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How Effective Is Non-Surgical Rhinoplasty?

How Effective Is Non-Surgical Rhinoplasty?Very! Though the procedure has its limitations.

Non-surgical rhinoplasty, or temporary changes to the nose performed through dermal filler injections, is able to create the following changes to the nose:

Camouflage a Dorsal Hump

A large hump in the bridge of the nose can detract from a person’s looks because it serves as a focal point. By using injectable fillers, Dr. Naderi can add volume to areas of the nose to camouflage the hump. The doctor will need to retreat the area every few months as fillers dissipate over time.

Create Facial Symmetry

By plumping irregularities of the skin, Dr. Naderi can even out the look of the nose. It is a well document fact that symmetry is one facet of attractiveness, and a non-surgical rhinoplasty seeks to achieve this.

Fill In Anatomical Divots That Show Through the Nose’s Skin

Some noses present interesting underlying patterns of cartilage and bones. Notably, celebrities like Owen Wilson and Jennifer Love Hewitt display shapely noses, where the structure of this feature is visible through the skin. Injecting fillers under the skin can give the nose a smooth appearance where bone and cartilage do not distract from one’s appearance.

Add Volume to Areas Impacted by Trauma or Disease

Before a patient commits to an extensive reconstructive rhinoplasty, they can undergo dermal injection treatments to view the potential outcome of a surgery. They may also opt for these temporary results to help make the face appear more attractive prior to the procedure. This method best suits patients who have healed injuries to the nose and require minor correction.

Limitations to Liquid Rhinoplasty

Non-surgical rhinoplasty is a wonderful tool to treat patients who would like to alter the look of the nose. Through this procedure, Dr. Naderi can instantly improve many aesthetic issues. Because of the nature of the gel, the material can lift the skin to a certain height. More serious depressions of the skin or underlying tissues may require reconstructive surgery for full results.

Dermal fillers are not typically intended to be a permanent solution to cosmetic concerns of the nose. Often, these injections are performed on a repeat basis to maintain the results. Dr. Naderi can suggest the best injection type for their needs.

Washington D.C.’s Rhinoplasty Specialist

Dr. Shervin Naderi, MD, FACS of the The Naderi Center Rhinoplasty & Cosmetic Surgery is a D.C. area (Northern Virginia and Southern Maryland) facial plastic surgeon. The doctor has dedicated his practice to the specialty of nose surgery, or rhinoplasty, revision rhinoplasty, septoplasty and reconstruction. Contact Dr. Naderi’s Hernandon, VA, office at 703-481-0002, or the Chevy Chase, MD, location at 301-222-2020.

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What to Expect From Rhinoplasty Recovery

Rhinoplasty BenefitsDuring a rhinoplasty consultation with a plastic surgeon, you’ll probably learn a lot about your surgery and catch only a glimpse of what your recovery will be like. As a prospective patient for this procedure, you’ll want to gather as much information as you can about what you can expect from your surgery and what you can do to ensure your successful recovery. After all, once the stitches are in and the surgery is over, it’s up to you to care for your wounds and start the healing process. Doing so can guarantee the best results possible from your rhinoplasty. Read on to learn more about what you can expect from your all-important recovery time.

The Rhinoplasty Surgery

Rhinoplasty is a complex cosmetic surgery that can create permanent changes to the shape and form of the nose, while preserving or improving function. There are two main approaches to the rhinoplasty procedure: open and closed. A closed rhinoplasty surgery involves incisions contained within the nostrils, while an open rhinoplasty will include one incision on the underside of the bridge between the nostrils. With an open approach, your surgeon can gain greater access to your nasal structure, which may be necessary to make the changes needed to achieve your desired results. While this approach may leave behind a scar, it will be hardly visible because of its discrete location. A closed approach offers a limited range of access to the nasal structures, but leaves behind no scarring at all. If a closed rhinoplasty will offer your surgeon access to the nasal structures necessary, he or she may opt for this approach. Most often, however, the open approach is the chosen approach.

