Sunday, November 22, 2009

Cosmetic procedures tax (Botax)

A recent proposal for the health care reform was to introduce a 5% tax on elective cosmetic procedures. Lawmakers that proposed this tax believe that it will allow to generate 5.8 billion dollars over the next ten years. However, the plastic surgery societies oppose this tax as discriminatory, arbitrary and ineffective.

First, this tax is disciminatory against women as 86 percent of plastic surgery patients are female, of which 91 percent are between the working ages of 19-64 according to the current ASPS President. He further added that cosmetic surgery is no longer an exclusive luxury afforded by the very wealthy, but rather a mainstream and reasonable option most common amongst the working middle-class.

According to the plastic surgery societies, such a tax has been proven ineffective in the past. New Jersey is the only state that passed a similar 6% tax on elective medical procedures in 2004. However, the NJ Department of Taxation has experienced a 59% shortfall compared to the projected revenue estimates. Eight other states have considered similar tax legislation– and they all wisely rejected them.

Finally, though the bill claims that the only procedures that would be taxed are those that are “not necessary to ameliorate a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or a disfiguring disease,” The Plastic Surgery Societies contend that such distinctions aren’t always obvious. Because the line between ‘cosmetic’ and ‘reconstructive’ surgery is not always clear, such a tax would leave the determination of medical necessity up to state tax auditors – a completely inappropriate proposition.

Information source www.earthtimes.org

Key words: Plastic surgeon los angeles , rhinoplasty Los Angeles, breast augmentation Los Angeles, tummy tuck Los Angeles, liposuction Los Angeles.

Sunday, November 15, 2009

Commonly performed procedures in LA

Plastic surgical procedures are performed in large volumes on a daily basis in Los Angeles. There are many different procedures performed. Some of the most commonly performed procedures are:

Breast Augmentation Los Angeles - is probably the most commonly performed procedure by many Los Angeles plastic surgeons. Silicone breast implants have become very popular and provide a more natural feel than saline implants. The satisfaction rate of women with silicone implants appears to be higher than among those who underwent augmentation using saline implants.

Rhinoplasty - is a procedure which reshapes the nose. Closed and open nose reshaping techniques exist. Rhinoplasty Los Angeles and Rhinoplasty Beverly Hills experts will agree that this is one of the most challenging plastic surgical procedures as each person has a different nose.

Tummy tuck Los Angeles- is a very commonly performed procedure. Many mothers and patients who lost weight turn to plastic surgeon to remove excess skin, excess fat, and tighten loose abdominal muscles. This procedure is frequently combined with liposuction.

Sunday, October 25, 2009

Asian rhinoplasty

Asian-Americans comprise an increasing percentage of US plastic surgery patients and the number of Asian-Americans undergoing rhinoplasty in Los Angeles and rhinoplasty in Beverly Hills . This procedure has been one of the most commonly requested procedures among this ethnic group.

A Los Angeles plastic surgeon is typically asked to address a broad bridge, wide nostrils, and a flat nasal tip curve. The prevailing Asian rhinoplasty trends involve the changing and reshaping of these characteristic features of the nose.

A common option to produce a higher nasal bridge, a silicone implants is used. Some plastic surgeons in Los Angeles prefer to use cartilage grafts to build up the nasal bridge during Asian rhinoplasty. Cartilage warping and visibility have been reported as commonly observed complications when cartilage grafts are used for this purpose. In contrast, the use of cartilage grafts for tip augmentation has been used successfully with fewer problems.

Keeping the nose balanced with the rest of the face is the key to a successful Asian-American rhinoplasty. At the same time, many patients request to preserve ethnic features of the nose. Asian rhinoplasty is not a long procedure and therefore can be combined with other procedures such as breast augmentation Los Angeles or tummy tuck Los Angeles.

