Asian rhinoplasty

Posted on April 16, 2024 by admin

Is Asian rhinoplasty different?

Asian rhinoplasty represents a unique subset of rhinoplasty surgery that requires specialized technical expertise and an aesthetic eye that is finely in-tune with Asian beauty standards. While a standard rhinoplasty procedure may involve reducing the size of a nose, removing a dorsal hump, and refining the tip the of the nose, Asian rhinoplasty and nose job surgery will often necessitate the addition of structural elements to the nose to add projection while also increasing the definition of the nose. In a standard rhinoplasty, often excess cartilage, bone and soft tissue may be removed to achieve the desired shape, with enough cartilage present in the septum to provide material for any grafts that may be necessary. In Asian rhinoplasty, typically the skin is thick relative to the strength of the intrinsic septal and nasal cartilage, and thus additional tissue (in the form of ear cartilage or rib cartilage) will be necessary to provide the requisite support to reshape the nose and skin envelope in a permanent fashion.

Asian Rhinoplasty with rib cartilage and diced cartilage fascia (DCF) by Dr. Donald B. Yoo

Which country is best for rhinoplasty Asian?

The best country of Asian rhinoplasty is the country that has the best rhinoplasty surgeon for you. Asian rhinoplasty is not a one-size fits all operation, and the selection of the best surgeon for you will come down to your aesthetic and functional goals and how they align with the training, background and expertise of your surgeon. Seoul, South Korea and Beverly Hills, California, United States are two of the most preeminent destinations for Asian rhinoplasty.

How long is recovery from Asian rhinoplasty?

After Asian rhinoplasty patients will have a cast on the bridge of their nose, and sutures will remain in place for a week. Even when additional grafts are taken from the ear, rib or fascia, all the surgical sites including the nose will heal simultaneously with the sutures being removed after the first week. At 2 weeks after surgery, most patients will feel ready to return to public, although the nose will be swollen. Much of the swelling will dissipate over the first 3-6 months, though it will take 1-2 years for full healing.

Asian rhinoplasty with rib cartilage and diced cartilage fascia (DCF) with Dr. Donald B. Yoo, M.D. #YOOnose

Where is the safest place to get a nose job?

The United States is known for having some of the highest standards in healthcare and cosmetic plastic surgery. The United States enjoys the privilege of having the very best universities and medical schools in the entire world, and ability to select only the best and brightest students to become medical doctors and surgeons equipped with the most comprehensive education and rigorous training. The US offers exceptional patient care and superlative plastic surgery and rhinoplasty outcomes, drawing patients domestic and international.

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What is nose job without surgery? Is Rhinoplasty without surgery performed?

Posted on April 12, 2024 by admin
Before and after nose job without surgery with rhinoplasty specialist Dr. Donald B. Yoo, M.D.

Rhinoplasty without surgery, or non-surgical nose job, is a commonly performed procedure to reshape the nose in a temporary fashion. Using hyaluronic acid fillers, such as Restylane or Juvederm Voluma, the nose can be augmented and refined by adding volume to the nose in specific areas. Though the change is not permanent, and is limited compared to what is possible through surgical rhinoplasty and nose job, it does offer a way for patients to experience subtle to moderate changes, especially to the bridge or dorsum of the nose, with more subtle changes to the tip projection and tip aesthetics.

Duration: How long does nonsurgical rhinoplasty last?

Depending on the type of hyaluronic acid filler, a nonsurgical nose job will typically last between 9-18 months. The body will naturally absorb the filler material during this time until the nose returns to its pre-procedure state.

Process: How is nonsurgical rhinoplasty performed?

The skin of the nose will be numbed with a topical anesthetic, which typically takes 20-30 minutes. After the skin has been anesthetized and the nose has been aseptically prepped, the nonsurgical nose job is performed by multiple transcutaneous injections using a hyaluronic acid filler to add volume to specific areas of the nose. Most injections will be injected directly above the periosteum of the bone, or deep in the subcutaneous fat underneath the skin, and when performed expertly can improve nasal contours, symmetry, add augmentation, increase projection, rotate or counter-rotate the nasal tip, and increase definition and refinement of the nose in a safe manner.

How successful is non-surgical rhinoplasty?

