Walnut Creek Rhinoplasty doctors

Michael R. Macdonald, MD Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
500 Sutter St Ste 430, San Francisco
52 answers
David Mabrie, MD David Mabrie, MD
Bay Area Facial Plastic Surgeon
166 Geary Street Suite 1502, San Francisco
40 answers
David W. Kim, MD David W. Kim, MD
Bay Area Facial Plastic Surgeon
490 Post Street Suite 933, San Francisco
34 answers
Joseph Mele, MD Joseph Mele, MD
Walnut Creek Plastic Surgeon
130 La Casa Via Building 2, Suite 206, Walnut Creek
27 answers
Ramin Behmand, MD Ramin Behmand, MD
Walnut Creek Plastic Surgeon
1776 Ygnacio Valley Road Ste 108, Walnut Creek
7 answers

Recent Answers

Rhinoplasty following Septoplasty?

About a year ago I underwent a septoplasty to correct a severely deviated septum that resulted from a broken nose when I was younger. My surgeon removed what must of been sizeable bone spur that was obstructing the nasal passage which definitely helped with my breathing. Unfortunately, it did little to correct the aesthetic appearance of my nose. The septum is still very deviated midway up the nose so it has maintained its crooked appearance. This is due to the septum pushing out against the nostril while the other "droops".  Furthermore, my right nasal bone is caved in slightly due to the break adding to the appearance of crookedness/curve. When I consulted a plastic surgeon a bit later about the possibility of a septoplasty revision he said it would not be worth it considering a lot of cartilage was removed. This would make it hard to re-anchor/attach the septum and would also increase the risk of perforation. What can i do to fix this asymmetry? Is a rhinoplasty still possible? And what can be done about the crushed right nasal bone? I have considered fillers to even out the appearance of the curve and create symmetry. Though i'd want permanent results, Is this a better option?  Thanks in advance!

A: Non-surgical Rhinoplasty is a predictable and safe option for concavities

If it were my nose I would have fillers used.  A physician who is experienced in non-surgical rhinoplasty techniques could straighten your nose in 15 minutes in the office.  You could have this done first with temporary fillers which last a total of a year, with about half of the effect gone after 6 months. 

If you are happy with the doctor's technique you could then try a permanent filler like Artefill if you want.  I personally like the temporary fillers like Restylane and Perlane.  Because you only need a small amount, (especially for your nose) the remainder can be used in other places like under the eyes or in the cheeks or chin.

The advantage of avoiding the risks and side effects of surgery would outweigh the disadvantage of needing to repeat the treatment.

Good luck in your search for information!

David Mabrie, MD
Bay Area Facial Plastic Surgeon
Second Opinion for a Bulbous Tip? (photo)

I have gone to a consultation for rhinoplasty on my nose.. My main problems are that I have a large tip and flared nostrils.. My side profile is straight so that doesnt concern me However the surgeon suggested that he will just reduce the tip and not worry about the nostrils as it will create a "pinched" look.. But I think I might need the nostril base narrows as my narrows are quite big Do you have any suggestions?

A: Bulbous nose tip and flared nostrils

From what I can see in the single photo, you are absolutely correct. Your nostrils (alar base) are wide relative to your mouth and rest of the nose. They would be in better balance when made less wide. If only the bulbousness of of the tip is addressed, then the more refined tip will make the nostrils appear even more flared. They both need to be addressed at the same time for a good outcome.

Ramin Behmand, MD
Walnut Creek Plastic Surgeon
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