Rhinoplasty Surgery for Better Breathing


Rhinoplasty Surgery Has Many Benefits

Rhinoplasty surgery is a widely sought after cosmetic procedure because of its beauty benefits, but it is also hugely popular for its numerous medical benefits. In particular, rhinoplasties serve as an effective treatment for correcting breathing problems, such as those caused by a deviated septum. These procedures are referred to as functional rhinoplasties, and may or may not involve altering the appearance of the nose based on the patient’s needs and desires.

The right surgeon will be able to address patients’ desires for both aesthetic form and physical function. When selecting your surgeon, read reviews and refer to patient photos to ensure that his or her results will satisfy your desires.

Good Candidates for Functional Rhinoplasty Surgery

Candidates for functional rhinoplasty generally have some sort of airway obstruction. Symptoms indicating such an obstruction can include: chronic nasal congestion, dry mouth, reduced sense of smell, nosebleed, sleep problems, or recurring sinus issues, including infections and headaches. Obstructions can eventually result in insomnia, hypertension, obstructive sleep apnea, and heart disease if left unaddressed.

Mild Cases

There are three specific surgeries that fall into the category of functional rhinoplasty used to correct mild nasal blockages:

1. Nasal Septoplasty

Nasal septoplasty is used to correct a deviated septum, which is when the wall between the nasal passages is in some way misshapen, blocking one or both air passages. Septoplasty straightens this wall, and is usually just a simple 15-30 minute procedure with a quick recovery.

2. Turbinate Reduction

The most common cause of nasal obstruction is enlarged turbinates, which are the mucous membrane-covered bones which extend the length of the nasal cavity. Occasionally, one of these turbinates will develop an air pocket leading to obstruction. Due to the role turbinates play in filtering oxygen and keeping it moist, only a part of the turbinate tissue will be removed. Like septoplasty, turbinate reduction is generally a simple procedure with a quick recovery, though there is a slightly increased chance of bleeding for a few weeks until the membranes have completely recovered.

3. Nasal Polyp Removal

Nasal polyps are benign growths that can block nasal passages. Removal is generally simple, but polyps will often develop again. The chance of this happening can be decreased with comprehensive allergy treatment, especially for fungal allergies.

Severe Cases

More severe cases—such as those involving twisted, collapsed, or pinched noses—cannot be improved simply through internal modifications. In these cases, more significant external revisions are needed to clear obstruction.

Insurance Coverage

Unlike rhinoplasties performed solely for aesthetic purposes, functional rhinoplasties are typically covered by insurance. If a patient is considering rhinoplasty for both aesthetic and functional reasons, insurance will cover both revisions if addressed in the same procedure. Furthermore, addressing both issues at once reduces downtime when compared to multiple, separate surgeries. This also allows the surgeon to design a more comprehensive solution, taking both beauty and function into account.

Schedule a Consultation with Dr. Binder

If you suffer from impaired breathing, schedule a consultation with Dr. Binder today to determine if a functional rhinoplasty is right for you. Dr. Binder has a stellar record of patient satisfaction, and our caring staff are always happy to address any related questions or concerns.

Related Posts:

Open vs Closed Rhinoplasty: How They Compare
How to Fix a Crooked Nose: Rhinoplasty

Chemical Peels Turn Back the Clock

chemical peels

Chemical Peels Fight Skin Damage

As we age, so does our skin. It’s not all bad, mind you. If you applied sun block religiously growing up and stuck to a healthy diet, you’re in better shape than most.  Unfortunately, most will realize the effects of daily exposure to the sun. You may not have believed it when you were celebrating your 21st birthday soaking up the rays, poolside in Las Vegas, but you better believe it now: Skin damage caused by the sun is cumulative.

Maturity makes us stronger in so many ways, but that isn’t the case with our skin. Our face and neck is particularly vulnerable to scars, acne, wrinkles, or other pigmentation changes. To resolve these age-related issues, most people resort to spending a considerable amount on skincare products with high (lofty) claims and unsatisfactory results.

When it comes to facial chemical peels, however, the results are guaranteed.

What Is a Chemical Peel?

