Spa at Zeeba Clinic

A: You are very observant. This is a syndrom that I have described in the literature. We called it Oculonasal synkenesis. A branch of the nerve that supposed to go to the eyelid muscle can misconnect with a muscle in the nose. You can either have this muscle paralized with Botox or be removed surgically. It usually does not create this size bulk. Regardless, it can be fixed. Oculonasal synkinesis B Guyuron 1, F Bokhari, D V Galloway, T Thomas Affiliations expand PMID: 8041815 DOI: 10.1097/00006534-199408000-00005 Abstract A phenomenon the authors have termed oculonasal synkinesis has been observed in 13 individuals in two independent practices. This complex presents as simultaneous contraction of the orbicularis oculi and the compressor narium minor muscles. When the patient blinks, the compressor narium minor muscle contracts, causing depression of the ala. Its etiology is postulated as the formation of anomalous connections between the temporal and zygomatic branches of the facial nerve, innervating the orbicularis oculi muscle, and the buccal branches of the facial nerve, innervating the compressor narium minor muscle. All 13 individuals who exhibited this phenomenon are female. This anomaly was displayed bilaterally in 7 patients, on the right side in 2 patients, and on the left side in 4 patients. A 2-month-old daughter of one of the patients who had bilateral presentation, also displayed the phenomenon. In 6 patients who underwent rhinoplasty, resection of the compressor narium minor muscle resulted in complete elimination of the abnormal muscle movement. The plastic surgeon who performs rhinoplasty should be cognizant of the synkinesis and discuss its presence with the patient, since a patient may consider this a surgical sequela upon discovering the condition postoperatively. Furthermore, this unintentional muscle function is aesthetically displeasing.

A: A protruding chin can either be set back by cutting the the chin bone horizontally through an incision inside the the lip or by shaving the bone down using a small incision under the chin. You may consider consulting a plastic surgeon who has experience doing this surgery.

A: A saddle nose can be corrected using person's own cartilage from the rib or ear or preserved cartilage. It is highly successful in experienced hands.