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Submitted by Admin on Wed, 06/18/2014 - 09:50

Clint Dempsey recently broke his nose while playing soccer in the World Cup game against Ghana.  During the soccer match, John Boyeaccidently smashed his shin against his nose.  The nose was confirmed to be broken by the United States training facility.  Soccer, a sport where the foot and legs takes precedence of the hands, often leaves the face unprotected from injuries.  

Nasal fractures can occur readily in contact sports and is one of the most common injuries.  Nasal fractures can be detected by several methods.  First of all, one of the best ways of detecting a nasal fracture is be being seen by a qualified physician.  Mobility of the nasal bones is the sign that the nasal bones are fractured.  Although plain x-rays are often ordered in the acute care setting, they are suprisingly inaccurate at detecting nasal fractures.  The reason for this is that normal lines seen on the face (called sutures) often overlap the nose making interpretation of the xray difficult.  CT scans of the face can isolate the nasal bones from the bones in the background and help in diagnosing nasal bone fractures.

The septum of the nose is cartilage and is often displaced or misaligned after nasal injury.  A deviated septum is again detected by a qualified physician with a nasal speculum and headlight.  An xray is not helpful in detecting a deviated septum.  CT scans are very accurate in detecting deviated boney portions of the septum, but do not detect cartilaginous deviations flawlessly.  Often times cartilaginous deviations seen in the nose readily, are not as easily seen on CT scan.

So, while contact sports are fun to watch… when playing them, protect your face as injury is quite common.

Tags: Rhinoplasty

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Submitted by Admin on Wed, 05/14/2014 - 07:18

A massage has many known health benefits including tending to sore muscles, improving lymphatics, and overall relaxation. One unintended effect of massage is nasal stuffiness. So how do we avoid this and what is responsible for this phenomenon. When our face is placed in a dependent position, such as face down the blood tends to pool here. Part of this is the dynamic nature of the nasal turbinates. The turbinates regulate our breathing by swelling and deswelling. When we lie down on one side, the turbinate on that side will swell, making breathing easier on the opposite nasal passageway. Similarily, when receiving a massage, since the face is down, both turbinates will swell creating potential for diffuclty breathing.

What are some solutions to "massage induced nasal obstruction"? Some natural oils such as peppermint, menthol, or eucalptus can act as a natural decongestant. Other conventional medical techniques, may be using a nasal spray either over the counter or prescription to help constrict the nasal turbinate. Be cautious using Afrin too much or if medically contraindicated as it isnot safe to use on a continual and daily basis.

Hopefully, this allows patients to enjoy their massages a little more.

Tags: Rhinoplasty

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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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