Preparing for Rhinoplasty Surgery

Before you are cleared for rhinoplasty surgery, your plastic surgeon will most likely ask you a series of questions about your lifestyle, daily habits, current medications, and more. It’s important to be in good health before any cosmetic surgery, since it can help minimize procedural risks and even speed up your recovery time. If you’re in good enough health for surgery, staying that way is one essential way to plan for a successful rhinoplasty. Cut down on unhealthy habits like smoking and drinking excessively to optimize your health.

Follow your surgeon’s instructions carefully to be sure that you eliminate certain medications that may interfere with your anesthetics or pain medication, increasing your risk of complications. Avoid aspirin and other anti-inflammatory medications, which can increase the chance of bleeding, as well as any offer off-limits medications, supplements, and herbal remedies. If you have any questions or concerns about any of your daily habits or other factors that might be relevant to your surgery, don’t hesitate to ask your surgeon. Being clear about your pre-operative instructions can only help you to enjoy a better recovery time.

Planning for the Day of Surgery

While you might be nervous about the day of your surgery, there are several measures you can take to make sure the day goes smoothly. It might even take your mind off the worrying! Plan ahead with a friend or family member to drive you to and from surgery. You won’t be able to drive yourself home, thanks to pain medication and the anesthetics, and it might be difficult for you to see distances because of the swelling around your eyes. With a safe ride home, you can plan to start resting right away. Ask someone to stay with you for the first 48 hours to take care of the things you aren’t able to do in the early stages of your recovery.

When you leave the clinic, you will likely have a cast and bandages placed over your nose to help the bones and cartilage begin to set. Light dressings may be used to help with any bleeding, but these can often be removed on the following day. Any external stitches will be removed within the first few days and the nasal cast often comes off after one week.

Preparing for Successful Recovery

The best measures you can take to have a successful rhinoplasty should all happen before your surgery date even arrives. In the days leading up to your rhinoplasty, take the steps necessary to set up a complete recovery area in your home that includes all of the things you may need to be comfortable. Shop for post-operative medical supplies like bandages, if needed, and fill your pain medication prescription. Complete all of your regular errands ahead of time so there are groceries in the house and whatever else you’ll need. Find an area to make into your Recovery Area and get pillows, blankets, comfortable clothing, water to drink, healthy snacks, and things to keep you entertained like magazines, tablets, or a television. Think about what you’d like to have near you when you’re recovering and prepare it ahead of time.

Side Effects of Surgery and Your Recovery

The common belief is that rhinoplasty surgery is extremely painful, but in reality, the majority of patients are surprised how little pain they actually feel. Yes, you should expect to feel some discomfort following your procedure, but it won’t be blinding pain that is your primary concern. Most patients are more frustrated by trying to breathe with swollen nasal passages, a side effect that will subside gradually following your procedure. Swelling will also occur around the nose and eyes, as well as bruising. Any pain you do experience can be managed with prescribed pain medications.

During your recovery, it is important to avoid certain activities that might put you at risk of damaging your newly reconstructed nose. Stay away from bending or lifting, since these activities will increase the swelling in your facial tissue. You should also wait about three weeks before resuming some exercise activities, such as running, cycling, and aerobics. Contact sports are especially forbidden for up to six weeks, given the high risk of sustaining trauma to your nose. After about one week, most patients feel comfortable driving again, since the swelling should reduce enough so as to not interfere with vision. If there is specific activity you have questions about, talk to your surgeon first to avoid any unforeseen consequences. Damage, injuries, and complications may lead to a revision rhinoplasty, so do your best to care for your first surgery’s results until you are fully healed.

Begin With the Right Rhinoplasty Surgeon

Virginia rhinoplasty specialist, Dr. ShervinNaderi, MD, FACS is a Washington, D.C.-area facial plastic surgeon. The doctor’s is passion for nasal cosmetic surgery is evidenced by his excellent postoperative results in the Naderi Center Photo Gallery. Contact Dr. Naderi’s conveniently located offices in Herndon, VA, at (703) 481-0002 or in Chevy Chase, MD at (301) 222-2020.

