Top Three Corrections Made by Revision Rhinoplasty

Rhinoplasty doesn't always go as planned. There are some common revision rhinoplasty techniques that are done in order to get the best look possible on the nose for the patient.

Many of the revisions are due to a new development found on the nose whether it was deformed or crooked. This could be any kind of injury that results in contact with the nose. When there is a new injury, patients usually want the nose corrected, even after there has been a previous rhinoplasty.

Another common reason to do a revision is that the desired look was not achieved during the original procedure. There could have been too much swelling for the doctor to get the desire result, or there could have been too much damage to the cartilage. If the doctor sees that a revision might be necessary, he will usually discuss it with the patient so that the patient knows that another surgery might be required.

There are some patients who want a perfect look after a rhinoplasty. This look might not be achieved with one surgery. It might take two or three trips to the operating room to get the tip of the nose just right for the patient or to remove any bumps on the sides of the nose. Only then will a plastic surgeon be able to ensure that the patient’s cosmetic goals met.

If you think your nose is entitled to a revision, then contact our facial and reconstructive surgeon’s office if you want to learn more about your revision options.

Three Reasons Why Rhinoplasty Can Benefit You

Rhinoplasty is a cosmetic surgery that involves altering a person's most prominent facial feature - the nose. Not surprisingly, it ranks among one of the top five requested surgical procedures in the United States. There are three key reasons why you can benefit from this type of facial plastic surgery:

Eliminate breathing problems. The structure of a person's nose and nasal passages often creates a breathing problem, ranging anywhere from mild discomfort to severe difficulty in breathing air. Individuals who suffer from a deviated septum that negatively impacts their ability to breathe easily are among the group that can most benefit from undergoing rhinoplasty to improve their ability to breathe.

Improved sleep. Breathing problems often are associated with an inability to get a good night's sleep. Sleep apnea causes the airways to become blocked or stuffed up, causing restless sleep patterns. Rhinoplasty can successfully redesign your nasal passages, opening them up completely so that sleep apnea and other sleep issues are no longer a health issue.

Improved self-confidence. An individual who consistently feels self-conscious about the size and shape of their nose usually suffers from low self-esteem and a lack of confidence.

Scheduling a consultation for rhinoplasty with Dr. Binder is the best way to determine whether you need to reconstruct your nose so that it becomes a pleasing facial feature rather than a source of shame or ridicule. As a board certified plastic surgeon and reconstructive surgeon, Dr. Binder has the experience and skills necessary to help you get the most benefits from nose reshaping.

To learn more about your options contact us online or call us at our rhinoplasty Beverly Hills facility at (310) 858-6749.

Natural Rhinoplasty Results

 

Many people look in the mirror and wish they could invest in rhinoplasty Beverly Hills. Their biggest concern is whether a nose job could look natural. A nose, or rhinoplasty procedure, is typically thought of as a surgical procedure that reduces the size and shape of a person’s nose. Unfortunately, many surgeons use a one-size-fits-all approach to rhinoplasty procedures. This can create results that do not look natural and simply do not work well with the patient’s face.  Beverly Hills rhinoplasty surgeons are able to modify the procedure so that the results are more natural. 

In order to avoid getting a rhinoplasty surgery that results in a “fake” or “done” look, it is important to find a rhinoplasty surgeon that has extensive experience to make a plan for the procedure that works best for you. Beverly Hills rhinoplasty surgeons can use various methods to create natural results. 

The “structure” technique was pioneered by Dr. Binder to create a functional and natural nose. With the use of procedures like the structure rhinoplasty, patients can get results that are more individualized and fitting to their face.

In structure rhinoplasty procedures, the rhinoplasty surgeon works from within the nose and takes into account methods that will improve breathing rather than hinder it as seen in typical nose job surgeries. The rhinoplasty surgeon works on reshaping the nose and maintaining the integrity of its structure. In the common practices, surgeons take away from the structure to reduce size and minimize shape but this can cause other functionality issues. 

Medscape reported that the structure rhinoplasty procedure is very similar to the traditional open nose job procedure. The main difference is the number of incisions. In a closed nose job, the surgeon does not cut the skin between the nostrils which can be great for patients who want minimal scarring and a natural looking nose job. 

