PLASTIC SURGERY:ASIAN RHINOPLASTY (NOSE JOB) TUTORIAL DALLAS

http://www.lamfacialplastics.com

PLASTIC SURGERY ASIAN RHINOPLASTY TUTORIAL: Dr. Samuel Lam, Dallas Facial Plastic Surgeon discusses with you his philosophy for Asian rhinoplasty. For more information about facial plastic surgery, cosmetic facial surgery, facial rejuvenation, rhinoplasty etc., please visit www.lamfacialplastics.com.

Dr. Lam is board certified by the American Board of Facial Plastic & Reconstructive Surgery and a Fellow of the American College of Surgeons. He has authored three major facial plastic surgery textbooks, including Comprehensive Facial Rejuvenation: A Practical and Systematic Guide to the Aging Face, Cosmetic Surgery of the Asian Face, and the recently published Complementary Fat Grafting. Dr. Lam has also published over 100 book chapters and scientific articles on the subject of facial plastic surgery and lectures nationally almost on a monthly basis on facial plastic surgery and has lectured over 100 times to date. Visit www.lamfacialplastics.com.For more information, visit www.lamfacialplastics.com.

KEY WORDS: PLASTIC SURGERY, FACIAL PLASTIC SURGERY, COSMETIC SURGERY, COSMETIC ENHANCEMENT, FACIAL PLASTIC SURGEON, DR. LAM, WWW.LAMFACIALPLASTICS.COM.

Category:

Howto & Style

Tags:

• rhinoplasty
• asian
• nose
• job
• dr.
• sam
• lam
• plastic
• cosmetic
• surgery

[ndkraut1]

Oh interesting..Is there a risk of extrusion/infection with the silicone injectables, the same with silicone implants? and is this done under local anesthesia? ALong with a columella strut too?

[samlammd]

@ndkraut1 silicone injectables really cannot extrude and is very very very unlikely to have any infection risk. yes, under local. no, the columellar strut is done as part of the surgery. i would not do silicone the same time as the surgery. that would be done preferably afterward or possibly before too.

[ndkraut1]

One last question regarding implant material, please. If I wanted to augment the tip, usually what material do you suggest?

[samlammd]

@ndkraut1 if i do that, i would use silicone injectable as a permanent solution and juvederm as a temporary solution. i do not like solid implants because they do not feel or look natural in my opinion.

[ndkraut1]

Oh thanks for the reply. Since the columella strut is made out of cartilage, does it drop in time, making a more natural columella appearance? Or does it remain propped up?

[samlammd]

@ndkraut1 it can drop a little over time. that is why i tend to overcorrect the nose just slightly at the time of surgery. 

[samlammd]

@joeyt315 in general revision rhinoplasty is always harder due to the previous scar tissue and variable healing. turning down a nose is also not an easy thing to accomplish. a consultation with a physician in person will help you determine that more precisely.

[joeyt315]

Dr. Lam, I had a rhinoplasty about 2 years ago. It was mostly tip work, augmenting the tip using rib cartilage and also raising the nose out from the lip area with anohter graft . However, the surgeon upturned my nose too much, and I am now seeking revision rhinoplasty. I know its hard to give definitive answers, but would the revision rhino be complicated and the healing be severe if I would just like to turn the tip back down slightly? I'm pretty satisfied with the top 2/3 bridge of the nose

[samlammd]

@ndkraut1 always. they are needed to reconstitute the strength to the nose. i don't make them so long as to interfere with the smile typically.  smile should return immediately typically but always there is a risk that for a few weeks things could feel somewhat off but in my experience that is rare.

[ndkraut1]

Just a clarification, I was referred to using your own septum to make the columella strut