Considering Rhinoplasty? Here are 5 Questions to Ask Yourself

eyeballCosmetic surgery of any kind is a big decision and one that should not be made on a whim. Altering your physical appearance is an often-permanent and often-rewarding process, but only if you know what you want to change and why you want change it. A rhinoplasty is the second most common cosmetic procedure in the United States today. The surgery aims to both improve breathing problems and promote self-confidence, depending on each individual’s case.

The procedure rearranges and sculpts cartilage in and around the nose to improve nasal symmetry. Patients who wish to reduce the overall size of their nose, alter the positioning of their nostrils, or adjust the contour of the nasal tip benefit from this highly popular and successful surgery. Not only does a successful nose surgery gift its patients with an enhanced physical appearance but it also carries with it the added benefit of potentially bettering your health. Individuals with a deviated septum can undergo nose surgery to repair the nasal airway, drastically improving their breathing and sleeping.

While this procedure seems like an easy decision for those unhappy with their facial appearance, it is important to carefully consider every aspect of any cosmetic surgery. Ask yourself these 5 questions before you make your decision.

Why Do I Want to Do This?

It’s completely understandable to feel self-conscious about the way you look, especially regarding your face. Unlike your body, parts of your face you are unhappy with cannot be hidden by clothing. It’s only natural to want to look your best. The beauty norms in today’s society are hard to escape or ignore but they should by no means dictate standards of which you must live up to. Before you do anything, you must ask yourself, are you doing this for you or for those around you? If the answer is not the former, you may want to reconsider your decision.

What Do I Expect?

Before you undergo this type of surgery, it is wise to manage your expectations. Keep in mind, your doctor can only work with the existing natural structure of your nose. A clear understanding of the procedure, results, and recovery will only ensure that you go into your surgery with realistic expectations and come out of your surgery with a rewarding outcome.

Do I Have Time for the Recovery Process?

With advancements in medicine and technology, we are living in a time very conducive for the surgery healing process. Taking off time from work, your family, or school is not always easy so it is wise to have your ducks in a row before you follow through with a decision like this. Luckily the recovery process for a nose surgery is relatively fast. Although you’ll be wearing a nose splint for around a week, it’s possible you’ll be able to return to your job in a matter of days (provided your profession doesn’t require too much physical exertion).

Is This the Right Time?

It is best to be in good overall health for a procedure like this. Those with pre-existing health conditions should speak with their doctor about possibly pursuing alternative solutions. If your life is currently up in the air or you are dealing with uncertain and stressful circumstances it may be wise to hold off on a cosmetic facial surgery until you are in a better position to make a clear decision.

Have You Found the Right Surgeon?

Perhaps the most time consuming and important decision you will face before surgery is choosing your surgeon. If you are building house you want to hire the best wood workers and similarly, if you are making a permanent change to your physical appearance, you want the doctor best equipped to do so. Certification, background, experience are all things you need to research and consider before deciding on which surgeon is right for you. Ideally this person should be someone you feel comfortable around and someone who specializes in rhinoplasty procedures.

Dr. Binder’s approach to nose surgery not only improves function, but creates such natural and balanced results that no one will be able to tell that a procedure was ever performed. With 30 years of experience as a double board certified plastic surgeon, Dr. Binder has produced success story after success story. Why continue to live with insecurities or breathing difficulties when with just a call to our offices you can start on your way become a success story, too?

 

Surgical Reconstruction for Extreme Physical Damage

Plastic Surgery

When many people hear the words “plastic surgery” they immediately think of breast augmentations, liposuction, and age-defying Botox injections. Of course, there are many other procedures in the realm of plastic surgery than the purely cosmetic. In many cases, plastic surgery is performed for reconstructive or reparative purposes, rather than cosmetic or aesthetic reasons. Following physical trauma that leaves lasting damage, certain cosmetic surgery can restore not just the physical appearance of damaged tissue, but also physical function.

Why Might Someone Need or Want Reconstructive Surgery?

Following an accident or other injury that results in physical trauma, once a patient’s overall health has become stable again, thoughts begin to turn to repairing the damage, particularly in the case of severe or disfiguring facial trauma. Studies have shown that patients with uncorrected facial trauma have a higher incidence rate of body-image issues, depression, and post-traumatic stress disorder.

Types of Reconstructive Surgery

This type of surgery takes many forms, and the number of techniques and procedures is growing every day. Facial reconstruction in particular is a rapidly growing field, and now includes techniques that would have been impossible even just a decade ago.

