Potomac Plastic Surgery Blog

Rhinoplasty Techniques: Which one is right for me?

Two primary methods exist for performing cosmetic rhinoplasty: closed or open. Each has its advantages and disadvantages. Closed rhinoplasty, otherwise known as endonasal, involves incisions confined to the inside of your nose. There are no sutures to remove. The plastic surgeon can modify or alter any part of the nose, including the tip and hump. Swelling improves earlier and recovery is generally faster. However, for patients who have had previous rhinoplasty or congenital cleft lip, your plastic surgeon may be limited to achieve some changes in your nose because of inability to see parts of the inside of the nose. … Continue reading »

Rhinoplasty Complications: Sinusitis

Complications may occur with any procedure, surgical or nonsurgical. Surgery on the nose or septum may result in sinusitis, inflammation of the nasal & sinus cavity. Symptoms may include nasal congestion, nasal obstruction, nasal discharge, post nasal drip, facial pressure, and headaches. A majority of the time this form of sinusitis is not a complication, but rather a side effect of performing any procedure on the nose. Operating on the nose, both rhinoplasty or septoplasty, will naturally result in inflammation. The typical symptoms of infectious sinusitis are usually indistinguishable from the normal postoperative healing following rhinoplasty. Patients may also have … Continue reading »

Fat Transfer or Grafting

Many options are available for minimally invasive injectable fillers for facial rejuvenation. More common injections for wrinkles are with hyaluronic acid (Restylane or Juvederm) or collagen. Fat has returned as an alternative to these other facial fillers. Autologous fat, or one’s own fat, is an ideal filler material. It is non-allergic natural, living, easily available, and potential for long-term natural results. Fat transfer, otherwise known as fat grafting, takes small amounts of your own fat from your abdomen and injects in directly into your face to alter the structure of the face and to restore the volume of your youth. … Continue reading »

Botox Cosmetic: Myth #3

Time to debunk another myth regarding Botox® Cosmetic. Myth 3: “I am afraid of painful injections” Fact: Botox® Cosmetic injections may be essentially painless. Treatment involves a few tiny injections with a very small needle, which usually require no anesthesia. However, your doctor may provide a topical anesthetic cream or ice pack to the treatment areas to make it as comfortable as possible. Talk to your doctor about your fears, as she/he can alleviate your concerns through proper education.

Fat Removal without Surgery?

The use of phosphatidylcholine (Lipostabil®, Nattermann – Germany) through superficial injections to destroy adipocytes has recently become popular in Europe. It is injected directly into the subcutaneous fat through multiple injections, administered over multiple treatment sessions. This treatment breaks down fat, which is then discharged over the liver and metabolized. It has been authorized for intravenous use to prevent and treat fat embolisms and liver diseases. Lipostabil® is currently only licensed as an intravenous medicine, for the prevention and treatment of blood vessel blockages by fat particles (fat embolism). The concept is appealing. However, the use of this treatment to … Continue reading »

    Houtan Chaboki, M.D.