Archive for the ‘It’s All About Your Nose’ Category

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Are You A Good Candidate For A Tip Rhinoplasty?

Tuesday, April 16th, 2013

A procedure that is becoming much more common today than it was several years ago is called a tip rhinoplasty. Often times, patients come into my office for a consultation believing that they’re a good candidate for a primary rhinoplasty, though after hearing their goals, it’s very clear that they will see better results from a procedure dedicated to correcting only the tip of the nose.

If you’re experiencing a bulbous or poorly defined nasal tip, I’d like to let you know how a tip rhinoplasty in Charlotte could be beneficial to you.

What Is A Tip Rhinoplasty?

Kulbersh NonSurgicalRhinoplasty1 large 300x203 Are You A Good Candidate For A Tip Rhinoplasty?A tip rhinoplasty is a procedure offered at Carolina Facial Plastics that can correct problems with the nasal tip. Most commonly, patients who are excellent candidates for this procedure are individuals who have a very large or small nasal tip, as well as those who have a tip lacking in definition.  At my office in Charlotte,  tip rhinoplasty aims to adjusts the lower third portion of the nose, and does not involve any breaking of the nasal bones in the dorsum or bridge. The ultimate results of a tip rhinoplasty often depend upon what type of skin type my patients have, be it thick or thin. Patients with thin skin tend to see a much more defined nasal result. While it may be more difficult to achieve proper nasal definition in thicker skinned patients, it is by no means impossible.

A tip rhinoplasty is truly a procedure of millimeters, as I believe that achieving a natural and harmonious nasal result is best seen by making many small changes that together create a nose that fits the face but does not change its character. By adjusting the nasal tip, I can create a nose that appears to be the nose the patient should have been born with. A Charlotte tip rhinoplasty is a less invasive procedure than a primary or revision rhinoplasty procedure, which results in less recovery time, bruising, and swelling for my patients.

Schedule Your Rhinoplasty Consultation in Charlotte Today

Undergoing a tip rhinoplasty can be an excellent procedure for individuals wishing to correct a minor problem with their nasal tip. If you’re interested in learning more about the procedure and how I can help you achieve a more harmonious and balanced nose, please contact Carolina Facial Plastics today by calling (704) 323-5090. During your initial consultation with, I’ll be able to address your unique concerns and come up with a treatment plan completely tailored for you. As a board certified head and neck surgeon with a special training in rhinoplasty, I’m confident in my ability to bring you the results you’re seeking.

For more information about undergoing a tip rhinoplasty in Charlotte, please contact my office today.

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New Study Finds Combined Nose & Chin Surgery Bring Patients Most Pleasing Results

Friday, March 22nd, 2013

ChinImplant Rhinoplasty6 large New Study Finds Combined Nose & Chin Surgery Bring Patients Most Pleasing ResultsI recently came across a new study that depicted the happiness of patients who underwent a rhinoplasty in conjunction with a chin augmentation. To the surprise of many, it was discovered that patients who had the two procedures completed together were more pleased with their final results than individuals who underwent only a rhinoplasty.

According to new research from the University of Verona in Italy, the proportional relationship between the chin and nose is the biggest factor in determining a pleasing aesthetic facial appearance and can be the reason why some individuals who only seek a rhinoplasty are not completely satisfied with their final results. Because the chin and nose are intricately related  facial features, I’d like to let my patients understand why I commonly recommend a chin implant while undergoing a rhinoplasty in Charlotte.

Undergoing A Chin Augmentation & Rhinoplasty In Charlotte

I believe achieving facial balance is the ideal method to create the best results.  Many times, people may only have one facial feature that is not in balance with the face, but there are times when more than one facial feature is not in harmony with the face.  It is a myth that undergoing multiple procedures will diminish the chances of achieving a natural result or  result in a done appearance. When complimentary procedures are performed on multiple features, it can bring the entire face into proportion resulting in the most natural look possible.

A small chin can make the illusion of the nose being larger than it actually is.  If a patient is undergoing a rhinoplasty in Charlotte to make the nose smaller and the chin is weak, then I will recommend a chin implant to improve facial balance.  After I point this relationship to my patients on the imaging morphing software, they commonly agree with the assessment and undergo a chin implant during the rhinoplasty.  I have found these patients to be happy and thankful they chose to have the chin implant.

Schedule Your Consultation At Carolina Facial Plastics Today 

If you’ve been considering a rhinoplasty, Charlotte chin augmentation, or both procedures, I encourage you to contact my medical practice today to learn more about how I can bring you natural and aesthetically balanced results. To schedule your initial consultation at Carolina Facial Plastics today, please call (704) 323-5090 where I’ll be able to address any questions or concerns that you may have. As a board certified head and neck surgeon with a unique knowledge and specialty into the function and aesthetics of the face, my number one goal is to always meet my patient’s needs through providing a completely custom and focused treatment plan.

