History of Facial Rejuvenation

A facelift, or rhytidectomy, is a facial rejuvenation surgery performed by a licensed cosmetic surgeon in order to restore a youthful appearance to your facial features.

The facelift procedure as a cosmetic facial rejuvenation surgery turned exactly 100 years old in 2016. The very first face lift operation was performed by a German physician named Erich Lexer in 1916.

According to Dr. Rajiv Grover, the president of the British Association of Aesthetic Plastic Surgeons, Lexer performed the first ever facelift by, “Lifting the [sagging] skin from the underlying fat, drawing it back, re-draping it and then removing the excess.”

Many other surgeons throughout the world began to perform the procedure after Lexer, but with no major innovations or improvements on the surgical technique until the 1960s and 1970s.

The first 70 years of facelifts in cosmetic surgery are now referred to as the Cutaneous Period of rhytidectomy (facelift) surgery. During this time facelifts were performed at the most surface level of the skin by lifting the skin from the face, pulling it taut, and cutting away the excess loose skin.

Surgeons became experts at performing plastic surgery during World War II in order to reconstruct the faces of injured war veterans, and these skilled plastic surgeons began turning their talents toward cosmetic facial rejuvenation in the 1950s and 1960s.

In the 1970s facial rejuvenation entered the SMAS period, which is short for Superficial Muscular Aponuerotic System— the stronger, deeper layer under the surface of the skin. Improvements in the safety and effectiveness of anesthesia and more precise surgical techniques allowed plastic surgeons to achieve more dramatic, natural looking, and longer lasting results by augmenting this muscle layer under the skin.

The first major innovation in facial rejuvenation surgery since its inception, the SMAS technique became the standard for facelifts throughout the 1970s. It allowed cosmetic surgeons to take a more extensive, radical approach to facial rejuvenation, enhancing more of the face and even the neck as well.

By the 1980s facial rejuvenation had entered the Deep Plane Period as plastic surgeons could skillfully and safely cut deeper into the face, down to the subperiosteal layer over the bone. Dr. Paul Tessier, the surgeon who had coined the term Superficial Musculoaponeurotic System, pioneered this deep plane facial rejuvenation technique.

In 1979 Tessier demonstrated that cutting to the subperiosteum above and to the sides of the orbital rim of bone around the eyes created a better looking result for the eyebrows than facelifts performed at the SMAS layer. This innovative approach could create a far more attractive and youthful appearance for cosmetic surgery patients.

From 1991 to the present, the history of facial rejuvenation has entered into what cosmetic surgeons call the Volumetric Period of rhytidectomy surgery. This period was characterized, in the early 1990s by a reconceptualization of the aims and means of facial rejuvenation surgery.

Plastic surgeons, starting in the 1990s, began to take more care reduce the appearance of scars from facial plastic surgery, and also began to focus on restoring the subcutaneous volume of fatty tissue under the skin that is naturally lost as we begin to age. Another major innovation in the volumetric approach to facial rejuvenation was the introduction of facial implants to contour the face.

The rapid advancement during this time of computer processing power and 3-D imaging techniques, along with computer aided drafting for perfectly fabricating custom facial implants, allowed this innovation to reach a very high standard of perfection in creating an ideal, natural looking result for patients seeking facial rejuvenation.

Dr. William J. Binder was an early innovator in the field of custom facial implants for cosmetic rejuvenation. When the technique first appeared, Dr. Binder saw the potential for aesthetic results for patients through the use of facial implants, but with a keen eye for facial anatomy, he noticed the results did not look completely natural; they were “non-anatomic” as he would say.

Dr. Binder did not believe facial implants could achieve the high standards of perfection he aims to achieve for his patients without applying the precision and power of high-resolution 3-D imaging, powerful digital rendering and imaging, and digital computer-aided drafting to fabricate ideal custom facial implants for patients seeking facial reconstruction or rejuvenation.

By innovating a system capable of fabricating custom-designed facial implants to a high degree of precision, Dr. Binder was able to pioneer a technique that allows the reconstruction of most facial contour defects with a higher degree of accuracy and better results than were ever before possible.

His efforts have helped to bring modern plastic surgery into the 21st Century.

 

About Dr. William J. Binder

Dr. William J. Binder is a facial plastic surgery specialist with over three decades of experience with facial plastic surgery.

For almost three decades, his individualized philosophy and approach to facial plastic surgery has led him to pioneer new techniques for face lift procedures and earned him international acclaim for his results.

If you want your face lift performed by one of the world’s leading facial plastic surgeons, contact Dr. Binder’s office today to schedule an initial consultation.

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How Much Does Facial Plastic Surgery Cost?

For something as important and personal as the appearance of one’s face – arguably the most memorable and distinct feature that each one of us has – there are many people who would like to improve some aspect of their facial appearance, knowing they would like the way their face looks better if they could improve or enhance one or more of its features.

Many others are happy with their facial structure and features, but would like to rejuvenate their facial appearance to look more like they did when they were a little younger.

For some, the desire stems from an insecurity about their looks that a facial cosmetic procedure can correct, giving them a valuable boost of confidence and self esteem. For others, the motivation is simply a desire to look their best.

Whatever the reasons for seeking plastic surgery, one relevant factor in a patient’s decision to undergo a facial plastic surgery procedure is the cost involved, and in the beginning stages of researching the pros and cons of plastic surgery, potential patients want to get an idea of the price of a facial plastic surgery procedure.