In the hands of an experienced rhinoplasty surgeon, skilled in non-surgical rhinoplasty, the results will almost always be successful as long as the surgeon and patient have had a realistic discussion of the expectations and limitations of the procedure. Proper candidates for nonsurgical rhinoplasty will have nasal shapes than can be improved with the addition of volume, not the reduction of volume.

Is it possible to fix your nose without surgery?

The shape of the nose can be changed and improved nonsurgically with hyaluronic acid fillers in a procedure called nonsurgical rhinoplasty or nonsurgical nose job. The dermal filler material can add volume to the nose to improve aspects including contour, symmetry, and projection. The degree of correction is limited compared to surgical rhinoplasty, and the results are temporary, but can in many cases provide a significant improvement with minimal downtime.

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What is a facelift? How long does a facelift usually last?

Posted on April 9, 2024 by admin

Facelift, or rhytidectomy, is a common facial plastic surgery procedure performed to address the signs of aging by repositioning ptotic and sagging tissue, removing excess skin and facial fat, while restoring volume to deficient areas. The overall effect is a more youthful appearance to the midface and cheeks, jawline and neck.

How long does a facelift last?

A facelift reverses many of the signs of aging to the mid-face, lower-face, jowls, jawline and neck, but does not stop the process of aging. It can be thought of as reducing one’s appearance by ~10-15 years. Patients who are very proactive about addressing the signs of aging will plan for two facelifts in their lifetime.

What is the best age to have a facelift?

A well-performed facelift can reasonably be expected to last for 10-15 years. With this timeline, the most typical age to undergo a facelift is 45-50, though this will vary based on individual factors such as genetics, lifestyle and cumulative sun exposure. Patients with unusually lax skin and early signs of facial aging may even consider a facelift as early as 35.

Is a facelift very painful?

Facelift surgery and rhytidectomy is not typically painful, as much of the face and neck is actually somewhat numb immediately after the procedure, due to the dissection required to mobilize the skin and soft tissue in the face and neck. Range of motion of the neck is slightly limited in the short term, and may feel tight, leading to a sensation of tenderness. Most patients will experience only minor discomfort after a few days or recovery.

How much does a facelift cost?

The cost of a facelift will depend on the skill and experience of your surgeon, as well as your individual anatomy and specific aesthetic goals.

What types of facelifts are there?

While many variations of facelift and rhytidectomy techniques exist, most contemporary surgeons will favor an approach that incorporates a deep-plane dissection as its foundation, while incorporating specific techniques to best address the neck, mid-face and periorbital areas that will suit the individual patient’s aesthetic goals and the patient’s unique anatomy.

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What is a lip augmentation? How long does lip augmentation last?

Posted on April 9, 2024 by admin

Lip augmentation is typically performed as a non-surgical, office-based procedure with a hyaluronic acid filler. Hyaluronic acid fillers have revolutionized aesthetic medicine and plastic surgery since first being FDA approved in 2003 for their strong safety profile, ease of use, and predictable results.

Lip augmentation with facial fillers typically last between 6-12 months, depending on the type of hyaluronic acid filler used. The ideal filler for the lip is soft and silky, allowing the natural qualites of the lips to be preserved. Two of the most popular fillers for lip augmentation are Restylane Kysse and Juvederm Volbella, as they both are able to give a hydrated and full appearance to the lips, while retaining a completely natural aesthetic.

What is in lip fillers?

Hyaluronic acid gel fillers such as Restylane Kysse and Juvederm Volbella are synthetic versions of the glycosaminoglycans that are present in skin naturally, providing volume and elasticity. With aging, and loss of hyaluronic acid, skin becomes thinner, less elastic and more prone to wrinkling and forming rhytids. Hyaluronic acid gels are synthesized in a manner that causes them to last longer than naturally occuring HAs, but will still be absorbed normally by the body over time.

How long does lip filler last?

Lip fillers and lip augmentation with facial fillers will typically last 6-12 months, depending on the type of filler used. Hyaluronic acid fillers such as Restylane Kysse and Juvederm Volbella are the safest and most predictable way to add volume and hydration to the lips.

Which is better lip filler or lip augmentation?

In the past, surgeons have tried to augment the lips in a number of creative, and ultimately abandoned, ways. The difficulty with surgical augmentation is that the lips are an anatomically delicate area that has complex movement, abundant nerve endings, and central to one’s appearance. The ideal augmentation will move naturally, feel soft and silky like natural lips, and be precise to place. For all the advances of modern medicine, at the moment the best material for this is hyaluronic acid filler.

