Are ENT doctors who are ABPS doctors a good choice for rhinoplasty?

 

Rhinoplasty surgery is a combination of art and science. It ideally encompasses an aesthetic approach to the external appearance with a functional concern for the nasal airway. Good rhinoplasty surgeons are knowledgeable in both aspects. There are excellent nasal surgeons who come from both disciplines: Plastic surgeons certified by The American Board of Plastic Surgery who are ideally members of the American Society for Aesthetic Plastic Surgery (ASAPS)and ear, nose and throat doctors who are certified by the American Board of Otolaryngology and additionally by the American Board of Facial Plastic and Reconstructive Surgery. Beyond the appropriate training, what is essential is a sense of artistry and experience. Ask the surgeon how often he or she performs the procedure and discuss both the desired outcome and what is realistic.

 Robert Singer, MD  FACS

Nose Reshaping

Is fixing a deviated septum more complicated after a primary rhinoplasty?

 

It is usually not, but it depends on your particular anatomy and what was done surgically on your nose previously. The best way to approach this is to have a consultation with a fully trained surgeon certified by the American Board of Plastic Surgery who is ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or an ENT doctor certified by the Board of Otolaryngology. The surgeon should have extensive experience in performing secondary nasal surgery.

 

Robert Singer, MD FACS

 

Nose Reshaping

Artefill in the nose?

 

The correction of what you describe may be simple or complicated depending on the extent of the raised bumps and their location. Occasionally, these can be treated with a small injection, but often they require a more extensive surgical excision which may or may not remove all of the Artefill. Artefill is a permanent filler that is comprised of polymethyl methacrylate (PMMA) and bovine collagen. Most experienced knowledgeable rhinoplasty surgeons would not suggest using synthetic permanent fillers in the nose because of the long term problems that can develop, even years after these injections..

Robert Singer, MD FACS

 

Miscellaneous

 

Breast sagging means different things to different patients. To some, it is loss of volume and firmness, to others it is a progressive lowering of the nipple-areola position, and to others it is both. Weight loss may contribute to sagging, but there are other factors the play a role, including genetics.

The best correction depends on your anatomy, desired outcome and understanding of the pros and cons of each procedure. If there is adequate volume and the nipple is low, a mastopexy or breast lift may improve the shape and position. If there is less volume than you would like, an implant alone, depending on the location of the nipple-areola, or in conjunction with a mastopexy may be the solution.

You should have a consultation with a plastic surgeon who is certified by the American Board of plastic Surgery and a member of the American Society for Aesthetic Plastic Surgery.

Robert Singer, MD FACS

La Jolla, California

 

 

 

Breast Lift

There are a variety of surgical options to improve a "nose that is too short". The exact technique would depend on your specific anatomy and your desired outcome. You need to be realistic about the results, as you should be with any procedure. Correction of a short nose usually requires cartilage grafts and often additional surgical steps by the surgeon to create a natural appearing improvement.

The best way to proceed is to have a consultation with a board certified  plastic surgery, ideally a member of ASAPS.

Robert Singer, MD  FACS

Nose Reshaping