Sunday, September 6, 2009

Lip Augmentation in Los Angeles

Introduction of silicone lip implants today allows plastic surgeons to offer patients a safe, natural, and permanent method of lip augmentation. Silicone lip implants are soft and shape specifically to produce a natural feel and look. These implants are similar in the feel to the gummy bear breast implants that are used for breast augmentation. Silicone lip implants cannot leak. These implants are be inserted in the office under local anesthesia through small incisions in the corner of the mouth. The procedure takes about 15-20 min to perform. The implants can be easily removed in the office in the future if the patient decides to have them removed. Lip augmentation can be performed alone or in combination with other procedures such as breast augmentation, rhinoplasty, tummy tuck, or liposuction.

Friday, August 28, 2009

Nose surgery

Although there are aesthetic guidelines as to what constitutes an attractive nose, for each face it takes a different nose to create an appropriate harmony and balance. According to a plastic surgeon Los Angeles patients can take advantage of nose reshaping surgery (rhinoplasty) which can help enhance the appropriate balance between the nose and facial features.

Rhinoplasty Beverly Hills
With Regard To Nose Plastic Surgery Rhinoplasty in Los Angeles Can Achieve The Following Effects:
The hump on the bridge of the nose can be removed
The boxy or bulbous tip of the nose can be refined
Droopy nose can be rotated up
A long nose can be made shorter
A wide nose can be narrowed
Certain traumatic deformities of the nose can be improved or corrected
Certain causes of nasal airway obstruction can be treatedIn some patients with a small chin, a chin augmentation may improve the balance between the face and the nose. A detailed analysis of your nose and facial features will be performed during your consultation. As with all plastic surgery operations like rhinoplasty or tummy tuck Los Angeles patients can expect to discuss potential options with their surgeons regarding all their facial and body reshaping needs.

How is nasal reshaping (rhinoplasty) done?
Rhinoplasty in some patients can be performed using local analgesia and sedation. General anesthesia is used in other patients. The choice of anesthesia depends on the type of nasal reshaping to be performed, your preference, and your medical condition. For most rhinoplasty patients, we place incisions inside the nose. The sutures are absorbable and do not need to be removed. In some patients a small incision may need to be placed at the base of the nose.

What is recovery like following rhinoplasty Beverly Hills patients often ask. Intranasal dressings, if used, will be removed on day 2 or 3 after surgery. You will have a splint on your nose that will be removed on day 5 or 6 after surgery. Most swelling will resolve within several weeks. However, it may take up to a year for all swelling to resolve completely. Most patients are very pleased with the results. Some patients request a touch-up procedure to further refine the results. Many patients combine rhinoplasty with other procedures such as breast augmentation Los Angeles or lip augmentation los angeles .

Sunday, July 26, 2009

Silicone injections

Medical grade silicone is a compound that has been widely used in cosmetic surgery. Some physicians have even gone as far as injecting silicone in the nose for non surgical rhinoplasty Beverly Hills. Additionally, it is also injected in the face or lips for augmentation and treatment of wrinkles. Silicone injections are not approved by FDA for cosmetic purposes as many permanent complication can occur. Silicone breast implants are approved by FDA for breast augmentation beverly hills and are considered to be safe. Because implants are placed deep behind the muscle or breast tissue and silicone is contained in an implant shell, complication related to silicone are much less common and less severe when implants are used for breast augmentation Los Angeles. When injected, liquid silicone used for lip augmentation or rhinoplasty los angeles can cause granulomas (painful bumps), irregularities, and even ulcers. Typically a board certified plastic surgeon Los Angeles will advise patients from having silicone injections.

Sunday, June 21, 2009

body contouring

What is body contouring? This technical term which confuses a lot of people includes a plastic surgery procedures that help improve and restore the shape of the body. Commonly performed procedures for body contouring include a tummy tuck los angeles and liposuction los angeles. These procedure can also be combined with breast reshaping procedures such as breast augmentation los angeles or breast implans los angeles. Patients presenting for body contouring typically have lost a lot of weight of after pregnancy. Tummy tuck beverly hills allows to remove skin excess which may occur following weight loss and tighten abdominal muscles. Additionally, contouring of the extremities such as arm lift, thigh lift, body lift and liposuction is performed. The term body contouring typically does not include facial surgery such as rhinoplasty beverly hills or nose surgery beverly hills . Although loose facial skin results in patients following significant weight loss. These patient will undergo a facelift to improve the contour of the face. Rhinoplasty Los angeles or nose surgery los angeles mainly addresses the skeleton of the nose which does not change with weight loss. To ensure safety, a plastic surgeon los angeles will decide which combination of procedures can be performed at the same time

Should nasal packing be used after rhinoplasty?