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How many units of Botox does it take to reduce a masseter?

Posted on April 6, 2024 by admin

Botox for masseter reduction, or Dysport for masseter reduction, is an excellent procedure to reduce the tension in the jaw, decrease grinding of the teeth, relieve stress in the lower face, and to slim the appearance of the jawline and face. As a neuromodulator, the mechanism of action of Botox and Dysport is to work at the neuromuscular junction to prevent the presynaptic release of acetylcholine, thereby relaxing the muscle by preventing its contraction. As new synapses form within the neuromuscular junction, this effect subsides until eventually full function of the target muscle returns – typically in 3-4 months.

During the time the neuromodulator (Botox or Dysport) is active in the muscle, the muscle becomes relaxed and can not contract with its normal force. The masseter muscle is one of four muscles involved in chewing, and when it becomes relaxed will reduce the intensity of bruxism or teeth grinding and clenching, relieve stress associated with tension in the lower face and bite, and will slim the face by reducing in size and volume.

Does Botox or Dysport permanently reduce the masseter muscle? No, it can not make a permanent change as it will only relax the masseter muscle in a temporary fashion, typically relaxing the muscle for 3-4 months. Once the masseter muscle function returns, the bulk and volume of the muscle will return, typically a total of 4-6 months after the treatment.

How many units of Botox does it take to reduce a masseter?

For most patients undergoing Botox for masseter reduction, 20-30 units per side is a typical range, with 25 units per side being the most common initial dosing.

With Dysport for masseter reduction, a 3:1 conversion for equivalency, which means 60-90 units of Dysport per side, or 75 units per side.

How long does it take for your masseter to shrink after Botox or Dysport?

The muscle will relax and clenching, grinding and stress symptoms will decrease in ~1 week. Once relaxed, the masseter muscle will take 4-6 weeks to visibly shrink in size, and it will continue shrinking and slimming your face for the 3-4 months that Botox or Dysport is active.

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Oligio X Next Generation K-Beauty Skin Tightening

Posted on April 1, 2024 by admin

The aging process of the skin involves an accumulation of extrinsic and intrinsic factors that contribute to increasingly loose, sagging skin with pigmentary dyschromias. Though we have little control over the intrinsic factors (genetic and cellular) that cause our skin to age, the extrinsic factors – such as exposure to sun and its resultant U.V. radiation, and to environmental pollutants and contaminants, are things that we can minimize to maintain the youthful qualities of our skin. With chronological aging, however, even the most steadfast will experience thinning of the collagen and elastin within the dermis, a decrease in the subcutaneous fat under the skin, and thinner, more wrinkle-prone and lax skin.

Radiofrequency energy is formed by oscillation of electrical current in the 20 kHz to 300 GHz range. RF current has been applied in medicine for over 100 years, in applications as diverse as electrosurgery to magnetic-resonance imaging. Previous generation RF-based skin tightening devices such as Thermage delivered RF energy in a way that caused quite a bit of patient discomfort, thus limiting effective energy delivery to the skin and subcutaneous tissue. Oligio X delivers radiofrequency energy at a high frequency (6.78 Mhz) simultaneously with pulses of cooling gas, which allows for impedance matching with the deep skin layers while protecting the epidermis, and minimizing discomfort to the patient. The RF energy will efficiently heat the dermis and subcutaneous tissues to allow for maximal collagen formation and re-organization in safe manner.

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What’s the best treatment for sun spots, hyperpigmentation and solar lentigines?

Posted on March 13, 2024 by admin

Light amplification by stimulated emission of radiation, or laser devices, provide focused energy delivery to precise targets in the skin while minimizing collateral injury. Prior to 2012, Q-switched lasers delivering light energy at nanosecond wavelengths allowed for pulsed energy delivery that could target lesions such as sun spots, hyperpigmentation, melasma, nevus of Ota and other pigmented lesions to maximize destruction and fracture of the melanocytic components creating dyschromias in the skin while minimizing the thermal injury to surrounding normal tissue and skin which could result in post-inflammatory hyperpigmentation. With the advent of even shorter pulse-width lasers, in the order of picoseconds instead of nanoseconds, the ability of deliver higher peak power density comes also with the ability to reduce the amount of photothermal injury due to the reliance of photoacoustic and photomechanical destruction of melanin into smaller particles for absorption by the lymphatic system of the skin.

