009

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

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

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

Vladimir Grigoryants, MD

plastic surgeon Los Angeles specializing in rhinoplasty Los Angeles

 

Dr. Grigoryants Los Angeles cosmetic surgeon provides plastic surgery services throughout Southern California including Glendale, Burbank, Pasadena, Los Angeles, Encino, Huntington Park, Studio City, Arcadia, Montrose, Hollywood, La Crescenta, La Canada Flintridge, Valencia, Monrovia, Eagle Rock, Altadena, San Marino, Sherman Oaks, Thousand Oaks, North Hollywood, Long Beach, Beverly Hills, Van Nuys, Santa Monica, Calabasas, Palmdale, Fresno, Northridge, and Westlake Village, and Simi Valley.

Our Plastic Surgery center in Glendale, Los Angeles, California specializes primarily in Cosmetic Plastic Surgery inclding breast enlargement, breast augmentation, breast implants, liposuction, tummy tuck, abdominoplasty, cosmetic facelifts, rhinoplasty (nose surgery, nose job), Forehead Lift, Eyelid Surgery and other body contouring procedures. The center led by an expert Los Angeles Plastic and Cosmetic Surgeon. As a board certified Los Angeles plastic surgeon, Dr. Grigoryants is dedicated to providing high quality yet affordable cosmetic plastic surgery options to Los Angeles patients and being the best plastic surgeon in Los Angeles, Glendale, Pasadena, Beverly Hills.

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