Chemical peels, also known as chem-exfoliation or derma peels, are used to improve the appearance of the skin on the face, neck, or hands. A chemical solution is applied to exfoliate dead cells from the skin, encouraging new, regenerated skin to surface. As a result, the new skin is visibly smoother and less wrinkled.

Chemical peels commonly fall into one of three categories: light, medium, or deep.

* Light peels, also known as superficial or lunchtime peels, use alpha-hydroxy acid or another mild acid to penetrate only the outermost layer of skin. This gently exfoliates the skin while improving the appearance of mild skin discoloration and rough patches.

* Medium peels use glycolic or trichloroacetic acid to penetrate the outer and middle layers of skin to remove damaged skin cells. The treatment is specifically used to improve age spots, fine lines and wrinkles, freckles, and moderate skin discoloration. It can also be used to smooth rough skin and treat precancerous skin growths.

* Deep peels use trichloroacetic acid or phenol to penetrate the middle layer of the skin to remove damaged skin cells. This treatment is used to remove moderate lines, age spots, freckles, and shallow scars. This will result in the most visible improvement in your skin’s appearance, and can only be used on the face and performed only once.

The Chemical Peel Procedure

A chemical peel can be done in a doctor’s office or in a surgery center, and is usually an outpatient procedure. During the procedure, the professional will first clean your skin thoroughly.

Then he or she will apply one or more chemical solutions—such as glycolic acid, trichloroacetic acid, salicylic acid, or lactic acid—to small areas of your skin. During this process, controlled exfoliation is performed, allowing fresh skin to surface.

This may result in a burning sensation that lasts about five to ten minutes, followed by a stinging sensation. To ease this discomfort, a cool compression may be applied. For deep peels, pain medication may be needed during or after the treatment.

How Do I Prepare for a Chemical Peel Procedure?

Pre-treatment instructions will be provided by your skincare professional or plastic surgeon. Prior to your scheduled appointment, you will need to disclose your medical history. Information you may be asked to provide include:

* Prescribed medications for severe acne, such as Isotretinoin
* History of medications including antibiotics, acne medicine, etc
* History and frequency of cold sores
* History of herbs, vitamins, and minerals you take

On the day of your procedure, come prepared with a clean face free of makeup or skincare products.

What are the Risks and Benefits?

A chemical peel is one of the least invasive ways to improve the appearance of your skin. Benefits include the correction of:

* Acne or acne scars
* Age or liver spots
* Fine lines and wrinkles
* Freckles
* Uneven skin pigmentation
* Rough skin and patches
* Sun damage

A chemical peel will not treat the following:
* Deep facial lines
* Loose or sagging skin
* Pore size
* Deep scars

A chemical peel is not recommended for individuals with infections, active skin disease, cut or broken skin, sunburn, or active herpes simplex 1 sores. Poor candidates also include patients who are:

* Nursing or pregnant
* Have used Retin-A, Renova, prescription skincare products or products that contain ascorbic acid, and/or bleaching or skin-lightening agents in the last 48 hours
* Have taken Accutane in the last six months
* Have psoriasis, eczema, dermatitis, or rosacea

Risks may include:

* Temporary or permanent change in skin color, particularly for women on birth control pills
* Reactivation of cold sores
* Scarring

Chemical Peel Recovery – What Should I Expect?

Depending on the chemical peel, post operational care and recovery instructions may vary.
Prepare to expect the following:

* Light peels require 1-7 days to heal. Post-treatment, the skin will initially be red and may flake. Lotion or cream should be applied until the skin heals, followed by daily use of sunscreen. Makeup can be worn the next day.

* Medium peels require 7-14 days to heal. Post-treatment, the skin will initially be red and swollen, and may worsen within the first 48 hours. Eyelids may swell shut, and blisters may form and break. Aftercare will require skin to be soaked daily for specific periods of time, followed by ointment application.

Antiviral medication is also taken for 10-14 days, and mild lotion or cream may be applied. Makeup may be worn after five to seven days, and sun exposure needs to remain minimal until healing is complete. Lastly, a follow-up appointment will be necessary to monitor progress.

