May 28th, 2009 Michael A. Jazayeri, M.D.
-THE NON-OPERATED OPERATED NOSE
I know the title is confusing. However, I chose this title to make a point.
What is the purpose of having one’s nose cosmetically altered if it screams “I had surgery on my nose”?
So what makes a nose look unnatural? In my opinion, the most common alteration is to shave off too much from the dorsum (the hump) of the nose. This will result in a “ski-slope” look, which is most obvious on the profile. The next time you are walking in the street, look at people’s noses. In nature, noses either have a hump on the nose or are flat. A “ski-slope” dorsum does not occur naturally.
This “style” of nose was, in fact, in vogue in the seventies and early eighties. However, our goal today is to make the nose look as natural as possible.
The other common problem is inadequate distinction between the dorsum and the tip of the nose. In females, there should be a slight step-off between the dorsum and the tip. This is called the supra-tip break. In males, this break should be very subtle or not exist at all. One does not want to see the dorsum higher than the tip. This will result in a “parrot-beak” deformity, which is most visible on the profile.
Visible irregularities of the dorsum are an obvious sign of operation. Again, if one looks at noses in nature, visible lumps and bumps do not occur.
There are other subtle signs which may point to a rhinoplasty. However, only a rhinoplasty surgeon can pick those up. My goal, as an Orange County plastic surgeon, is to aim for a natural looking nose. I want people to do a “double-take” and guess if the nose was operated on. It is a challenging goal to meet, but worth the time and effort!
Michael A. Jazayeri, M.D. is a board certified plastic surgeon, with over 10 years of experience. His office is located in Santa Ana, California. To schedule a complimentary consultation, please call 714-834-0101.
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May 20th, 2009 Michael A. Jazayeri, M.D.
I have always said “God is a Man.”
After the man “delivers the goods”, it is the poor woman who has to suffer the effects and after-effects of pregnancy. Cosmetic footprints of pregnancy include varicose veins, deflation and sagging of breasts, stretch marks and weakened abdominal muscles.
Of course I, as a man, can never experience the joy of carrying and nurturing a life form inside of me. In the long run, however, I rather have an enlarged prostate than suffer the consequences of pregnancy!
Fortunately, mommy makeover surgery can reverse many of these effects. Mommy makeover surgery is a catch phrase. It involves reversing the effects of pregnancy on the breasts and abdomen.
If the breast has firm skin and the nipple is in a correct position, then only breast augmentation is necessary. If, however, the breast tissue and nipple have sagged, then a breast lift (mastopexy) is also required.
To address the abdomen, if one is lucky enough only to have excess fat, then liposuction will be performed to remove the fat. Most patients, however, will have loose skin, stretch marks and a “beer belly” due to weakened abdominal muscles. A tummy tuck (abdominoplasty) is then performed to address these issues.
It is important to realize many of the changes mentioned above also occur in patients with significant weight loss. Therefore, even if you are not a mother, plastic surgery can be of benefit to you.
I have noticed a dramatic change in the dynamics of couples after mommy makeover surgery. I think the renewed confidence and sex appeal of the female has a positive effect on the husband as well.
Michael A. Jazayeri, M.D. is a board certified plastic surgeon with over 10 years of experience. His office is located in central Orange County. To schedule a complimentary consultation, please call 714-834-0101.
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May 13th, 2009 Michael A. Jazayeri, M.D.
Abdominoplasty (tummy tuck) surgery is one of the most common surgeries I perform in Orange County. Many patients from Orange County request this surgery, since we are a “beach” community and appearance in a bikini or swim suit is important.
I have examined many before and after tummy tuck photos to determine what makes a result pleasing.
The most important factor for a tummy tuck is the amount of fat under the skin. If a patient has too much fat under the skin, the result will not be pleasing. As the thick skin is pulled down, it will “bow out” and a flat stomach is not obtained. Therefore, it is critical the patient be at or within 10-15 pounds of ideal body weight and have thin amount of fat under the skin.
The other important factor is the shape of the umbilicus (belly button). I have seen many nice results being less than ideal due to the distracting shape of the umbilicus.
The third factor is the amount of skin removed and the tightness of the closure. If too little skin is removed, the abdomen will be loose and “jiggly”. If too much skin is removed, the recovery time is prolonged. Eventually, when the patient can stand straight, the skin will curve inwards due to excess tension. Not very attractive!
The flanks (love handles) also need to be addressed. If the patient has too much fat around the love handles, liposuction is recommended to smooth out the area and give more definition to the waist line.
Michael A. Jazayeri, M.D. is a board certified plastic surgeon with over 10 years of experience. His office is located in Orange County, CA. To schedule a complimentary consultation, please call 714-834-0101.
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May 11th, 2009 Michael A. Jazayeri, M.D.
One of the most common causes for breast surgery re-operation after augmentation is patient dissatisfaction with the size of the implant.
Most Orange County patients who see me for a consultation ask to be a “full C cup”. This “size” has always baffled me, since bras come in C cup and D cups. One cannot buy a “full C cup” bra. Therefore, it is critical to synchronize the patient’s thought process into an actual size which the patient can see.
My philosophy is to find the largest implant which fits the patient’s body. By doing that, the implant complements, rather than exaggerate.
I have all my patients try the implant on with a sports bra. The patient can then see themselves in the mirror with and without clothing.
Since using this process, my re-operation rate due to implant size is less than 1%.
Many of my younger patients want to be “big”. I always tell my patients an exaggerated breast will get you attention, but not necessarily respect! It is better to gain people’s respect first, the attention will follow automatically.
Michael A. Jazayeri, M.D. is a board certified plastic surgeon, with over 10 years of experience. His office is centrally located in Orange County. To schedule a complimentary consultation, please call 714-834-0101.
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