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Benefits of Rhinoplasty

Rhinoplasty BenefitsWhether you’ve hated your nose for as long as you can remember or had an accident that’s changed the look of your nose, rhinoplasty can provide some relief. There are a number of advantages to the procedure. The surgery not only improves the way your nose looks, it can also improve the way it functions, improving your quality of life considerably.

A Nose That Works on Your Face

One of the top benefits of rhinoplasty is the chance to have the surgeon create a nose that looks like it belongs on your face. People want nasal surgery for a number of different reasons. They might think their nose is too large for their face or too small. Some people are unhappy with a bump on the bridge of the nose or with the way the tip of their nose turns down or up.

During a consultation, your surgeon will usually use computer imaging to create a picture of what your new nose will look like. The computer imaging will help you see if the new nose you’ve always envisioned for yourself actually works with your facial structure.

Having your nose reshaped can improve your appearance in a few ways. A nose that is too small will make the other features on your face seem overly large, while a nose that is too large will be the only thing people notice or can make you feel self-conscious. But a nose that is in proportion to the rest of your facial features looks like it belongs on your face. Changing the size of your nose through rhinoplasty helps improve your facial symmetry and balance.

Better Nasal Function

Although commonly thought of as a purely cosmetic surgery, rhinoplasty can improve the function of your nose in some cases. During the surgery, the surgeon can adjust a deviated septum, making it easier for you to breathe. The surgery can also be done to help open up your nasal passages, making breathing easier, too.

Rhinoplasty can help people who suffer from sleep apnea, a condition that causes a person to stop breathing during sleep. The surgery can open obstructed airways or simply make it easier for a person to use his or her CPAP machine at night.

Improved Self Confidence

A huge benefit of rhinoplasty for many people is the boost in self-confidence they get after the surgery and as the results are starting to show. A 2013 study from the University of Pennsylvania reviewed the results from previous studies looking at people’s self esteem after plastic surgery. What they found was that people’s self esteem and quality of life improved after nose jobs. Part of the reason why patients might feel more confident after a nose job is that the surgery finally gave them a nose they wanted. No longer worried about how their nose looks, patients might be more likely to get out and try new things, such as applying for a job or taking up a new hobby.

Cuts Down on Bullying

While teases and taunts from others shouldn’t be the sole reason you get surgery, having the procedure done can significantly reduce bullying. According to the American Academy of Facial Plastic and Reconstructive Surgery, nearly 70 percent of teenagers who have plastic surgery do it to stop bullying. If you have been bullied about your nose,  rhinoplasty can give you a new outlook and the boost of self confidence you need.

Once you’ve made the decision to have rhinoplasty and have found the surgeon you think is a good fit, it’s important that you know what to expect right after the procedure. After rhinoplasty, things might look worse before they look better.

You’ll most likely have some swelling and bruising in the area for about a week. It can take up to a year for swelling to completely go down and for the final results to be visible. Understanding the healing process after rhinoplasty will help you enjoy the benefits of the surgery even more.

Washington, D.C.-area facial plastic surgeon and rhinoplasty specialist, Shervin Naderi, MD, FACS caters to patients through two office locations: One on 297 Herndon Parkway, Suite 101, Herndon, VA, 20170, which can be reached at (703) 481-0002. The other is located at 5454 Wisconsin Ave, Suite 1655 Chevy Chase, MD, 20815, and can be reached at (301) 222-2020.

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Beating the Post-Rhinoplasty Blues

How to Heal After Your RhinoplastyAll rhinoplasty surgeries are not created equally if they are performed by a skilled facial plastic surgeon like Dr. ShervinNaderi, MD, FACS. There are many determining factors that must be taken into account for a successful post-operative result, such as medical history, facial anatomy, and features unique to a patient’s looks. A nose job is entirely customizable when performed correctly.

Nasal healing times can vary, but most patients’ final results will be apparent 18-24 months following rhinoplasty. There are many stages of the healing process and patients must have realistic expectations for what to expect during this timeframe. When people enter this process fully informed, they may allow recovery to take place without constant concern. Some surgeons fail to explain to patients that both function and form are affected during this time.