For more information about rhinoplasty and chin augmentation surgery, please contact my office today.

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Kate Middleton Responsible For The Newest Cosmetic Craze: The Royal Rhinoplasty!

Wednesday, March 20th, 2013

Revision Rhinoplasty Kate Middleton Responsible For The Newest Cosmetic Craze: The Royal Rhinoplasty!Kate Middleton, the Duchess of Cambridge and wife of Prince William, has been long known for her keen fashion sense that has sparked trends worldwide. However, her style isn’t the only thing gaining attention—now more than ever, American women are seeking what has been dubbed the “Royal Rhinoplasty,” and are getting cosmetic surgery to achieve a nose described as the perfect size and shape.

As a rhinoplasty surgeon in Charlotte, I believe that it’s important for my patients to understand exactly why Kate’s nose is garnering so much attention. Kate has a very feminine nose, meaning the bridge swoops very slightly and the tip does not fall or droop when she smiles or speaks. Kate’s nose is also very symmetrical and in balance with the rest of her facial features. One of the lesser-known facts about the nose is that it must in harmony with the eyes, cheeks, mouth, and chin..

Undergoing A Rhinoplasty In Charlotte

I commonly get asked to model a nose after a celebrity or someone who the patient believes is beautiful.   While this can give me insight on the result the patient would like to achieve, I remind them that it is important to remember that each nose and face shape is unique.  During a rhinoplasty, the nose has to be shaped to fit the individuals face.  A beautiful nose on one person, may not be a beautiful nose on another.   As a board certified head and neck surgeon with  a fellowship facial plastics, I believe that the most important aspect of performing any rhinoplasty is to strive for a result that makes the nose appear to blend in with the face.

During your initial consultation at Carolina Facial Plastics, I’ll listen to your concerns to develop a treatment plan completely unique to your face and goals.  I believe that a rhinoplasty is a surgery of millimeters.  Doing a variety of millimeter changes on the nose together can create a nose that looks natural on your face, but does not change the character of the nose.  Depending on what you’d like done, I will decide on either a closed, open, or non-surgical rhinoplasty approach to accomplish your goals.

Contact Carolina Facial Plastics Today

If you’re considering undergoing a rhinoplasty but aren’t sure about how to obtain the results you’re looking for, I encourage you to contact my medical practice in Charlotte today to schedule your initial consultation by calling (704) 323-5090. During this time, I’ll be able to address your needs and goals while coming up with a tailored treatment plan unique to you and your nose. As an expert facial plastic surgeon in Charlotte, I know that achieving subtle and natural results is always the best way to provide my clients with a pleasing nasal structure.

For more information about the royal rhinoplasty, or to schedule your consultation with me today, please contact my office.

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The Importance of Selecting An Experienced Surgeon For An Ethnic Rhinoplasty

Friday, March 8th, 2013

Ethnic Rhinoplasty 1 The Importance of Selecting An Experienced Surgeon For An Ethnic RhinoplastyI recently came across an article that indicated that the number one place in the world where women are seeking primary and revision rhinoplasties is Iran, home to one of the world’s oldest civilizations. The article discussed that because women in this area are influenced by modest dress rules, they view their face as art and plastic surgery as a way to put their art on display for all to see. Surprisingly, the amount of nose jobs performed per capita in Iran is seven times greater than that of the United States, with more than 200,000 individuals seeking cosmetic surgery in the country each year.

However, the statistic that grabbed my attention the most was not the number of individuals seeking rhinoplasties in Iran, but the number of licensed cosmetic surgeons in the country. Iran is home to only 157 licensed plastic surgeons, but more than 7,000 individuals currently perform rhinoplasties and other plastic surgeries, leading to a huge increase in the number of complications and less than ideal results. In this blog, I’d like to let my patients know about the importance of selecting a rhinoplasty surgeon that is not only board certified, but has the ability to maintain your cultural identity while producing optimal and pleasing nasal results.

Undergoing An Ethnic Rhinoplasty

When you’re considering an ethnic rhinoplasty, one of the first things you should do is locate a surgeon who has experience in treating patients of your culture to make sure that they have the correct knowledge and tools to help you achieve your desired goals. An ethnic rhinoplasty should only ever be performed by a surgeon with extensive knowledge in facial plastic surgery and who is licensed. Undergoing any cosmetic procedure with a surgeon who isn’t licensed is very dangerous and can cause life-threatening complications including infections or nasal collapse.

