Which Facial Surgery is Right for You?

Facial plastic surgery can make some truly amazing changes. It can minimize signs of aging. It can change the shape or size of certain features, such as the nose or chin. Because there are so many different options, it's important to choose your procedure carefully, based on your goals. If you're considering facial surgery, the first question to ask yourself is fairly simple, but not always easy: which surgery is right for you?

Knowing what you want from the procedure, what your specific concerns are and how much time you have to devote to surgical recovery will help you choose the facial surgery that will best help you reach your aesthetic goals.

What Are Your Concerns?

One of the first things to consider when you're deciding on plastic surgery is your particular concerns. For example, some facial procedures are designed to minimize the signs of aging by tightening the skin and underlying tissues. Others, such as rhinoplasty, are designed to permanently change the size or shape of a feature (in this case, the nose). Rhinoplasty and some other plastic surgeries, such as blepharoplasty, can also improve the function of some facial features.

For example, rhinoplasty might help to improve your ability to breathe and an eyelid lift can help to improve your vision if your eyelids droop and hang down too low over your eyes.

It's worth understanding that different facial procedures are designed to tackle aging in different areas. A facelift, for example, is meant to improve signs of aging on the lower part of the face. A forehead lift will help to minimize signs of aging in the brow.

What Are Your Goals?

Another factor worth considering when you're choosing a facial procedure is what you hope to get from the surgery. Are you looking for long-term results or do you want something less invasive and less permanent? If your goal is to rejuvenate your entire face, it might be in your best interest to choose a series of surgeries, such as combining a facelift and a forehead lift or a forehead lift and an eyelid lift. If you're only seeing the beginnings of aging, however, a single surgery might be more appropriate.

Is Surgery the Best Option?

Surgery isn't the only choice available if you're looking to reduce visible signs of aging. Many effective non-surgical treatment options are available to treat problems like lines and wrinkles. In some cases, these non-surgical options might be a better fit for you than surgery. For example, if you're only dealing with a few small lines and minor volume loss, a filler might be more appropriate than a facelift.

When weighing the pros and cons of surgery vs. minimally-invasive treatments, it helps to think about your schedule and commitments. Facial surgery often requires some preparation and days to weeks of recovery afterward. Before the surgery, you might need to make changes to your habits or adjust the medications you take. After surgery, you'll most likely need to take time off from work and might have to avoid some activities for several weeks.

For many patients, however, the recovery and preparation time required for surgery is worth it. Surgery provides long-lasting results and more dramatic anti-aging when compared to non-surgical alternatives. But for others, it's a better option to choose a less invasive procedure that doesn't require nearly as much as in the way of commitment.

Ask Your Plastic Surgeon

If you're still not sure which facial plastic surgery is right for you, your plastic surgeon can be a good resource. They're the experts, and they'll be happy to guide you as you make your decision. They can explain the differences between each procedure and go over what you can expect. They can also review your specific concerns and offer you their professional opinion.

To help you get an even better understanding of what to expect from a particular surgery, a plastic surgeon can show you before and after photos from previous patients and might even put you in touch with former patients so you can hear firsthand what it's like to have the surgery you're considering.

Schedule Your Facial Surgery Consultation Today

Dr. Haitham Masri and Dr. Fatina Masri each have more than two decades of experience performing plastic surgery and non-surgical procedures. They can help you choose the facial plastic surgery that will address your concerns and help you achieve your goals. To schedule your free patient consultation at Masri Clinic for Laser and Cosmetic Surgery, call (866) 487-3223 today.

Rhinoplasty RisksYou might not want to think about the risks of rhinoplasty. Although the potential for risks or complications can be greatly minimized by doing your research and finding a qualified, board certified facial plastic surgeon to perform the surgery, it's still worthwhile to have an understanding of what they are and the ways you can minimize or avoid them.

Bleeding and Infection

The good news about medical complications, such as bleeding or infection, and rhinoplasty is that they are relatively rare, occurring in just a handful of cases. Of course, if you experience an issue such as bleeding or an infection after surgery, knowing that you're one of just a few might not necessarily be good news.

There are several ways to minimize the risk of bleeding or developing a hematoma, a collection of pooled blood beneath the skin, after rhinoplasty. Your surgeon will advise you  to avoid certain medications, such as aspirin, which make bleeding more likely to occur.  Treating your nose very gently and avoiding blowing it or forcing air through it in the days following surgery will also help you avoiding excessive bleeding. It's worth pointing out that there is usually some mild bleeding after rhinoplasty, and you shouldn't get alarmed if you notice a small amount of blood a couple of days after your surgery.