A Beverly Hills rhinoplasty can offer more natural results by combining modern techniques and maintaining the natural structure of the nose. It is a good idea to review post-rhinoplasty pictures from surgeons before scheduling a consultation. Many rhinoplasty surgeons all offer revision rhinoplasty where patients can get improved rhinoplasty results. The structure procedure is a modern approach to the standard nose job. The results can improve breathing as well as bringing harmony to the face. 

For more information on a Beverly Hills nose surgery, it is best to contact anexperienced rhinoplasty surgeon with a history of creating excellent, natural results from rhinoplasty.

What to Avoid After a Rhinoplasty Beverly Hills Surgery

There are plenty of things to be concerned with as the end of summer comes to a close. You may be wondering about which top to match with your mood or what your face will look like on the first day back to school or work, but there is also another thing to worry about after rhinoplasty surgery – a healthy post-operative recovery plan. Taking care of your nose after rhinoplasty is definitely a critical task for every patient, but not everyone understands the high rate of mistakes they can make that can affect their results. While some habits and activities may continue be allowed, we will review some of the things to avoid during your rhinoplasty recovery.

Rhinoplasty Beverly Hills is a commonly requested cosmetic procedure that reshapes the most significant features in a patient’s nose to attain facial harmony and balance. For most of our cases we perform the surgery by making a small incision inside the nose to restructure and strengthen the cartilage framework. Alterations can include eliminating bumps and irregularities on the bridge, narrowing a wide bridge, reducing the size of the tip and changing the size or position of the nostrils. As you can see this is a very complex procedure that may require a brief or lengthy resting period. Because of this procedure, it is recommended to avoid a number of physical activities, unless instructed otherwise from your facial plastic surgeon.

Top Four Things to Avoid After Rhinoplasty

When a patient decides that rhinoplasty is the best solution to achieve their aesthetic needs it is important to follow a plastic surgeon’s instructions to ensure that their new nose recovers without compromising the nasal tissues. As the nasal bones take a minimum of six weeks to heal, it is important to avoid vigorous activities and take extra precaution after nose surgery.

Activities to Avoid After Rhinoplasty:

• Strenuous Exercise – Exercising too soon can impair the body’s ability to heal and impact the way the nose settles. Lifting heavy objects or going to the gym should be avoided for at least two weeks.
• Sniffing or Blowing the Nose – Blowing or sniffing can cause the nose to bleed and hinder the recovery process after rhinoplasty. It is important to try to breathe through the mouth during your recovery period. Sneezing with your mouth open will relieve pressure to your nose compared to keeping your mouth closed.
• Direct Sunlight – While this is not a rigorous activity for anyone, being out in the ultraviolet light may cause permanent skin pigmentation as the nasal tissues are vulnerable to sun damage.
• Smoking and Drinking – As it is recommended after any cosmetic procedure do not smoke or consume alcohol during the recovery period. Only when your plastic surgeon agrees it is safe to go back to your full range of activities then you may be able to do so moderately.

Avid smokers and drinkers are advised to kick these habits as early as two weeks prior to rhinoplasty to help ensure a healthy recovery. A report from the Medical College of Wisconsin revealed that smokers who attempted smoking 24 hours before surgery caused insufficient supply of blood that was 20 times more likely to occur compared to non-smokers. In general, smoking reduces blood circulation by constricting the blood vessels, and the lack of oxygen causes interference in the recovery process which may last up to four weeks.

Follow the Advice from Your Rhinoplasty Beverly Hills Surgeon

Just as every nose is unique, every patient’s recovery period is unique. If you are likely to encounter issues along your recovery period then consult with your rhinoplasty surgeon ahead of time to evaluate your recovery period. Count on a facial plastic surgeon Beverly Hills patients trust the most. As long as you follow your plastic surgeon’s advice your new nose will adjust and heal beautifully. Contact our rhinoplasty specialist’s office at (310) 858-6749.

Understanding the Importance of Nasal Packing After Rhinoplasty

It is very common for rhinoplasty surgery patients to feel skeptical about the aftermath of a nose job. Obviously, the way a person heals following any cosmetic procedure is critical, but every facial plastic surgeon will provide the best protection plan to stop nasal bleeding. The most common method of accomplishing this is through nasal packing, a technique used to reduce bleeding by inserting heavy duty gauze in the nasal chambers. When you are in the hands of an experienced rhinoplasty surgeon Beverly Hills has to offer you will be more likely to endure minimal pain and discomfort following your procedure.

