Del Mar Rhinoplasty doctors

Vincent P. Marin, MD Vincent P. Marin, MD
San Diego Plastic Surgeon
1431 Camino Del Mar, Del Mar
84 answers
Tom J. Pousti, MD Tom J. Pousti, MD
San Diego Plastic Surgeon
8851 Center Drive Suite 300, San Diego
33 answers
Roy A. David, MD Roy A. David, MD
San Diego Facial Plastic Surgeon
3252 Holiday Court Suite 206, La Jolla
8 answers
Maurice P. Sherman, MD Maurice P. Sherman, MD
Del Mar Facial Plastic Surgeon
12845 Pointe Del Mar Way Suite 100, Del Mar
8 answers
Johan E. Brahme, MD Johan E. Brahme, MD
San Diego Plastic Surgeon
9850 Genesee Avenue, Suite 130 Ximed Building, La Jolla

Recent Answers

Is It Ok for Post Op Review to Be Done by Another Surgeon?

I live out of province from where i'm traveling to have my rhinoplasty done (24 hour drive). Is it a big deal to have the surgery, drive home, and have another surgeon in my home town do my post op (take off cast, make sure everything's ok)? Gets very expensive otherwise.

A: Rhinoplasty and Follow-up Care?

Thank you for the question.

Although I can understand your desire to have your surgery performed by a specific surgeon,  I think it will be in your best interests  to allow the same surgeon to take care of your immediate postop care. You are potentially compromising your end results if you choose to do otherwise.

I would suggest that you either make arrangements to stay longer or choose a surgeon closer to your hometown.

Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon
Squishy Skin on Nose 7 Months After Tipplasty, Is this Likely to Heal/Change?

I had a tipplasty about 7 1/2 months ago where my bulbous tip cartilage was reduced. Now, the skin on the front of my nose is squishy. When I touch it, it looks and feels exactly as if I was poking my cheek. Maybe its excess skin or fluid/tissue under the skin but I'm certain its not the cartilage structure underneath that is moving. Higher up on my nose where the skin rests on the bone is normal. Is this something that will heal/change with more time or is it just the result of the surgery?

A: Squishy skin or thick skin?

7 months after your surgery should have given your tip skin ample time to settle down. The skin could be thicker than desired, especially if you have active sebaceous glands. I would see your surgeon and ask if a steroid injection might help to thin this tissue. A series of injections monthly may be indicated. Revision surgery or dermabrasion may also be considered after one year has elasped.

Maurice P. Sherman, MD
Del Mar Facial Plastic Surgeon
Will a Rhinoplasty Alleviate Breathing Problems and Possibly Migraines? (photo)

I've wanted to have my nose done for a long time,not just because of how it looks. I believe that the inner workings of my nose are behind my issues - constant, painful headaches/migraine. I'd rate them 9-10/10 on the pain scale, usually in the front of my head, around the sinuses -Mouthbreathing!My dentist/hygienist always say my mouthbreathing causes shifting of teeth/dry gums,which have caused many problems I smashed my nose pretty good a few times when I was younger, not sure if I broke it

A: Rhinoplasty and Breathing Problems

Rhinoplasty and septoplasty surgeries are often combined to improve the appearance and function of the nose. If there is an airway obstruction diagnosed, it is likely that there are surgical procedures that can be performed to improve nasal patency. The appearance of the nose can be corrected through a rhinoplasty surgery at the same time. It is unlikely, however, that this will have an impact on your migraines unless there is some relationship between the migrane and a lack of oxygen. However, mouth breathing would likely easily correct this. Seek additional opinions about the migraine treatment, but surgery can usually improve the shape and function of your nose. 

Best of luck,

Vincent Marin, MD
San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
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