Infection can occur after rhinoplasty if the healing area is exposed to any sort of bad bacteria. To minimize the risk of infection, your surgeon might give you an antibiotic to take. Take the medicine as directed to give yourself the most protection. Keep an eye on how you feel, too. A high fever can often be a sign of infection, for example. If anything seems off or if you feel unwell, contact your surgeon to find out what you should do.

Scarring Problems

The incisions made during a closed rhinoplasty are generally inside the nose, meaning any scarring will be well concealed by the nose itself. An incision made across the columella, which divides the nostrils, during an open rhinoplasty. Under usual circumstances, the scar that develops as the nose heals from an open surgery is usually not very noticeable.

But, some circumstance can occur that make scarring worse. For example, some people naturally have difficulty when it comes to developing scar tissue and the scar  on the underside of their nose might grow beyond its boundaries. In other instances, external factors can make scarring more prominent, such as sun exposure. Limiting your time in the sun and using sunscreen will help you avoid any issues with scarring.

Functional Difficulties

Another potential risk after rhinoplasty is that the way your nose functions will be somehow affected. Although the goal of surgery for many patients is to correct any breathing issues in the nose, for others, the surgery might make nasal blockage worse or make it more challenging to breathe.

It might take some time for you to realize that you are having increased trouble breathing after rhinoplasty. A feeling of stuffiness or congestion is common during the initial recovery period after the surgery. If those problems don't improve you recover, it might be something you want to bring up with a surgeon. It could be that the surgery moved your septum or otherwise created a blockage in the nasal passages.

Anesthesia Issues

Issues from or reactions to anesthesia are very rare, but can happen. If you have a history of allergic reactions to anesthesia or have close family members who have had reactions to anesthesia, that is something you should mention to the surgeon during your consultation. He might recommend a different option, such as IV sedation, instead of general anesthesia, instead.

Even if you have no  history of problems with anesthesia, it's a good idea to follow the instructions your surgeon gives you before surgery, particularly in regards to eating and drinking. It's usually recommended that you not eat or drink for several hours before going under, to avoid complications that can occur when the esophagus relaxes.

You Might Not Like the Results

One final rhinoplasty risk: you might not like the way you look afterwards. Cosmetic complications after surgery are actually more common than medical complications and can occur for a few reasons. In some cases, it might be that the surgeon made an error, resulting in a crooked nose or a drooping tip. In other cases, it could be that your expectations for the surgery weren't in line with reality.

Aside from choosing an experienced and board certified facial plastic surgeon, there are ways to minimize the chance that you won't be happy with your results. Computer imaging can give both you and the surgeon the ability to see what  changes can be made to your nose, and how they will look, before surgery. Reviewing before and after pictures of previous patients will also give you an idea of the surgeon's ability when it comes to performing rhinoplasty.

Discuss Your Options

With the versatility of rhinoplasty today, the procedure must be customized to suit the needs of each patient. Your first step in the process is to discuss your options for rhinoplasty with a qualified, board certified facial plastic surgeon. During your consultation, you will have the opportunity to present your goals for surgery, get advice, and ask questions about the procedure.

Dr. Haitham Masri, of the Masri Clinic for Laser and Cosmetic Surgery is a triple board certified surgeon with decades of experience in helping patients reach their rhinoplasty goals. If you would like to discuss your goals for surgery with Dr. Masri, call (866) 487-3223 today to schedule your complimentary consultation.

Dermal Fillers and RhinoplastyDermal filler injections like Botox, Dysport, and Juvederm are used thousands of times a year to help patients look younger and feel great about their appearance. They are typically used to treat wrinkles or add more volume to certain areas of the face. There is also a less common use for some types of injections – nonsurgical rhinoplasty.

Also known as the liquid nose job, nonsurgical rhinoplasty got its start back in the early 19th century as a way to improve the outward appearance of the nose. That concept continues to be the objective today, though with a much more refined technique and better quality of injectable materials. The procedure involves altering the soft tissue of the nose by strategically injecting the fillers into the affected areas.

There are several options that rhinoplasty surgeons can use for nonsurgical rhinoplasty, including Juvederm, Sculptra, and Radiesse. These fillers are designed to add volume to the soft tissue of the face without surgery. They are easily applied under a local or general anesthetic, depending on how much work the patient’s nose actually needs. The filler is carefully injected with a controlled amount to prevent any disfiguration and then the surgeon will gently massage and shape the filler to create the outward shape of the nose.

Nonsurgical rhinoplasty is far less common than other types of rhinoplasty because it is more limited. The fillers will only change the outward appearance of the nose, not the underlying bone and cartilage. Dermal fillers are also not a permanent solution; they do wear off over time and have to be reapplied to keep the results. Because the fillers are adding more material to your nose, it can make the nose bigger in both size and volume, so if you are worried that your nose is already too big, nonsurgical rhinoplasty is not going to improve that.