You may have found that it’s difficult to get an accurate assessment of the cost without an in-person examination of your face and medical history by a cosmetic surgeon, and an in-depth consultation about your specific goals and desired outcomes for undergoing facial plastic surgery.

Because your face is as unique as your fingerprint, and because the facial enhancements sought vary by patient, cosmetic surgery to alter facial features is an individualized plan and operation for every patient based on their face and their aesthetic desires.

No two facelifts are the same, each rhinoplasty will be different for each patient, and each eyelid or ear lobe procedure is unique. Facial surgery to correct a medical problem (such as rhinoplasty to improve breathing) may be covered by some insurance policies.

There are also multiple procedures to achieve the same result, and multiple surgical methods for performing the same procedure:

  • Each with their own pros and cons,
  • Each more or less invasive and prone to complications for a given patient,
  • Each with different requirements for anesthesia,
  • Each with their own typical recovery times,
  • And each with varying limits on the extent of the results that can be achieved.

All of these different factors and the surgical plan you and your doctor choose will determine how much a facial plastic surgery operation will cost for each different patient.

In helping patients to come to a decision about their plastic surgery, a modern, professional cosmetic surgeon will help the patient assess how each separate aesthetic feature of their face contributes to their overall facial appearance. The surgeon will also help determine what enhancements to the brows and eyelids, nose, cheeks or mid-face, lower face and chin, neck and/or the composition of the facial skin, fat, and muscle will achieve the most aesthetic overall result in line with the patient’s goals.

Subsequently, the cosmetic surgeon and patient will develop an individualized surgical plan that addresses the patient’s concerns and desires. Therefore the price of the operation will depend on what each person needs and the amount of time it will take the surgeon to perform the operation.

For something that will affect your life as much as facial plastic surgery, it is important to take your time researching plastic surgeons, reviewing their credentials and experience, reading over their websites, viewing before and after photos, and calling to ask any questions you have after researching online.

When it comes to facial surgery, the most important consideration is safety and the quality of the results you will achieve. USA Today personal finance correspondent Regina Lewis has sound advice to offer regarding the costs of cosmetic surgery. “Don’t cut quality corners,” she said. “Regardless of the procedure you’re interested in, always look for a top board-certified surgeon. Certification standards can vary.” Lewis outlined the following questions to consider when choosing a surgeon:

  • What is the doctor board-certified in?
  • Is the doctor licensed? Are there any state disciplinary actions?
  • How often has the doctor performed the surgery you are considering?
  • Is the facility where the surgery taking place accredited?

Lewis concluded, “Just because you’re getting a nip and tuck, you never want to cut corners on quality.”

Be wary of plastic surgeons who advertise discounts on their fees. “Bargain” and “surgery” are two words that do not look good together. Discounting the value of any specialized, professional service, especially surgery, shows very poor judgement in marketing and calls into question the quality of the face-altering surgery you may receive.

When consulting with your prospective plastic surgeon about the cost of your operation, pay attention to whether your surgeon is carefully listening to you, make sure they truly understand the aesthetic results you hope to achieve and gauge your sense of how available and attentive they will be to you after the operation has been completed. Don’t hesitate to look elsewhere if you have any concern that an operation with them might cost you more than their fee.

 

About Dr. William J. Binder

Dr. William J. Binder is a facial plastic surgery specialist with over three decades of experience with facial plastic surgery.

For almost three decades, his individualized philosophy and approach to facial plastic surgery has led him to pioneer new techniques for facial surgery procedures and earned him international acclaim for his results.

If you want your facial plastic surgery performed by one of the world’s leading cosmetic surgeons, contact Dr. Binder’s office today to schedule an initial consultation.

7 Signs of a Successful Rhinoplasty

A Rhinoplasty operation, also called a “nose job” in common parlance, is a surgical procedure that reshapes or resizes the nose for health or cosmetic reasons.

 

The aim of the cosmetic surgeon who performs the operation is always to create the most attractive and natural result that complements the rest of a patient’s facial features.

 

Sometimes rhinoplasty is undertaken to help improve a patient’s breathing by minimizing nasal airway obstruction. In all cases, achieving the best possible functional and aesthetic result is the hallmark of a successful rhinoplasty.

 

Rhinoplasty surgery can create dramatic improvements to:

 

-Nose size and proportion in relation to facial harmony

-Nose width at the bridge, or a profile with visible bumps on the bridge

-The size, shape, and position of the nostrils

-A nasal tip that is bulbous, drooping, upturned, or hooked

-Nasal asymmetry

 

Both the open and closed rhinoplasty techniques are performed by making incisions (either across the columella or hidden inside the nose) to allow the surgeon to gently raise the skin that covers the nasal bones and cartilage, allowing access to alter the structure of the nose.

 

The skin is then carefully draped back over the newly enhanced nasal framework to give the nose its new and improved appearance.

 

Here are the 7 signs of a successful rhinoplasty:

 

  1. Symmetry

 

For centuries facial symmetry “has been linked to the perception of facial beauty, resistance to disease, and quality genetics.”

 

The goal of achieving greater facial symmetry is a very common one for patients seeking facial cosmetic surgery, particularly so for those seeking rhinoplasty.