Rhinoplasty Healing – Phase 1:

The inner nasal tissues will be swollen, and may prevent patients from breathing through their nose after the surgery. Through medication, icing, and the elevation of the head, this will begin to subside within a few days to a week postoperatively. Other areas of the face may be swollen, most commonly the cheeks and upper lip.

The nose may appear upturned, where the nostrils are fully visible for one or more days, but this is just to prevent a droopy tip as the tissues settle into place. A nasal cast will cover the majority of the nose for the first week, but is then removed to reveal a reshaped nose. Some patients note bruising, especially “black eyes” and redness of the nasal tip.

Rhinoplasty Healing – Phase 2:

After the nasal cast is removed, Dr. Naderi may create minor adjustments to the structure. In some cases, areas of the nose remain slightly pliable and can be reshaped for final results. This is especially true of Asian rhinoplasty, where the DCF (diced cartilage wrapped in fascia) technique is utilized.

The doctor exhibits a level of expertise unsurpassed by his peers, with methods that do not require the need for nasal packing. A nasal cast and some bandages and tape are typically the extent of exterior nasal dressings. There may be some residual blood within the nose, but nosebleeds are not typical following rhinoplasty.

Rhinoplasty Healing – Phase 3:

The final stretch of healing can last anywhere from a couple weeks or months after rhinoplastyto two years. The nose consists of multiple tissues, including bone, cartilage, and blood vessels, all of which recover at different rates. In the first two weeks following the procedure, patients will notice their new nose take shape; however, much of the residual swelling is not noticed by patients and very subtly decreases over the lengthy healing period.

It is important for patients to be informed of each phase of healing so they know what to expect after surgery. While most patients find that the nose has been improved just a week after rhinoplasty, changes that refine the nose take time to evolve. Dr. Naderi hopes to inform interested candidates of the healing process so they can fully embrace the rhinoplasty process. 

Visiting Dr. Naderi’s Office for Rhinoplasty

Washington, D.C.-area facial plastic surgeon and rhinoplasty specialist, ShervinNaderi, MD, FACS caters to patients through two office locations: One on 297 Herndon Parkway, Suite 101, Herndon, VA, 20170, which can be reached at (703) 481-0002. The other is located at 5454 Wisconsin Ave, Suite 1655 Chevy Chase, MD, 20815, and can be reached at (301) 222-2020.

Contact the doctor’s specialty rhinoplasty practice website through his Contact Form.

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Beyond the Nose – The Scope of Rhinoplasty Benefits

All You Need to Know About the Benefits of RhinoplastyCosmetic fixes to the nose during rhinoplasty are changes that can alter a patient’s entire face, even by the millimeter. The nose sits directly in the center of the face, and projects away from the lower plane of the surrounding area. In relation to this feature, all others become relative to its new size and shape.

Fuller Lips

Often times, alterations of the nose help to reveal one of the most attention-drawing features of the face: the lips. The human mouth not only conveys emotion, but people also pay attention to this feature when another speaks. If a nasal tip is modified to be less projected and refined, especially when the tip is bulbous or droopy, the lips become part of the overall display of the face whereas they may have been hidden before. A more prominent mouth creates the illusion that the lips are fuller than they actually are.

An Attractive Upper Lip Shape

During rhinoplasty, Dr. Naderi can alter the look of the upper lip. Patients may request a fuller, upturned appearance or another position they find attractive. Incisions can be fully camouflaged, and result is a better looking nose and mouth that are very much in harmony with the face.

A Stronger Chin

What many do not realize is that changes to the nose will directly impact the way the chin is seen. From the front, the chin may be more prominent as the nose is brought in closer to the face and the tip refined. At a side glance, rhinoplasty can emphasize the shape and projection of the chin. A large, over-projected nose can cause the chin to appear weak, when in actuality the nose is too strong a feature for a patient’s other facial features. Nose surgery creates a better visual relationship between the two parts.

Shapelier Cheekbones

Cosmetic nose surgery will change the look of the mid-face, including how the cheekbones appear. Men and women alike can enjoy more visible facial contours once the nose has been corrected. The nose may distract from natural curvature, serving as the unintended focal point. High cheekbones are a distinguishing mark of beauty, and rhinoplasty will enhance the two slightly elevated bones at either side of the nose.