Since being awarded FDA-approval in 2012 for their 755 nm PicoSure laser, Cynosure has continued to innovate and develop the next generation in pulsed picosecond laser technology with the PicoSure Pro, which captures the short pulse-width technology but with enhanced peak power delivery, allowing for more effective and efficient treatment of hyperpigmentation, age spots, solar lentigines, tattoo pigment removal, and other pigmented lesions.

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What is Asian blepharoplasty? How is Asian blepharoplasty different from a typical upper blepharoplasty or eyelid lift?

Posted on February 20, 2024 by admin

Asian blepharoplasty differs from other types of upper blepharoplasty in that it requires a slightly more complex surgical technique and vastly different aesthetic to create a naturally beautiful result. When upper blepharoplasty or eyelid lift is performed in an aging patient, the procedure will commonly involve removal of excess skin and perhaps removal of excess fat through an incision made along the pre-existing supratarsal crease. The upper eyelid crease, or supratarsal fold, does not need to be reinforced or recreated in most of these patients due to a strong connection between the skin and levator aponeurosis. In many Asian patients, the adhesions between the skin and levator aponeuoris must be reinforced with supratarsal fixation or “anchoring” sutures to create a crisp, defined fold. In cases of multiple folds, asymmetric folds or supratarsal creases that are lower than desired, Asian blepharoplasty is an effective way to modify and enhance the shape and appearance of the upper eyelids.

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What is a spreader graft in Rhinoplasty? What purpose do spreader grafts serve in the nose?

Posted on February 14, 2024 by admin

Spreader grafts were initially described in the ’80s by a rhinoplasty surgeon named Jack Sheen, who used them through an endonasal – or closed, scarless – approach to provide support in patients with short nasal bones, and to reconstruct the middle vault after dorsal hump reduction. Since this initial description and application, the uses of spreader grafts during nose job surgery have been expanded to include correction of internal nasal valve narrowing or collapse, adding additional support to the dorsal septum, straightening deviation of the dorsal septum, widening the middle third of the nose, to lengthen or counter-rotate the nose, and to create continuity of the dorsal aesthetic lines.

Spreader grafts can be carved from straight pieces of cartilage, most typically from that harvested from the septum or the cartilaginous rib. Tapering and chamfering the grafts allows for the optimum nasal contour during rhinoplasty and revision rhinoplasty by reducing any unnecessary bulk, and providing volume only in the locations where it will increase the cross-sectional area of the internal nasal valve, and/or provide necessary support for the nasal framework.

Spreader grafts carved to span the length of the middle vault, while transitioning seamlessly under the nasal bones, and tapered along the dorsal aspect to recreate and improve the dorsal aesthetic lines.

Before and after revision rhinoplasty with rib cartilage and fascia to restore stability and projection of the dorsum while counter-rotating and lengthening the nose with extended spreader grafts.

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What is a deep-plane facelift? How is it different from a SMAS facelift?

Posted on February 14, 2024 by admin

During a traditional SMAS facelift, the skin and subcutaneous tissue is elevated from an incision designed around the ear in a single layer. The layer deep to the skin and subcutaneous fat is the SMAS, or superficial musculo-aponeurotic system, a term coined by plastic surgeons Mitz and Peyronie in the 1970s to describe the anatomic layer investing the muscles of facials expression. For a traditional facelift, the SMAS layer is either plicated (oversewn) or imbricated (a small portion resected and the ends re-approximated) and the skin pulled along the incision to create a lift. This approach would distribute some of the tension of the lift along the SMAS layer, but a significant portion of this force vector would fall on the skin incision line itself.

During a deep-plane facelift, the skin and subcutaneous fat is elevated in one plane, and then as the dissection proceeds anteriorly towards the midline of the face and neck, the dissection descends under the deep-plane (SMAS layer) to create a thicker, more robust flap consisting of skin, subcutaneous fat and SMAS combined. The SMAS is mobilized and secured to provide the lifting for the facelift, with minimal reliance on the skin itself, thus allowing for a tension-free closure of the incisions. This results in a less “pulled” and more natural appearance, more durable, long-lasting results, and reduces the amount of downtime due to bruising and swelling.

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