When I perform an ethnic rhinoplasty for my patients in Charlotte, I make sure that they are completely comfortable with the procedure by first explaining my approach in intricate detail. Once the patient and I are in agreement with the goal outcome, I can come up with a customized procedure that will maintain their cultural identity and create a nose that is in balance with the rest of the face.

During my training in Beverly Hills, I had extensive experience with patients undergoing ethnic rhinoplasty.  We performed rhinoplasties on patients from all over the world including South America, the Middle East, Japan, and Europe to name a few.  This valuable experience and training is of great use to patients at my practice in Charlotte.

Speak With Dr. Kulbersh About Your Options Today

Making the decision to undergo a rhinoplasty should be accompanied by visiting an expert facial plastic surgeon who can turn your goals into a reality. If you’d like to learn more about undergoing an ethnic rhinoplasty in Charlotte at Carolina Facial Plastics, I encourage you to contact my office today by calling (704) 323-5090 to schedule your initial consultation, during which I’ll be able to address your each and every concern in extreme detail. Because I am a board certified head and neck surgeon who is specially trained in facial plastic surgery, I have a unique knowledge capable of bringing both functional and aesthetically pleasing results to my patients.

For more information about the ethnic rhinoplasty procedure, please contact my medical practice today.

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Making the Nose Bigger Can Be A Goal of a Rhinoplasty

Tuesday, February 5th, 2013

rhinoplasty chin implant charlotte 41 Making the Nose Bigger Can Be A Goal of a RhinoplastyRecently, I had an interesting consultation with a patient.  She was interested is having a rhinoplasty to make her nose larger and wanted to know if I performed that type of surgery.  As a rhinoplasty expert in Charlotte, I thought this was an great question and a good discussion point.  A beautiful nose is a nose that blends into the face that allows people to notice their eyes or beautiful smile.  A nose that does not blend with the face will draw attention to the nose and away from the other attractive features of the face.  The stereotype of a typical rhinoplasty candidate is a women with a large nose.

Enlarging The Nose With Rhinoplasty

This patient would benefit from a surgery to remove the bump and make the nose smaller.  While this is a common indication for a rhinoplasty in Charlotte, it is certainly not the only indication. The patient requesting a larger nose had strong (chin, cheeks, and forehead) and attractive facial features.  Her small nose did not blend well with her strong features.  The nose had a deep scoop from the profile, and the front of her nose was upturned allowing one to see inside of the nostrils.   In this case, the goal of the rhinoplasty was to make the nose bigger by building up her scoop and rotating the nose down.  This requires advanced rhinoplasty techniques.  Typically, I will use cartilage grafts with the help of a flexible and dissoluble plate, better known as a PDS  plate, to enlarge and rotate the nose down.

Contact Carolina Facial Plastics Today

A perfect nose is different for every face.  The goal of a rhinoplasty in my practice in Charlotte is make the nose blend with the surrounding facial feature.  This may require a surgery to make the nose bigger to create facial harmony. If you’re wondering if you might be a good candidate to undergo a rhinoplasty, I encourage you to contact Carolina Facial Plastics today to schedule your initial consultation and to learn more about the best facial plastic surgery options for your unique case.

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Does Your Nose Not Fit Your Face?

Wednesday, January 2nd, 2013

Does Your Nose Not Fit Your Face?As one of the most important features of the face, both functionally and in appearance, the nose should not be the first facial feature that is noticed. I believe beautiful eyes, bright skin, or a beautiful smile should be the first facial feature that is appreciated.  If the nose in not in harmony with the face, it can become a point of emphasis on the face and distract from the other beautiful features of the face.  As a facial plastic surgeon in Charlotte and a rhinoplasty expert, I specialize in helping patients achieve a natural nose that fits their face. In this blog, I’ll discuss the best ways for my patients to achieve a nose that fits their face.

Achieving A Harmonious Nose

Appropriate Width

When a patient has a nose that is too wide for their face, it can cause other features to look out of balance, which can create a nose that appears flat on the face.  Narrowing a wide nose will make the nose appear smaller and more triangular.

Smooth Bridge

Another important factor in achieving a harmonious nose is to have a smooth bridge—in other words, the profile view should match the frontal view. A straight nose without a large hump typically blends in well with the face.  In dealing with patients of different backgrounds and ethnicities, the appropriate profile may be a small bump, straight, or slightly curved depending on the patients’ goals.

Slight Upward Turn

Having the correct amount of an upward turn in the nose can be the finishing touches in achieving a harmonious nose in women. A slightly upward turned nose has been associated with a femanine  and youthful appearance. In males, the amount of upward turn should be limited.