Monday, May 25, 2009

Is rhinoplasty covered by medical insurances?

Rhinoplasty Los Angeles can be performed to improve the form of the nose and/ or improve breathing. Nose surgery Los Angeles to improve nasal airway obstruction is considered medically necessary and therefore will be covered by most medical insurances. These patients typically suffer from a nasal airway obstruction and have evidence of obstruction such as a deviated septum Los Angeles and / or enlarged turbinates. Rhinoplasty performed for aesthetic purposes is not covered by medical insurances but correction of nasal deformities due to trauma may be covered. A plastic surgeon Los Angeles will first discuss the patients sympotms and examine the nose to determine if the patients has evidence of nasal airway obstruction which can be surgically treated. Nasal airway correction is frequently combined with cosmetic rhinoplasty beverly hills .

Sunday, May 10, 2009

What is a mommy makeover?

A mommy makeover Los Angeles has been frequently mentioned in the media. Hence, many mothers present to Los Angeles plastic surgeons asking for this procedure. A mommy makeover is more of a marketing rather a technical term. Following pregnancies many women experience changes in the shape of their body and face. A mommy makeover includes a set of plastic surgery in Los Angeles procedures that would restore or improve the shape of the woman's face and body after childbearing.

There is not a specific set of procedures. More commonly women are bothered by stretched abdominal skin and weak abdominal muscles, sagging breasts with dimished volume, fat excess in various areas. Therefore, a common combination of a mommy makeover procedures are a tummy tuck Los Angeles, liposuction Los Angeles of abdomen and flanks, and breast augmentation Los Angeles. Women who developed breast sagging would benefit from a breast lift Los Angeles in addition to breast enlargment Los Angeles using breast implants Los Angeles. These procedures can also be combined with a tummy tuck Beverly Hills. In some women breasts may stay large and heavy and these women request a breast reduction Los Angeles.

Another common set of procedures is facial plastic surgery Los Angeles and body contouring. Commonly mothers in this group undergo such procedures as rhinoplasty Los Angeles combined with a breast augmentation or a tummy tuck. RhinoplastyBeverly Hills is nose surgery Los Angeles to reshape the nose, also referred to as a nose job Los Angeles . Many women who are bothered by protruding ears had requested to undergo ear surgery Los Angeles or otoplasty Los Angels . This procedure is also called ear pinning Los Angeles .

Friday, May 1, 2009

Recovery after plastic surgery

Most procedures in plastic surgery in Los Angeles are elective and require careful preparation and planning. A great part of a successful outcome depends on proper postsurgical care. Recuperation following plastic surgery Los Angeles depends on the type of procedure performed and person's health status. Postosurgical instructions vary depending on the preference of the Los Angeles plastic surgeon and patient's health status. At our practice most patients are given instructions listed below. Breast Augmentation Los Angeles- is a relatively short procedure about (45min - 1hour). Most women are able to return to work about 4-7 days following breast enlargement Los Angeles. The larger the breast implants Los Angeles, the greater amount of pressure the patients experience early after the procedure. Most exercises can be resumed about 4 weeks after breast augmentation Beverly Hills.

Breast reduction Los Angeles or Breast lift Los Angeles - are 3-4 hours in duration. Patients are advised plan for a 7 -10 day recuperation period, which can be shorter for many patients. Exercises can be gradually resumed 1 month after surgery.