Emphasize the Eyes

In the same way a large or uniquely shaped nose can cause the lips, chin, and cheeks to appear small in comparison, the same is true of the eyes. When the swelling subsides and the nasal cast is removed, any bruising under the eyes should have dissipated enough to reveal the newly accentuated eyes. Often, the nasal bridge is lowered as dorsal hump removal is a key component to many plastic surgeries of the nose. When this occurs, the nose sits closer to the face, and the eyes become the focus of one’s appearance.

Create Symmetry of the Face

Often times, patients undergo rhinoplasty because of a past nasal trauma. The nose may have been injured in an accident, during contact sports, or because of necessary medical intervention, which is often the case during skin cancer removal surgery. Dr. Naderi can restore balanceto the face. It is a well-known fact that symmetry plays an important role in attractiveness.

An Expert With a Vision for Each Patient

Virginia rhinoplasty specialist, Dr. ShervinNaderi, MD, FACS is a Washington, D.C.-area facial plastic surgeon. The doctor’s is passion for nasal cosmetic surgery is evidenced by his excellent postoperative results in the Naderi Center Photo Gallery. Contact Dr. Naderi’s conveniently located offices in Herndon, VA, at (703) 481-0002 or in Chevy Chase, MD at (301) 222-2020.

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Size of a Nose: How Big Is Too Big?

How Big Is Too Big?A nose doesn’t have to be small to be attractive. What matters is how the nose appears in relation and proportion to the whole face. There are plenty of people whose large or prominent noses enhance their looks. So an "oversized" nose is a very relative concept.

Nasal size is measured in three aspects: length (from root to base), width (either of the bridge or nostrils), and amount of protrusion from the plane of the face. Indeed, an impression of unwanted size may owe to how any one of these aspects relates to the other two. Resizing the nose may call for an adjustment to just one area, and not a complete resculpting of the entire nose.

So when a prospective patient sits down and says, "My nose is too big," that’s an impression and a description. Evaluation comes next, with doctor and patient talking candidly about the patient’s needs and what a skilled, experienced rhinoplasty specialist can realistically achieve.

Computer imaging is an immensely helpful way of showing a person in consultation what his or her nose’s proportions actually are, and what they might be with changes to length, width or prominence. While computer imaging is not an exact simulation of what a nose will look like after rhinoplasty, it is a remarkably accurate tool and a key part of the doctor’s consultation protocol.

Many patients come away from the computer imaging process surprised, and delighted, by how much a change to just one aspect of the nose can transform its appearance entirely.

Interestingly, one way to trim the width of the nose and make it look smaller is to build it up along the ridge, the centerline running down the bridge.

Facial plastic surgeons often use a mountaintop analogy to describe the effect of this procedure: Viewed from above, a taller mountain looks narrower than a shorter one. So, too, a raised nose —when viewed straight on —appears narrower thanks to the new ridge.

Choosing Your Doctor

As a specialist in rhinoplasty, Dr. Naderi is dedicated to finding for each individual patient the optimal approach to improve looks. He creates an attractive and natural-looking nose that complements the whole face, and withstands the changes that go with the healing process and the passage of time.

Visit our photo gallery, where you’ll see pictures of our clients before and after rhinoplasty. To learn more about rhinoplasty and other cosmetic and plastic surgery procedures, please contact the Naderi Center at 703-481-0002 in Virginia or 301-222-2020 in Maryland for a consultation today.

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Top Four Reasons for Revision Rhinoplasty

Why Get a Revision Rhinoplasty?Revision rhinoplasty, also referred to as secondary rhinoplasty, is in essence surgery to correct a previous rhinoplasty — most often a nose job done by another surgeon. A combination of cosmetic and reconstructive surgery, revision rhinoplasty is one of the most delicate and demanding of all cosmetic surgery procedures.

A small but significant minority of first-time rhinoplasty patients — between 5 and 18 percent, according to industry estimates — will undergo revision.The reasons for doing so can be numerous and overlapping. In Dr. Naderi’s experience, they come down to four categories.