At my practice in Charlotte, I help patients achieve a harmonious nose through a rhinoplasty procedure and non-surgical nose jobs. A rhinoplasty is a operation of millimeters, that is, a few millimeter of change in a few areas of the nose can create the nose that is going to fit your face.

Speak With An Expert Facial Plastic Surgeon Today

At Carolina Facial Plastics, I strive to always provide my patients with exactly the outcomes that they’re seeking from their procedure. If you’d like to learn more about whether or not you might be a good candidate for a rhinoplasty, or about the other procedures offered at my practice in Charlotte, I encourage you to schedule your initial consultation today by calling (704) 323-5090.  As a rhinoplasty specialist, I am confident in my abilities to provide you with a younger nose that matches what you’ve had in mind. For additional information, please contact us today.

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Let Me Explain How I Ensure Improved Breathing After A Rhinoplasy

Monday, November 19th, 2012

Let Me Explain How I Ensure Improved Breathing After A RhinoplasyAs a facial cosmetic plastic surgeon in Charlotte, I consider rhinoplasty surgery one of the most common and a favorite procedure that I am lucky to perform on a daily basis.   When my patients are considering a nasal refinement surgery, I discuss that the nose not only has a form or aesthetic that we will improve, but the nose has a central function in our everyday lives, breathing.  During breathing, the nose is the area of the breathing passageway that has the highest level of resistance.  Decreasing the resistance of breathing in the nose can greatly improve the quality of one’s life.  Chronic nasal obstruction can cause:

1)     Fatigue

2)     Limit exercise ability

3)     Hypo-nasal voice

4)     Predisposition for sinusitis

5)     Snoring

6)     Poor sleep

During my intern and residency training in head and neck surgery, I was able to focus and concentrate on the function of the nose and breathing.  I learned to identify the multiple locations where breathing is commonly obstructed in the nose, and the best procedures to correct them.

In evaluating patients with nasal obstruction, it is most important to identify the cause.  There are 3 main causes of nasal obstruction: medical, anatomical, or both.

Common medical causes of nasal obstruction are:

1)     Allergies

2)     Chronic sinusitis

3)     Medication induced (rhinitis medicanmetosa)

If patients have medical causes of nasal obstruction, they have to be properly treated with medications to improve breathing out of the nose.  If they are not properly treated, then any surgery to improve breathing will be limited as part of the cause is not corrected.

The nose is composed of an underling bone and cartilage framework that is enveloped by muscle, fat, and skin.  There are multiple anatomical areas of the nose that may contribute to nasal obstruction.   In the evaluation of a patient with nasal obstruction for rhinoplasty, the anatomical obstruction may be one location or many locations.  The common anatomical areas responsible for chronic nasal obstruction are:

1)     Deviated septum

2)     Hypertrophies turbinate

3)     Collapsed internal nasal valve (Highest area of resistance in the entire airway!)

4)     Collapsed external nasal valve

After identifying the anatomical cause of the nasal obstruction, the surgical treatment plan can be created.  It is during this time as a facial cosmetic plastic surgeon, I can create a plan that will not only improve your breathing, but will also improve your facial harmony.  During a rhinoplasty procedure in Charlotte, the nose is weakened in some areas and strengthened in other areas to build a nose that will last a lifetime.

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What Are The Indications To Break The Bones During A Rhinoplasty?

Tuesday, November 13th, 2012
revision rhinoplasty before after1 300x198 What Are The Indications To Break The Bones During A Rhinoplasty?

A patient at Carolina Facial Plastics before and after undergoing nose surgery.

During a rhinoplasty, there are multiple techniques to aesthetically refine the nose and improve breathing.  The nose is composed of bone and cartilage.  The top hard aspect of the nose is composed of bone and the soft mobile part of the nose below is composed of cartilage.  There are times when the nasal bones are fractured (broken) during the surgery.  Fracturing the nasal bones is not always done during a rhinoplasty, but when it is performed, it can increase the chance of bruising and discomfort after the surgery.  In my facial cosmetic surgery practice in Charlotte, there are 3 main indications of breaking the nasal bones during rhinoplasty.

If a nose has a deviation of the bony aspect of the nose to the left or right, then the bones will need to be fractured.  They are broken in a fashion to re-set the bones in a manner to straighten the nose.  This is common in patients that have had trauma to their nose or who have broken their nose in the past.

Another instance of when the nasal bones are broken is in noses that are wide.  During the fracturing of the bones, they are moved in a position to narrow the bony part of the nose.