Rhinoplasty Los Angeles or nose job Los Angeles - takes about 1-2.5 hours to perform. In most patients a nasal splint will be placed following nose surgery Los Angeles, which will stay on for 5-7 days. Although some patients return to work or school, as early as 2-3 days after nose surgery, most patients take about 5-7 days off. Exercises can be resumed 3-4 weeks after rhinoplasty Beverly Hills

Tummy tuck Los Angeles- the surgery lasts 2-4 hours. Some patients may spend a night in the hospital or a recovery center but most patients go home the same day. It is recommended for most patients to take about 2 weeks off. Many people feel better faster and return to work as early as 6-7 days after tummy tuck Los Angeles surgery. Cardiovascular exercises can be resumed 4 weeks after tummy tuck Beverly Hills surgery and heavy lifting 2 months after surgery.

Liposuction Los Angeles - the duration of this procedure varies on the size of the patient and number of areas treated. For isolated areas of liposuction (eg lower back, abdomen, outer thighs, neck, or arms), 4-5 days of recovery is sufficient for most patients. When liposuction Beverly Hills is combined with other procedures, recovery can be several days longer. As a rule after all these procedures patient will be walking the same day after surgery.

Friday, April 24, 2009

How is breast implant size selected?

Women presenting for breast enlargement Los Angeles have different goals as to how much bigger they would like to have their breast to be. Although most women presenting for breast augmentation Los Angeles request full C or small D cup size, some women prefer B cup or a large D cup. It is important to keep in mind that bras are made differently depending on the manufacturer. Therefore, a C cup bra purchased from one store may not be the same as a C cup bra purchased elsewhere. Using breast implant Los Angeles volume in cc’s is more reliable. During a consultation, the woman will put on a bra and insert breast implants of different volumes to estimate which size looks better on her. The plastic surgeon Los Angeles should also advise which volume would be appropriate depending on the person’s height, chest width, and breast anatomy and measurements. Breast implants come in different sizes and shapes. The surgeon will show the implants and explain what type of breast enlargement Beverly hills result is achieved with various shapes of the breast implants Bevelry hills.

Specializing in breast augmentation beverly hills , rhinoplasty beverly hills, rhinoplasty los angeles, nose job los angeles, tummy tuck los angeles, and tummy tuck beverly hills.

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Sunday, April 12, 2009

What do plastic surgery words mean?

More people know about plastic surgery Los Angeles than ever before. Many of the technical plastic surgical terms have become part of a common conversational vocabulary.

If before people referred to nose reshaping as a nose job Los Angeles, today more people name the procedure by its proper technical term, a rhinoplasty Los Angeles. The term rhinoplasty stems from greek words rhinos which means a nose and plastikos which means to shape or mold. Hence the word plastic surgery refers to shaping or molding. Los Angeles plastic surgeons will alter the cartilage and bony structures of the nose to modify the shape of the nose.

Abdominoplasty means reshaping of the abdomen, also called a tummy tuck Los Angeles. A tummy tuck involves removing excess skin and fat as well as tightening abdominal muscles.

Augmentation mammaplasty is breast augmentation Los Angeles. The word mammaplasty means breast reshaping. This procedure is also referred to as breast enlargement Los Angeles, breast enhancement, or breast implants Los Angeles. Reduction mammaplasty is breast reduction Los Angeles. Mastopexy means a breast lift Los Angeles.

Liposuction Los Angeles is a commonly used term to describe removal of fat. Other technical terms for this procedure are suction lipectomy (removal of fat) or lipoplasty (reshaping of fat).

Friday, April 3, 2009

What is capsular contracture?

Capsular contracture is one of the uncommon complications following Los angeles breast augmentation. The body will form a fibrous capsule (or a scar) around the implant. This is a normal healing process. In some women, however, a thicker scar can be formed. The thicker scar around the breast implant can squeez the implant causing it to feel hard and look deformed. Milder forms of capsular contracture following breast enlargement los angeles do not require treatment, whereas more severe forms require a revisional surgery. Early capsular stretching exercises may help reduce the incidence of capsular constracture. Many plastic surgeons will teach the patient how to massage the breast implants los angeles starting on day 4-6 after surgery.