However, there are decided benefits to having nonsurgical rhinoplasty over surgical. One of the biggest advantages is the lower cost. Surgical rhinoplasty costs thousands of dollars; whereas, nonsurgical rhinoplasty will be a few hundred. There is also little to no recovery time needed for nonsurgical rhinoplasty. The injections only take a short time to apply and then you are out the door, compared to surgical rhinoplasty which can take up to two years for a complete recovery. Unlike surgical rhinoplasty, the results of nonsurgical rhinoplasty can be adjusted; fillers can be removed or reapplied as needed to get the best looking results. Nonsurgical rhinoplasty can also be a good option if you have been considering surgical rhinoplasty, but aren’t sure you want to go through with it. The dermal filler results can give you an idea of what your nose could look like after the more permanent surgical rhinoplasty without having to speculate your appearance.

The most common problems with the external shape of the nose that are corrected with nonsurgical rhinoplasty include minor bumps or dents in the nasal bridge, raising the height of the nasal bridge to give the nose more definition, or making slight adjustments to the shape of the nasal tip. Anything more drastic will likely require surgical rhinoplasty to physically change the shape and size of the nose.

Whether you are choosing nonsurgical or surgical rhinoplasty, it’s important to choose a surgeon who is experienced in nose shaping and using dermal filler injections. Masri Clinic for Laser and Cosmetic Surgery offers both rhinoplasty and dermal filler injections, as well as a wide variety of other surgical and nonsurgical procedures. Dr. Haitham Masri has been a plastic surgeon for many years and has cultivated a great deal of experience while working with thousands of patients.  For a consultation, call (866) 487-3223.

Modern RhinoplastyPlastic surgery as it exists today is a relatively new concept, but some procedures, including rhinoplasty, have roots in ancient time. Rhinoplasty has a long, rich, and fascinating history that spans thousands of years, and proves that even in ancient times, people were worried about the aesthetics of the nose. So what were the earliest rhinoplasties like? And how do we know anything about them to begin with? Are there any ancient techniques that are still used today? 

The First Rhinoplasty: India 

The first known rhinoplasty procedures were performed in India, stretching back as far as the 6th Century BC. These initial procedures were done for reconstructive purposes, and a piece of skin from the cheek was used to build up and re-shape a new nose. This type of “flap” technique is used in many reconstructive procedures today.

How Do We Know What Happened? 

Fortunately, the ayurvedic (holistic) physician who performed the surgery was an excellent record-keeper. His name was Sushruta, and he was the author of a foundational medical text known as Sushruta Samhita. There may have been other rhinoplasty procedures performed prior to this time, but Sushruta’s technique was the first ever recorded.

Western Emergence: Out of Necessity 

Back before many effective drugs were available for treating various ailments, people often became disfigured from disease that could not be stopped before it advanced. Rhinoplasty emerged in the Western world mostly due to a particularly nasty disease that was known to attack the soft tissue of the nose over time: syphilis. In fact, syphilis was so rampant, that even people who had lost their noses from other causes were often thought to have the disease.

Stigma and the Reconstruction of the Nose 

Rhinoplasty emerged in response to the syphilis problem as a way to combat prejudice and social stigma for people who had severely disfigured noses. In the past, people who had these kinds of disfigurements were considered diseased and infectious, regardless of the cause of the disfigurement. Thus, any kind of chance at reconstruction was embraced.

Rhinoplasty has always been used for reconstruction, typically to build up a nose that has been under severe trauma and is missing tissue. In ancient rhinoplasty, techniques were rudimentary and the results unconvincing. As centuries passed, however, techniques became more refined, and results began to look more natural. Reconstructive rhinoplasty has historically been popular for repairing trauma related to illness, accident, and warfare.

Modern Cosmetic & Reconstructive Rhinoplasty

Today, skilled plastic surgeons can produce stunning cosmetic and reconstructive rhinoplasty results that look very natural. With modern techniques like cartilage grafting, advanced skin flap methods, and manipulation of the nasal structure, it is possible to achieve beautiful, natural-looking results for most rhinoplasty patients. Modern rhinoplasty is a versatile procedure, and can accomplish a wide variety of goals, depending on the patient’s needs. The key is finding an experienced surgeon to perform the procedure. Rhinoplasty is still an extremely difficult surgery, despite all the modern conveniences we enjoy, so it is important to choose a facial plastic surgery specialist to perform the surgery

Discuss Your Options 

With the versatility of rhinoplasty today, the procedure must be customized to suit the needs of each patient. Your first step in the process is to discuss your options for rhinoplasty with a qualified, board certified facial plastic surgeon. During your consultation, you will have the opportunity to present your goals for surgery, get advice, and ask questions about the procedure. 