The most common indication for breaking the nasal bone is to restore the natural shape of the nose after a hump is removed from the nose.  If you look up at your nose from the floor, it is shaped like a triangle.  When a hump is removed from the nose, it changes the shape of the nose from a triangle to a trapezoid.  The tip of the triangle or the bridge of the nose where the bump was removed is flat.  The flat area is caused by the gap between the nasal bones where the bone was removed during the excision of the nasal hump.  The nasal bone is then broken to bring the nasal bone back together and restore the triangular appearance of the nose.  If the bone is not fractured during a hump removal, then an open roof deformity may occur.

As a rhinoplasty specialist in Charlotte, I will only fracture the nasal bones when it is appropriate.  If the nasal bones are broken, I will inject extra medicine during surgery to help prevent bruising and decrease the discomfort.  If you are undergoing a rhinoplasty in Charlotte, you should ask your surgeon if he thinks your nasal bone will need to be broken and why.

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How To Correct A Crooked Nose

Tuesday, November 6th, 2012

How To Correct A Crooked NoseTo improve facial harmony, many times patients seek rhinoplasty surgery in Charlotte to straighten a crooked nose.  Absolute facial symmetry is not a goal of facial aesthetics as everyone has minor differences between the two sides of the face.  This is true when evaluating the facial features of supermodels, Tom Cruise, Brad Pitt, and Carmen Electra.  When people have obvious facial asymmetries, the eyes of onlookers are focused away from the eyes and smile to the obvious facial asymmetry.  One of the most common obvious facial asymmetries is a crooked nose.

A crooked nose will take attention away from a person’s beautiful smile or gorgeous eyes.  In evaluating a person with a crooked nose, it is important to understand the cause.  Common causes of a crooked nose are:

1)     Result of trauma:  History of a fight, car accident, or strike to the nose

2)     Congenital:  Patient born with a crooked nose

The nose is composed of bone and cartilage that is covered with skin, muscle, and fat.  The top part of the nose is the bony part, and the lower flexible part of the nose is the cartilage.  In evaluating a crooked nose, I first identify if the bone, cartilage, or both parts of the nose are crooked.  If the bone is crooked, osteotomies (breaking the nasal bones) must be done to straighten the nose.  If the cartilage is crooked, then other rhinoplasty techniques must be performed.  Typical procedures that may be performed to straighten the cartilaginous portion of the nose are:

1)     Septoplasty- Correcting a deviated septum

2)     Swinging door technique-  Correct a deviated septum at the entrance of the nose

3)     Spreader grafts-  Improve breathing, build of the nose, and straighten the nose

4)     Onlay grafts-  Re-build  a collapsed section of the nose to increase symmetry

5)     Columellar strut-  Help straighten a deviated tip

6)     Tongue and groove-  Powerful technique to straighten a deviated tip

As you can see, there are many techniques that I use to straighten a crooked or deviated nose for my patients in Charlotte.  I may have to use 1 or all of the above techniques to create a nose that is straighter and allow a patient to be able to easily breath for the rest of their lives.

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Two Philosophies I Use When Approaching a Revision Rhinoplasty in Charlotte

Monday, October 1st, 2012

Revision rhinoplasties are both challenging and rewarding cases.  Due to previous surgeries, the nose has been changed to a poor appearance or the nose has collapsed resulting in nasal obstruction.  When I am evaluating a nose for a revision rhinoplasty in my office in Charlotte, I consider two different techniques to improve the nose:

1)  Camouflage revision rhinoplasty

2)  Reverse reconstructive rhinoplasty

Patients that have good nasal function and support, I typically suggest a camouflage technique.  In this case, the nose functions normally, but there are mild to moderate aesthetic issues.  I recently had a patient that had the bridge of her nose over-resected and had multiple painful bumps on her nose.  She was able to breath well, and she liked the rest of her nose.  I recommended to camouflage the area of concern by removing the bumps and place cartilage and tissue in the concerning area to repair the bridge of her nose.

A reverse reconstructive rhinoplasty is recommended to patients that either have nasal obstruction or major aesthetic issues.  These patients typically have collapse of the nose, twisting of the nose, or major aesthetic issues.  Their previous surgeries have removed cartilage and bone from the nose that have resulted in the poor outcome.  In these cases, I have to reverse their previous surgeries by adding cartilage to the nose to rebuild it.  This type of surgery is typically more technically challenging and time consuming, but is worth the effort to create a nose that will last a lifetime.

As a Charlotte based revision rhinoplasty expert, the pre-operative evaluation of the nose is a vital aspect of creating the best treatment plan to improve the aesthetic and functional aspects of the nose.  Camouflage and reverse reconstructive are two techniques that I use to give my patients the best outcomes.

 

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