Thursday, April 2, 2009

Rhinoplasty among men

The article discusses rhinoplasty among men, nose job los angeles, rhinoplasty los angeles

Do men get nose jobs or rhinoplasty ? The answer is yes. Rhinoplasty Los Angeles has been a popular procedure among men of various ages. Many men are bothered with the features of the nose that make the nose stand out including a hump (bump on the nose), wide tip, long nose, wide nostrils, or nasal deviation. Many men complain of breathing problems and request surgical treatment (with our without nasal reshaping ).

The goals of Los Angeles rhinoplasty in men are slightly different than those in women. Most men prefer to have a straight dorsum (bridge) rather than a bridge with a slope (which is what many women prefer). The angle between the nose and the upper lip in men is kept at about 90-95 degrees whereas in women a better angle would be 95-100 degrees. Most men do not want to have a small nose as it is believed that bigger noses project confidence. Typically, male patients do not want to have an obvious operated-on shape of the nose. The plastic surgeon will have a detail discussion with the patient in order to understand what changes the patient seeking to achieve.



Wednesday, March 25, 2009

Do Breast Implants Need to be Changed Every Ten Years?

A Los Angeles plastic surgeon is frequently asked by his or her patients whether breast implants need to be changed every 10 years. A simple answer is no. Breast implants do not need to be changed if there are no problems with them. For most patients, Los Angeles breast implants will last a lifetime. However, some women will need to undergo a second surgery. There are several reasons for which this may be necessary.

- Capsular contracture occurs in about 8-9% (3 year study) of women undergoing breast augmentation using silicone or saline implants. Capsular contracture is a thicker than usual capsule that is formed around the implant causing the implant to feel harder and deforming its shape. For severe forms of capsular contracture, revision surgery may be necessary to remove or release the capsule.

- Implant infection requires implant removal but fortunately happens very rarely.

- Implant asymmetry is another reason for which women may seek revision surgery.

- Implant rupture has an incidence of about 0.5% for silicone implants and about 3 % for saline implants (3 year study). Ruptured implants need to be removed.

Today breast Los Angeles breast augmentation is performed primarily using silicone implants. The new generation silicone implants have a lower leak rate than older silicone implants. Los Angeles breast enlargement has become and more socially acceptable procedure. Breast augmentation is frequently performed with other procedures such as rhinoplasty Los Angeles, Liposuction Los Angeles, or tummy tuck Los Angeles.

Wednesday, March 11, 2009

Breast augmenation at an early age

Breast augmentation Los Angeles is frequently requested procedure by young females. Saline and silicone Los Angeles breast implants are approved for breast enlargement. Most Los Angeles plastic surgeons will perform breast enlargement on patients as young as 18 years old. FDA allows silicone implants to be used on patients 22 years of age and older.

What is the youngest age at which rhinoplasty can be performed?

Rhinoplasty Los Angeles or (nose job Los Angeles) has been a popular procedure among teenagers. Unless a significant breathing airway obstruction is present, nose surgery should after facial growth has been finished. Typically in girls nose reshaping can be performed starting late 15 years of age and in boys starting age 17. As a rule a Los Angeles plastic surgeon will obtain a detailed growth history to ensure the patient has stopped growing.

Can a tummy tuck be performed in women who have not had children?

Tummy tuck Los Angeles is a procedure that removed abdominal skin and fat excess as well as tightens abdominal muscles. Most commonly this procedure is performed in mothers after childbearing. However, women who have not had children also present to Los Angeles plastic surgeons for a tummy tuck. Typically, these women have lost weight. The resulting skin excess and possibly remaining fat excess cause a lot of physical and social discomfort. In these patients a tummy tuck can also be performed. These patients are informed that during pregnancy the skin may stretch.

Sunday, March 1, 2009

Does Facial Yoga Help Get Rid of Facial Wrinkles?

