Minoli Plastic Surgery - Las Vegas

Practice Information
5735 S. Fort Apache Rd., Ste. B, Las Vegas, Nevada
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About the Practice

2 Answered Questions

Doctors & Other Staff Members

John J. Minoli, MD, FACS
Board Certified Plastic Surgeon
4.1

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2 Answers

Rhinoplasty
Q Do Kenalog injections bring only temporary improvement?
A

Hello. I am Dr. John Minoli from Henderson, Nevada & Las Vegas, Nevada - board-certified in general plastic surgery, facial plastic surgery & otolaryngology (ear, nose & throat).

If swelling exists along the supra-tip of the nose, yes, kenalog may indeed be beneficial as it seems to have been with you. I would caution against an over-aggressive use of kenalog injections to the nose for fear of irreversible skin atrophy. Briefly, kenalog has a role in reducing postoperative nasal swelling during the first postoperative year, but it should not be used too much or too often.

Answered by Dr. MinoliOctober 19, 2017
Rhinoplasty
Q My nose collapses when I suck air from my nostrils. How would surgery fix that?
A Without further historical information the cause of the septal deviation and the associated nostril collapse cannot be determined. Perhaps the condition arose as part of your natural development, perhaps from an acquired circumstance such as trauma. Without a full physical examination of both your external nose and your internal nasal anatomy the root of your collapsing nostrils also cannot be determined. That said, the mid vault of the nose houses the internal nasal valves which when deficient can definitely lead to “nostril” collapse on inspiration. The use of septal cartilage, fashioned into the form of mid-vault spreader grafts effectively addresses this problem. 

Your description details your nose sucking in the skin above your nostrils, so I must also consider that you may be referring to the lower portion of your nose which houses the lateral alar cartilages. If collapse occurs at this level, septal cartilage may be used in a variety of ways to support the lower wings of the nose (i.e., alae).

Ask your surgeon whether mid-vault spreader grafts or lower-alar support grafts are needed. The internet has pictorial examples of each of the aforementioned grafts. Best of luck to the you, new scientist!
Answered by Dr. MinoliFebruary 23, 2014

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