Archive for November, 2008

The Final Result: How close is it to the result you think you'll get from Imaging?

You may remember back in May we began reviewing the 10 most common rhinoplasty mistakes that we see in our revision rhinoplasty practice here at Profiles. You can also see these and other details at our dedicated rhinoplasty site. We wanted to share with you how this patient’s revision rhinoplasty is turning out so far.

The photos below show the original before revision rhinoplasty photo on the left, the imaged result in the middle, and our real patient’s actual post-operative after photo on the right after Revision Rhinoplasty by the Beverly Hills Rhinoplasty experts at Profiles. Read more

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Are Fillers Under the Eyes Safe?

November 25th, 2008 | Category: Facial Plastic Surgery

crossing street

A  few months back we posted a blog titled:

Why is the NY Times promoting off label usage of Fillers for the

Treatment of Dark Eye Circles?

In the blog we ruminated that while they noted the off label nature of this treatment, we thought that they understated the number of problems encountered by patients who have undergone this treatment. Read more

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Last But Not Least: Rhinoplasty Mistakes #10: Twisted Nose

The final problem we will talk about is the twisted nose. A twist in the nose can happen anywhere from the nasal bones to the middle third of the nose and down to the tip. Getting a nose completely and perfectly straight is one of the hardest things to do in Rhinoplasty and is especially hard in revision Rhinoplasty. That’s why you need to see a very experienced Rhinoplasty expert like the Los Angeles Rhinoplasty surgeons at Profiles.

A frequent cause for a twisted nose is crooked nasal bones. This can result when a pre-existing crooked bridge simply was not corrected appropriately or when poorly performed osteotomies caused the bones to shift. Osteotomies, as mentioned in a previous post, are one of the most underrated parts of this complicated procedure by inexperienced surgeons who get caught with some of these post-rhinoplasty problems. Read more

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Rhinoplasty Mistake #9: Open Roof Deformity

The nasal bones are not so much like a pyramid but more like an arched covered bridge or tunnel. When a bump is made smaller, the top of the bones are shaved or cut shorter to reduce the bump. This leaves an opening in the roof of the tunnel. That’s one of the reasons why we have to cut the base of the bones during surgery (called osteotomies). We perform osteotomies in order to push the bones inward towards each other so that this opening can be closed. Read more

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Rhinoplasty Mistake #8: Nasal Valve Collapse

The nasal valve is a term used to describe the narrowest part of the nose internally. This is the area that determines if someone feels normal or obstructed breathing through the nose. When this area is overly narrowed and blocked, we call it nasal valve collapse.

There really are two types of nasal valve collapse. The collapse of the tip cartilages described above can cause external valve collapse where the blockage is just past the nostril. When most surgeons discuss valve collapse, though, they are talking about internal valve collapse. This occurs when the upper lateral cartilages in the middle of the nose have been too narrowed. Check out the attached diagram to see where these are. This problem happens when a nasal bump is taken down too much and when the cartilages themselves are shortened or not reattached during a Rhinoplasty. Read more

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Rhinoplasty Mistake #7: Tip Bossae (Knuckling)

Think of the tip cartilages like a pair of wings. You can get an idea of what these look like from the photos below. The tip cartilages (lower lateral cartrilages) are like a bent spring that holds the nostril’s shape and keeps it open to allow normal breathing. In many poorly done rhinoplasties, this cartilage is aggressively cut or removed so that it loses this natural spring. Over time, whatever cartilage is left starts to bend and twist under the weight of the skin. As the cartilage twists on itself, the weak points at the ‘joints’ of this cartilage can start to form bumps or knuckles, called bossae, that are very noticeable through the skin. Check out the diagram below to see what we mean. Read more

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Post Election Beauty

November 05th, 2008 | Category: Facial Plastic Surgery

Vi Peel

Seeing red? Feeling blue? Now that the election is over, let’s all come together and reunite! Whatever your politics, the one thing we can all agree on is beauty…and if it’s affordable, even better! Read more

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Change: The Next Step Going Forward

November 05th, 2008 | Category: Facial Plastic Surgery

flag fireworks

Now that the hangover from the election is finally over, we wanted to announce the introduction of our two new dedicated websites. As you know our main site facial plastic surgery site is Here you can read about all the details of the gamut of procedures that we perform, read about us, as well as contact us regarding consults and questions. Read more

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Truth About Fillers and New Collagen Production

November 04th, 2008 | Category: Facial Plastic Surgery

No Spin Zone

This morning as we were reading through some new editorials, we came across this article from today’s Washington Post which addressed what we blogged about yesterday, namely how fillers are used and whether they increase collagen production. Read more

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Truth or Hype: Do Fillers like Restylane, Juvederm, and Radiesse Really Increase Collagen Production?

November 03rd, 2008 | Category: Facial Plastic Surgery

Truth or Hype

In early 2007, the Archives of Dermatology published a report saying that injection of cross- linked hyaluronic acid fillers, like Restylane and Juvederm, stimulated new collagen production. Since that time many dermatologists and others who work primarily with fillers have used this report to increasingly tout their philosophies. They claim that lifting procedures may not be necessary because fillers can increase collagen production and tighten skin. This contention has always been dubious at best since the amount of collagen production necessary to lift sagging facial skin would have to be a lot. Read more

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