Rhinoplasty is a common procedure to correct a bulbous tip or to deproject the nose. The nose can overproject for several reasons. One reason can be an excess of the septum or an extrinsic projection, the nose can project because of lower lateral cartilage excess, or the interaction between the extrinsic and intrinsic cartilages. The nose can also overproject because…
There are many different faces in the world and different people want different things. That’s what makes the world great! Facial asymmetries are common and make people beautiful. It often gives us character. Despite these facial asymmetries making one beautiful, there are often certain aspects of the nose that people would like to change or improve upon. One is the…
Often the nasal tip, nasal bones, and nasal septum may be distorted from previous trauma. Trauma to the nose frequently results in a deviation of the nose and can often result in loss of projection to the nasal tip depending upon the trauma to the underlying septum and lower lateral cartilages. Trauma to the septum can result in nasal airway…
One of the more common reasons that patients request rhinoplasty is to remove a dorsal hump. There are also many patients who have a dorsal hump, who also wish to maintain some of the hump post-operatively. There are many and varied reasons for this. Some patients would just like a small change to the appearance to their nose to maintain…
Patients frequently come to the office requesting a “smaller” nose or simply stating that their nose is “too big”. There are many different aspects of the nose that a patient may wish to reduce when they request this and there are many aspects of the nose that can be changed when a patient wants to make this change. Common areas…
Abdominal wall reconstruction can be rewarding surgery for both the physician and the patient. Previous or multiple abdominal surgeries as well as radiation can effect wound healing on the abdominal wall following repair. Larger hernias can allow a significant portion of the small intestines and possibly the large intestine to herniate through the abdominal wall and into the underlying skin.…
Larger hernias of the abdominal wall require that the muscles of the abdominal wall be put back into their normal anatomic position. The muscles often affected by previous complex abdominal operations are the rectus abdominis, the external oblique, the internal oblique, and the transversus abdominis. These muscles can be affected by previous incisions such as subcostal incisions for hepatic, pancreatic,…
Hernias can occur commonly after major abdominal surgery. Following abdominal surgery such as liver resections, pancreatic resections, and resection of intestines patients may be protein malnourished and have difficulty healing wounds. Patients with large hernias often dislike the abdominal bulge and experience a feelin of fullness in their lower abdomen. Restoring the abdominal wall musculature back to its normal position…
Lower blepharoplasty procedures are common among young people. As we age, the orbicularis occuli muscle may become weak or deposits of fat accumulate in the compartment around the eye. As this happens the appearance of bags or fullness of the lower eyelids occur. Typically these patients benefit from removal of fat from the lower eyelid and/or tightening of the lower…
There are several common reasons that patients undergo rhinoplasty. Common reasons tend to be the creation of a nasal bridge, rotation of the nasal tip downward to hide the appearance of the nostrils, and definition of the nasal tip. The placement of either a temporalis fascia graft with diced cartilage or a silicone graft along the nasal dorsum can build…