Facial reconstructive procedures can include:

Reconstruction of the Skin

Skin treatments typically take the form of chemical peels or laser treatment to lessen the raised appearance of scars, or to eliminate excessively darkened or lightened pigmentation following a burn or skin graft. These same procedures can also be used to reverse the appearance of fine lines and wrinkles that comes as a result of passing time.

Laser treatments, particularly C02 laser treatment, can also be used to “sand away” a raised or hypertrophic scar in order to bring it in line with the rest of the skin on the face, thereby making it far less noticeable and obtrusive. The same can also be done with dermabrasion, and often the two techniques are used in conjunction with chemical peels and other deeper reconstructive options to achieve the very best result.

Skin Treatments Beneath the Skin

For deeper damage that causes the skin to be raised or lowered, particularly following trauma such as a burn, there are more intensive options that can aid in scar removal. This typically takes the form of collagen or other fillers, but it can also include tissue expanders that help to bring the skin together to promote smoother, more aesthetic healing. This procedure is a bit more involved than other simple skin treatments, but it can also be used in combination with Z-plasty to help bring severe scars more in line with the natural lines of the face in order to more effectively blend them into the surrounding skin

What Reconstructive Surgery Can’t Do

Despite the advances in modern cosmetic surgery, there are some things it just can’t do. For one, deep burns are particularly problematic to reconstruct, as there is often very little tissue left to work with. There is likely to always be some measure of visible damage following a severe burn. However, even the most severe scarring can be lessened with the proper techniques. By combining several different types of reconstructive procedures to achieve a customized solution, severe scarring can be improved and the physical and emotional after-effects of trauma can be lessened.

Why Choosing the Right Surgeon Matters

The most important part of any surgery is choosing the right surgeon. The very best reconstructive surgeons are the ones that specialize in particular areas of care, so be sure to find one that is specifically focused and well versed in facial reconstruction, before choosing to undergo such delicate procedures. Facial scarring can easily be made much worse with improper or poorly performed scar removal procedures, making it especially important that you choose a reliable physician with an excellent track record.

Dr. William J. Binder is one of the world’s leading facial reconstructive experts, and has a long history of innovation and creative application of advanced reconstructive procedures. He is based out of Los Angeles, but due to his expertise and 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 American Board of Facial Plastic and Reconstructive Surgery. If you have questions about facial reconstruction and want a consultation with the very best, contact Dr. Binder’s office today.

 

botox-injection

5 Interesting Facts about Botox

Botox is probably the most well known cosmetic procedures, but it is less known that the name Botox actually refers to the brand name of a neurotoxin called botulinum toxin. Despite the scary sounding name, the diluted form of botulinum toxin in Botox isn’t dangerous and simply causes the affected muscles to relax, reducing or removing wrinkles for three to four months.

Even though Botox is a household name, most people have only a limited knowledge of the treatment. Here are five facts about Botox that might just change the way you think about the treatment.

1. Botox Is the Most Popular Cosmetic Procedure

Botulinum toxin injections are not only the most popular cosmetic procedure now, they have been since 2000, and have increased in popularity by almost 800% since then. In fact, 6,757,198 Botox treatments were performed in 2015, more than the next five most popular treatments (chemical peels, laser hair removal, soft tissue fillers, microdermabrasion, and intense pulsed light treatment) combined.

2. Botox Has Medical Applications

Despite its reputation as a cosmetic procedure, Botox was originally used as a medical treatment for strabismus, an eye condition often resulting from muscle dysfunction. It was quickly discovered that Botox can also be used to treat other medical conditions, such as face and neck spasms. Today, Botox is used to treat chronic pain, migraines, excess sweating, and even depression, all by simply preventing muscle contractions and spasms.

3. Cosmetic Applications of Botox Were Discovered on Accident

While Botox is primarily used for cosmetic treatment today, its applications for aesthetic use were only realized by chance. In the 1990s, Dr. Jean Carruthers was using Botox injections to treat patients with strabismus and diplopia (double vision), when her patients began to report that in addition to the improvements in their vision, they had noticed that their wrinkles had become less visible since they started Botox treatments. Quickly, Botox gained traction as a cosmetic treatment and use for aesthetic purposes soon outnumbered use for medical purposes many times over.