* Deep peels require 14-21 days to heal. Post-treatment, the skin will be bandaged. Aftercare will require the skin to be soaked 4-6 times daily, followed by ointment application for the first 14 days.

Afterwards, a thick moisturizer is needed for the next 14 days. Anti-viral medication is also taken for the first 10-14 days, and mild lotion or cream may be applied. Makeup may be worn after 14 days, but avoid all sun exposure for 3-6 months. Lastly, several follow-up appointments will be necessary to monitor progress.

Schedule a Consultation for a Chemical Peel

Don’t let imperfections and the signs of aging dampen your confidence. A chemical peel can restore youth and radiance to your complexion, leaving you feeling beautiful and rejuvenated. Schedule a consultation with Dr. Binder today to determine which chemical peel is best suited for your skin.

For this and all related skincare questions, contact Dr. Binder and his staff today.

Micro-dermabrasion Benefits


Micro-dermabrasion Takes Years Off Your Face

Your skin is overexposed to environmental elements and pollutants every day. Over the years, other damaging agents, along with the sun’s rays can result in wrinkles, fine lines, age spots and undesired pigmentation.

Micro-dermabrasion treatment can help reduce or eliminate these side effects, and restore your complexion back to a smoother, brighter and more even tone.

Micro-dermabrasion – What is It?

Microdermabrasion is a non-chemical, non-invasive procedure that uses microcrystals to exfoliate the outermost layer of dry, dead skin cells. This process encourages the production of a new layer of skin cells with higher levels of collagen and elastin. As a result, microdermabrasion reveals younger, healthier-looking skin

How Does Micro-dermabrasion Work?

During a micro-dermabrasion treatment, a stream of micro aluminum oxide crystals is applied to the skin through a hand piece. These crystals exfoliate the skin, leaving skin debris and excess crystals on the skins surface, which is then removed from through a micro-dermabrasion system.

Microdermabrasion helps produce healthier, thicker skin layers, and multiple treatments are vital because they encourage the production of collagen and elastin. Both of these components are essential for vibrant, healthy skin and complexion.

It is recommended that five to twelve treatments; two to three weeks apart are needed to maximize the full micro-dermabrasion benefits. And because the procedure takes only 30-60 minutes, it is commonly referred to as the “lunch hour facial.”

How Do I Prepare for a Micro-dermabrasion Procedure?

Pre-treatment instructions will be provided by your skincare professional or plastic surgeon. Prior to your scheduled appointment, you will need to disclose your medical history and perform a physical exam. Some questions you may be asked include the following:

* Open sores, wounds, or cuts on your face that can lead to infection
* Medication that makes your skin sensitive
* Any skin conditions that may be exacerbated by microdermabrasion

In advance to your procedure, your surgeon will ask you to:

* Stop smoking at least six weeks before undergoing surgery to promote better healing
* Avoid taking aspirin and anti-inflammatory drugs that can cause increased bleeding
* Hydrate well before and after surgery for safe recovery

On the day of your procedure, come prepared with a clean face without too much makeup or skincare products.

Micro-dermabrasion Risks and Benefits

Micro-dermabrasion is a safe, non-surgical procedure that provides multiple benefits:

* Reduces or eliminates fine lines, wrinkles, enlarged pores, and other signs of aging
* Lessen the appearance of stretch marks
* Improves the appearance of acne scars and other light blemishes
* Improves hyperpigmentation and brightens skin tone
* Exfoliates the skin, resulting in collagen an elastin production
* Provides skin of all colors and types with a fresh, healthy-looking glow

Micro-dermabrasion does not present serious risks when performed by a qualified provider. While the risks are very rare, you may experience slight skin irritation after the procedure. This tends to disappear within a day. On occasion, the skin may bruise, burn, sting or become sensitive to sunlight. These, too, will go away without treatment.

Micro-dermabrasion is not recommended for candidates who have deep scars, active keloids, active acne (stages 3 and 4), an auto-immune system disorder or unstable diabetes. Candidates who are pregnant should not undergo micro-dermabrasion.