Aging is unavoidable process that every person goes through in his or her life. A lot of effort has been spent around the world on finding ways to minimize the signs of aging from simple makeup to plastic surgery. New trends and treatments appear in the media regularly that claim to slow down or reverse the aging process.

Recently, facial yoga has gained a wide popularity. The proponents of facial yoga state that by exercising and tightening facial muscles, facial wrinkles can be minimized or prevented. As an example of some of the facial yoga exercises are grimacing or opening the mouth with the tongue out for a prolonged period of time while contracting various facial and neck muscles.

It is true that any exercise in general is a great way to maintain health. However, most plastic surgeons in Los Angeles will disagree that tightening facial muscles by grimacing will diminish wrinkles. It is clear today that strong facial muscles cause more wrinkling of the skin on animation and eventually resulting in permanent skin wrinkles. For example, a person with a strong forehead muscle (called frontalis muscle) is more likely to have deeper horizontal wrinkles on the forehead . Someone how has strong mimetic muscles around the eyes will have more pronounced wrinkles on the sides of the eyes (referred to as crow’s feet). People with strong neck muscle (called platysma) are more likely to have the vertical neck bands.

By weakening or paralyzing facial muscles, the skin wrinkles become less noticeable. This is why Botox has been effective at diminishing or preventing the appearance of wrinkles. When injected into the facial muscles, Botox renders the muscles incapable of contracting for about 3-6 months. When the muscle does not contract, little or no skin wrinkling can be produced on animation. People who have used Botox on a regular basis clearly have smoother foreheads and areas around the eyes than their peers who have not use it.

Vladimir Grigoryants, MD

Board Certified Plastic Surgeon in Glendale

Los Angeles Plastic Surgeon specializing in rhinoplasty, Breast augmentation, tummy tuck, and liposuction.

Friday, February 13, 2009

Is combining plastic surgeries safe?

With the growing popularity of plastic surgery in Los Angeles, the number of available procedures to reshape and rejuvenate the body has increased. Many people consider having several procedures performed at once. For example, a person will take 2-3 weeks of work and undergo rhinoplasty Los Angeles and a breast augmentation Los Angeles. It definitely makes sense to do so since anesthesia will be administered only once and there will one recovery period. Furthermore, the cost of having combined surgery is likely to be less than having them done separately.
However, the most important aspect of deciding whether or not to have combined procedures is safety. There are several important factors that a Los Angeles plastic surgeon will consider when combining different procedures.
The types of plastic surgical procedures are taken into consideration when combining them. Certain procedures such as nose job Los Angeles, eyelid surgery, or enhancement with breast implants Los Angeles induce less body inflammation and are tolerated better than larger procedures such as a tummy tuck Los Angeles or large volume liposuction. So, a combination of smaller procedures or a small and a large procedure is usually well tolerated. For example, small to moderate volume liposuction and a tummy tuck Beverly Hills, rhinoplasty Beverly Hills and breast augmentation Los Angeles, eyelid and face lift surgeries are commonly performed at the same time. Revisional surgery such as revision rhinoplasty Glendale may take more time than a primary rhinoplsaty, nose job Glendale, and therefore will be performed alone.
The health status of the person undergoing plastic surgery Glendale is reviewed first. Patients who do not have significant medical problems are less likely to have complications related to surgery or anesthesia. Frequently, a plastic surgeon in Glendale will request that the patient obtains a preoperative medical clearance from his or her primary care physician.
The duration of surgery is very important. Longer procedures especially over 6 hours may result in a higher incidence of complications. When combining procedures is likely to result in a lengthy surgery, many plastic surgeons Pasadena will recommend their patients to have the procedures done at different times. Frequently with longer surgeries, patients will stay in the hospital or a certified postoperative care center for 1 -2 days.

Sunday, February 1, 2009

Surgical and Non-Surgical Rhinoplasty: which is better?

