Ventura Rhinoplasty doctors
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Michael C. Pickart, MD
Ventura Plastic Surgeon
1746 S. Victoria Ave. Suite 250, Ventura |
5 answers | |
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Brian D. Brantner, MD
California Plastic Surgeon
3555 Loma Vista Rd Suite 200, Ventura |
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William Starr, MD
Oxnard Plastic Surgeon
1801 Solar Dr Suite 150, Oxnard |
Recent Answers
Hi there, I have been considering a "nose job" for a while where I would just want the sides of my nose thinned and refined (and perhaps the tip refined a bit if it was really needed for balance).
My main focus are the sides though and I'm happy with the rest of my nose. I think it's cute and petite from the side it just looks kind of piggy and thick from the front. What do you recommend for me and could I achieve my desired look without having my bones chiseled? Thanks
Saphira,
Sounds like and looks like that you would benefit from a surgical rhinoplasty. You are very attractive, and a nose job would help to harmonize your nose with the rest of your face.
However, I can't give you specifics without side views ("laterals") and a "worm's eye" view (from your feet looking up into your nostrils).
I suspect that you will require a full rhinoplasty, involving the tip, sides, and top....
- Usually, I make a small incision in the skin of the columella (the middle portion between the nostrils) for optimal visualization. This is called an "open" approach and is great for decreasing the bulk of a "piggy" tip.
- I trim, augment, and reconfigure the tip cartilages.
- I might reduce the height of the nose, or augment the base of the nose between the eyebrows (as seen from the sides).
- You will probably require fracturing (breaking) the nasal bones to thin the nose.
I hope my suggestions help. Post some more photos, and we can all be more specific.
I'm considering getting Restylane in nasolabial folds, but am also interested in Rhinoplasty in 2 months.
The Rhinoplasty would include alar base reduction. I'm just wondering if I should hold off on the filler, as I am concerned that the 'plane' for the new nostril positioning would be altered. Do you have any experience with Rhinoplasty and nasolabial fillers? thank you.
I can't see why these 2 procedures couldn't be combined. Even with an alar base reduction, the aesthetics of the nasolabial fold are (mostly) distinct from the nose.
However, if you were my patient, I would probably separate the Rhinoplasty and the Restylane. The swelling from one might affect the fine performance of the other. The injection of Restylane, in particular, is so routine in my office, that I would feel very comfortable completing your rhinoplasty, and then doing the Restylane 2-3 months later under local anesthesia.
Just my thoughts. You should OK no matter what you choose.
I need Septoplasty for medical reasons. I am planning to combine Rhinoplasty with it. One surgeon I consulted said that he uses general anesthesia because he can ensure my breathing continues and the breathing tube ensures that blood from my nose does not get into my lungs.
The other surgeon said that he uses IV Sedation (Twilight sedation) because it is sufficient and because recovery is easy. The anesthesia-nurse said an air-mask prevents blood from entering my lungs. Both said that the anesthetic is administered through an IV. So what's different between the two methods? The drug? The dosage?
Every surgeon and anesthesiologists has their own opinions, and there is not a "right" answer to your question. Nevertheless, I would recommend general anesthesia to my patients considering nasal surgery.
With a breathing tube in place, the anesthesiologist and I don't have to be quite as worried about the patient's ventilation, oxygenation, and comfort. Nowadays, general anesthesia is so safe, I would recommend it for all of my patients undergoing nasal surgery.
