Miami Beach Rhinoplasty doctors

Rian Maercks, MD Rian Maercks, MD
Miami Plastic Surgeon
757 Arthur Godfrey Road, Miami Beach
14 answers
Jacob Freiman, MD Jacob Freiman, MD
Miami Beach Plastic Surgeon
4302 Alton Rd. Suite 300, Miami Beach
1 answer
Leonard Hochstein, MD Leonard Hochstein, MD
Miami Plastic Surgeon
19495 Biscayne Blvd Ste 204, Miami
Anire Okpaku, MD Anire Okpaku, MD
Miami Plastic Surgeon
1900 Brickell Avenue, Miami
Moises Salama, MD Moises Salama, MD
Miami Plastic Surgeon
21097 NE 27th Ct Suite 335, Aventura

Recent Answers

Can a Plastic Surgeon Remove Skin During Rhinoplasty?

Can a plastic surgeon remove skin during rhinoplasty to make it narrow? If yes, does it look abnormal? Are there are any risks?

A: Skin Excision During Rhinoplasty

An interesting question. Skin excision during rhinoplasty is NOT a common part of the procedure. It would be important to know where your surgeon plans to excise the skin from to comment. Your preoperative photos and an internal and external examination are necessary.

Jacob Freiman, MD
Miami Beach Plastic Surgeon
Exact Rhinoplasty Procedure for Bulbous Tip?

Is there an exact Rhinoplasty procedure for round nose tip or a bulbous one? Thanks a lot again.

A: Bulbous tip

The technique necessary varies from patient to patient and can include:

 

-removal of intraalar fat/fibrous tissue

-interalar mattress sutures

-reection of cephalic aspect of lower lateral cartilages

-columellar strut grafting, tip definition grafting and thining of the subdermal tissue (closed rhinoplasty is very important for the safety of this maneuver

 

 

All the best,

 

Rian A. Maercks M.D.

Rian Maercks, MD
Miami Plastic Surgeon
Correcting Nose to Lip Angle and Bulbous Tip

How to correct acute nose to lip angle and bulbous tip at same time? My nose and lip angle is approximately 70 degrees and I have a bulbous tip with a large base. I am an Indian so I have thick skin, I guess.

What would be the best possible way of correcting all the 3 faults together, while keeping in mind the skin thickness? Can nose to lip angle change only by trimming the septum or is there any other way to do so?

A: Correcting nasolabial angle and bulbous tip

It is difficult to say without pictures, but with my experience in ethnic noses with thick skin a different approach is indicated.  The bulbous tip is corrected by performing a cephalic trim of your lower lateral cartilage and suture techniques, but a satisfactory result in an ethnic nose also usually requires a hearty columellar strut to support the tip, change the nasolabial angle and provide appropriate columellar show.  I hope this helps!

 

 

All the best!

 

Rian A. Maercks M.D.

Rian Maercks, MD
Miami Plastic Surgeon
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