The projection of the nose is a term used to describe how far out the nose comes from the face. However, just as the Eskimos have more than one word for snow, projection can have different meanings depending on the area in question.
Projection can be subdivided into the nasal tip and the nasal base of the nose. This difference in projection is often seen best on the base view of the nose (looking up at the bottom of the nose). Here the columella of the nose can be seen as well as the nasal tip. The base of the nose corresponds to the portion between the subnasale and the nasal tip, roughly the nasal columella.
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.