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Submitted by Admin on Tue, 10/08/2013 - 14:49

Ocumend

Ocumend is a hydrogel pad used to reduce swelling and bruising. It is 50x stronger than any topical agent on the market. Ocumend contains 2 active ingredients: Arnica montana, which reduces inflammation and bruising, and ledum palustre, which is another naturally derived ingredient used to reduce inflammation in periorbital swelling.

Dr. Shah uses the smallest injection syringe to minimize bruising. Despite this, patients can still get a bruise. This is especially the case when working around the delicate eye area. The Ocumend in combination with ice and gentle technique helps decrease the incidence and severity of bruising.

FAQ Ocumend:

1. How do I use Ocumend?
Ocumend and instructions on how to use it vary based on the procedure. Generally speaking, patients with fillers will wear the hydrogel pad until the next morning. Patients having a rhinoplasty will typically use ocumend for the first three days after the procedure.

2. How often do I have to change the gel pads?
Typically the pads are changed every 6 hours.

3. Do the pads hurt?
No, the pads provide a cooling sensation.

4. Can I ice on top of the gel pad?
Yes, the pads are designed so that ice can be placed on top of the pads.

5. Can I take off the gel pad and reuse it?
Yes, but the gel pads last around 6-8 hours.

6. Can I sleep in the gel pads?
Yes, many patients find this to be helpful in applying ice at night.

7. Do the gel pads leave a sticky residue?
The pads do not leave a residue when applied to the skin.

8. Can I freeze the gel pads?
Yes, the ice pads can be either refrigerated or placed in the freezer. However, the pads can crystallize in the freezer, so we typically recommend to use the refrigerator.

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Submitted by Admin on Wed, 09/25/2013 - 07:31

Long Nostril patient

Rhinoplasty is a field with monikers that seem to describe and offend at the same time, such as pollybeak deformity and inverted V deformity. A new name is added to the list dubbed the "long nostril patient". This term was described by Dr. Anil Shah and coauthors in regards to a specific situation seen in rhinoplasty in a recent scientific paper was published in JAMA Facial Plastic surgery. This description compares the length of nostril in relationship to the overall projection of the nose. Patients with "long nostrils" were found to have longer than ideal lower lateral cartilages (tip cartilage). Dr. Shah and coauthors found that reduction in true length of nostril could be achieved by actually reducing the true length of the lower lateral cartilage.

Tags: Rhinoplasty

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Submitted by Admin on Mon, 09/23/2013 - 11:15

Alar Retraction

Recently, Dr. Shah and coauthors published a scientific paper on alar retraction which was published in JAMA Facial Plastic Surgery September/October 2013.

(http://www.shahfacialplastics.com/articles/alar-retraction-etiology-treatment-and-prevention.html) Alar retraction is when one of the nostrils is retracted further up than the other. Prior to this paper being published, most surgeons assumed that alar retraction was something seen only in revision or redo rhinoplasty procedures. However, this paper demonstrated that alar retraction can be seen in patients without a history of previous rhinoplasty surgery. This paper also discusses how the use of cartilage grafts improved outcomes of patients versus those who did not have cartilage placed. Alar retraction is one of the most difficult rhinoplasty problems to correct, but this paper will help to broaden the understanding of alar retraction and possible solutions to correct it.

Tags: Rhinoplasty

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Submitted by Admin on Wed, 07/17/2013 - 09:32

1.  Facelift is actually describes both a face and neck lift.  A facelift is designed to improve the neck, jawline, and the face.  However, a faceneckjawlift is too cumbersome to say so facelift is the accepted terminology.

2.  The average plastic surgeon performs only 12 facelifts per year.  That means a surgeon with 20 years of experience may have only performed 200 or fewer facelifts.  It is said that a facelift surgeon needs to have performed a minimum of 300 facelifts before they are considered competent.  Make sure you go to a surgeon with enough experience.  For example, Dr. Shah has performed over 1000 facelifts.

3.  A facelift can be performed while you are awake.  Patients now have a choice for which type of anesthesia for a facelift, which includes general, iv sedation, and local anesthesia.

4.  The first facelift was said to be performed in Berlin Germany by Eugene Hollander in 1901.  He lifted a portion of skin, removed it and sutured the skin.  Unfortunately, this skin only approach, while technically easier to perform has been shown to not be effective and is still used by many surgeons today.

5.  The neck muscle called the platysma actually goes into more than half of the face.  This relationship was first described by Dr. Anil Shah and Rosenberg in 2007.  This muscle is actually one of the more important aspects which should be addressed in a facelift, yet is done by only a select few.

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