Rhinoplasty, most commonly known as a nose job, is an art form plastic surgery that involves reshaping the structural design of the nose. Specific features addressed may include, nose size, width, projection, shape of the nasal tip, nasal asymmetry and oversized nostrils.

Typically, rhinoplasty Beverly Hills is referred to as an aesthetic surgery but many patients are also treated for the functional design that has been obstructing nasal breathing through deviated nasal septum, enlarged turbinates or a collapse of nasal cartilage. Fortunately, advances in medical technology make it possible to address both functional and aesthetic features all in one procedure. Why does nasal packing have a place in rhinoplasty? For one, nasal packing lowers the risk of post-operational bleeding adhesions and holds adjusted bones and cartilage in place.

Does Every Patient Need Nasal Packing?

In many rhinoplasty operations, facial plastic surgeons will pack the inside of the nose with various cloth and gauze until the patient’s follow-up procedure. In most of our rhinoplasty procedures, Beverly Hills patients may not require nasal packing due to our gentle and meticulous strategy during and after the operation. Our precise incisions and sutures create less trauma to the site, so there is minimal postoperative bleeding and will not always present a need for nasal packing. In the very rare instances, a patient will be fitted with nasal gauze to be worn for less than a week. However, there is no need to panic if we require you to wear nasal packing.

A recent study shows that nasal packing is not as complicated or severe as the public draws it out to be. As per the study published in JAMA Otolaryngology – Head & Neck Surgery, the official medical journal of the American Medical Association, no heart or lung complications were discovered in over 400 patients utilizing nasal packing after nose surgery.

Meet the Best Rhinoplasty Beverly Hills Surgeon

Nasal packing allows for control of unusual bleeding following surgery, if it happens to occur. Your facial plastic surgeon will instruct his patients in advance if there is an absolute need for packing and medication to ease discomfort after rhinoplasty. This technique helps to support the new nasal structure as it heals, but may not always be required. If you are searching for a board certified plastic surgeon to perform nose surgery, then contact our facial plastic surgery center at (310) 858-6749.

Can I Prevent Aging Signs with An Early Facelift?

There are millions of aging faces around the United States and nearly all of them are struggling with maintaining an energetic appearance. While we can put the blame on heredity, stress, environment, poor diet and health, we are all likely to age at one point or another. If you are noticing wrinkles and folding creases developing on your face then you may be tempted to have facelift surgery or some other form of facial rejuvenation.

A facelift in Beverly Hills cannot stop aging, but it can correct unbalancing features caused by aging, ultraviolet ray damage, rapid weight loss, alcohol consumption, smoking and injury. Plenty of us all too often experience wrinkles, baggy eyelids, sagging skin and jowls along the chin and neck, so a facelift is designed to reverse these signs once they stop responding to lifestyle changes or non-invasive solutions.

Will An Early Facelift Prevent Aging Signs?

Unless patients have lost skin laxity at a young age then it is not a good idea to undergo facelift surgery to prevent future sagging. This is likely to make you appear over-done with surgical intervention and also increases chances of having multiple surgeries to correct future aging developments. No matter what age the patient may be, it is better to wait until certain signs of aging are noticeable.

When Should You Consider Facelift?

Many patients are bothered by aging signs, and a facelift may be the best solution for you if you are suffering through anxiety or medical condition. For the most part, people in their 30s or 40s are more inclined to consider a facelift since the upper facial areas lose volume around this time and fatty tissue travels to the lower half of the face. Until then, dermal fillers or Botox injections may be the best solution reverse drooping eyebrows and fine lines. There really is not an optimal age to undergo facelift surgery but once aging signs become more pronounced, then you may consider reversing these aging flaws.

A Facelift Maintains Ideal Look

Genes, skin quality and routine maintenance are important to ensure the longevity of facelift results. Though aging cannot be prevented, a facelift can dramatically slow down the aging process and prevent future development of wrinkles and jowls. As per the study from Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons, facelift results show lasting improvement on an average of five years after procedure date. The improvements in facial aging lines running from the nose to the mouth and mouth to chin showed little deterioration in the years after surgery, which means lasting improvement for those contemplating facelift results.