4. Botox is Older Than You Think

Because Botox gained FDA approval as a cosmetic treatment in 2002, it is often assumed that the treatment and botulinum toxin are relatively new discoveries. However, botulinum toxin was actually discovered in the 1820s, when Dr. Justinus Kerner was attempting to determine why a batch of sausages had poisoned dozens of Germans, resulting in their death. He discovered a toxin, botulinum toxin, in the meat, and named the ailment that killed the Germans “botulism.”

Botox was also considered by the United States for use as a weapon during World War II. One plan for use involved the use of Chinese prostitutes to place pills of the toxin in the food and drink of high-ranking Japanese officers. While the pills were created, the plan was never carried out.

5. Botox is One of the Safest and Well Researched Products Available

Despite its sordid history, Botox is one of the safest products on the market, due to its long history and the thorough research it has undergone. Botox is FDA approved for cosmetic use in between the eyebrows, on the lines around the eyes, and in the armpits to reduce sweating, but has numerous off-label cosmetic uses that are just as safe, legal, effective, and thoroughly researched.

Botox can also be used to decrease scalp-sweating (which can be used to prevent excess sweating or simply to prolong hair styling), correct a droopy nose tip, fix brow asymmetry, minimize lines around the nose, decrease oiliness of the skin, minimize the appearance of pores, and much, much more.

The Botox Expert

Even though Botox is safe and well understood, choosing the right person to administer your treatment is essential in achieving the best possible results, especially if you need Botox for medical purposes. Botox must be applied carefully and precisely in order to target just the right muscles while still achieving a natural look, so patients should seek out a licensed and board certified plastic surgeon with ample experience administering Botox treatments.

Dr. William J. Binder is one of the world’s leading experts on Botox and, in fact, was the plastic surgeon who discovered the product’s applications for treating migraines. He is based out of Los Angeles but, due to his expertise and 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 American Board of Facial Plastic and Reconstructive Surgery. If you want your Botox treatments from one of the world’s leading plastic surgeons and experts in Botox, contact Dr. Binder’s office today to schedule your consultation.

woman-in-winter

What Happens to Your Facial Skin During Winter

Chilly winter temperatures can give your skin a lovely, rosy flush, but they can also take a toll on your skin. Cool temperatures, harsh winds, and dry air remove the natural oils from the surface of the skin, making it dry and prone to irritation. The skin can become itchy and painful, and skin conditions like eczema and psoriasis can act up. Fortunately, there are many steps that you can take to prevent dryness and irritation, protecting the health and appearance of your skin, as well as your own comfort.

Protect Your Skin

First, be careful to avoid things that can further irritate and dry out your skin.

While long hot showers can feel like a heavenly reprieve from chilly weather, the hot water is harsh on your skin. Keep showers brief and use gentle soaps with moisturizing ingredients. After your shower, use your towel to pat dry. Rubbing with a rough towel can irritate your skin. When getting dressed, avoid wools and polyester as inner layers, as these fabrics can further irritate the skin. Instead, use breathable fabrics to avoid irritation, especially if you’re experiencing a flare up from eczema, psoriasis, or another skin condition.

Eczema and psoriasis are immune responses, so flare ups can be minimized by staying in good health. Be sure to receive your flu shot and any other vaccinations your doctor recommends. Don’t forget the basics to keep yourself in good health, as well: wash your hands frequently, get plenty of rest, eat a healthy diet, and exercise.

These basics can also minimize stress, which in turn can help keep you healthy and, according to some research, maximize your skin’s ability to retain water. As winter is a stressful time for many people, between the holidays and the negative feelings that often accompany shorter days and cooler temperatures, minimizing stress can fight one more factor that dries out your skin. Try stress relieving activities like yoga, meditation, and journaling.

Replace Moisture

Once you’ve taken steps to protect your skin against further damage, you need to resupply your skin with the hydration that it has lost.

Many people use humidifiers to increase the moisture content of the air in their homes. Ideally, humidity should be kept between 30 and 50 percent (This can be measured with a hygrometer). However, those with asthma or a mold allergy should use humidifiers with caution. If the air is too humid, it can foster the breeding of mold and other allergens, and if you aren’t careful with cleaning, your humidifier can quickly develop mold and bacteria.

You should also apply heavy duty moisturizers to both replenish moisture and replace the protective barrier. Your moisturizer should be oil based rather than water based (hint: many moisturizers marketed as “night creams” are oil based), but be careful to use oils that won’t clog your pores, like avocado oil, mineral oil, primrose oil, or almond oil. Avoid shea oil and shea butter. Ideally, your moisturizer will also contain humectants, which are ingredients that attract moisture to your skin. Ingredients to look for include glycerine, sorbitol, and alpha-hydroxy acids.

