Slight bump on nose- looking for a doctor (LA) that uses laser cutting for rhinoplasty. I am aware there are gimmicky doctors that use them. Looking for experienced doctor that uses this method for rhinoplasty. I have my own reasons for this very specific request.
Answer: Lasers for rhinoplasty Dear LpickbLasers are an instrument and not a technique, like any other instrument they can be used in certain circumstances in rhinoplasty. For example in rhinophyma. For standard aesthetic rhinoplasty, there is not much that they offer in addition to routine techniques, if anything, they increase the risk of certain complications. If you have a specific issue that you think is unique, then you should ask about that issue. If lasers offered a clear advantage, you would see many surgeons using them. In my opinion, anytime you see only one or two surgeons doing a procedure VERY differently than all their colleagues, you should start looking at issue with a critical eye. If the topic intrigues you, a consultation with this doctor can help you make an informed decision, but you should also discuss matter with other surgeons as well. You want to go to a doctor who has a business, you don't want the businessman who happens to be a doctor. Take your time and make an informed decision, save yourself from a potential need for revision surgery.
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Answer: Lasers for rhinoplasty Dear LpickbLasers are an instrument and not a technique, like any other instrument they can be used in certain circumstances in rhinoplasty. For example in rhinophyma. For standard aesthetic rhinoplasty, there is not much that they offer in addition to routine techniques, if anything, they increase the risk of certain complications. If you have a specific issue that you think is unique, then you should ask about that issue. If lasers offered a clear advantage, you would see many surgeons using them. In my opinion, anytime you see only one or two surgeons doing a procedure VERY differently than all their colleagues, you should start looking at issue with a critical eye. If the topic intrigues you, a consultation with this doctor can help you make an informed decision, but you should also discuss matter with other surgeons as well. You want to go to a doctor who has a business, you don't want the businessman who happens to be a doctor. Take your time and make an informed decision, save yourself from a potential need for revision surgery.
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Answer: Laser-Assisted Rhinoplasty As Facial Plastic Surgeons and General Plastic Surgeons who use lasers for any of a number of other types of procedures, we a generally experienced with their usefulness -- and their limitations.For correction certain nasal deformities such as a slight bump on the nose, one may be a candidate for a "closed" procedure. This has its benefits: all of the incisions are hidden inside the nose, less swelling, less risk of complications, etc. The reduction of humps, bumps and such is typically and expediently performed with sharp steel chisels and rasps via small concealed incisions that are wholly within the nose.Conversely, to insist on a laser for this procedure would:1. necessitate an "open" procedure -- to expose the bone and/or cartilage so that you can bring the laser in to do the work. More surgical time, an incision on the skin, more swelling, more risk of complications.2. require a laser powerful enough to cut/vaporize bone, and then use it in some pretty high-dollar real estate.3. amount to a substantial deviation from standard-of-care -- and thus bring into question the integrity of any surgeon willing to do it.I'm intrigued, can you expound on the reasons you desire laser-assisted rhinoplasty?
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Answer: Laser-Assisted Rhinoplasty As Facial Plastic Surgeons and General Plastic Surgeons who use lasers for any of a number of other types of procedures, we a generally experienced with their usefulness -- and their limitations.For correction certain nasal deformities such as a slight bump on the nose, one may be a candidate for a "closed" procedure. This has its benefits: all of the incisions are hidden inside the nose, less swelling, less risk of complications, etc. The reduction of humps, bumps and such is typically and expediently performed with sharp steel chisels and rasps via small concealed incisions that are wholly within the nose.Conversely, to insist on a laser for this procedure would:1. necessitate an "open" procedure -- to expose the bone and/or cartilage so that you can bring the laser in to do the work. More surgical time, an incision on the skin, more swelling, more risk of complications.2. require a laser powerful enough to cut/vaporize bone, and then use it in some pretty high-dollar real estate.3. amount to a substantial deviation from standard-of-care -- and thus bring into question the integrity of any surgeon willing to do it.I'm intrigued, can you expound on the reasons you desire laser-assisted rhinoplasty?
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March 16, 2015
Answer: Do not be fooled Thank you for your question. This procedure (laser to remove a hump) does not exist. Lasers utilize heat to cause a thermal injury (think of a burn) to alter tissue. If you used a laser theoretically through the skin, it would cook your skin and your cartilage. There are a lot of gimmicks out there. To get the result you want, go to a board certified plastic surgeon who does lots of rhinoplasty and understands what you really want to achieve. There are no shortcuts and for those of us that do a lot of rhinoplasty, we have never heard of doing this procedure with a laser. Aaron Kosins, MDPlastic and Rhinoplasty Surgeon
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March 16, 2015
Answer: Do not be fooled Thank you for your question. This procedure (laser to remove a hump) does not exist. Lasers utilize heat to cause a thermal injury (think of a burn) to alter tissue. If you used a laser theoretically through the skin, it would cook your skin and your cartilage. There are a lot of gimmicks out there. To get the result you want, go to a board certified plastic surgeon who does lots of rhinoplasty and understands what you really want to achieve. There are no shortcuts and for those of us that do a lot of rhinoplasty, we have never heard of doing this procedure with a laser. Aaron Kosins, MDPlastic and Rhinoplasty Surgeon
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