Candidates who have recently received chemical peel or other skin procedure should wait two to three weeks before undergoing micro-dermabrasion. Individuals with deep scars, facial creases or other moderate-to-severe skin defects should consider a stronger treatment such as chemical peel, dermabrasion or laser skin resurfacing.

What is the Aftercare and Recovery?

Your surgeon will provide you detailed instructions about your post-surgical care, and discuss how long it will be before you can return to your normal level of activity and work.

The post-operative care will include information about normal symptoms you will experience and potential signs of complication.

Depending on your skin sensitivity, the suction and exfoliation might cause some mild swelling and redness on your skin. This will disappear and normalize after applying moisturizer with SPF. Makeup can be applied and you may return to your normal daily activity as instructed by your surgeon.

As with most non-invasive procedures, it is recommended that you wait twenty-four hours before doing strenuous activity. If you have extreme or long-lasting pain or notice redness and swelling consult your surgeon.

How Long Will the Results Last?

Within a few days following micro-dermabrasion, you will notice a healthy glow. For best results, repeated treatments will be needed to maintain. For maximal results, five to twelve treatments, spaced two to four weeks apart is recommended.

Schedule a Consultation with Dr. Binder Today

Take years off your face with micro-dermabrasion. Don’t let fine line or wrinkles hold you back from feeling the way you want. Schedule a consultation with Dr. Binder today.

Otoplasty – What Is It?


Otoplasty Boosts Self-Esteem

We all have unique features that may cause us insecurity. For some people, this feature is their prominent or protruding ears. Prominent ears can be the result of genetics or developmental conditions, which cause the ears to stick out or develop a dissatisfying shape or size. Although this condition has no effect on hearing, it can cause social and psychological strain leading to poor self-esteem and insecurity. Fortunately, Dr. Binder can shape your ears to perfection through a procedure called otoplasty. This surgical procedure corrects the appearance of the ears, sculpting them into a much more favorable appearance.

What is Otoplasty?

Prominent or unflattering ears can easily be corrected with the help of a good plastic surgeon. As with any procedure, it’s important to first meet with Dr. Binder for a consultation to discuss your specific concerns, as well as the results you desire. This will also allow you to learn in detail how to prepare for both the surgery and recovery process, if you choose to go ahead with the procedure.

Otoplasty is a simple procedure that only takes about 1-2 hours, and is performed under light general anesthesia administered by a licensed anesthesiologist. Although there are various methods to performing otoplasty, Dr. Binder’s preference is a technique which addresses the specific elements of the ear deformity. It begins with an incision made behind the patient’s ear in order to expose the cartilage. The doctor will carefully carve portions of the ear cartilage, reshaping and reducing cartilage to create a more aesthetically pleasing form. Permanent sutures are placed in the cartilage to create a secure and more appealing shape. A comfortable cotton cast and large dressing are used to gently protect the ears for several days following the procedure.

Patients can expect some minimal discomfort after having otoplasty. A follow up appointment will be scheduled for a week later in order to remove the skin sutures used during the procedure. As a result of the surgery, a slight scar may be left but will easily be hidden within the natural creases of the ear, making it unlikely to be noticed.

 Is Otoplasty Safe For My Child?

It’s only natural for parents to have concerns about whether or not this procedure would be appropriate for their children. Parents will want to know if otoplasty is safe and when they should consider it an option for their child.

Although otoplasty is a safe and viable option for people of any age, children are often the most likely candidates. This procedure is recommended any time after the age of 4 or 5, securing the patient more permanent results from the surgery. This is in fact an ideal age since the cartilage in children is much more flexible than that of adults, which allows greater ease when reshaping the ear.

Parents often opt to have this procedure performed on their preschool-aged children, in order to lessen the risk of potential teasing or undue emotional stress that may be experienced due to unsightly ears. Although bullying over a child’s physical appearance is definitely a cause for concern, the real issue is the self-esteem that is formed at an early age. A positive self-image has numerous benefits to a child, including the ability to cope with various social situations and to resist negative pressures from their peers. This enables the child to be in a better position when dealing with potential conflicts and problems that arise in the classroom.

Am I Too Old For Otoplasty?