Exfoliate

You should also use exfoliating treatments to remove the layer of dry, dead skin cells that can clog up your pores and worsen irritation. You can exfoliate at home or get more thorough treatments from a cosmetic or plastic surgeon.

At-home exfoliations can include scrubs, masks, and other treatments; and can use either physical exfoliators or acids that chemically remove the dead skin. Acids are typically gentler. Beware with do-it-yourself exfoliant recipes. These often include ingredients like salt and baking soda, which are drying and can irritate the skin.

You can also seek professional skin resurfacing treatment like chemical peels, dermabrasion and microdermabrasion, and laser resurfacing treatments. Regardless of the type of exfoliation, be sure to moisturize well afterwards, as the process strips your skin of its protective layer of oils.

See a Specialist

One of the best things you can do to take care of your facial skin during the winter is to see a professional. A dermatologist can help you determine a good routine to ensure the health of your skin, while seeing a plastic surgeon, particularly one specializing in facial cosmetic procedures, can ensure that your skin looks its best while staying as healthy as possible.

Dr. William J. Binder is considered one of the world’s best plastic surgeons and is based out of Los Angeles. He is double board certified, has been extensively published, and has 10 patents on medical devices and pharmaceuticals. Despite Dr. Binder’s achievements, his true passion remains with working with his patients to achieve peerless results.

Ensure that your skin looks and feels its best, even in the chilly and stressful winter months. Contact Dr. Binder’s office today to schedule your consultation.

beauty-face-lift

Face and Neck Lifts: An Overview

As we age the face and neck begin to sag and crease, giving the neck, cheeks, and under eyes a droopy appearance; creating the illusion of a double chin, causing the neck muscles to band, and wrinkling under the eyes and from the corners of the mouth to the nose.

This happens to all of us, but the rate and age at which it happens varies from person to person based on genetics, gravity, environment, and stress, but rejuvenation procedures like facelifts and neck lifts can help to reverse this process.

There are many misconceptions about facelifts and neck lifts that cause people to be wary of them, the most common of which is that patients who undergo facelifts and neck lifts end up with a tight, “stretched,” and unnatural looking appearance. It is true that while, on occasion, old facelift and neck lift techniques could give these kind of results, this was rare.

Now, with new more effective techniques, artificial looking results are virtually unheard of, especially when the procedure is conducted by a highly skilled plastic surgeon.

About Facelift and Neck Lift Surgeries

Facelift surgery is used to correct signs of aging in the lower portion of the face; in the areas roughly level with the nose and mouth. In order to do so, a plastic surgeon begins incisions at the temple and continues down in front in the ear, below it, and then back behind the ear. The skin is then gently moved to tighten up sags and wrinkles. Excess skin and fat may be removed to create a smoother, more youthful final result. Incisions are closed with fine sutures or metal clips, allowing the surgeon to avoid shaving the incision site.

Neck lift surgery uses a similar process to tighten up sagging and correct muscle banding in the neck. Incisions for neck lifts begin similarly to those used for facelifts, going from the temple down in front of the ear, then curling below and behind the ear. For some neck lift procedures, these incisions may be all that’s needed and the skin can be repositioned. For others, additional incisions may be made below the jawline for further repositioning of the skin. Like with facelift surgery, excess skin and fat may also be removed. Incisions are closed with sutures.

Both procedures are performed under a combination of sedatives, general or mild intravenous anesthesia (“twilight sleep”), and local anesthesia. Incisions for both procedures are placed in natural contours of the face so that they are almost invisible once healed.

Which Lift is Right for Me?

Though facelifts and neck lifts can be performed individually if patients are happy with the appearance of their lower face or neck, but not the other, they can also be performed together. In fact, having both performed often gives better results. This is especially true if the procedures are conducted simultaneously as it allows the surgeon to take a more holistic approach and create a more unified appearance.

Many patients interested in facelift and neck lift surgeries claim that their physical appearance does not match their mental age. Good candidates for either a facelift or neck lift are unhappy with the aging appearance of the area in question, have no health issues that could impede healing or cause complications during surgery, do not smoke, and have optimistic and realistic expectations for what their surgery can achieve. While these procedures can reverse signs of aging, they do not stop the aging process altogether. Patients will continue to develop symptoms of aging.

Additional Procedures

Because facelifts don’t modify the entire face, other procedures are often performed in conjunction with face and neck lifts in order to tighten up the brow and eye areas, in addition to giving more dramatic and comprehensive results in general.

