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Master Techniques in Facial Rejuvenation

Dr. Azizzadeh is the author of the preeminent facial plastic surgery textbook "Master Techniques in Facial Rejuvenation", which is currently in second print. Surgical techniques are described in detail through text, photos, illustrations, and two comprehensive DVD's.

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Revision Rhinoplasty

In Beverly Hills and serving the Los Angeles area

The ultimate goal of revision rhinoplasty surgery is to create a natural and aesthetically pleasing nose that fits the patient's face and desires. Dr. Azizzadeh specializes in correction of previously operated rhinoplasty patients. Through his experience at Harvard Medical School and UCLA, he has mastered advanced rhinoplasty techniques and has gained an extensive surgical proficiency in revision rhinoplasty surgery. Furthermore, he has surgical training in both FACIAL PLASTIC SURGERY and Otolaryngology (specialist of nasal disorders) which gives him a distinctive insight into both the function and aesthetics of the nose.

Patients who present for revision rhinoplasty surgery will require an in-depth evaluation to determine the cause of the unsatisfactory results with their initial rhinoplasty. Many patients will benefit from revision surgery while others will not be candidates. The most important concept of revision rhinoplasty surgery is "Primum non nocere," i.e. first do no harm. Patients who are not candidates to get improvement with advanced rhinoplasty techniques will be notified and will not be offered further surgery.

Revision rhinoplasty surgery may be as simple as an in-office touch-up or as complicated as total nasal reconstruction. Common areas of dissatisfaction include:

• Over-resection (sloped) nasal profile
• Persistent nasal hump
• Persistent large nose
• Unbalanced nasal appearance
• Unbalanced chin aesthetics
• 'Pinched' nose deformity
• Persistently twisted nose
• Overturned nose
• Un-natural nasal tip
• Bossa formation in the tip
• Asymmetric nostrils
• Persistent or now-onset breathing difficulty
• Nasal valve collapse (external and internal)
• Poor scars

Revision rhinoplasty surgery requires a more comprehensive evaluation and planning. We will use digital imaging technology to further discuss our surgical options. We will take a systematic approach to the nose in order to achieve a balanced, natural and aesthetically pleasing result. Additionally, we will also focus extensively on the function of the nose to address any dissatisfaction with nasal breathing. Several anatomic and physiologic regions of the nose will be evaluated:

• Upper portion of the nose (nasal bones)
• Middle portion of the nose (cartilaginous network)
• Tip of the nose (including nostrils)
• Functional components of the nose: septum, turbinate, nasal valves, and allergy evaluation as needed.

Patients should attempt to obtain old surgical and medical records from the previous surgeons.