Poor Patient-Doctor Communication

If you don’t do computer imaging beforehand, and you really don’t know what a facial plastic surgeon has in mind for you, when the cast comes off the result may be a complete surprise. It could be a welcome surprise, or something else entirely. Even a beautiful nose may not be the nose you wanted. Clear, honest dialogue prior to any cosmetic procedure is crucial.

Bad Surgical Decision-making and Technique

Most plastic surgeons that operate on the nose —about 70 to 80 percent —don’t understand nasal anatomy as well as they do other areas of the face and body. The nose is a complicated, three-dimensional structure that’s unlike any other focus of plastic surgery, facial or otherwise. There’s no other operation in cosmetic surgery where fractions of millimeters make a big difference in the outcome. There’s no other operation where your results change at a week, at a month, at a year and longer —even five to 10 years out.

Doing rhinoplasties correctly, in a way that reduces the likelihood of a revision, takes intensive training, dedication and practice.

Rhinoplasty and revision rhinoplasty together account for 90 percent of Dr. Naderi’s practice. Some of Washington D.C.’s top plastic surgeons won’t touch noses, and will instead refer their patients to Dr. Naderi, who is widely recognized as a rhinoplasty specialist.

Healing

You can’t fully predict how the nose will heal. A surgeon does the best job he or she can in the initial procedure, and then, over time, scar tissue, healing and nature all take their course.

A picture-perfect nose job may, five years later, develop a small oddity or unwanted feature that resulted from how the nose healed, and which will therefore require revision.

It may be a fairly quick revision —an outpatient procedure lasting five to 10 minutes, versus the 90 minutes to two hours the patient spent undergoing the first surgery. But in about five percent of all rhinoplasties, these small lapses or setbacks related to healing occur. A revision can restore a nose job to its original good form, and even improve on the first procedure.

Chronic Unhappiness

Some patients will just never be satisfied with their noses. They may have had four, six, eight or 10rhinoplasties while seeking that perfect nose that just doesn’t exist.

Those patients have to be identified in pre-screening and consultation. Unfortunately, it’s too easy for surgeons to say, “Sure, we’ll do something,” take the money, perform another surgery and then punt that patient off to the next surgeon. At some point, the responsible surgeon has to stop and educate the patient and encourage him or her to reconsider.

Dr. Naderi has spent entire consultations trying to talk a patient out of plastic surgery. And about 20 to 25 percent of prospective patients, he will turn down. Not because their noses are complex —all noses are complex —but because it’s clear those patients are not psychologically ready for what a surgeon can realistically offer.

To learn more about revision rhinoplasty and other cosmetic and plastic surgery procedures, please contact the Naderi Center at (703) 481-0002 in Virginia or (301) 222-2020 in Maryland for a consultation today.

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Getting Over the Hump With Rhinoplasty and Dorsal Reduction

Straightening out your noseA nasal hump is an outward curvature of the middle of the nose, not unlike the proverbial "bump in the road," and is most easily seen when a person is viewed in profile.

Dorsal humps, or bumps, occur below the root and the bridge, and above the tip. They are typically the product of an excess of bone and/or cartilage beneath the nasal skin. They’re common enough, and they’re often —but not always —characteristic of the noses of certain ethnicities.

While rhinoplasty tends to be a composite of different procedures to address, and harmonize, the complete nose in relation to the face, it’s not unusual for a patient to zero in on that one particular feature —the hump —and ask to have it removed.

In such cases, the rest of the nose is left untouched, or perhaps returned to at a later time depending on how the patient feels about his or her appearance after a dorsal hump reduction.

(The root, bridge, middle, tip, sidewalls and base of the nose, and the nostrils form a complex, interlocking set of structures. Changes to one can affect the look and proportion of another, in the same way that removing or altering one note in a musical sequence can change the character of the composition.)

The surgeon’s task is to determine how much of the hump is attributable to excess bone and how much to excess cartilage.

There are instances when the experienced rhinoplasty specialist will conclude that it’s only the nasal bone that needs to be rasped, or sanded —or, alternately, that it’s just a portion of the upper nasal cartilage closest to the bone that needs to be shaved down.