Otoplasty is a procedure that can be done at any age. It is never too late to have a consultation with Dr. Binder to discuss your concerns and learn more about what the procedure can do to improve your appearance. Just as with any cosmetic procedure, otoplasty is designed to improve the self-esteem and overall well-being of the patient. It’s simple, safe, and effective—patients will see a noticeable difference in their appearance after the procedure. For assurance, take a look at some of the wonderful results other patients have already achieved through otoplasty with Dr. Binder.

Schedule a Consultation with Dr. Binder

If unsightly ears have been a source of insecurity for you or your child, schedule a consultation with Dr. Binder today to discuss what otoplasty can do for you.

Dr. Binder has the experience and expertise to answer any questions you may have, and ultimately achieve the results you desire. For this and all cosmetic surgery questions, contact Dr. Binder and his caring staff today.

Blepharoplasty – What Is It?

eyelid surgery

Blepharoplasty Makes Your Eyes Look Great

Blepharoplasty is a procedure that allows you to eliminate the signs of aging from your eyes: the droopiness in the upper lids, under-eye bags, and the wrinkles that make you look tired and fatigued. These usually start to develop when we are in our late 30s or early 40s, often making us look older than we actually feel.

Blepharoplasty can be performed on the upper or lower eyelid, or both. The doctor opens up the eyes through removing excess skin and fat from the area, improving your appearance. This may also help in fixing any overhanging skin that could be affecting your vision. Incisions are made in the natural folds of the eyelid, making scarring virtually unnoticeable once the healing process is complete.

While lower eyelid puffiness can be caused by fluid underneath the skin, it’s usually the result of fatty deposits protruding through the lower eyelid. Dark circles are often shadows resulting from fatty deposits and discoloration under the skin. There are several techniques available to correct these concerns.

Transconjunctival Blepharoplasty

This procedure is ideal for younger patients, who have fatty pockets under their eyes but no excess skin.

Transconjunctival Blepharoplasty With the Pinch Technique

This procedure is ideal for patients who have only a small amount of excess skin under their lower lid, and utilizes a pinch technique.
Blepharoplasty Peels and Laser Resurfacing of the Lower Eyelid

In situations where a patient has excessive fine wrinkling or discoloration in the lower lid, a chemical peel or laser resurfacing can be performed along with surgery.

External Incisions & Canthoplasty

Before more advanced techniques were developed, external incisions made under the eyelids were the usual approach to eye surgery. However, this method is now better suited for patients with significant excess skin and severe wrinkling.

In addition to these external incisions, Dr. Binder uses supporting canthoplasty to help strengthen the lower lid. This allows excess skin to be safely removed and the creases to be smoothed out. A chemical peel or laser resurfacing can also be added.

Muscle Slings & Upper Midface Lifts

Eyelid conditions that are more severe in nature may require a reconstructive approach. These conditions include drooping lower lids, sagging skin and muscle of the lower lids, and tear through deformity. Dr. Binder uses various methods to shape and perfect the eye area to brighten the patient’s face.

Preparing for Blepharoplasty

As with any procedure, it’s always a good idea to have a consultation with your doctor to discuss the possible risks involved, as well as to express your expectations and concerns. The information you may find elsewhere is not always reliable, so it is best to have an open discussion with your surgeon.

Prior to surgery, be prepared to have both a vision and physical exam done. You will also be instructed to arrange for transportation on the day of the surgery, as you will be unable to drive. You may also be asked to discuss your medical history, and to avoid pain relievers such as aspirin before the procedure. You will also be directed to quit smoking in order to ensure your ability to heal after the surgery.

Blepharoplasty Recovery

Expect a fast recovery after this procedure. Sutures will either dissolve or be removed 4-5 days after the surgery. Patients can expect to experience some short term discomfort such as bruising, swelling, light sensitivity, and watery eyes.

Immediately following surgery, patients should avoid straining or heavy lifting, rubbing the eyes, or wearing contacts. They should also make sure to wear darkly tinted sunglasses to protect their eyes. It is also recommended that you sleep with your head raised higher than your chest for a few days. Be gentle when cleaning the eyelids, and use prescription ointments and eye drops.