If the upper area of the face only needs minimal improvement, dermal fillers and skin resurfacing treatments like chemical peels and microdermabrasion can be used to correct minor wrinkles, scarring, under eye bags and dark circles, and discoloration. However, the effects of these treatments is temporary and they can’t rival the results of surgical treatments, though they can prolong the need for them. Non-surgical procedures can also serve as alternatives for patients whose health does not allow them to undergo surgery.

Additional surgeries can also be performed in conjunction with facelifts and neck lifts. For more significant revision of the upper part of the face, patients may want to consider blepharoplasty (eyelid surgery), brow and forehead lifts, or a combination of these. Surgeries can also be used to enhance the results of facelifts and neck lifts. Facial liposuction and fat grafting can be used, especially on the neck, to remove fatty deposits and bags and relocate the fat to areas that have become sunken over time, such as the cheeks and under the eyes.

Facial implants and rhinoplasty can be used to provide additional augmentation to create a more pleasant appearance in general, rather than just correcting aging, or as reconstructive procedures following illness or an accident.

The Right Plastic Surgeon for Your Face or Neck Lift

Dr. William J. Binder is a double board certified facial and reconstructive plastic surgery specialist and one of the world’s leading plastic surgeons. His surgery is located in Beverly Hills. If you want your lift procedure performed by one of the best, don’t wait. Contact Dr. Binder’s office today to schedule your consultation so that you can start looking as young as you feel.

plastic-surgery-procedure

Looking after Your Face Post-Surgery

After plastic surgery, patients are usually excited to see their results, but it can be a little disconcerting when those results aren’t immediately apparent. Instead, they’re usually obscured by swelling and bruising. Fortunately, these symptoms usually fade within a few weeks, though this varies from procedure to procedure.

While the initial side effects of plastic surgery and other cosmetic procedures can be discouraging, taking proper care of your skin during this time is essential for ensuring the best results. A healthy skin care regimen during healing reduces the amount of scarring and prevents the modification of your surgeon’s work, minimizing the likelihood of needing revision surgery later, such as for a nose that has set wrong after a rhinoplasty or skin that has relocated after a lift.

What to Expect After Your Procedure

Every procedure and every person is different, so each patient’s recovery is different, but there are some generalizations that can be made. Along with swelling and bruising, most patients will experience redness, sensitivity, tightness, and numbness, but the recovery process after invasive surgical procedures differs significantly from recovery after minimally invasive procedures.

Regardless of the type of procedure you’ve undergone, your doctor will likely prescribe or otherwise recommend medication. These may include oral pain relievers, antibiotics, or steroids, or topical antibiotics or steroids.

After Surgical Plastic Procedures

For invasive surgical procedures, these symptoms typically fade within a few weeks. You will often have to stay at the surgical center at least overnight. You will be sent home with the surgical site dressed in bandages, and will often also have to wear a pressure wrap to reduce swelling and help set the results. You will be impaired after your surgery, so you should have someone drive you home and on hand at home to help take care of you and your obligations while you heal.

After Skin Resurfacing and Minimally Invasive Procedures

For dermabrasion and other forms of skin resurfacing the above symptoms usually last for only one to two weeks, though the skin may continue to have some pinkness for four weeks or more. Patients may also experience some crustiness as the skin heals, which can be removed with a soft wash cloth wetted with warm water. Even injections can leave the skin with some pinkness and feeling sensitive. These procedures are typically outpatient procedures and you can often even return to work immediately following your procedure.

Pamper Your Skin

Regardless of the type of procedure you undergo, you need to baby your skin afterwards. Your skin will be particularly sensitive, so using sun protection and a heavy duty moisturizer is imperative for ensuring the best possible healing. However, talk to your doctor about what he recommends before applying any product to skin that has not yet fully healed.

Don’t apply cosmetics or other skin products to open wounds, unless your doctor specifically recommends it. After wounds have closed, cosmetics may be applied. Stick to thin layers of lightweight mineral formulas specifically made for sensitive skin. Use a green color corrector under concealer or foundation to counteract any red or pink tint to your skin. At the end of the day, wash off cosmetics and other products thoroughly with a gentle cleanser.

Choose the Best Doctor

The best thing you can do to make your recovery quicker and easier is choosing a skilled and experienced plastic surgeon. The best plastic surgeons know the most effective techniques and can make smaller incisions, so your procedure results in less trauma and therefore less need for later scar removal. It also makes it easier for your body to recover. The best surgeons can also give you the best possible possible recovery and care instructions, giving you better and more natural results with less risk of scarring or modifying results.