 

Achieving greater bilateral symmetry of the face, or maintaining the symmetry of an already symmetrical nose while correcting another aspect of its shape or size is essential in rhinoplasty.

 

  1. Breathing

 

When it comes to the nose, form and function are intimately intertwined.

 

A1999 article from WebMD’s archives mentions how a few of the 130,000 patients to undergo rhinoplasty annually, at the time, would experience difficulty with nasal breathing after their procedure.

 

The reason for this was that a cosmetic surgeon at the time would occasionally remove too much cartilage during a rhinoplasty, causing the sides of the nose to collapse during inhalation.

 

Modern rhinoplasties avoid this complication through more delicate sculpting and an emphasis on creating a stronger overall nasal structure.

 

A successful rhinoplasty will improve or maintain a patient’s ability to breathe easily and comfortably.

 

  1. No Scars

 

A successful rhinoplasty should improve, not worsen, the appearance of the nose. In facial cosmetic surgery the results are intended to be aesthetic, so any visible scarring is considered an unsuccessful result.

 

An inexperienced or indelicate plastic surgeon is more likely to improve the nose’s shape without the concern of conspicuous, visible scarring.

 

The first and most important step for preventing unwanted complications and poor results like visible nasal scarring is choosing a plastic surgeon who is board certified, highly recommended, and very experienced in the rhinoplasty procedure specifically.

 

  1. No Need for Revision

 

Many times after a rhinoplasty the nose looks great, but after some operations many patients report having a collapsed nose, pinched nose, or a “skeletonized” – artificial-looking nose.

 

Unfortunately this problem is not rare. In fact it is estimated that between 5 – 15% of patients who undergo “nose jobs” will need revision rhinoplasty surgery. Some patients require only minor adjustments, while others need more significant revisions.

 

A successful rhinoplasty is one that’s done right the first time by an expert cosmetic facial surgeon with years or decades of experience, performing rhinoplasties that consistently achieve the very best results.

 

  1. Natural Look

 

The newly enhanced nose must look natural after a successful rhinoplasty. Unnatural results are obvious and unaesthetic.

 

The profile cannot be scooped too much. The nose should not be too upturned. The tip cannot appear pinched. The nostrils must not look too large. The front of the nose should not look pencil-like, something that occurs when the tip has been narrowed as much as the bridge.

 

An unnaturally enhanced nose calls attention to itself. A well-done nose looks great and inconspicuously complements the rest of the face.

 

  1. Facial Harmony

 

The eyes may be the windows to the soul, but nothing interferes with facial harmony like a disproportionate nose.

 

Flaws in such a prominent facial feature draw unwanted attention and can really hurt self confidence. Fortunately, just a slight alteration can balance the face and restore confidence.

 

A successful rhinoplasty surgeon comprehends the necessity of understanding both the nose and the patient’s overall facial structure in achieving natural-looking results and reducing the chance of needing revision rhinoplasty at a later date.

 

  1. Patient Satisfaction

 

What should an attractive nose look like? There really is not a single answer to this question.

 

Jeffrey R. Marcus, MD, a pediatric plastic surgeon at Duke University Health Center says it well:

 

“In the past, many plastic surgeons adhered to personal or popularized aesthetic ideals and allowed them to guide rhinoplasty procedures somewhat universally on their patients. Sometimes, this led to common appearance features among post-surgical patients. This is a trend that has fortunately been left to rest.”

 

A qualified, expert cosmetic surgeon will work with their rhinoplasty patient to create an individualized goal, plan, and result to achieve the unique goals of each individual patient.

 

 

About Dr. William J. Binder

 

Dr. William J. Binder is a facial plastic surgery specialist with over three decades of experience with facial plastic surgery.

 

For almost three decades, his individualized approach to rhinoplasty has led him to pioneer the new “structure” techniques of rhinoplasty, yielding more consistent results and rendering the pre-existing look of an unnatural nose-job obsolete.

 

If you want your rhinoplasty performed by one of the world’s leading facial plastic surgeons, contact Dr. Binder’s office today to schedule an initial consultation.

How 3-D Imaging is Innovating Modern Medicine

3D-Imaging-Plastic-Surgery3-D imaging via medical diagnostic tools such as MRIs and CT scanning is completely revolutionizing modern medicine.

As these medical devices become increasingly more precise at an accelerating rate, they are providing doctors with more finely-detailed, high resolution 3-D imaging of their patients with each passing year.

At the same time as the rapid increase in the sensitivity and resolution of these modern imaging devices, the processing power of digital computation has continued its exponential growth in price-performance year over year, allowing physicians to render and analyze the data from 3-D imaging all the more effectively.

 

Innovations in 3-D Imaging Resolution

By contrast to the incremental improvements of medical techniques over the centuries, and even to radiography during the decades of the 20th century, in recent years the improvements to medical imaging are coming fast and making a difference by orders of magnitude.

A little over a year ago researchers at MIT announced they had developed an algorithm that exploits light polarization to boost the depth resolution of conventional 3-D imaging technology by 1,000 times.

Researchers say the technique is so promising that it could bring this technology to your pocket: “The technique could lead to high-quality 3-D cameras built into cellphones, and perhaps to the ability to snap a photo of an object and then use a 3-D printer to produce a replica.”

