Friday, December 19, 2008

A Scarless Nose Job: Open vs Closed Rhinoplasty

The nose is the central part of a person’s face. How the person’s face is perceived to a large extent depends on the size and shape of the nose as well as the balance of the nose with the rest of the face. It is not surprising that a large number of people turn to plastic surgeons to improve the shape of the nose. The beauty and movie icon city is no exception – in Los Angeles Rhinoplasty procedures are among the most popular.
Nose reshaping surgery or nose job is called rhinoplasty. Most Beverly Hills rhinoplasty experts will agree that rhinoplasty is the most difficult plastic surgical procedure. The two common techniques to peform rhinoplasty are close and open approaches. Increasingly, in high awareness Beverly Hills Closed rhinoplasty (also referred to as endonasal rhinoplasty) is gaining prominence.
In open rhinoplasty, an incision is made across the bottom portion of the nose the skin is elevated exposing the underlying cartilages and bony structures. Even though in most patients the scar is may not be noticeable, there are many patients who complain of the visible or notched scar following an open rhinoplasty. Certain groups of patients are more prone to developing unfavorable scars including patients that have thick skin and patients with olive and darker color skin. Unfortunately, there is nothing that can be done to remove the scar.
Closed rhinopasty (endonasal rhinoplasty) is performed through incisions inside the nose which avoids external scars. Using a closed rhinoplasty approach the nose can be effectively reshaped and breathing can be improved. Recovery after closed rhinoplasty is usually faster than after open rhinoplasty. Sutures are placed and inside and do not need to be removed as they are absorbable. Closed rhinoplasty requires a higher level of surgical experience. Regardless of the approach used, outcomes following rhinoplasty largely depends on the surgeon’s experience with this procedure. There are far fewer Los Angeles Closed Rhinoplasty specialists, as it is a different skill set. To learn more about closed rhinoplasty visit http://www.vgplasticsurgery.com .

Monday, December 15, 2008

Rhinoplasty Among Asians

Nose job or rhinoplasty Los Angeles for years has been a popular plastic surgery procedure among various ethnics groups. While many groups tend to request a smaller and shorter nose, many Asian patients seek to have a larger and narrower nose. There are several characteristics common to Asian nose surgery Los Angeles.
First, a number Asian patients request to augment the bridge the area to reduce the flattened appearance of the nose. Augmenting the bridge area makes the nose look bigger and narrower. Various materials are available to augment the bridge of the nose including synthetic implants, processed tissue, or patient’s own tissue such
cartilage or fascia. Most surgeons prefer to use synthetic materials, particularly silicone implants. A silicone implant is easy to place and produces a smooth bridge with a predictable amount of augmentation.
Another step performed in Asian rhinoplasty is tip refinement. Many Asian patients complain of a wide and flat nasal tip. Reshaping of nasal tip usually involves narrowing the tip and augmenting the tip using the patients own cartilage. Augmenting the tip effectively balances the tip with the augmented bridge. Synthetic implants have also been used for tip augmentation but have a higher risk of complications.
Nostril width reduction is also frequently performed as part of Asian rhinoplasty. When reducing the width of the nostrils, a plastic surgeon will balance the nostrils not only relative to the rest of the nose but also relative to distance between the inner corners of the eyes. Any Los Angeles plastic surgeon performing rhinoplasty in Asian patients should aim to produce a natural appearing shape while preserving some ethnic nasal features in those patients desire so. Click on the hyperlink to learn more information on rhinoplasty Los Angeles .

Sunday, December 14, 2008

Evolution of breast augmentation

Breast augmentation has become one of the most commonly performed plastic surgical procedures across the world. Many women turn to plastic surgeons to enhance the size of their breasts or restore the breast volume that may have been lost following pregnancy or weight loss. Today breast enlargement procedures are performed using silicone or saline breast implants. However, in the past other materials were tried.

First breast augmentation was performed using paraffin injection in 1890. This procedure resulted in infections and formation of lumps and thus lost its popularity. Fat transfer from the abdominal or buttock area to the breasts was attempted in 1920.

