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Ethnic Rhinoplasty Surgery: A Personal View of Nose Beauty

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Beauty is really in the eye of the beholder. What is considered attractive in one culture, may not be in another. Ultimately, it is up to each individual to decide what looks best for them. If we're talking about rhinoplasty (nose revision), this is a very personal decision. What your nose looks like can make a big impact on your face and overall appearance.

I see people of all different ethnicities who are seeking the Best Rhinoplasty (nose) surgeon they can find. The term ethnic rhinoplasty refers to individuals who are of varying and diverse ethnicities, and who want to change their nose, shaping it according to a personal standard they select, which may be different from their cultural/family look. Regardless of ethnicity, the principles and skill required are similar for every person to create an attractive and stable nose that will not collapse or develop problems over time.

Often times we see thick skin in patients of African American and Asian descent but there are also many Caucasians with thick skin as well. It is now well understood that to improve the appearance of a nose with thick skin we need to push into the thick skin and this is most often done with cartilage grafting techniques to support the tip. These are the same principles and techniques that are often used in revision or secondary rhinoplasty as well.

The aesthetic goals of the patient need to be discussed thoroughly on a case by case basis because some people may want to maintain their ethnic (or family) look while others will want to eliminate it all together. I see about 60% of people who want to maintain their ethnic appearance to some degree and 40% of people who want to eliminate it. There is no right or wrong answer; it all depends on the patient's desires. I really enjoy working with people of all ethnic backgrounds and now with my offices in NYC, Dubai, as well as LA, I have the privilege of working with people of all different ethnicities including Latino, Middle Eastern, Armenian, African American and Asian. With the explosion of my practice in Dubai I have seen an even larger percentage of people who desire rhinoplasty. I feel very fortunate to have the high level of expertise and experience that I have doing rhinoplasty so that I can give my patients the best results they could ever hope for.

Inner beauty is really what matters the most. Some times, people want to match their inner beauty with their ideal vision of outer beauty in their personal appearance by undergoing a cosmetic procedure. As long as someone is balanced, and not obsessed about their appearance, this can be perfectly healthy--the same way that a person will go get a hairstyle or go the gym regularly to trim fat and build muscle. We all want to look and feel better (and push back the hands of time). We all want the satisfaction of knowing we look our best.

In the same way, regardless of a person's cultural background, I strive to help the patient make the best cosmetic surgery choice for themselves and their family, taking into account the pure aesthetics of what will make that person look and feel perfectly natural and beautiful in their own way.

The Perfect Face Lift

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All of us age, and all of has have our unique outlook on aging. For some people, wrinkles and lines are a sign of maturity and wisdom. For others, it is a sign of the negative aspects of aging--losing vitality, beauty, and youth. As a facial plastic surgeon, my job is to do the best job I can to make people happy about the way they look. Just like a personal trainer will help you achieve the body you desire, I can help you achieve the face you desire.

Since Baby Boomers are now one of the biggest populations in the US, there are plenty of people hitting their 50s, 60s, and beyond who want a fresh outlook on life, and a fresh face to go with it.

Each face is different and every face ages differently. I understand this and therefore I approach my surgical technique accordingly. People often call the office to ask my receptionist or nurse what procedure I will recommend for them and how much it will cost. I don't have one cookie cutter approach to the aging face and therefore I treat each face as an individual work of art. I develop a specific plan based on the patient's anatomy and goals and will determine if the person will require a deep plane facelift vs. a vertical facelift vs. a mini facelift, etc. I will furthermore determine if the person will best be benefited by cheek implants vs. fat grafting vs. mid facelift etc. There are so many different techniques that I have perfected over the years that are available to me and each technique has certain indications that work better for some people than others. It is my job and passion to figure out what combination of techniques will give my patient the best possible results and I have committed myself to being the best facial plastic surgeon, and the best facelift surgeon that I can be.

You owe it to yourself to look as healthy and fresh as you like. You only have one face, and you may as

The Power of The Necklift

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A well-proportioned neck is a thing of beauty. But, as we age, our neck starts to sag, and we get that turkey neck look.

Let us first discuss the platysma bands (turkey gobbler). This is the result of the underlying muscle of the neck drooping from its attachments to the underlying chin region.

