Kamis, 16 April 2009

Candidate Eyelid Blepharoplasty

In general, the best candidates for double eyelid blepharoplasty are: * 18 years of age or older * In good physical health * Psychologically stable * Informed about the procedure * Free of ophthalmic conditions such as glaucoma or detached retina * Without medical conditions such as high blood pressure, circulatory problems, hypothyroidism or other thyroid related conditions. * Realistic about the outcome of surgery The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he / she considers you an ideal candidate for upper eyelid blepharoplasty.

Asian Rhinoplasty Surgical Result

The results of ethnic rhinoplasty surgery are generally just as good as those of Caucasian nose jobs. Using the techniques discussed above, surgeons can alter the nose to make it appear straighter, longer, narrower, or however else the patient desires, within limits. Ethnic female rhinoplasty can make a nose with ethnic features seem more classically feminine. Whatever the patient’s race or gender, the goal is usually the same: change the nose to give the face a better sense of balance, symmetry, straightness. Ethnic rhinoplasty surgery techniques allow skilled cosmetic surgeons to do that for all of their patients.

Surgical Technique Asian Rhinoplasty

Like other types of rhinoplasty surgery, ethnic rhinoplasty seeks to reshape the nose by altering the structure of the bone and cartilage beneath without undue external scarring. Some techniques are more commonly used for ethnic patients, though. The flatter noses possessed by many non-Caucasian individuals can be addressed by grafting in extra cartilage from elsewhere in the body and shaping the skin of the nose tip more finely. Up to three incisions (at the base of skin outside each nostril and in the columella between them) may be used to narrow the base of a wider nose. Artificial implants may be inserted into the bridge of the nose to give it better definition as well. Small amounts of bone can be removed to eliminate humps. If you have a nose with typically ethnic features and would like to change its shape, talk to your doctor about which of these ethnic rhinoplasty surgery techniques would be right for you.

Candidates Asian Rhinoplasty

Anyone who seeks a new shape for the nose and who has nasal features typical of their ethnic group is a candidate for ethnic rhinoplasty surgery. For instance, many people of Asian and African descent have noses with wider bases and less sharply defined tips. These people, as well as many Hispanics, also have thicker skin on the tip of the nose, giving it a rounded, bulbous appearance. Ethnic rhinoplasty surgery seeks to help those who have and dislike these and other features, including the wide, flat bridge and the “hump” in the ridge of the nose that are common in some. Ethnic female rhinoplasty, which is designed to give an overly prominent nose a more refined and feminine appearance, is a good option for many ethnic women.

Problem asian rhinoplasty

Address the problem as isolated to the dorsum, tip, alar base, vertical dimension, or all of the above. The Asian nose shares similar ideal dimensions with the Caucasian nose but with emphasis on subtleness: the dorsum requires less height, the tip less definition, the alar base less narrowness. As in Caucasians, ideally the radix begins at or slightly below the lash line. The length, measured from the idealized radix to the base of the columella (subnasale), occupies the central third of the face. The tilt of the columella measures 90-115° from the vertical plane, with higher angulation preferred for smaller women. Southeast Asians (Malay, Filipino, southern Chinese) typically require the most dorsal augmentation (4 mm or more), while northeast Asians (Korean, Japanese, northern Chinese) require less (1.5-2.5 mm) or none. It may be necessary to better define the tip and increase its projection. A deficient premaxilla may need augmentation, as evidenced by a retracted columella with deficient columellar show from lateral view. The nose may require lengthening as measured from the radix to the tip or from the radix to the base of the columella. The need for alar reduction is frequent in southeast Asians but much less so in northeast Asians. In most cases, both the flare and width need to be corrected; this necessitates an incision into the alar groove.

Cartilage Asian Nose

The more delicate cartilaginous tissues of the lower lateral cartilage generally require reinforcement with autogenous cartilage from the ear or septum to obtain a desired result. Affecting a result with pure cartilage reshaping techniques is difficult and usually inadequate. Septal cartilage frequently requires two-layered reinforcement because of its thinness. Generally, the lower lateral cartilage is too soft and pliable to adequately support the tip. Such softness precludes the successful use of onlay grafts to the tip, except for the rare patient who has sufficiently strong cartilage (about 10% of patients). While septal cartilage appears adequate for tip projection in closed rhinoplasty, the compromise of circulation at the tip when using the open rhinoplasty approach may contribute to long-term weakness, absorption of the septal cartilage, or both. Conchal cartilage grafts placed as a strut appear to have a more durable outcome. When tip grafting, defatting should be limited in order to decrease the likelihood of graft visibility. This is particularly true in the open approach, as the 2-layered graft combined with a columella incision can lead to compromised circulation at the tip area and more significant scarring.

Ethnic Rhinoplasty

Though they are not necessarily shared by all within the group, people of some ethnicities tend to have characteristic nasal forms that differ from those common amongst Caucasian people. These differences change the standard strategies for ethnic rhinoplasty surgery somewhat. Still, patients of African, East Asian, and Hispanic ethnicity can receive the rhinoplasty results they desire without diminishing the appearance of their ethnic heritage.

Rhinoplasty's complication

There are a number of risks and complications specific to rhinoplasty. They are: Red spots on your skin's surface. These are caused by burst, small blood vessels. The red spots are usually temporary, but they are permanent in some cases. Scarring - When rhinoplasty is performed from inside the nose ("Closed Rhinoplasty") the scars will be on the inside of the nose. The scars won't be visible, but you may be able to feel them for a while after surgery. Some surgeons utilize an "open" technique, where a small incision is make across the base of the nose known as the "columella." The columella is the vertical strip of tissue that separates the nostrils. This "open" procedure may result in a small scar on the underside of the nose. Revision rhinoplasty - In around ten percent of cases, the patient needs to have additional minor surgery to correct a slight deformity. After surgery, small burst blood vessels may appear as tiny red spots on the skin's surface; these are usually minor but may be permanent. As for scarring, when rhinoplasty is performed from inside the nose, there is no visible scarring at all; when an "open" technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are usually not visible. In about one case out of ten, a second procedure may be required-for example, to correct a minor deformity. Such cases are unpredictable and happen even to patients of the most skilled surgeons.