We have treated many Asian patients for skin tightening with Morpheus8. It has coated pins that deliver radiofrequency and is safe for all skin types. There should not be any type of pigmentation post procedure. Expect redness and goosebump like skin for a few days. I suggest reaching out to our office to speak with our nurse who specializes in treating ethnic skin .

Answered by Dr. WestreichJuly 24, 2019

Rhinoplasty

Q What are the disadvantages of using cartilage from a cadaver?

Over the past few years, I have been increasingly using cadaveric rib over donor rib. There is a lot of support in the medical literature that it generally survives and resorbs minimally.

Obviously, there is morbidity (negative effects) associated with an incision and a harvest, especially one that is visible on the chest wall. Other concerns, such as pneumothorax (air around the lung) are very small, as it is an extremely uncommon complication. Also, when you harvest a rib, it then has to be carved and the carving is difficult to do precisely. Depending on how it is carved, it may increase the risk of warping over time.

My preference has been to use cadaveric rib sheet. It is precut by the tissue bank in a perfectly straight piece. The risk of warping is significantly reduced by using the precut product. Most grafts, besides large dorsal augmentations, require thin and straight cartilage to work best (columellar strut, spreader grafts, rim grafts, etc.), so it is an optimal choice in my opinion.

For large dorsal augmentations, patient choice dictates the donor source.

Answered by Dr. WestreichMay 9, 2019

Botox

Q How long should I wait between Botox on chin and Xeomin for forehead?

As long it is a different area that is being injected, there is no time concern for treatments with one product versus another. You should feel free to move ahead with the second treatment

Answered by Dr. WestreichMarch 18, 2019

Rhinoplasty

Q I have a deviated septum with a bone spur and a hump. Will septoplasty resolve both of these issues? (Photo)

Generally speaking, insurance companies only cover functional issues, which include a deviated septum, nasal valve collapse, or nasal fracture. When they discuss septorhinoplasty coverage, that is what they are referring to.

A dorsal hump is not one of these and is considered cosmetic. Fortunately, your insurance company will still cover the other things, which will significantly reduce your cost.

Answered by Dr. WestreichMarch 11, 2019

Rhinoplasty

Q Can spreader grafts be used on just the lower portion of my nose?

Spreader grafts can be placed anywhere along the bridge, sometimes high, sometimes low, and sometimes the whole length. Depending on you medical and cosmetic needs, they can be customized to fit the form you are creating.

Answered by Dr. WestreichMarch 8, 2019