Rhinoplasty for Cleft Lip

Rhinoplasty or Septoplasty in a patient with a history of a cleft lip repair can be more tricky due to inherent asymmetry in the nasal tip cartilages and the septal cartilage. The nasal tip cartilage on the cleft side is typically depressed and leaning to this side. The nostril is typically…

Revision Rhinoplasty with Deviated Septum

Rhinoplasty alone is one of the most difficult operations in plastic surgery due to the need to shape a 3 dimensional object by carving, grafting, and manipulating cartilage, soft tissue, and bone. All the while, respecting or improving function or breathing is critical during this operation. Revision…

How to address a sagging neck

As we mature, there is loss of collagen and elasticity in our skin. Our neck is no exception. Not only does the skin begin to sag and wrinkle because of this, the thin muscle in the neck called the platysma begins to separate and loosen. This can lead to the “bands” we frequently see in the front of the neck from the chin down. Frequently, fat can herniate or fall between these bands of muscle…

Am I Ready for Botox or Fillers?

Many of my patients have asked when they should start Botox (or Dysport) or fillers. The answer is that it depends. There are numerous factors to consider. The most important is, “How much do your wrinkles or folds bother you?”. Typically, if you are thinking about Botox…