 

3-D Image Processing Speed

A high resolution imaging device has little useful application without the processing speed to match it. Processing power is essential to creating the images and manipulating the data in quality diagnostic scans made by imaging devices.

And it’s not only the rapid pace of improvement in the brute force of computer processing power that’s been essential to 3-D imaging innovation in recent years. It’s the implementation of software solutions that can use that power to effectively reconstruct volumetric data.

There’s also the configuration of hardware processing power in a way that’s effective and efficient for the kind of computation involved in 3-D imaging, such as the incorporation of GPUs (graphical processing units) like those used by gaming software to create better images faster than CPUs can.

 

Machine Learning and Modern 3-D Imaging

One innovator in the field, Mountain View, Calif.-based EchoPixel is helping surgeons take the guesswork out of surgical planning by allowing them to create a 3-D image from patient-imaging data and manipulate it in a virtual environment— to remove tumors, dissect tissues, or measure blood vessels. The technology is allowing physicians to get a more accurate view of their patients’ anatomy.

Furthermore, with the application of machine learning, the software records the clinician’s interactions with the 3-D imaging data, so other doctors can learn from the same steps and methodology. The software is compatible for use on different hardware devices, including wearable tech such as Google Glass, so it can be used in an operating room.

 

How 3-D Imaging is Saving Lives

An ounce of prevention: Along with life-saving advancements to surgery prep for critical surgeries that doctors perform on vital tissues and organs, 3-D imaging is saving lives in the critical field of medical diagnostics.

The use of modern computer 3-D images made from a composite of multiple 2-D radiographic images using tracers and contact dyes has allowed doctors to view a comprehensive image of a patient’s body and observe minor anomalies that would have otherwise gone undetected, providing vital early warning signs of potential health problems.

 

And Making Lives Better

With today’s level of sophistication in computer 3-D imaging technology, its use in medical practice has also found an ever-expanding role to play in helping doctors improve the quality and results of facial plastic and reconstructive surgery.

For patients seeking facial implants to improve the proportions or enhance the contours of their face, the computer era has made it possible for facial implants to be perfectly tailored to a patient’s face.

Custom implants made using 3-D imaging and computer-aided drafting look smoother, rounder, and anatomical, and allow facial reconstructive surgeons to correctly perceive the interaction of all facial features to create a balanced, well-proportioned face.

Dr. Binder was an early innovator in this field, noticing at first that facial implants of the time were not quite right, or as he would say: “non-anatomic.”

 

Pioneering Facial Contouring and 3-D Imaging

Before bringing the possibilities of high-resolution 3-D scanning, efficient digital rendering and imaging, and computer-aided drafting to fruition in facial reconstruction techniques, Dr. Binder did not see facial implants achieving the desired results he was striving to attain.

By innovating a system capable of fabricating custom-designed facial implants to a high degree of precision, Dr. Binder was able to pioneer a technique that allows the reconstruction of most facial contour defects with a higher degree of accuracy and better results than were ever before possible.

What’s the Difference Between a Migraine and a Headache

Many migraine sufferers have their problems compounded by those who don’t fully understand the difference between a migraine and a headache. Many people believe that a migraine is just a “bad headache”, which is an oversimplification at best.

Of course, it’s difficult to know a pain you’ve never felt, and it’s difficult for anyone who’s never had a migraine to understand what makes these devastating incidents so disruptive.

Today, we’re going to dive into the difference between a migraine and a headache, how to tell the difference, and how to treat each.

What Exactly is a Headache?

Headaches are fairly common, and can affect anyone of any age. They can be a mild to intense pain that typically affect both sides of the head.

Headaches are typically most intense around the temples, forehead, and the back of the neck where your spine connects to your skull.

Headaches can be brought on by a myriad of factors, including sinus issues, stress, muscle tension, poor diet, and various other issues.

What Exactly is a Migraine?

A migraine is a much more severe form of headache that comes bundled with a group of other symptoms that can include:

● Nausea
● Pain behind one eye or ear
● Pain in the temples
● Seeing spots or flashing lights
● Sensitivity to light and/or sound
● Temporary vision loss
● Vomiting

Migraines range from moderate to severe on the pain scale and can make performing everyday tasks difficult to impossible. Many people end up seeking emergency room care for severe migraines, especially if they’ve never experienced one before.

Migraines are also harder to treat, and typically last longer than a tension or sinus headache. The extra symptoms such as nausea and vomiting can make it difficult to keep medicine down as well.

Difference Between a Migraine and a Headache

The primary difference between a migraine and a regular headache is the severity of the pain. A full-fledged migraine will involve pain that is much more severe. Migraine sufferers also have to deal with other symptoms such as nausea.

Migraines can also present with an “aura” which includes other sensory issues such as sensitivity to lights or sound, tingling sensation in the extremities, seeing flashing lights, and even depression and mood swings. This can make it difficult to deal with, or treat migraines, but it does give a very good litmus test: if you have aura symptoms, you’re having or about to have a migraine.

Treating a Headache

Headaches can typically be treated very well with over-the-counter medication, and only rarely require professional medical help. Some effective medications include:

● Acetaminophen
● Aspirin
● Ibuprofen
● Caffeine

There are a number of other treatments that have been shown to help as well, including neck stretching, relaxation techniques, meditation, and warm compresses/showers. These are all fairly effective for treating stress or tension headaches.

