Facial Plastic & Reconstructive Surgeon Paul S. Nassif Performs Rhinoplasty

www.rhinoplastyspecialist.com Features Facial Plastic & Reconstructive Surgeon Dr. Paul S. Nassif, of “Dr. 90210″ and Spalding Drive Plastic Surgery in Beverly Hills. The goal of rhinoplasty is to improve the nose aesthetically (without creating a surgical look) in order to create harmony with other facial features. Additionally, many patients have a chin augmentation in conjunction with rhinoplasty to create a better balance of features. Rhinoplasty is usually performed with local injections of anesthesia with intravenous sedation, or in some cases, under general anesthesia.In rhinoplasty, the majority of incisions are made inside the nose, where they are invisible. In some cases, an incision is made in the area of skin separating the nostrils. Certain amounts of bone and cartilage are then removed or rearranged to provide a newly shaped nose. If the patient has a deviated septum (cartilage and bone causing obstruction inside the nose), septal surgery, called septoplasty, is simultaneously performed. The incision is placed entirely inside the nose. The septoplasty removes portions of cartilage and/or bone that are causing the obstruction. The incisions are then closed with fine suture, followed by placement of a splint to the outside of the nose. The splint helps retain the new shape while the nose heals. Procedures performed at Spalding Cosmetic Surgery and Dermatology include: Arm Liposuction, Asian Eyes – Blepharoplasty, BOTOX® Cosmetic, Buttock Liposculpture
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How Nose Surgery is Performed – Open Rhinoplasty – Transcolumellar Incision Closure

www.rhinoplastyspecialist.com Enter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty. In this video you’ll discover how careful execution of meticulous incision closure will result in a faint, barely perceptible scar, even in dark-skinned patients. Closure of the transcolumellar incision is greatly facilitated by a properly executed incision with multiple alignment points. However, accurate and secure flap approximation is also fundamental to a satisfactory outcome. When vertical wound tension prevents gentle flap approximation, a midline subcutaneous suture of 6-0 Monocryl is often necessary to approximate the flap edges. This deep-layer closure shifts tension to the subcutaneous tissues and prevents gradual widening and inversion of the final scar. Surface alignment is then accomplished at each flap corner with a simple interrupted suture. Surface sutures are placed close to the wound edge at superficial depth to ensure precise edge alignment. Attention to detail and meticulous technique are critical to satisfactory scar camouflage. Although tedious, these efforts are typically rewarded with the creation of a faint, inconspicuous surgical scar in virtually all rhinoplasty patients. Watch

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