Cosmetics can be applied in about 10 days after the procedure.

Schedule a Consultation with Dr. Binder Today

There is no need to live with sagging eyelids, dark circles, and wrinkles around your eyes when a simple procedure can vastly improve your appearance. As we age, sometimes it’s discouraging to look in the mirror and see an older version of ourselves, when we still feel very young. Dr. Binder’s work has made a world of difference for his patients, leaving them feeling refreshed and renewed inside and out.

Schedule a consultation with Dr. Binder today to discuss what blepharoplasty can do for you. With more than 30 years of experience in the industry, Dr. Binder has the skills and expertise to give you the results that you deserve.

Thinking About Getting Botox? Here’s What You Should Know

botox beautiful girlWhen we take a look back throughout history, it’s clear to see that efforts to revitalize the skin and fight the signs of age are nothing new. Over the centuries, different methods and techniques have be used with this very goal in mind. More recently, Botox Cosmetic has stepped into the spotlight as an immensely popular and innovative wrinkle-fighting treatment. Ever since it got the go-ahead by the FDA in 2002, it has become all the rage, being used by celebrities, superstars, and men and women alike.

Splashed over the media are a few “frozen face” cases that have given Botox a bit of a bum rap. However, it continues to squash the stereotype through its ability to safely and effectively produce great results. If Botox treatments have been on your mind lately, here’s some important info that you should know:

What is Botox & What Can it be Used For?

Botox (Botulinum Toxin A) is a purified protein that can be used to reduce the appearance of pesky frown lines, crow’s feet, forehead lines, and more. How does it do this? Well, unlike injectable fillers that fill in unwanted lines and creases, Botox works to temporarily block nerve signals and muscle activity that brings about dynamic wrinkles (wrinkles caused by facial expressions). When these wrinkles relax, this produces a smoothening and softening effect and results in more youthful looking skin. But even beyond such aesthetic applications, Botox is used in the medical world for various purposes such as treating migraine headaches, incontinence, and excessive sweating.

Who Makes a Good Candidate?

Ultimately, your doctor will help determine if it’s right for you, but if you are in good health and have moderate to severe facial lines, your candidacy for Botox is off to a great start. On the other hand, these factors do not characterize an ideal candidate:

  • If you are currently pregnant or breastfeeding
  • If you have a nerve or muscle disorder
  • If you are allergic to the ingredients in Botox

Do the Injections Hurt?

Generally speaking, most patients experience minimal discomfort or pain during the injections, as very small needles are used during treatment. It’s common for a momentary light pinching sensation to be felt, and if you are concerned about this part of the process, your administrator may apply a topical anesthesia or ice to numb the area.

How Long Does Botox Last?

After approximately 3 to 6 months, the facial muscle activity will resume and additional treatments will be necessary in order to maintain optimal the appearance of reduced wrinkles. On the same note, repeated treatments have been known to extend how long the results last.

Where to Go For Treatments

Being so popular, Botox can be found in all sorts of places. From salons, to parties, to even the dentist’s office, it seems like Botox is everywhere and ripe and ready for the administering. While that may sound fun and convenient, it’s important to go to a board-certified plastic surgeon or a qualified physician to ensure that the treatment is safely and appropriately performed.

How to Schedule an Appointment

Rest assured that aiming to keep wrinkles at bay with Botox, really should involve the help of a skilled professional. Dr. William Binder has extensively worked with Botox, including groundbreaking work with its use for migraines. Throughout his research and experience, he has developed a refined technique that has allowed patients to achieve excellent results. To schedule your appointment, contact our Beverly Hills office or call us at (310) 858-6749 today.

How to Fix a Crooked Nose: Rhinoplasty

Woman-Holds-Her-NoseA crooked nose can cause considerable insecurity. Fortunately, rhinoplasty can renew confidence in your facial appearance. If a crooked nose is something you desire to correct, here are a few things to consider before making your final decision on rhinoplasty surgery:

Potential Difficulties

A rhinoplasty procedure designed to correct a crooked nose is actually very complex for a number of reasons. First, the deviated cartilage and bone which cause the appearance of crookedness tend to drift back to their undesired positions, even after surgery. Second, plastic surgeons often struggle when operating on patients with asymmetrical faces, which make it difficult to locate the midline plane where the nose should be repositioned.