More often, the offending hump crosses the boundary between bone and cartilage, and the surgeon will need to employ both techniques, sanding bone and shaving cartilage, to create a smooth and straight profile line from bridge to tip.

In consultation with a patient, Dr. Naderi uses sophisticated computer imaging to simulate the look of the nose after a rhinoplasty procedure such as a dorsal hump reduction.

As a specialist in rhinoplasty, Dr. Naderi is versed in these techniques and able to choose from among them to help create an attractive and natural-looking nose that complements the whole face.

It is this mixture of art and science, developed over years of successful practice, that Dr. Naderi brings to the work of creating beautiful and natural-looking noses.

Visit our photo gallery, where you’ll see pictures of our clients before and after rhinoplasty. To learn more about rhinoplasty and other cosmetic and plastic surgery procedures, please contact the Naderi Center at (703) 481-0002 in Virginia or (301) 222-2020 in Maryland for a consultation today.

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It’s on the Tip of Your Nose

nose job by naderiIt’s bulbous. It’s dented. It’s too upturned. It’s droopy. It’s swollen. It’s crooked …

The tip of the nose is a sensitive point for a lot of people in our beauty-conscious age. And while it’s easy to exaggerate the issues a person might have with that most prominent of facial features, it’s also worth considering whether the concerns are valid and if tip rhinoplasty is a proper solution.

After the eyes, the tip of the nose is often the first facial feature to register with other people. If the nasal tip has a notable irregularity, or is oddly proportioned, it can be a distraction. You might feel that people aren’t looking into your eyes —their gazes are fixed on your nose.

The Foundation

Nasal tip architecture varies from person to person for more reasons than can be counted here. Type “nasal tip” into the search window of our website to get a sense of how much variation there is and how many different questions people raise about just that one small area of the face.

But assuming for now we’re not talking about an injury, genes play the biggest part in the tip’s shape and size —both of which can, and probably will, change over the course of a lifetime according to a person’s genetic inheritance.

Skin type, skin care, aging, and exposure to sun and the elements also figure into the equation. But the tip gets its core attributes from the lower lateral cartilage (LLC), left and right. These shaping and stabilizing elements begin at the base of the nose —beneath the strip of skin (known as the columella) between the nostrils —and extend forward to the tip.

From there, they branch left and right, situated above the nostrils and below the next set of cartilaginous tissues (known as the upper lateral cartilages) that connect to the nasal bone.

You can find a quick visual primer on nasal anatomy here.

Rhinoplasty Types

Tip rhinoplasty may call for shaving down lower LLC to reduce the tip, or grafting cartilage on to LLC to create a tip with greater prominence and definition. Either way, it is one of the most complex of rhinoplasties because the LLC are, to begin with, rarely if ever perfectly symmetrical. Accordingly, there are several rhinoplasty maneuvers for modifying the tip.

The medical literature on each is extensive. As a specialist in rhinoplasty, Dr. Naderi is versed in these techniques and able to choose from among them to help create an attractive and natural-looking nose that complements the whole face.

Visit our photo gallery, where you’ll see pictures of our clients before and after rhinoplasty. To learn more about rhinoplasty and other cosmetic and plastic surgery procedures, please contact the Naderi Center at 703-481-0002 in Virginia or 301-222-2020 in Maryland for a consultation today.

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How Can You Mend a Broken Nose?

broken noseLet’s face it: The nose can be a magnet for mishaps. Like toes finding table legs and funny bones catching edges, the nose protrudes far enough to invite unplanned contact with solid objects. And while it’s a pretty sturdy piece of human hardware, there’s only so much impact a nose will abide from, say, swinging doors, tree limbs or the aforementioned flying elbow.

Unless you’re a stunt performer or martial arts professional, chances are you’ll want to have that important olfactory instrument looked at. Rhinoplasty, and an expert in those forms of nasal cosmetic surgery, can help. One of Dr. Naderi’s specialties is corrective, reconstructive work to set a nose right. Dr. Naderi can even improve on the look a person had before that unlucky break.

How Does It Work?