Rhinoplasty (nose job) has traditionally been a surgical procedure to reshape the nose. This involves making small incisions outside and inside the nose to access the underlying bones and cartilages in order to modify their size and shape. However, as minimally invasive procedures are becoming more popular in medicine, non-surgical rhinoplasty Los Angeles has been tried for nose reshaping.

A number of injectable tissue fillers have been FDA approved in recent years such as Restylane, Juvederm, Perlane, and Radiesse. These injectables have been used for correction of facial wrinkles. Many Los Angeles plastic surgeons have started injecting these fillers in the nose in order to alter the shape of the nose. For example, injecting the filler above and below the bump on the bridge allows to hide it achieving a straight appearing nasal bridge. The fillers can also be injected in the tip to improve the definition of the tip and give an illusion of a raised tip.


So, which rhinoplasty procedure is better? Both procedures have been highly popular. The advantage of non-surgical rhinoplasty Beverly Hills is that it takes 5-10 minutes to perform and has very minimal or no swelling associated with it. It works well for patients who have a small bump on the bridge of the nose or a mildly droopy or short tip. By making the nose bigger in certain areas, a more aesthetically pleasing shape can be achieved. The length or the width of the nose, however, cannot be reduced with these injections. The results of non-surgical nose job Beverly Hills usually last 4-7 months.


Surgical nose job Los Angeles is preferred when permanent changes in the shape of the nose are desired. Unlike the non-surgical option, with surgery the length and the width of the nose can be reduced. Furthermore, any co-existing breathing problems or nasal asymmetry can be improved. In general much better results and more significant changes in shape can be achieved with surgical nose reshaping.



Vladimir Grigoryants, MD


Los Angeles Plastic Surgeon specializing in:


Rhinoplasty Glendale


Nose Job Glendale


Rhinoplasty Pasadena


Nose Surgery Glendale

Monday, January 26, 2009

Breast Augmentation Using Fat- Natural or Dangerous?

Breast augmentation has been widely performed throughout the world using various methods for many years. Nowadays, breast augmentation Los Angeles using silicone and saline implants remains the most commonly performed technique. Attempts have also been made to use the person’s own tissue for breast augmentation.

One controversial technique that offers a more natural way to enhance breasts is augmentation using person’s own fat. This procedure has been performed for years by some surgeons. The fat is usually obtained from other parts of the body such as abdomen, hips, or back. Breast augmentation using fat takes longer to perform than with implants.

The fat is injected into the breast tissue whereas implants are placed behind the breast or behind the muscle.

Although, breast augmentation using fat may seem more natural and safer, there are serious complications that may result following this procedure. Some of them are cyst formation, calcifications, hard lumps, asymmetry, and breast deformity. Furthermore, there is a great concern that calcifications and cyst formation due to fat transfer may impair detection of breast cancer. There are many reports in the literature of successful as well as unfavorable outcomes of breast augmentation using fat. Many plastic surgeons Los Angeles today believe that breast augmentation using fat should not be performed for cosmetic enhancement. Breast implants Los Angeles remain a safer and more predictable method for breast enhancement.


Vladimir Grigoryants, MD


Rhinoplasty Los Angeles and Breast Augmentation Los Angeles Specialist

Monday, January 5, 2009

Do You Breath Well? -Nasal Airway Obstruction

Nasal airway obstruction is very common. In fact many people may not know they have at least a partial nasal airway obstruction as have may have never experienced what it is like to breath well. Many patients presenting to plastic surgeons for nose reshaping or rhinoplasty Los Angeles are diagnosed with a nasal airway obstruction. The patients will typically report that they have no breathing difficulty through the nose. However, during examination a partial nasal airway obstruction is diagnosed. Furthermore 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. Nasal airway 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 Los Angele plastic surgeon who is performing cosmetic rhinoplasty Beverly Hills on a patient who also has a nasal airway obstruction. 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.

Dr. Vladimir Grigoryants, MD

Plastic Surgeon speicilizing in rhinoplasty
Nose job Los angeles, Nose job Glendale, rhinoplasty glendale, Plastic surgeon glendale




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