The Procedure

In short, the goal of this procedure is to straighten the nasal structure through repositioning the septum and nasal bones. Septal deviation must be addressed, or else the nose will be continually pushed out of position. If the caudal septum is off center, it will have to be rebuilt it in the midline; then, the surgeon will address deviations in the nasal bones.

Deviated Nasal Bones

If trauma has forced the nasal bones out of position, the bones must be treated immediately. Otherwise, the bones will heal in their crooked position. Resetting the bones will take about six weeks. After this, the bone fractures can be addressed. By making osteotomies—or bone cuts— with a chisel, the crooked bones may be reset to their proper positions.

Other Causes of a Crooked Nose

Internal and external valve collapse are other common causes of a crooked nose. Patients who have noticed a pinch in their nose that creates asymmetric shadowing likely have this condition. These conditions will create the appearance of a crooked nose, even if the rest of the nose is properly aligned. This is treated with a spreader graft, which will expand the internal nasal valves that have collapsed.

For more information about crooked nose rhinoplasty and other cosmetic procedures, schedule a consultation with Dr. Binder today.

Broad Nasal Tip Rhinoplasty: What You Need to Know

Portrait-Of-A-Beautiful-Young-61158956-727x409A larger nose—a broad nasal tip, specifically—is a common source of insecurity. With your surgeon’s approval, nasal tip rhinoplasty would be an excellent step towards achieving a more refined facial structure. This procedure focuses specifically on the nasal tip, which is the most protrusive part of the face. While it may sound like a minor adjustment, a more refined nasal tip works wonders for transforming your facial appearance.

The Results

A tip refinement procedure will be catered to the needs of the patient and the recommendations of the surgeon. The procedure can either make the nasal tip appear more pronounced, or reduce the tip considerably. It all depends on your facial structure. Consult a trusted plastic surgeon to discuss your personal options.

The Procedure

The procedure typically lasts from one to two hours, or longer if extensive alterations are required. After sedation, the plastic surgeon will examine the internal nasal structure using a 3D, high definition camera. Cartilage under the nose is then exposed so that structural alterations can be made.

The remaining steps are then determined by your personal preferences. Fat tissue may be removed or repositioned, creating more definition. Implants may be placed to fortify cartilage and reorient the nasal tip. Grafts may also be used to improve tip projection. When the surgeon has finished, the incisions will sealed with dissolvable sutures.


Fortunately, the mucus lining heals quickly, reducing the risk of scarring. Moreover, since every incision is made internally, any scarring that does occur will not be visible.

Following the postoperative regimen prescribed by your surgeon is crucial to achieving the results you desire. Avoid contact sports or other forms of strenuous exercise, which may stress the nose and cause inflammation. Nasal canals should be kept clean to prevent infection. Purchase a nasal kit that will irrigate your nose and sinuses. If you experience pain or discomfort, your doctor can recommend pain-relievers that are safe to use. Contact your doctor immediately if you experience symptoms such as excessive bleeding or intense pain.


Rhinoplasties carry the same risks as any surgical procedure. Infection may occur, but antibiotics and regular cleansing of the nasal passages reduce the risk dramatically. In rare cases, patients have experienced adverse reactions to anesthesia. Make certain that you are medically cleared for the procedure before deciding on surgery.

If a broad tip rhinoplasty sounds right for you, schedule a consultation with Dr. Binder today to discuss your personal desires and options.

The Steps You Need To Take Before Your Neck Lift Surgery

Beauty-closeup-profile-portraiA neck lift is a major operation that will require extensive cooperation from you, the patient. This might mean making certain lifestyle changes that will help ensure a smooth operation and optimal recovery. Make sure to listen to your surgeon’s instructions carefully, and follow these steps for additional guidance:


During your consultation, your surgeon will tell you which medications to avoid before your surgery. Certain medications, and even vitamins, will thin your blood and increase the risk of bleeding. Be sure to ask your surgeon about any concerns you might have about the medications or supplements you are taking.