If you have a sudden severe or unusually persistent headache, contact your doctor immediately as this may be the sign of a serious condition such as migraines, stroke, or other neurological issue.

Treating a Migraine

Migraine treatment is typically much more involved than the treatment for a headache. Typical headache treatments will be minimally effective at best, and will do almost nothing to prevent a migraine.

Unfortunately, there’s not much that can be done to break a migraine headache at home, so you’ll want to identify your migraine triggers if at all possible and then do whatever you can to avoid them.

Common triggers include:
● Alcohol
● Caffeine
● Aged Cheeses or other Aged Foods
● Stress

Beyond that, there are several medication options for treating migraines, but you’ll need to visit a doctor for them. These include:

● Antinausea medicines, such as promethazine (Phenergan), chlorpromazine (Thorazine), or prochlorperazine (Compazine).
● Triptans, such as almotriptan (Axert), rizatriptan (Maxalt), or sumatriptan (Alsuma, Imitrex, and Zecuity).
Finally, there have been several studies that have shown that botox injections are extremely effective at preventing migraine headaches in chronic sufferers.

Migraine Treatment from Doctor Binder

If you are interested in botox injections for migraine treatment, contact Doctor William J. Binder today! Doctor Binder is the pioneer of botox for migraine treatments, and is considered the foremost authority on the application of botox for this purpose.

How Do Scars Form on Our Skin?

More often than not, scars cannot be completely erased. Still, discoloration, surface irregularities, and other subtler flaws can be cosmetically improved upon with treatments like scar revision surgery, which offer very pleasing cosmetic results while drastically improving on any poorly healed scars.

The procedure is meant to minimize the look of a scar so that it is more consistent with surrounding skin tone and texture—a specific type of plastic surgery performed to improve the condition or appearance of scars anywhere on the body.

How Scars Form

Scars are essentially visible signs that remain after a wound has completely healed, forming when the dermis is damaged and when the body forms new collagen fibers that mend the damage done to the skin, resulting in a scar. Typically, new scar tissue has a different texture and quality than the older, surrounding tissue.

There are many different kinds of scars, with most being flat or pale and others being more raised (when the body produces too much collagen). Raised scars are called hypertrophic scars or keloid scars and are more commonly found in younger and darker-skinned people.

Other scars might have a sunken or pitted appearance, occurring when underlying structures supporting the skin (like muscle) are lost. Some surgical scars also have this appearance, as do some acne scars. Finally, there are scars that can appear as stretched skin, which come out when skin stretches rapidly as in growth spurts or during pregnancy).

Understanding Scar Revision Surgery

All the various surgical techniques for scar revision are designed to make the scar as smooth and invisible as possible. It can involve everything from moving skin around to actually recreating the incision to make it less visible. What works best for any specific scar depends solely on where it is located and how it looks. Most of the time, surgeons will evaluate individual cases beforehand to discuss the many options for revision surgery.

Scar removal/revision is usually done in two fashions: either removal of the scar surgically or partial removal via dermabrasion, peels, or lasers.

Aftercare

As with any kind of surgery or scar revision, it is very important to follow the surgeon’s aftercare instructions to make sure the wound heals properly. Though many people may be up and about rather quickly, gradual resuming of normal activities is always advised. Furthermore, depending on the surgery performed and the site of the scar, facial plastic surgeons will explain the types of activities to avoid and the specific medications to stay away from. It is also important to remember that scar tissues require a year or more to fully heal and achieve maximum improved appearance.

Immediately after the procedure, expect to feel some discomfort, especially in the cases of facial scar revision surgery. Swelling, bruising, and redness are generally unavoidable, and though sutures are typically removed within days after the surgery, the skin still needs ample time to heal.

Facial plastic surgery and other forms of scar revision surgery essentially make it possible to correct any flaws within the skin that undermine self-confidence. Sometimes, even the slightest change in the appearance of a scar can help change how one feels about oneself. And like all other cosmetic procedures, teamwork between the physician and patient is always needed to help ensure an optimal result in scar revision.

Let Dr. William J. Binder, an experienced, acclaimed, and world-leading facial plastic surgeon be of help. Contact his office today to find out more about ways to improve upon your scars.

Common Nose Shapes a Rhinoplasty Can Address

Many people who are unhappy with their nose shape, whether this is due to damage to the nose, a previously botched rhinoplasty, or the nose’s natural shape, would like to have rhinoplasty surgery performed to correct their nose, but think that surgery won’t be able to help them. The reality is that rhinoplasty is an individualized procedure that can help with all kinds of displeasing nose shapes. Let’s examine some common nose shapes and the common nose surgeries that can alter them.

Oversized Nose

This is cause for one of the most common nose surgeries. Some people are self-conscious because they feel that their nose is overly large or long in comparison to the rest of their face. This can make the face seem out of proportion and draw attention away from other, favorite or particularly attractive facial features, such as beautiful eyes or a warm and pleasant smile. Because decreasing the size of the nose requires modifications to the entire nose to achieve pleasant and attractive results, this kind of rhinoplasty can be rather complex. However, the final results are worth it, as they give the face a beautiful, proportional appearance that shows of all your best features, rather than just your nose.