To correct this problem requires an incision under the chin to tighten the platysma muscle. Sometimes this is all that is needed to correct the problem.
This procedure can address the loose excess skin of the neck as well by elevating all the neck skin from the underlying muscle and allowing it to redistribute itself through out the entire neck. In this case this is known as a Neck Lift.

I routinely perform neck lift with all facelift procedures. This technique is extremely aggressive for those people with thick and full necks. Many of my patients require only a minor amount of neck tightening and for them I am conservative, but there are those people with thick necks who are really trying to create a sculpted and defined neck. For those people I remove not only the subcutaneous fat layer which is the fat just beneath the skin but I also carve out the fat layer beneath the neck muscle. This fat layer called the subplatysmal fat sits just atop the windpipe cartilages, so when I am done the neck is as tight and sculpted as it can possibly be", says I.

This technique allows me to create good definition on those people who were previously thought to be untreatable in the past. I have had the honor of taking care of so many different types of people from all over the world with all different types of necks from short to long and thin to fat and the one consistent thing that I have found is that while many people require only conservative changes to the face, the neck usually looks better with aggressive tightening as it is impossible to make a neck look pulled or unnatural.

It's true: Everybody likes a tight, nicely proportioned neck. Today, with our advances in surgical technique, you can have the attractive neck you desire.

Put On A Happy Face by Dr. Jason Diamond and Dr. Alexander Avila

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Betsy, a forty-two year old engineer, was a good person, a hard worker, but she always looked like she was worried or angry. She had furrowed brows that made her look worried; she had a tight smile that made her look angry. Betsy not only looked anxious and angry, but she also felt that way most of the time. As a result, people avoided her, and she was single and lonely. She wanted to feel happier, but she didn't know how.

Now, the field of psychology sheds light into the predicament of people like Betsy who have faces that give them a sad and angry look. According to the facial feedback hypothesis, facial movement can influence emotional experience. If you smile a lot, you will feel happier. If you frown, you will feel sadder. Your facial expressions actually release certain brain chemicals that can affect your mood, either positively or negatively. For example, when you smile, endorphins are released; these are the body's natural painkillers that create feelings of comfort and security. In the case of Betsy, her facial expressions actually created her negative emotional states: sadness, anger, fear.

In one research study, the participants placed a pen in their mouths in one of several ways. One way was to put a pen in what was called the "Lip" position, which would contract the orbicularis oris muscle, resulting in a frown. In the other "Teeth" position, the pen would affect the zygomaticus major (or risorius muscle), resulting in a smile, Afterwards, the subjects were asked to rate the funniness of a cartoon. The Teeth group (which had the smiles) had significantly higher amusement ratings than those in the Lip group (which had the frowns). Thus, smiling made the subjects enjoy the cartoon more; they had a better time than the frowning group.

To test the facial feedback hypothesis out for yourself, try this exercise for a few days: When you're feeling depressed, go to your bathroom mirror and
smile. Exaggerate your smile, laugh a little, make some funny faces. You will soon discover that whatever you were worried about will diminish, and you will find that your mood is elevated. You just feel better.

Now, there is a new cosmetic approach to feeling better permanently by chemically altering your facial expressions, so positive emotions are created, instead of negative ones.

According to Dr. Jason Diamond, world renowned facial plastic surgeon and star of Dr. 90210, Botox® injected into the upper face can cut down on the appearance of negative emotions, most notably anger, but also fear and sadness:

"Botox® relaxes the corrugator supercilii and the procerus muscles in the face, which are responsible for brow furrowing. This, in turn, creates a more youthful, relaxed, and pleasant look, as well as positively affecting the person's emotional balance."

Botox® can also be injected into the depressor anguli oris facial muscle. This will improve the position of the corner of the mouth, resulting in a nice, natural smile that proclaims to the world: "I'm happy."

Another option, suggests Dr. Diamond, is using fillers like Restylane®, Radiesse®, or Sculptra® to fill in the marionette lines in the face--vertical lines that run downward from the outer corner of your mouth along the outside of your chin. This will reduce the "sad" appearance common in many people, and, in turn, help you feel better and more positive about yourself and your life.

Smile and the whole world smiles with you; frown and you frown alone. This is not just a famous maxim, it is a scientifically validated fact: Now, you can look and feel much better with a few minor touches of a facial plastic
surgeon's hand. You can finally show the world that you look as good as you feel, and you feel as good as you look.



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