If you consider facelift at the earliest age of 50 your facial aging signs should reveal loss of muscle, sagging skin and developing jowls. There are other methods of anti-aging but none will serve a better purpose than a facelift for aging adults who no longer respond to conservative treatment. Each patient has unique facial anatomy and aesthetic goals, if you are a good candidate for facelift then schedule an appointment with Dr. Binder in Beverly Hills.

The Best Time to Consider Revision Rhinoplasty

Rhinoplasty, or a nose job, in Beverly Hills is believed to be the most skill-intensive procedure in facial plastic surgery. The functional, structural and individual alterations that must be made for a successful procedure may be rather difficult to achieve, even the most experienced plastic surgeons can produce unsatisfactory results. Even though patients may feel discouraged following their procedure, Dr. William J. Binder is experienced in performing revision rhinoplasty and nasal reconstruction. He can treat modified noses and correct functional or aesthetic flaws that were not achieved in the previous procedure.

Many patients are unaware of the best time to undergo a revision, as long as the nose has fully healed and dissatisfaction still lingers then revision rhinoplasty may be helpful at about a year after the initial surgery.

Unexpected Results

While rhinoplasty is able to last a lifetime, some patients will need a revision rhinoplasty at one point in their lifetime. One common issue that patients express after initial rhinoplasty is that the results did not meet their expectations. In most cases it is not the fault of the surgeon, but dated surgical practices and poor cosmetic treatment can occur. In other instances, the patient left out a few details about their aesthetic goals that were not shared with the doctor during consultation. For results where the doctor and patient expectations do not fully align, a revision rhinoplasty and nasal reconstruction may be required.

Healing Complications

Swelling, discoloration, and pain may have been more than expected from the details discussed during consultation. It normally takes a full year for nasal swelling and scar tissue to reduce, but when symptoms such as swelling and discoloration persist after the suggested healing process then infections may have occurred. Even instances such as trauma to the nose during healing can create a flawed recovery period where the nose needs additional attention. Revision rhinoplasty can treat such issues of excessive scar tissue or collapsed septum that interferes with normal breathing.

Lack of Aesthetic Enhancement

Most patients who seek revision rhinoplasty had a goal about how their results were supposed to appear and were not as successful as they wished for. They may have expressed their vision as specific as possible, but some patients may feel differently about their final results. Revision rhinoplasty can be done to change the appearance of the nose a second time and Dr. Binder will take into consideration your need for satisfaction.

Generally, statistics show about 10-20 percent of patients will undergo revision rhinoplasty to improve the appearance or address breathing issues after primary rhinoplasty. A report published in the medical journal Plastic and Reconstructive Surgery has shown that patients in the past undergo secondary rhinoplasty due to new or uncorrected deformities. However, researchers found these patients to be too demanding in regards to perfection and did not have realistic goals and expectations – as every patient should expect to have an open mind about natural results.   

When you are ready to consider revision rhinoplasty and nasal reconstruction to correct deformities, scar tissue, and reshape the nose to its rightful shape, then count on Dr. Binder to address your issues. Be sure to spend a little extra time in preparation and he will do his best to give you the results that last a lifetime.

Eliminate Two in One: Botox Treatments for Wrinkles & Migraines

We all come to that point in our lives where the little things like wrinkles and fine lines dampen our mood. The skin around our eyes begins to sag, wrinkles on your forehead are becoming deeper and your skin in general is starting to lose its vibrancy. Above all this, you realize that your headaches and migraines are more frequent and painful than usual. Fortunately, the only option to treat both these conditions together is to give yourself facial rejuvenation with Botox.

Botox is a medication injected into specific facial muscles to reduce and eliminate the sight of wrinkles and fine lines for more vibrant facial skin. Its purpose is to temporarily freeze the treated facial nerves and muscles to allow the skin’s surface to soften.

How Does Botox Treat Migraines?