Dr. William J. Binder is a Los Angeles based facial plastic surgeon who is considered one of the world’s leading plastic surgeons. He is board certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology and Head and Neck Surgery, but Dr. Binder’s true passion is working with his patients. Contact Dr. Binder’s office today to schedule your consultation.

facial-mole

What to Do if You Think You Have a Cancerous Mole

As we get older, our bodies change. Usually changes are just part of the aging process, but sometimes they can indicate serious health problems, like skin cancer. Fortunately, when discovered early, skin cancer is highly treatable. However, this also means that it’s important to regularly check yourself for possible skin cancer and to act as soon as possible if you notice something unusual.

Recognizing a Cancerous Moles

The first indicator of skin cancer is typically changes in the skin. This can be changes in the moles you already have or the development of what appears to be a new mole. Dermatologists recommend the ABCDEs test for screening one’s self for skin cancer in order to detect cancer as early as possible.

This test involves checking your moles for five different signs of skin cancer. If your moles show any of these signs, you may have skin cancer.

  • Asymmetry: If some part of the mole varies from the typical round shape of moles, the mole may be cancerous or precancerous.
  • Border: Benign moles have smooth, defined borders, but cancerous or precancerous moles may have uneven or unclear borders.
  • Color: While healthy moles are typically uniformly colored some shade of brown, cancerous moles are often inconsistently colored and may have red, white, or blue shades.
  • Diameter: Cancerous moles are typically larger than benign ones, which are usually smaller than a pencil eraser, about a quarter inch in diameter; but cancerous moles are often smaller than this when they are first detected.
  • Evolving: Benign moles typically remain the same throughout time, but cancerous or precancerous moles may be show change. If you’re not sure if your mole is changing or not, try regularly taking pictures so that you can compare its appearance over time.

If you notice any of these signs, contact a dermatologist who can examine your mole and determine if a biopsy is needed to test for skin cancer. If your doctor finds that you do have skin cancer, or a precancerous mole or growth, you will typically need to arrange for surgery to remove the cancer or precancer.

Mole Removal Surgery

The exact process of mole removal surgery is different for each patient, because each patient’s health and cancer growth is different, but most surgeries follow this basic pattern.

First, the patient is anesthetized, and then the actual removal occurs. Small cancer lesions typically require only a basic excision surgery. However, skin cancer can also reach deep into the skin without clear borders. If this is the case, surgeons typically use a surgical technique called Mohs micrographic surgery. This technique requires the removal of the cancer lesion and the surrounding tissue layer by layer, with each layer sent to the lab for testing for cancer cells. Layers continue to be removed until test results indicate that no more cancer cells are present.

Some patients, especially those with deeper cancer growths, may need reconstructive steps after their cancer is removed. All patients should plan on going back to their doctor later for additional tests to ensure that all traces of cancer are definitively gone.

Choosing the Right Surgeon for Your Procedure

When most people think of skin cancer removal they think of a dermatologist or oncologist; but for patients with facial skin cancer, a plastic surgeon is often the better choice. However, not just any plastic surgeon is qualified to perform skin cancer removal surgery. Patients should choose an experienced plastic surgeon who specializes in reconstructive facial plastic surgery.

Furthermore, it’s not just important to choose the right kind of doctor, it’s also important to choose the right individual doctor. Your surgeon is imperative in keeping you relaxed and confident during the process, from diagnosis to follow up, which can be very stressful for patients. Your surgeon should take the time to make sure you are comfortable and fully informed about the process.

Dr. William J. Binder

Skin cancer is a serious disease and you deserve the best possible surgeon to help you through the cancer removal process. If you’ve recently gotten a skin cancer diagnosis or are suspicious that you may have skin cancer, it’s better to act sooner rather than later. Contact Dr. Binder’s office today to schedule your consultation.

model-with-symmetrical-nose

The Essentials of Revision Rhinoplasty

The nose is one of the more intricate and delicate parts of the body. It’s responsible for filtering, warming, and humidifying air before it gets to your lungs, not to mention our unique sense of smell. Part of what makes our nose so special is the fact that it is such a prominent component to our physical appearance.

It’s both the center of our face and crucial to our facial profile. Aesthetically, it contributes to the balance and proportions of our face that make us look the way we do. However, this doesn’t necessarily mean everyone is happy with theirs.