Not all of the transplanted fat survived. As some fat went away, breast asymmetry and lumps resulted. Even though this procedure did not gain a wide acceptance at that time, recently some surgeons were able to produce more predictable results with fat transplant. However, concerns remain whether cancer detection may be obscured with transplanted fat.

In 1960 silicone was introduced for breast augmentation. Initially this was done in the form of silicone injections. The injections resulted in chronic inflammatory lumps called granulomas. Silicone migrated to other parts of the body in some patients. Today silicone injections are FDA approved for breast augmentation. Some physicians or non-physicians still performed silicone injection for breast augmentation, typically outside of the US.

In the mid 1900s polyvinyl sponges were used for breast augmentation. These synthetic sponges hardened producing a hard breast. Additionally, sponge infections and possible link to cancer caused this procedure to be abandoned. Another unsuccessful material for breast augmentation was soybean oil. Soybean oil implants produced toxic and rancid byproducts and therefore were not approved.

In the 1960s silicone breast implants gained a wide popularity for breast augmentation as they resulted in soft feeling augmented breasts. Due to concerns that silicone implants may cause cancer, FDA banned the use of silicone implants for cosmetic breast augmentation but permitted their use for reconstructive purposes through clinical trials. Recently, silicone implants became FDA approved for cosmetic breast enhancement as studies have confirmed their safety.

Today saline filled and silicone gel breast implants are FDA approved for breast augmentation. Recent studies in the US show that the new silicone breast implants have similar complication rate to saline filled breast implants. The new generation of silicone implants are less likely to leak and form capsular contracture than the first generation. Gummy bear breast implants are currently under investigation and will likely gain FDA approval in the near future.

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Thursday, November 27, 2008

Plastic surgery- What is popular in Los Angeles

Plastic surgery is not just for celebrities any more. There is great variety of plastic surgery procedures that a plastic surgeon in Los Angeles can offer. Certain procedures are clearly in a greater demand than others. For example, procedures like Los Angeles Breast Implants using silicone implants or saline implants is probably the most popular procedure. This relatively short procedure has proven to be a reliable and predictable method of breast enhancement. Silicone breast implants recently became FDA approved for cosmetic breast augmentation in the United States.Silicone breast implants offer the advantage of a more natural feel and less risk in implant rippling.Tummy tuck in Los Angeles is another commonly performed procedure by Los Angeles plastic surgeons. Having a flat stomach with a defined waist has been the goal of many women seeking this procedure. Exercise and diet do not always allow to flatten the stomach especially in people who lost weight or in women following pregnancy. Stretched abdominal skin in these cases can only be removed with surgery. During a tummy tuck loose abdominal muscles are also tightened which further flattens the stomach.Rhinoplasty in Los Angeles (also referred to as nose surgery) is typically the third most commonly performed plastic surgery procedure. Common among men and women this procedure allow to reshape the nose removing the features that may be viewed as unattractive. Most commonly patients complain of a bony hump, wide nose, or droopy tip. A number of patient also request to improve nasal airway obstruction in addition to nose reshaping. As plastic surgery is becoming more acceptable in our society, it becomes more important for people considering undergoing plastic surgery to become very familiar with the procedure, including its alternatives, risks and benefits as well as ensure that the procedure is performed by someone who has appropriate expertise.

World Mecca of Plastic Surgery

Plastic surgery has been growing worldwide. However, Beverly Hills undoubtedly is the most frequently mentioned place when in comes to plastic surgery. Recent television shows have popularized such plastic surgery procedures as Beverly Hills nose surgery,Beverly Hills breast enlargement, Beverly Hills tummy tuck, and others. Beverly Hills now has the highest concentration of plastic surgeons. Perhaps in the past primarily rich people and movie stars turned to Beverly Hills for plastic surgery. Today studies show that most plastic surgery patients are middle class people. Beverly Hills attracts not only Americans but also people from all over the world. Many Europeans find it less expensive to have plastic surgery in America as value of dollar has declined.Plastic surgery and a vacation in the United States has become a popular combination for many Europeans. Typically, a patient will contact a Beverly Hills plastic surgeon via email for an internet and/or telephone consultation. The surgeon will review the photographs to formulate a preliminary plan prior to meeting the person in the office.The plastic surgery office will have hotel and aftercare arrangement for patients traveling from abroad. It becomes important for foreign patients to spend enough time here to have sufficient postoperative follow-up. This can range from 5 days to 4 weeks and will be determined by the surgeon.Disclaimer: This blog or article is for information purpose only, and should not be treated a professional advise or price protection guarantee.