Dr. Haitham Masri, of the Masri Clinic for Laser and Cosmetic Surgery is a triple board certified surgeon with decades of experience in helping patients reach their rhinoplasty goals. If you would like to discuss your goals for surgery with Dr. Masri, call (866) 487-3223 today to schedule your complimentary consultation.

How Rhinoplasty Can Help With Common Breathing ProblemsWhen most people think of a “nose job” the first thing that comes to mind is a purely cosmetic procedure used to improve the appearance of the nose. However, rhinoplasty (nose reshaping surgery) is an extremely versatile procedure that can make many positive changes in the appearance and/or function of the nose. Functional rhinoplasty is a popular and useful procedure that is used to resolve or at least improve common breathing problems and improve overall quality of life. But what kinds of defects and breathing problems can rhinoplasty solve, and is it a good option for you?

Common Breathing Problems

While there are many reasons people can have breathing problems, some causes are more common than others. Here are some of the more common problems that can occur, along with the ways they can be improved or even solved with functional rhinoplasty surgery.

Deviated Septum

An extremely prevalent nasal deformity, a deviated septum can range from very mild and nearly imperceptible to severe and significantly affecting nasal function. Nearly everyone has at least a slight deviation, or crookedness in the wall separating the nostrils (the septum), but it can greatly impact quality of life when the crookedness is severe. Rhinoplasty can be used to straighten out the septum for better breathing. In extreme cases of deviated septum, improving the problem can also improve nasal aesthetics.

Enlarged Turbinates

The turbinates are bony structures within the nose that protect the nose and filter and heat incoming air to make it more comfortable for the body to use. Sometimes, swelling in the turbinates is caused by allergies or other irritants, but enlarged turbinates can also be a chronic problem, which is often related to a deviated septum. Rhinoplasty can help normalize the size of the turbinates for more comfortable breathing.

Nasal Deformities

Nasal deformities can be present from birth, or they can be caused by traumatic injury or disease. Regardless of the cause, these deformities can cause breathing problems. The procedure will vary from patient to patient because this type of problem is so individual, and may require reconstructive techniques. Only a highly skilled and experienced surgeon has the flexibility and knowledge to take on this sort of case.

Sleep Apnea

Sleep apnea is a common disorder that causes the sufferer to stop breathing at intervals during sleep. These intervals determine the severity of the problem in the individual patient, and severe sleep apnea can greatly affect the quality of life of these patients. Sleep apnea interrupts the sleep cycle every time respiration ceases, which can lead to sleep deprivation and a whole host of issues that go with it. The problem is usually controlled with a breathing machine, but rhinoplasty can help some patients breathe better and reduce the severity of the issue. It is best to seek out a surgeon with expertise in both plastic surgery and ear, nose, and throat issues to perform this type of operation.

How It Works

Rhinoplasty today is typically performed using the “open” technique these days, which involves a small incision that runs across the small strip of skin separating the nostrils. This scar fades to be nearly invisible after recovery from the procedure is complete. The surgeon will remove and rearrange bone, cartilage, and skin to preserve the nasal structure and address any breathing problems. The surgery is usually performed under local anesthesia and sedation, but general anesthesia is available at the patient's request.

Recovery

Recovery from rhinoplasty is much easier these days than it once was. Typically, nasal packing is no longer necessary, and only a splint must be worn for about a week. Patients are able to be social within about 2-3 weeks, with residual swelling fading over the year following rhinoplasty. Strenuous activity must be suspended for 3-6 weeks after surgery to prevent complications, including increased swelling and bruising.

Combining Benefits

When many people choose to move forward with functional rhinoplasty, they also elect to have cosmetic work done on the nose. This is a great opportunity for patients who have long had issues with their nasal aesthetics, as both problems can be addressed at once. This results in lower costs for patients and only one recovery period. However, patients seeking insurance reimbursement for functional rhinoplasty should be aware that cosmetic changes to the nose will not be covered, even when performed at the same time as functional rhinoplasty.

Choosing a Surgeon

When it comes to rhinoplasty, you should leave nothing to chance. Rhinoplasty is one of the most difficult procedures to perform, and only an experienced, board certified plastic surgeon will have the skills to give you the results you seek. If you would like to speak with an expert about your procedure, come to Masri Clinic for Laser and Cosmetic Surgery and meet with our rhinoplasty expert, Dr. Haitham Masri. Dr. Masri is uniquely qualified for rhinoplasty, with over two decades of experience and triple board certification in plastic surgery, otolaryngology (ear, nose, and throat), and sleep medicine.  To schedule your free consultation with Dr. Masri, call 866-487-3223 today to make an appointment at our Dearborn or Birmingham, MI locations.

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