Bulbous Tip

A bulbous nasal tip is another common nose shape, especially among men, that many people have corrected with nose reshaping surgery. A bulbous tip may droop, protrude, or simply appear out of proportion with the rest of the nose, as well as the face overall. A bulbous nasal tip can be corrected with the use of broad nasal tip, or tip refinement, rhinoplasty. Because the nasal tip is out of proportion with the rest of the nose, broad nasal tip surgery generally only requires modification to the tip of the nose, causing healing to be quicker and easier with this type of surgery than with other, more comprehensive rhinoplasties.

Bumped Nose

People can have bumps on their nose naturally, but they are also commonly the result of previous trauma and damage to the nose. Bumps can vary in size from barely noticeable to very eye catching. Some people want to keep traces of their bump to retain character or ethnic or family features, while others want their bump reduced entirely, leaving a smooth and straight nose. Either way, you can achieve beautiful results, but it’s important to communicate your preferences to your surgeon to make sure that you get the results you want.

Remember that it can take up to a year for swelling to completely reduce after a rhinoplasty procedure, so don’t be immediately concerned if your nose still appears to have a bump or a larger bump than you’d like, as this may simply be lingering swelling. If you’re still not happy with your results after a year then contact your plastic surgeon.

Crooked or Asymmetrical Nose

As with a bumped nose, a crooked or asymmetrical nose may be due to genetics or to damage experienced by the nose. This generally requires a comprehensive rhinoplasty to give the entire nose a straight and proportional appearance. In some cases, a nose that becomes crooked after trauma may also have internal problems as well, requiring a medical rhinoplasty, or septoplasty, but doing so can help improve your breathing and save you medical problems later that could result if left untreated. Performing septoplasty at the same time as cosmetic nasal surgery can also help you save money, as insurance will often pay for parts of the procedure that are medically necessary.

Pointy Nose

An overly pointy nose is generally due to excess or projecting cartilage at the tip of the nose. Fortunately, this is usually very easily resolved by reducing the amount of cartilage at the nasal tip, and perhaps some reshaping to help create a softer, more rounded appearance. In turn, reshaping the nose this way can give the face overall a softer and more balanced appearance.

Like with nasal surgery for a bulbous nasal tip, resolving too pointy of a nose typically requires rhinoplasty that is less invasive than in many other cases, so healing may be quicker and easier for patients who receive this type of surgery. However, in some cases your plastic surgeon may suggest modification of the bridge or nostrils as well to ensure that your nose retains symmetry and proper proportions after your surgery.

Wide or Flat Bridge

Some people feel that the bridge of their nose is displeasing, broad or flat. The variety of rhinoplasty most commonly used to correct this type of nose is augmentation rhinoplasty. Augmentation rhinoplasty can correct a wide or flat bridge by narrowing and adding volume to the bridge, perhaps through the use of implants, or by adjusting the size and shape of the tip of the nose to make the nose more proportional and well-shaped as a whole. For more dramatic case, both may be required.

Choose the Right Surgeon for Your Rhinoplasty

Dr. William J. Binder is one of the world’s leading rhinoplasty experts. To learn about the most uncommon and common nose surgeries, contact Dr. Binder’s office today.

How Do Scars Form on Our Skin?

Like it or not, scars are a natural part of life, and most of the time, it’s hard to escape childhood without racking up at least a few cuts and bruises along the way. In order to make it easier to learn how to heal scars and how to further care for your skin, it is vital to better understand the process behind skin and scarring.

The skin is a sensory organ, the body’s largest organ, and when opened, either by accident or through surgical incisions, the injury typically results in a scar. As such, scars represent the final phase of the body’s healing or repair process after skin is damaged, occurring as a direct result of everything from burns, surgery, or skin conditions to any significant traumas. Even a procedure as simple as ear-piercing can sometimes cause a deforming scar or keloid.

Scar Formation

Scars form due to damage of the dermis (deep, thick layer of skin), as the body works to form new collagen fibers that then result in a scar.

Initial phases of the wound healing process include control and cessation of bleeding and sealing the wound to prevent the penetration of bacteria or potential infection. Collagen is then used to repair and close the wound. Scars form after a wound heals, usually having a different texture and quality than the surrounding tissue. The entire healing process can be imagined as human cement that is utilized by the body to fill up a hole—i.e. the wound.

Types of Scars

There are various different types of scars, ranging from the more typical flat and pale-looking to more raised scars called hypertrophic scars or keloid scars that occur when the body produces too much collagen. Other scars have a more sunken or pitted appearance, occurring when underlying structures supporting the skin (ex. fat or muscle) are lost.

Scars can also appear in the form of stretched skin. These occur as a result of rapid skin stretching, as in growth spurts or during pregnancy, or when the skin is under tension or near a joint during the healing process.

Best Scar Treatments

Like scars themselves, the various treatment options for scars range widely. If very early on, some scars should be vigorously massaged with a moisturizer several times a day for about one minute, as the active movement helps reorganize not yet mature collagen bundles that are forming during the repair of the injury. The moisturizer not only decreases friction on the tender new scar but also provides moisture to the area. Some choices such as cocoa butter and vitamin E oil are often quite effective.

