Finesse rhinoplasty is a term devoted to a particular brand of closed rhinoplasty where subtle changes are made to the nose and bridge.
One of the main tenets of finesse rhinoplasty is maintaining relevant anatomy of the nose, allowing for a very natural appearance.
The other side benefit of finesse rhinoplasty is quicker recovery. While the open approach plays an important role in rhinoplasty, for select patients finesse rhinoplasty can allow not only quicker recovery but also maintenance of natural shape of feel of the nose.
One of the signs of aging is overly stretched skin with some ptosis or gravitional descent. This hanging can occur throughout the body, including the earlobe. Over time and with the use of heavy earrings, earlobes can become overly stretched and long. The ears sometimes will lose volume, sometimes making the earlobe look flat and shriveled in appearance.
Treatment for the aged earlobe can involve several steps. First of all, replacement of volume, with either fat or hyaluronic acid, can help provide immediate plumpness to the ear. In addition, the earlobes will often obtain a slight lift with volume replacement.
Some ears need a lift. An earlift often involves resupporting the ear lobe, which will help create a shorter plumper earlobe. The suture design can be placed either posteriorly or near a location where a piercing is involved.
Earrings are an important component of somewomen’s daily routine. When ear lobes become overly stretched, many women hide their ears with hairstyles which may or may not be flattering to their face shape. A simple in-office procedure, can alleviate this problem.
There are several effective approaches to removing moles and skin lesions on the face.
The traditional approach of excision of the mole and repair with sutures can be used, however it often leaves the patient with a visible scar along the face.
A modified shave approach where the surgeon removes just enough of the mole down to the level of the dermis has proven to be an effective approach for the majority of moles in Dr. Shah's practice. Once removed, the skin will resurface where the mole once sat, allowing for a "scarless" approach to take place. This technique is not possible for all moles, since some may have deeper extensions.
Moles which require adjunctive techniques can sometimes be removed with the use of laser therapy to target the pigment and mole itself. Mole removal along the face is a delicate balance of removing the lesion in question while attempting to avoid scarring as much as possible.
Despite weight loss or ideal body weight, some patient's faces will appear fuller than ideal. There are several components of the face which can cause the face to appear overly "full" or wide. First, masseter hypertrophy is the enlargement of the muscles which surround the mandible or jaw. When these muscles are overly large, the face will appear wider, especially along the lower portion of the face. Reducing the masseter muscle often involves the use of botulinum toxin to help thin the muscle. Long-term use of botulinum toxin can actually shrink the parotid gland and bone of the jaw to create longer-lasting changes to the facial appearance.
A fuller face often involves buccal fat as well. Buccal fat is a discrete fat pocket located in the cheek area. Genetically, some patients’ faces here are fuller than ideal. Removal of fat here is based on the patient's familial history of facial shape to help predict their pattern of fat loss over time. Removal of buccal fat can help subtly contour the patient's face by accentuating cheek bones and a more sculpted appearance to the face.
Removal of fat along the jawline and neck can also help contour a face. Creating a better shadow along the jawline will enhance the neck and face by creating a transition between the two elements. When the neck and face appear to be one structure, the overall look of the face is fuller. Often times, conservative jowl reduction can help contour facial appearance as well.
Finally, the addition of volume to the upper third of the face can help create a more contoured look. The use of cheek implants has fallen out of favor, with some exception, and has been replaced with the use of facial fillers. Facial fillers, such as Voluma and Radiesse, can help create enhanced cheekbones and facial contouring and paradoxically can help create a thinner looking face. The illusion of a thinner face is created in part because now the cheekbone will represent the leading edge of the face rather than the cheek itself.