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External Valve Nasal Airway Obstruction from Low Deviated Septum and Airway Reconstruction

External Valve Nasal Airway Obstruction from Low Deviated Septum and Airway Reconstruction

Nasal airway obstruction is a common problem affecting many people including many athletes. When inspired air rates are maximal during sports airway obstruction can become a challenging and cumbersome problem for the patient. The nasal septum when it is deviated inferiorly can cause obstruction of the external nasal valve. Often on rapid inspiration the decreased airway causes collapse of the…

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Airway Reconstruction of External Nasal Valve

Airway Reconstruction of External Nasal Valve

There are many times after trauma to the nose or after rhinoplasty procedures when the nasal cartilage framework loses support. When the loss of cartilage support occurs in the lower lateral cartilage, then the external nasal valve does not have adequate support on nasal inspiration. When the patient inspires forcefully or rapidly, the lower lateral cartilage collapses toward the septum…

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Secondary Breast Augmentation Procedures

Secondary Breast Augmentation Procedures

Secondary breast augmentation procedures are common. A secondary breast augmentation procedure commonly occurs when patients have had there breast implants in place for greater than 10 years. Both saline and silicone gel implants are surrounded by a silicone elastomer shell. Over time, with repeated folding, the shell can break. If a patient has saline implants, a break in the shell…

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Breast Reconstruction- Removal of Bilateral Mammary Prosthesis and Bilateral DIEP Flap Breast Reconstruction

Breast Reconstruction- Removal of Bilateral Mammary Prosthesis and Bilateral DIEP Flap Breast Reconstruction

Breast reconstruction is a common procedure in the United States and more specifically in Newport Beach, California. Often patients may have undergone a bilateral mastectomy with implant reconstruction. At the time of the mastectomy, the nipple areola complex may have been removed and the breast reconstructed with tissue expanders and then subsequently the placement of bilateral mammary prosthesis.  When the…

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