Smokers must be prepared to cease smoking for two weeks before the surgery and two weeks after. This means a complete break from cigarettes. Smoking even once during this period can complicate recovery.


Patients must monitor their diet as well. Make an honest and thorough assessment of your diet, as proper nutrition is necessary for the healing process. Patients accustomed to a low-calorie diet will need to be especially aware about eating properly.


Loose, comfortable clothing which can be removed without overhead pulling should be worn on the day of the surgery. For most women, a button-down blouse will likely be the best option. Proper clothing is for your own comfort following the surgery.


Most patients can expect at least a week-long recovery period. Plan your time-off in advance with this in mind. Recovery periods vary from person to person, so make sure that you are clear on how long your doctor expects your recovery to take.

Home Recovery Area

Patients undergoing a platysmaplasty, cervicoplasty, or certain other procedures will need to have a home recovery area prepared prior to surgery.

For your personal home recovery area, have the following readily available:

-Ice packs
-Gauze and towels
-A thermometer
-A supply of comfortable, loose clothing (preferably button-down shirts or blouses that do not require overhead pulling)
-Petroleum jelly and antibacterial ointment for incision sites
-A phone always within arm’s reach
-A supply of pillows, which can be used to keep your head in a comfortable position
Someone who can attend to you for at least 24 hours following the surgery

If you envision a neck lift in your near future, schedule a consultation with Dr. Binder today to review your personal needs and detailed instructions to follow before and after your surgery.

A More Youthful You: Cheek Implants & Cheek Augmentation Options

igh-key-monochrome-portrait-oGlowing cheeks are among the essential indicators of youth, vitality, and facial radiance.
The unfortunate truth is that cheeks lose their luster over time, becoming flat, saggy, and hollow. While some are gifted with naturally high cheekbones, others turn to a variety of cheek augmentation procedures to mitigate the effects of aging. Of these options, cheek implants are perhaps the most well-known. However, there are other options available to you as well.

Here is a look at the variety of cheek augmentation procedures available, as well as the factors to consider before undergoing surgery.

Methods of Cheek Augmentation

There are three different methods of cheek augmentation, each with their own unique benefits: fat grafting, cheek implants, and fillers.

Fat Grafting

The most popular option for cheek augmentation, fat grafting involves removing fat from the hips and transferring it to the cheeks. This procedure is a long-term solution for full, plump cheeks. The only downside is that fat grafting requires an additional procedure, similar to liposuction, in order to transfer the fat.

Since the fat comes from your own body, the fat is guaranteed to be accepted by your body without any complications. Most of the fat will be retained by your body permanently, rejuvenating the skin and producing a natural, youthful look.

Cheek Implants

Cheek implants are another solution for long-lasting full cheeks. This procedure is best suited for people who desire more volume, as opposed to the subtle boost that fat grafting provides. Implants add definition to areas where the bone structure has become less prominent, while slowing the apparent effects of bone aging.

However, keep in mind that cheek implants tend to look less natural than the effects of fat grafting.

Fillers and Injectables

There is a wide variety of fillers and injectables available, with each producing their own unique effects. However, these fillers do not always last a long time, making them a great solution for people who only desire temporary results. Educate yourself thoroughly on the specific details of the filler you select.

Am I a Good Candidate?

Cheek augmentation will be most effective for people with the following conditions:

-Flat, deflated-looking cheeks
-Cheeks lacking definition
-Hollow cheeks or temples
-Under-eye bags, lines, or wrinkles on the cheeks

Additional Factors to Consider

Patients undergoing fat grafting will be sedated as the fat is transferred directly to the cheeks. There will be swelling for 10 days following the operation.
Implants can make a striking difference as early 20 to 30 years of age.
Fillers may cause bruising or swelling, and require up to 10 days of recovery time. Most fillers will last from six months to a year.

If fuller, radiant cheeks are something you desire, schedule a consultation with Dr. Binder today to determine which procedure is best suited to your personal beauty goals.

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