Preparing for plastic surgery

An important aspect of having a successful outcome following plastic surgery is preoperative preparation. As part of a preoperative visit, a surgeon will discuss instructions as to what to do and not to do before surgery.
Thirty days before surgery Depending on the patient’s age and presence of medical problems, some patients may need to undergo a preoperative medical clearance which is performed by the patient’s primary care physician or cardiologist. It is important not to smoke before surgery and during the healing period after surgery. For Los Angeles Facelift, tummy tuck, and other plastic surgery procedures, smoking decelerates the healing and increases the risk of complications. There is no clear evidence as to how long the patient should not smoke prior to surgery. However, many physicians recommend avoiding smoking for at least a month prior to surgery.
Two to three weeks before surgery The surgeon will review patient’s medications and instruct which medication should be continued and stopped. Blood thinners such as aspirin, plavix, coumadin, ibuprofen and other non-steroidal anti-inflammatory (NSAIDs) medications would need to be stopped at least 10-14 days before surgery. In most patients, medications for blood pressure, diabetes, thyroid problems can be continued. Many dietary and herbal supplement need to be stopped 2-3 weeks prior to surgery as they may increase bleeding and bruising. Some these common supplements include Ginkgo, Ginseng, Garlic, Vitamin E, Fish oil (Omega 3 Fatty acids). Alcohol should also be avoided at least 2 weeks prior to surgery as it may also increase bleeding. Many weight loss medications may interfere with anesthesia and should also be stopped 2 weeks prior to surgery. Birth control pills may increase the risk of deep vein thrombosis (blood clots in legs) especially in longer operations such as Los Angeles tummy tuck, large volume liposuction, and other Los Angeles body contouring procedures. Many Los Angeles Plastic surgeons may recommend stopping births control pills two weeks prior to surgery. For shorter procedures such as Los Angeles rhinoplasty or breast augmentation, birth control pills can be continued.
Day before surgery The day before surgery, the patient should review all preoperative and postoperative instruction sheets, including the directions to the hospital/surgical facility and the time of arrival. For same day surgery, the patient needs to have an adult person take the patient home and have someone take care of the patient at home during the initial postoperative period. Eight hour prior to surgery, the patient needs to stop eating or drinking. The morning of surgery, the patient can brush his/her teeth and take a shower while avoiding using body lotions or deodorants.

Saturday, November 22, 2008

Preparing for plastic surgery

An important aspect of having a successful outcome following plastic surgery is preoperative preparation. As part of a preoperative visit, a surgeon will discuss instructions as to what to do and not to do before surgery.
Thirty days before surgery Depending on the patient’s age and presence of medical problems, some patients may need to undergo a preoperative medical clearance which is performed by the patient’s primary care physician or cardiologist. It is important not to smoke before surgery and during the healing period after surgery. For Los Angeles Facelift, tummy tuck, and other plastic surgery procedures, smoking decelerates the healing and increases the risk of complications. There is no clear evidence as to how long the patient should not smoke prior to surgery. However, many physicians recommend avoiding smoking for at least a month prior to surgery.
Two to three weeks before surgery The surgeon will review patient’s medications and instruct which medication should be continued and stopped. Blood thinners such as aspirin, plavix, coumadin, ibuprofen and other non-steroidal anti-inflammatory (NSAIDs) medications would need to be stopped at least 10-14 days before surgery. In most patients, medications for blood pressure, diabetes, thyroid problems can be continued. Many dietary and herbal supplement need to be stopped 2-3 weeks prior to surgery as they may increase bleeding and bruising. Some these common supplements include Ginkgo, Ginseng, Garlic, Vitamin E, Fish oil (Omega 3 Fatty acids). Alcohol should also be avoided at least 2 weeks prior to surgery as it may also increase bleeding. Many weight loss medications may interfere with anesthesia and should also be stopped 2 weeks prior to surgery. Birth control pills may increase the risk of deep vein thrombosis (blood clots in legs) especially in longer operations such as Los Angeles tummy tuck, large volume liposuction, and other Los Angeles body contouring procedures. Many Los Angeles Plastic surgeons may recommend stopping births control pills two weeks prior to surgery. For shorter procedures such as rhinoplasty Los Angeles or Los Angeles breast augmentation , birth control pills can be continued.
Day before surgery The day before surgery, the patient should review all preoperative and postoperative instruction sheets, including the directions to the hospital/surgical facility and the time of arrival. For same day surgery, the patient needs to have an adult person take the patient home and have someone take care of the patient at home during the initial postoperative period. Eight hour prior to surgery, the patient needs to stop eating or drinking. The morning of surgery, the patient can brush his/her teeth and take a shower while avoiding using body lotions or deodorants.