Botox for migraines consists of a series of injections in the frontal, temporal and glabellar regions in a patient’s forehead. In certain instances, injections are made to the back of the neck. Botox works for migraines by releasing acetylcholine, a neurotransmitter released from nerve endings that cause muscles to contract. It is still unknown how the treatment suppresses pain, but due to muscle relaxation it is known to keep pain pathways down for three months or longer.

What Does Botox Do for My Wrinkles?

Many patients desire smooth and youthful skin while treating their chronic migraines, and fortunately their facial flaws are addressed when Dr. Binder approves of injecting Botox for wrinkles. Treatment usually lasts about 15 minutes as your surgeon selects the targeted areas of rejuvenation. The more expressive a patient is with their face, is the more dynamic facial wrinkles become. Botox injected in these areas are able to temporarily freeze the nerves and weaken the muscles under the skin, which makes the treated areas relaxed and eliminates the deep expression wrinkles in the end. Effects from Botox for wrinkles are long-lasting, as most patients experience three to six months of wrinkle-free skin.

Most migraine sufferers are between the age of 35 and 55 in the United States, which is the prime time where wrinkles become more noticeable. According to the Migraine Research Foundation, about 14 million people experience headaches on a daily basis, with about 36 million total experiencing migraines at least once a month. The best news is that Botox is approved by the FDA to treat migraine pain and help people gain smooth facial skin.

If you want to learn more about what Botox can do for you, call Dr. Binder in Beverly Hills to schedule a consultation to treat migraines and wrinkles all in one treatment.  

Knowing When to Get Beauty Treatment for Dynamic and Static Wrinkles

Aging skin is something we all have in common. Although we cannot physically turn the clock back, there are plenty of solutions and personal habits to help reverse aging signs for our skin. First of all we feel that you should learn the differences of facial wrinkles before you make a decision about how to treat them. Once you and your plastic surgeon have identified their underlying cause, the best wrinkle treatment can be chosen and applied to refresh your youthful skin.

The two earliest signs of aging are the development of crow’s feet around the eyes and wrinkling between the brows and forehead due to constant facial expressions. These aging signs are categorized in two types of facial lines, Dynamic and Static. Each has a unique cause and requires different treatment methods to restore youthful skin.

Dynamic Wrinkles

Generally most of the facial creases and wrinkles that we see develop in our 20s are caused by repetitive muscle movements known as dynamic. Over the years of our constant habits of squinting, frowning, smiling, and worrying, eventually lead to the deep lines on the skin’s surface. Most dynamic wrinkles are found in these areas of the face:

• Forehead
• Around the eyes (Crow’s Feet)
• Between the eyebrows

The best form of dynamic wrinkle treatment is muscle-relaxing toxins in Botox. This solution is best known for smoothing wrinkles and creases that develop from repetitive facial movements. Targeted muscle groups in these areas are temporarily paralyzed to relax the muscles and smooth out the wrinkles for the next three to six months.

Static Wrinkles

No one can avoid the effects of aging, and with that we naturally develop fine lines and wrinkles from a loss of skin elasticity. These facial flaws are known as static wrinkles, a result from the patient’s collagen breaking down and forces skin tissues to become lax. Although static wrinkles are age-related, they are influenced from the effects of sun damage, smoking, genetics, poor nutrition and prolonged dynamic wrinkles. Most static wrinkles make an appearance in the areas along the:

• Mouth
• Cheeks
• Neck

For these wrinkles we aim to correct them with natural facial fillers, such as Restylane, Juvederm and Radiesse. There is no universal filler for static wrinkles, but over a comprehensive consultation with an experienced plastic surgeon the right filler can be chosen to safely fill in the fine lines and wrinkles for immediate results that last from six months to a year.

By the time most people start to notice signs of these facial creases they will have developed a combination of static and dynamic wrinkles. However, with early correction for premature aging signs, these wrinkles can be reversed with the proper treatment and patient care. Although it is difficult to refrain from smiling and frowning, dynamic lines can be avoided when smoking is prohibited and drinking through a straw is reduced to avoid lip wrinkles.

Now should be the time to treat your face to smoother and naturally youthful skin. With Botox and Facial fillers you can correct premature signs of aging, so take look in the mirror and distinguish the cause for your wrinkles. Regardless of your wrinkle type or age, you can find the right solution to reverse aging signs for smooth and wrinkle-free skin.