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Submitted by Admin on Mon, 05/05/2014 - 12:52

Nasal hair is something we are supposed to have. Vibrassae, the medical term for nose hair, serves to help filter particles and air. However, overly long nasal hair is probably not high on our list of attractive. So what are you supposed to do prior to a rhinoplasty? Pluck, clip, or leave it alone.

The answer depends on the timing of the procedure. If you are having a procedure within a week, the best answer would be to do nothing, but if you must do something, trim your hairs don't pluck them. The reason for this is that manipulation of nasal hair can cause an ingrown hair or infection of the follicule termed a folliculitis. In some patients, this can lead to an abscess. Pulling nasal hairs is definitely more likely to cause a folliculitis than trimming hairs with either a scissors or a nasal hair trimming device.

Tags: Rhinoplasty

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Submitted by Admin on Fri, 05/02/2014 - 13:50

The buzz word of the last year is “selfie”. Taking a photo of yourself can be a fun, spontaneous act, especially when you have a cell phone in your hand. However, an occasional question I hear from patients is that they like how they look in person and in some photographs, but they don’t like how they look in the selfie. Should I get surgery?

The answer is a definitive NO! A selfie is typically taken with a cell phone camera and the lens on most cameras is wide angle lens. This means the camera is intended to take photos of landscapes and less capable of taking accurate facial photographs. The further you stand from a wide angle lens, the less distortion or fish eye effect you will have, hence a more flattering photograph. With a selfie, unless you have an NBA basketball player’s arm span, you are probably going to create fish eye effect and facial distortion.

This phenomenon of lens distortion’s impact on the face was described by myself and coauthors in an article in Facial Plastic Surgery. We found that the wider the camera lens (which corresponds to a smaller lens number) the more facial distortion was evident. So in summary, there is nothing wrong with a selfie if you are having fun. However, if you are using it as a driving force to receive plastic surgery- change your lens and you may change your perspective.

Tags: Facelift

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Submitted by Admin on Sat, 04/19/2014 - 01:32

Yoga, Breathing, and Our Bodies | Chicago

The way we breathe is often an overlooked aspect of our lives. For those of us who can breathe normally, when we have a temporary loss of our nasal breathing either through a cold, trauma, or allergic rhinitis we respect the importance of nasal breath. For those of us who have never been able to breathe through our noses, we may not appreciate how breathing can impact us.

Yoga plays a particular relationship between the mind-body connection. Breathing is called swara and is the essence of breath. The relationship between breathing and the mind and body is strongly associated within Yoga.

The left nostril is called Ida and is associated with mental energy, while the right nostril is called Pingala and associated with physical energy. According to some yoga gurus, if the left nostril is dominant, we tend to be more emotional, feminine, and compassionate. If the right nostril is more dominant we tend to be more masculine, dynamic, and aggressive.

Although I don't personally prescribe to the personality changes which occur with nasal dominance, both by observations of patients and personality traits, I do believe there is a strong mind nasal connection. This relationship is gaining further traction in the medical community. My own anecdotal evidence of many patients after corrective nasal surgery suggests that patients who have improved breathing will often discuss have less stress and feeling less anxiousness. However, the body and mind are both complex and this, like many things in medicine, is definitely not an absolute.

Restoring balance to nasal breathing has many important physiologic benefits and perhaps some hidden benefits as well.

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Submitted by Admin on Fri, 04/18/2014 - 01:23
Chicago Neurotoxins

While the word Botox, may seem like a relatively new treatment, its history is long and well detailed. Botox has been used clinically for over 50 years.

Botulinum toxin comes from a bacteria called Clostridum botulinum. This bacteria was first identifed in 1897 by Emile van Ermegen. In 1928 Sommer and Snipe isolated the toxin from the bacteria. The mechanism of action of botox was then found in 1949 to decrease acetylcholine release. Acetylcholine is released from nerves to stimulate muscles to move.

The first clinical use of botulinum toxin was around 1968 by Dr. Scott ad Schantz who used it in strabismus. Rather than perform surgery for this condition, the innovators injected botulinum toxin into the muscles.

The cosmetic use of botulinum toxin was noted after patients reported improvement in their lines from injection of the toxin as a side effect. Dr. Carruthers (husband and wife) first described the us of botox toxin in a study in 1992. After exhaustive testing, Botox was approved by the FDA for cosmetic use in 2002. Later on, Dysport and Xeomin were similarily approved for cosmetic use.

1895 Bacteria Identified
1928 Sommer and colleagues purify type A toxin
1949 Burgen identifies Botox decreases Ach release
1968 Botulinum type A toxin used for strabismus
1992 Botulinum toxin type A use for glabellar lines
1989 Botulinum toxin approved for distribution
2002 Botox Cosmetic approved for glabellar lines
2009 Dysport Approved for glabellar lines
2010 Xeomin approved for glabellar lines

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