Sunday, August 24, 2008

Where was the first nose job performed?

Nose reshaping surgery (rhinoplasty) is not a recent procedure. It was first performed in ancient India by Sushruta , 500 BC. Amputation of noses was one way to punish for crime in India at that time. An Indian physician, Sushruta, was the first to perform rhinoplasty to restore the shape of the nose. Sushruta later described his rhinoplasty techniques in his text Sushruta Samhita. Today nose surgery in Los Angeles ranks among the most frequently performed procedures. Despite the fact this procedure has existed for centuries, any plastic surgeon in Los Angeles would agree that rhinoplasty remains the most challenging procedure in plastic surgery. Every person has a different nose and requires a unique approach. In addition to changing the shape of the nose, the breathing function of the nose needs to be improved in many patients. The goal of rhinoplasty is to produce an attractive naturaly appearing nose with patent nasal airways.

What is a mommy makeover?

With increasing popularity of plastic surgery in Los Angeles, new terms have appeared for existing plastic surgery procedures. It is not uncommon for a plastic surgeon in Los Angeles to receive requests to perform a mommy makeover. What is a mommy makeover? A mommy makeover is not one procedure but usually includes several plastic surgical procedures to improve a woman’s physique following pregnancies and diminish some of the effects of aging. Common consequences of childbearing that frustrate many women include excess skin in the abdominal area with stretched abdominal muscles, loss of breast volume, breast sagging, areas of fat excess, and others. A mommy makeover usually combines procedures known as a tummy tuck Los Angeles, breast implants Los Angeles (enlargement), breast lift Los Angeles, liposuction Los Angeles, and nose surgery Los Angeles (rhinoplasty). A combination of these procedures can be performed at the same time or in stages. A board certified plastic surgeon will decide which combination of the procedures can be performed safely at once and which at a different time.

Sunday, January 13, 2008

THE STUBBORN TUMMY POOCH

Exercise and diet are the healthiest methods of staying in shape. However, there are many men and women who are bothered by the persistent tummy pooch despite diet and exercise. A number of women complain that after pregnancy they developed an abdominal bulge that would not go away no matter how much they diet or exercise. What causes this stubborn tummy pooch? Three basic changes may be observed in people with abdominal bulges:
- Stretched Skin
- Excess Fat
- Weakened Abdominal Wall

Stretched skin occurs in people who gained or lost weight or more commonly following pregnancy. Today there is no effective way to tighten the sagging abdominal skin other than having it surgically removed. This procedure is known as a tummy tuck or abdominoplasty. The incision for a tummy tuck is placed low so that the scar can be hidden behind underwear. Fat accumulation in the abdominal area can also be resistant to diet and exercise. In such cases, unwanted fat can be removed with liposuction or a tummy tuck.
The abdominal wall consists of abdominal muscles and a membrane between these muscles called a fascia. With age or following pregnancy the fascia stretches causing the abdomen to bulge. Abdominal exercises frequently fail to tighten the stretched fascia. This fascia can be effectively tightened using sutures during a tummy tuck to improve the contour of the abdomen.
Most people go home the same day after a tummy tuck and return to work in about 10-14 days. The new shape of the abdomen is evident immediately after the procedure and continues to improve over the next several months.

