Laguna Beach Doctors

Should I Get Alarplasty Along with Rhinoplasty? What Type of Result Should I Expect? (photo)

Hello doctors, I am certain about getting rhinoplasty because I have always had a rather bulbuous tip and wide nose (extended alars). I have a bump and slight largeness to the left side of the nose as well. My main concern is the bulbuousness and the drooping of the tip which ideally, would be the main goal I want out of the rhinoplasty. I would ideally like to have a slimmer nose & more refined/upheld shape to the tip. Can alarplasty achieve that w/o scarring? What should I expect? Thanks!

You are a fantastic candidate for an ethnic rhinoplasty. The nasal bridge should be carefully reduced and incrementally.
The tip is droopy which requires depressor muscle removal (fairly routine in ethnic noses); tip skin debulking, nostril alar and sill narrowing (conservative and natural); tip raising (without excess nostril show). Please contact us with more questions at ghavamiplasticsurgery.com.

Ashkan Ghavami, MD

Beverly Hills Plastic Surgeon

Will my Surgeon Be More Likely to Do a Better Job on my Rhinoplasty if I'm His First Surgery of the Day or the Last?

I know it seems like a silly question but its really not. Take for example my hair stylist. I've found she does a much better job if I'm her very first client of the day. Verses being the last when she;s worked all day and tired. I know a stylist goes through a lot more clients in a day then a surgeon, so their not comparable. But i'm still wondering if it makes a difference? I've researched my surgeon and am confident in him but i'm still looking for the best possible results, as is anyone!!

Every surgeon is different and has different preferences as to the time of day to perform surgery.  My energy level allows me to do surgery all day.  I thrive in the operating room. My focus, attention to detail and my mental stamina are magnified in the operating room atmosphere.

David Alessi, MD

Beverly Hills Facial Plastic Surgeon

Is Coolsculpting Safe for People with Prior History of Elevated Liver Profiles?

Had elevated liver profiles for a couple of years. Although back to normal, still remains on the higher end of scale. Would cool sculpting pose any danger to my liver reason being maybe some of the fat would be metabolized by it?

Hi,

I think the main question is to know why you have a history of elevated liver tests.  If you have a history of Hepatitis C, it is related to a disease cold cold cryoglobulins which can be worsened by Coolsculpting.  If you have a history of elevated liver tests and are cleared by your primary care doctor, you should be able to have Coolsculpting.  The procedure itself does not cause any elevation of liver tests.

Best,

Dr. Liu

Grace Liu, MD

Newport Beach Dermatologic Surgeon