One important thing to remember is to stay away from sunlight because immature scars need to be amply protected from the sun in order to prevent hyperpigmentation or becoming overly dark. Some of the best scar treatments available include:

Steroid injections: Long term courses of steroid injections into a scar may help flatten it by helping soften the appearance of keloid or hypertrophic scars.
Dermabrasion: Removes the surface of the skin with special equipment and is especially useful when a scar is raised above the surrounding skin (though it is less useful for the treatment of sunken scars). Microdermabrasion, a less invasive form of dermabrasion, can also be minimally useful for very superficial scars.
Laser Resurfacing: Similar to dermabrasion, resurfacing removes the surface layers of the skin using different types of lasers. The advanced technology results in little down time as opposed to traditional laser resurfacing and dermabrasion, which both require a long recovery.
Radiotherapy: Low-doses of superficial radiotherapy can be used to prevent the recurrence of severe keloid and hypertrophic scarring.
Filler injections: Though the effects of injections are only temporary, they can be used to raise sunken scars to the level of surrounding skin. Procedures need to regularly repeated and there are many newer forms of injectable fillers now on the market that may be good to consider.
Surgery: Although it is not recommended in cases of hypertrophic or keloid scarring (raised scars), surgery can be used to alter a scar’s initial shape or to make it less noticeable.

The formation of scars after surgery or trauma to the skin is an inevitable fact of life that needs to be dealt with as it occurs—whether we like it or not. It is important to be proactive in regards to the treatment of scars early on in order to maximize the outcome of their final appearance.

Let Dr. William J. Binder, an experienced, acclaimed, and world-leading facial plastic surgeon help with the best scar treatments available today. Contact his office today to find out more about ways to prevent scarring or to schedule a consultation.

How to Choose a Rhinoplasty Surgeon

rhinoplasty

Preparing for a rhinoplasty, just like any surgery can be nerve-wracking, but feeling confident that you’ve chosen the right plastic surgeon can help put you at ease. With so many rhinoplasty surgeons out there, however, the options can be overwhelming. That’s why it’s helpful to be able to narrow down the sea of cosmetic surgeons to find the rhinoplasty surgeon that’s right for you. Here is everything you should investigate regarding your plastic surgeon when preparing for a rhinoplasty.

Examine Their Qualifications

Not all plastic surgeons are alike, but there are ways to tell the good from the bad and the best from the good. Look for a plastic surgeon with many years of experience and is certified by at least one plastic surgery board. If they’ve sat on the board or held a leadership position, that’s even better. Try to find a surgeon who teaches other surgeons or has held fellowships in facial plastic surgery and has had their work published in peer-reviewed journals. Choosing a specialist in facial plastic surgery is ideal.

Look at Their Work

A highly skilled and qualified surgeon isn’t enough, however. You also want to make sure that the appearances that the rhinoplasty surgeon is creating are consistent with your aesthetic goals and desires. A plastic surgeon may be excellent at their job, but simply not create the aesthetic you want, so patients should review the end results of rhinoplasties performed by any potential rhinoplasty surgeon. These types of images are usually easily accessible through the surgeon’s website, and more before and after images will typically be shown at a consultation with the surgeon. Use before and after images to determine whether the surgeon has experience with noses like yours and how he or she modifies them.

Don’t Try to Cut Costs

Plastic surgery can be costly, particularly since it is rarely covered by insurance, so it can be tempting to try to go for the cheapest possible option for your surgery, but cosmetic surgery is one of those things where you get what you pay for, and bad results can cost you more in the long term. You only want to have to have rhinoplasty surgery once, but a bad rhinoplasty can lead to not only unattractive results, but also severe medical problems, either of which can lead to the necessity for revision rhinoplasty.

Though money might have been saved on the initial rhinoplasty procedure, the additional cost of a revision rhinoplasty makes the total cost far more than what it would have been to pay for a more expensive and qualified surgeon in the first place.

To avoid bad results and costly problems, always to be sure to look at any potential rhinoplasty surgeon’s reputation, qualifications, and results in addition to the cost. If you have specific goals in mind and find an excellent surgeon in another city, you may even want to pay a little more to travel to ensure that you get the right surgeon to get exactly the results you want. Doing the necessary preparations will only ensure that preparing for a rhinoplasty is a one-time ordeal.

Schedule a Consultation

You wouldn’t hire someone for a job without an interview, so why would you hire a cosmetic surgeon without talking to them first? Once you’ve narrowed down possible cosmetic surgeons, you can schedule a consultation with each one. During this consultation, your potential rhinoplasty surgeon should discuss the cost of the procedure, your general health, possible risks, and whether or not your desires are realistic. If not, you may want to cross that surgeon of the list. Your rhinoplasty surgeon should be informative about what happens before, during, and after your procedure and able to provide clear instructions for your recovery and follow up.

Finally, you should also feel comfortable talking with your surgeon, as you need to be able to easily communicate with each other and you need to feel confident asking any questions you have.

A Leader in Rhinoplasty Surgery

Dr. William J. Binder is one of the world’s leading facial plastic surgery experts. He is based out of Los Angeles, but due to his expertise and decades of experience patients from around the country and even the world come to receive treatment from him. Dr. Binder is extensively published and is board certified by both the American Board of Otolaryngology and Head and Neck Surgery and the the American Board of Facial Plastic and Reconstructive Surgery. While his passion is in working with his patients, he also spends much of his time traveling to provide lectures and training to other plastic surgeons. If you have questions about facial reconstruction and want a consultation with the very best, contact Dr. Binder’s office today.