Vladimir Grigoryants, MD
Plastic Surgeon , CA



Key words: Los angeles tummy tuck, Liposuction los angeles, plastic surgeon glendale, pasadena plastic surgeon, los angeles rhinoplasty, nose surgeon los angeles.

Tuesday, January 8, 2008

Top Four most popular plastic surgery procedures in Los Angeles.

Plastic surgery in Los Angeles is not just for celebrities any more. There is great variety of plastic surgery procedures that a Los Angeles plastic surgeon can offer. When looking at the trends of Los Angeles plastic surgery based on my own and my colleagues’ practices, it becomes clear that certain procedures are much more popular than other ones.
Breast augmentation using silicone implants or saline implants is one the most commonly performed plastic surgery procedures. Women who are unhappy with the size of their breasts or those who would like to restore the breast volume which was lost following pregnancy turn to a plastic surgeon for breast enhancement. In some women with droopy breasts, in addition to breast augmentation, breast lift would need to be performed in order to achieve a better breast shape. Silicone breast implants recently became FDA approved for cosmetic breast augmentation in the United States. Silicone breast implants
offer the advantage of a more natural feel and less risk in implant rippling.
Tummy tuck is another most commonly performed procedure by Los Angeles plastic surgeons. Staying in shape and in particular having a flat stomach has been promoted in today’s society. Exercise and diet do not always allow to flatten the stomach especially in people who lost weight or in women following pregnancy. These people typically have stretched abdominal skin which can only be removed with surgery. During a tummy tuck loose abdominal muscles are also tightened which further flattens the stomach.
Liposuction similar to tummy tucks is a frequently requested procedure. It can be performed alone or in combination with other procedures such as a tummy tuck. Liposuction will remove areas of fat accumulation such as in flanks, thighs, neck, back, and abdomen.
Rhinoplasty (also referred to as nose reshaping or nose job) concludes the list of most commonly performed plastic surgery procedures. Both men and women turn to plastic surgeon requesting to improve the shape of the nose. Most commonly patients complain of a bony hump, wide nose, or droopy tip. Some pateint request to improve their breathing. In many patients, rhinoplasty is combined with other procedures such as breast augmentation or liposuction. As the popularity of plastic surgery is increasing, it becomes very important for any person considering plastic surgery to do research to ensure that your plastic surgeon is skilled and safe.

Vladimir Grigoryants, MD
Plastic Surgery Glendale, CA

Key words: los angeles plastic surgeon, Pasadena plastic surgeon, los angeles tummy tuck, los angeles rhinoplasty, los angeles breast augmentation, los angeles liposuction, los angeles breast lift.

Wednesday, January 2, 2008

A Five Minute Nose Job.

Most people are not completely satisfied with their noses. For many people changing the shape of the nose involves having nose surgery, also known as rhinoplasty.
A relatively new procedure performed by many Los Angeles plastic surgeons is non-surgical rhinoplasty. This is a minimally invasive procedure that takes less than 5 minutes to perform. Non-surgical rhinoplasty is performed in the office using no anesthesia. Using a small needle, a tissue filler such as Restylane is injection in two areas of the nose. The result is that hump is hidden and appears to be rotated and better defined. The improved shape of the nose is obvious immediately. Visit our website to view before and after photographs of rhinoplasty patients. The results of injections may last as long as 6-8 months. Bruising is rare and swelling is minimal. Patients may return to work the same day. Non-surgical rhinoplasty is a great option for patients who do not want surgery and wish immediate results with almost no recovery.
This procedure is frequently combined with injection of the tissue filler in the face to decrease the appearance of smile lines and wrinkles. The procedure is frequently referred to as nose job Glendale and nose job Los Angeles.



Vladimir Grigoryants, MD
Plastic Surgeon, Glendale CA

(800)540-0508
http://www.vgplasticsurgery.com/

Key words: los angeles plastic surgeon, los angeles rhinoplasty, Restylane,
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Los Angeles breast augmentation

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