It may come as a bit of a jolt to learn that one solution to a broken nose is to break it again. Don’t panic: “Osteotomy,” the medical term for surgically fracturing or re-fracturing bones, is a normal, accepted and essential part of rhinoplasty.

Osteotomies in rhinoplasty are done for various reasons, from straightening of a nose to closing a gap following removal of a nasal hump. In its most basic form, the simple closed nasal reduction, a surgeon pushes the fractured nose back into place. This is the kind of procedure that might happen in an emergency room after an accident. Depending on the urgency and the circumstances, it may or may not be performed by a plastic surgeon using anesthesia.

In a specialized surgical practice, osteotomies happen more discretely (and yes, with anesthesia). The surgeon may use a small chisel — as small as 2mm to 4mm — to fracture nasal bones from inside the nostrils. Some surgeons prefer to approach nasal bones from outside and will create a small opening in the cheek to do so.

In some cases, a nose undergoing repair will need additional material to buttress it and restore its shape. Cartilage grafting to the bridge of the nose is one option — one that’s often employed for revision rhinoplasty of noses that were previously operated on but are still not quite right. Here, we’re getting into more advanced rhinoplasty techniques that most plastic surgeons do not feel comfortable performing, and where a rhinoplasty specialist focused on aesthetic nasal surgery is a patient’s best choice.

Is It Covered?

Most of the time insurers will pay for that simple closed nasal reduction performed right after a nasal fracture, but may not pay for a complete rhinoplasty later on.

The process involves coming in for a consultation and an examination by Dr. Naderi. The doctor issues a “pre-determination letter” to the insurance company stating his findings and a surgical plan of action. The insurance company decides from there. This can be a time-consuming and frustrating part of the process but the staff here is well trained to guide a patient through it to an outcome that allows everyone to focus on the goal: a great nose.

A skilled and experienced facial plastic surgeon chooses from a variety of techniques to ensure that the result fits the face perfectly and remains harmonious with a person’s features and appearance over time. It is this mixture of art and science, developed over years of successful practice that Dr. Naderi brings to the work of creating beautiful and natural-looking noses.

You can visit our online photo gallery to see examples of Dr. Naderi’s work. To learn more about injectable fillers, rhinoplasty and other cosmetic and plastic surgery procedures, please contact the Naderi Center at (703) 481-0002 in Virginia or (301) 222-2020 in Maryland for a consultation today.

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Rhinoplasty
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Specialization Matters!RM
Find out more about Dr. Naderi:
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TESTIMONIALS
"I can not thank Dr. Naderi enough. Beginning to end he is a master visionary that actually can do what he promises for you"
Janice Alexander, Chevy Chase
Bethesda Magazine 2011
Best Surgeon
Sometimes I know the best way to help a person is to talk them out of surgery they don't need, Naderi says.
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EDUCATION & CREDENTIALS
Dr. Naderi went on to train above and beyond completing a fully accredited fellowship in Facial Plastic & Reconstructive Surgery with Dr. Stephen W. Perkins, one of the world's top cosmetic Facial Plastic & Rhinoplasty Surgeons and a past president of the American Academy of Facial
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ABOUT THE NADERI CENTER
Plastic Surgeon Dr. Shervin Naderi is a member of an exclusive & highly specialized group of Board Certified Facial Plastic Surgeons who have dedicated their surgical practice and expertise to helping those who are looking to improve their appearance and quality of life
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DR. NADERI IN MAGAZINES
  • New Beauty 2012
  • Capitol File 2011
  • New Beauty 2011
  • New Beauty 2010
  • Northern Virginia 2011
  • Best of Bethesda 2011
  • GO Loudoun 2006
THE NADERI CENTER RHINOPLASTY & COSMETIC SURGERY
Dr. Naderi is exclusively a face specialist.
He is a clinical instructor for Allergan and Medicis, in addition to having his own courses teaching other Dermatologists and doctors how to properly inject Botox/Dysport and Dermal Fillers.
*Rhinoplasty is surgery and all surgeries have potentially significant life threatening risks but when performed by a specialist in the proper settings, the risks are reduced.
© 2014, The Naderi Center for Rhinoplasty & Cosmetic Surgery. All Rights Reserved.
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