Beautiful women

5 Habits That Are Aging Your Skin

Does your skin seem to be aging faster than your actual years? Do you not love what you are seeing in the mirror? Well, it may be time to reassess some of those daily routines because like it or not, how you look and feel as the years progress often depends critically on the choices you make and the habits you acquire throughout the years. When it comes to aging skin care, consistent bad habits will not only threaten the youthful complexion you desire, but will also cause premature skin aging that will add decades to your face. Ditch that unhealthy routine early on and ultimately stop future epidermis woes by simply making some changes to everyday behavior. Here are five common culprits that speed up the aging process of your skin to take note of.

1. Holding Grudges & Carrying Stress

Life is way too precious and too short to hold onto old grudges. Sometimes, forgiving, forgetting, and just letting go can add years to your life as well as make it a lot more productive. What’s more is that you’ll likely notice fewer wrinkles from less frowning, especially around the eyes and on the forehead, as well as more vibrant looking skin from lower blood pressure, less depression, less stress, less anxiety, and overall better physical, psychological, and spiritual well-being.

All that said, nothing can and will make you feel or act older than allowing stress to take the driver’s seat. So, believe it: Stress doesn’t just make you anxious, it also works against aging skin care. Keep your mind young, your skin vibrant, and avoid cognitive impairment by simply letting go. Not only will you avoid acne and oily skin, but disruptions in sebum production, microcirculation, and hydration levels that can all lead to a duller, more aged complexion. Stress also leads to free radical damage, which is another top cause of aging.

2. Skipping Sunscreen & Heavy Toxin Exposure

Aging skin is a natural process and aging skin care demands you be aware of these natural processes and triggers. Daily sun exposure can actually contribute hugely to premature aging by slowing down the turnover of new healthy skin cells and old damaged cells. It is important to remember that UV exposure is the number one named cause of skin aging, as 90% of all visible age signs and 80% of skin-aging free radical damage are caused by everyday time underneath sunlight doing activities like gardening, dog walking, or even driving. Even for those who wear makeup containing SPF, full coverage is not available because layers upon layers upon layer of cosmetics – much more than an average person would wear – would be needed to reach the levels needed for ample protection.

Another cause for concern would be everyday toxins in the air. Though you cannot control pollution in the same way you can control something like fitness and diet, toxin exposure plays a huge role in affecting aging skin care by slowing down cellular growth which allows skin to age more rapidly. Toxins decrease oxygen and collagen in the skin, leading to duller, more blotchy appearances, uneven tone, and constant breakouts. The key to minimizing the risks is protection. So, do not skip on that sunscreen, as SPF protects not just from the rays of the sun, but free radicals that cause aging as well. Remember also to cleanse skin thoroughly every night, to exfoliate twice a week, and to use products filled with antioxidants to help moisturize and stay protected.

3. Lack of Sleep & Incorrect Sleep Positioning

In the short run, insufficient shut-eye causes dark circles under the eyes and a lackluster complexion. But did you know that not getting enough sleep also ages skin prematurely, leading to prolonged dullness and dryness by not allowing cells to receive the full repair and rejuvenation they would otherwise be getting during the normal hours of the night? Sleep deprivation also decreases vital collagen production and raises levels of the hormone cortisol, which increases oil production in the skin and can lead to bouts of acne. In the long run, skimping on Zzzzs can actually be more consequential than most would think — so hit the hay and your skin will be pleased.

Remember also that when it comes to sleeping, positioning in everything. Sleeping on the side or on the stomach increases wrinkles on the sides of the face, brows, and cheeks. For the best aging skin care, how and when you sleep is everything.

4. Smoking & Alcohol

Besides the obvious dangers of smoking and drinking such as heart, lung, and liver disease, there is also the fact that the two inhibit proper blood flow and age skin dramatically. Wrinkles around the mouth area become more visible, skin tone and vibrancy are affected, and skin elasticity breaks down more quickly than ever for those who choose to light up. Wine, beer, and liquor, in addition, severely dehydrate the skin, leaving it quenched for moisture. Without that moisture, skin is more prone to wrinkles and dryness.

Next to UV exposure, smoking and drinking are the worst habits for your skin, not only choking skin’s tissues by depleting them of much needed oxygen (which causes improper functioning that allows skin to become sallow and lined) but also damaging capillaries carrying away damaging free radicals (which leads further to a toxic skin environment and more accelerated aging).

5. Poor Diet Habits

You are what you eat. Everything you put in your body has a direct impact on the skin, and though the connections between diet and overall health are fairly obvious, poor diet actually has a much bigger impact on your skin than anyone would probably realize. Bad habits can cause dullness, puffiness, redness, congestion, acne, faster aging of the skin, and a myriad of other health disorders. High sugar intake, in addition, degrades collagen and elastin, which are the proteins that keep skin soft and supple. Lack of nourishment from vitamins and minerals, especially those found in fruits and vegetables, also shows up on the skin, as the nutrients found in the two feed the skin to keep it youthful, hydrated, and glowing. Make sure your diet also includes fish with heart-healthy omega-3 fatty acids, as well as plenty of fiber from whole grains.

Dr. William J. Binder is experienced, acclaimed, and considered one of the world’s leading facial plastic surgeons. Contact his office today to find out more about ways to prevent aging and to schedule a consultation.

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