Rhinoplasty

A rhinoplasty procedure helps to create a more symmetrical and well-balanced appearance by altering the shape and proportions of your nose. Part of what makes nose surgery so unique is its ability to both offer cosmetic solutions to those who desire an improved appearance, as well offering a solution to structural defects in the nose that can cause physical problems and difficulty breathing.

It’s this balance of cosmetic and function that makes the rhinoplasty procedure one of the most popular in the United States today. A successful rhinoplasty can help individuals who wish to alter the shape or position of their nostrils, reduce an enlarged nasal tip, get rid of unsightly bumps, or alter the width of their bridge.

Many patients wish to have the size of their nose reduced, in which case the appropriate amount of bone or cartilage is surgically removed, with the remainder being sculpted for symmetry. For physical problems, such as a deviated septum, a rhinoplasty can effectively straighten the nasal septum (the partition between the nostrils that separates the air chambers), allowing for drastically improved efficiency and ease of breathing.

While this all sounds well and good, unfortunately not all rhinoplasties are completed with satisfying results. Your nose may look differently than you were told it would or your surgery could’ve simply been ill-performed. Regrettably, surgeons with insufficient training and experience can produce undesirable outcomes that leave patients unhappy with their new appearance. Luckily, with advancements in cosmetic medicine, there is a solution to this.

Revision Rhinoplasty

The goal of a revision rhinoplasty is to repair and restore the original result an individual first desired when choosing to undergo corrective nose surgery. It’s not uncommon for patients to be unsatisfied with a “pinched” looking nose or one that is ultra-thin and artificial looking. Sometimes they only need slight adjustments, other times they require more significant alterations.

Either way, a revision rhinoplasty was created for this very reason. No surgeon can guarantee 100% satisfactory results every single time. This procedure allows patients to achieve this level of satisfaction by its uncanny ability to provide the finest of adjustments post-nose surgery.

During these surgeries, the structural integrity of your nose is reinforced and corrected, either for cosmetic purposes or to further improve the passage of air into the nose and lungs. Revision rhinoplasty has been on the rise over the last decade with about 10% of recipients who receive a regular rhinoplasty coming back for a revision.

With the state of medicine being where it is today, you should be able to receive the results you desire with great accuracy and excellent quality. This procedure aims to restore the structure of your nose, maintain its natural look, and correct any functional errors you may have. Done correctly, a revision rhinoplasty can reap the immeasurable benefits of enriched self-confidence and an improved physical appearance.

How to Get Started

Dr. Binder’s office in Beverly Hills is often considered the best option for correcting the most difficult problems in revision rhinoplasty. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to  schedule a consultation for your revision rhinoplasty surgery in our Beverly Hills office.

beautiful-woman-ears-otoplasty

The Practical and Aesthetic Benefits of Otoplasty

The ears are one of the most subconsciously noticed features of the face. Commonly, the eyes, nose, and smile are among the first things observed when meeting someone. However, the ears play a crucial part in the overall balance of your face, effectively framing the rest of your features. Misshaped ears can be the result of a couple sources. Injury, genetic predisposition, or a poorly-performed previous ear surgery can all leave you with ears lacking the position, shape, or proportion that you desire.

An otoplasty is unique in its ability to be performed at almost any age. Protruding ears can be the subject of teasing and bullying in children who feel self-conscious about how they look. Ear surgery is usually more effective the earlier it is performed. Taking advantage of still-developing cartilage helps guarantee longer lasting results by reshaping the still-flexible ear tissue.

Even mild distortions of the ears can be damaging to your self-esteem, no matter your age. Social situations, being able to wear your hair certain ways, and being photographed are all things you should never have to worry about doing. A successful otoplasty with Dr. Binder’s plastic surgery in Beverly Hills aims to make your life easier by shaping or sculpting your ears to better balance your face, restore self-confidence, and allow you to not think twice about taking part in common, daily activities.

The Procedure

Corrective ear surgery is performed under general anesthesia and usually takes no longer than two hours. For protruding ears, an incision is made behind the ear where cartilage is then sculpted and sutured to maintain the desired positioning.

Yet another special benefit to an otoplasty surgery is its ability to be combined with other cosmetic facial procedures. Many patients choose to include this in conjunction with rhinoplasties and facelifts. Although, most commonly, patients desire their ears to be “pinned back” to avoid protrusion, deformed or disproportionate ears can be reshaped or altered in size to better fit your face as a whole.

It is common to require a soft cast for the days following your procedure, but most post-surgical pain is minimal. The thin scar left from the incision is well hidden behind a natural crease of the ear.

Candidacy

Adults with no previous severe medical conditions and who generally lead a healthy life style are ideal candidates for this procedure. For children, it is generally recommended that they be at least 5 years or older, in relatively good health, able to follow instructions well, and are cooperative. With any candidate, having a thorough understanding of what you wish to change and realistic expectations only makes your procedure more rewarding.

How to Get Started

Dr. Binder’s cosmetic surgery in Beverly Hills is often considered the best option for solutions regarding the otoplasty procedure. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to schedule a consultation for your revision rhinoplasty surgery in our Beverly Hills office.

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Facial Scar Removal: Getting Rid of Unwanted Scars

For the most part, a scar isn’t bad if it’s small or in a location that’s easy to conceal. But when it’s not, you may wonder if there’s a way to treat it, other than hiding it under your clothes, that will make it go away or at least change how it looks.

Here’s a look at some of the options available to you when it comes to reducing the appearance of those unwanted scars.

Scar Revision Surgery

Scar revision surgery is meant to minimize the scar so that it’s more consistent with your surrounding skin tone and texture.

Scars are visible signs that remain after a wound has healed. They are unavoidable results of injury or surgery, and their development can be unpredictable. Poor healing may contribute to scars that are obvious, unsightly or disfiguring.

Even a wound that heals well can result in a scar that affects your appearance. Scars may be raised or recessed; different in color or texture from surrounding healthy tissue; or particularly noticeable due to the size, shape, or location.

Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely removed.

Scar revision treatments include:

  • Topical treatments—such as gels, tapes, or external compression can help in wound closure and healing, or to reduce the ability of skin to produce irregular pigment. These products may be used to treat existing surface scars and discoloration, and to aid in healing of scar revision procedures.
  • Injectable treatments—are often used to fill depressed or concave scars. Depending on the injectable substance used and your particular scar conditions, results may last from three months to several years. Therapy must be repeated to maintain results. One form of injection therapy uses steroidal-based compounds to reduce collagen formation and can alter the appearance, size, and texture of raised scar tissue.
  • Surface treatments—are most often used for cosmetic improvements of scars. These methods can soften surface irregularities and reduce uneven pigmentation. Surface treatments are a controlled means of either mechanically removing the top layers of skin or changing the nature of tissue.
    These treatment options include: dermabrasion (a mechanical polishing of the skin), laser or light therapy (causes changes to the surface of the skin that allow new, healthy skin to form at the scar site), chemical peel solutions (penetrate the skin’s surface to soften irregularities in texture and color), and skin bleaching agents (medications applied topically to lighten the skin).

Scar Removal: Home Remedies

The human body is capable of taking care of scars and they tend to get lighter with time, but there are some home remedies that you can try to speed up the healing process, including:

Aloe Vera—a natural scar removal remedy due to its anti-inflammatory and antibacterial properties. Apply aloe vera twice daily, but do not use on open wounds.

  1. Peel the outer green cover off an aloe vera leaf and scoop out the gel-like substance.
  2. Apply the gel on your scar and massage in circular motions.
  3. Leave it on for about 30 minutes, then wash it off.

Olive Oil—is rich in vitamin E and helps keep the skin soft and moisturized. Repeat either of these remedies several times a day until you get the desired result.

  • Apply some warm extra-virgin olive oil to the affected area and massage using small, circular motions. Wait 30 minutes, then wipe off the oil with a clean cloth. You can also leave the oil on your skin overnight.
  • Another option is to mix a little lavender oil in some extra-virgin olive oil, apply it on the affected area and massage gently for a few minutes. Leave it on for 20 to 30 minutes, then rinse it off with lukewarm water.

Lemon—can remove dead skin cells, promote the growth of new skin cells, and improve skin elasticity. Repeat this remedy once daily until the scar fades.

  1. Apply some lemon juice on the affected area.
  2. Wait 10 minutes, then rinse it off with warm water.

Honey—a natural moisturizer. Repeat this remedy daily before going to bed.

  1. Apply some honey over the scar, cover it with a bandage, and leave it on overnight.
  2. The next morning, wash it off with warm water.

Speak with Dr. Binder

If you decide that home remedies aren’t doing enough to fade your scars, then you should talk to Dr. Binder about the surgical scar removal options that might work best for you. With years of experience in his field, he as the expertise to help you make the right decision about how best to deal with your unwanted scars.

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