Rhinoplasty Specialist Blog

Rhinoplasty specialist Dr. Kotler has performed over 4,000 nasal surgeries

Deviated Septum for Josh Hutcherson

Posted on May 18, 2012 by admin

"Movie star Josh Hutcherson leaves a doctor's office after nasal surgery"

Josh Hutcherson after deviated septum surgery

On May 16^th the blogosphere was all atwitter about the nasal surgery on Josh Hutcherson, a star of the smash movie, “The Hunger Games.”

At first, bloggers rose up in arms, decrying Josh’s “cosmetic surgery” on an already perfect nose with some exclaiming, “Say it ain’t so, Josh!”

Later, Josh appeared in the streets leaving the office of a Beverly Hills plastic surgeon, tweeting still later that he had surgery on a deviated septum.

Quickly jumping into the fray were badly informed bloggers who jumped to conclusions like:

Josh had been injured in a bar fight
Fans had mobbed him

(Blog post continues below.)

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The young soccer player just below shows on the left his bent nose (which also had a bent septum) after two failed nose jobs done elsewhere. His restored shape and septum allowed for normal breathing. (Robert Kotler, M.D. photos.)

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(Continued from above.) But Josh set things straight when he tweeted what was actually afoot.

But what is that, a deviated septum and why was he having surgery on it?

The septum is a thin wall of cartilage and bone dividing the two nostrils. If it is bent, twisted or is otherwise knocked out of a straight up-and-down position, it’s medically known as a deviated septum.

You can be born with a bent septum or suffer a blow to the nose. An uncorrected broken nose can leave a septum in an “S” shape that really messes up breathing.

Why? A bent septum can block the breathing channels that pass air to the lungs. It’s very noticeable at night when the sufferer snores and perhaps wakes up gasping for breath.

Medically speaking, it’s not a good thing. A deviated septum and the snoring don’t allow enough oxygen for healthy functioning of the body’s organs.

Plastic surgeons who specialize in head and neck surgery are often masters of all things nasal and can quickly detect deviated septums as well as straighten them.

Depending on how much the septum is bent, some cases can be repaired using stiches only inside the nose. Other deviations require tiny amounts of the septum to be surgically removed, with the two ends sutured together.

Some have the surgery under local anesthesia while others are put gently to sleep under general anesthesia.

Josh appears in the photo above wearing what some call a “moustache bandage” to absorb any nasal bleeding.

Most patients go home the same day, many with packing inside the nose to hold everything in place and to deliver healing medications. Most complain about packing and nasal stuffiness, but if the nasal surgeon has used a Kotler Nasal Airway, recovery is more pleasant.

(Read more about the Kotler Nasal Airway.)

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

Non-surgical Rhinoplasty – Permanently!

Posted on May 15, 2012 by admin

"A lovely woman examines her nose with a magnifying glass"

Better Nose? Yours for Not Much $$

With an ever uncertain economy, more people are interested in all types of non-surgical cosmetic surgeries. Among men at least, rhinoplasty is the leading invasive procedure.

Unknown to most people, if you only need correction on the outside of the nose, a permanent non-surgical rhinoplasty may be right for you. The only catch is, most cosmetic plastic surgeons use fillers like Juvederm or Radiesse that dissolve in six months to a year.

But in the United States, there are perhaps three to five plastic surgeons skilled in using permanent fillers like Silikon 1000 during non-surgical nose jobs.

Tons of RealSelf.com readers report on their cosmetic surgical experiences and the fees paid. The section on non-surgical rhinoplasty reports that 88 percent of those patients mark the procedure as “worth it.”

Typical of most such patients, Handle271 writes: “After 2 rhinoplasties I was left with an over-resected bridge, giving my nose a pointy appearance. After two treatments of silicon (sic) injections about 3 months apart my nose looks 110% better. Well worth the it. No regrets, no downtime.” (Continued below)

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The patient below had marks on the outside of her nose due to a congenital malformation. Her nose was corrected without invasive surgery, using only a series of micro-droplet injections of silicone filler that delivered permanent, non-surgical rhinoplasty

"A lovely young woman shows her nose before and after injection rhinoplasty"

Left, before non-surgical rhinoplasty. Right, three months after procedure.

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(Continued from above) Penned Ruby23: “I’ve always been self-conscious about the bump I had in my nose. And always wanted to get a nose job but never really had the money. So The experience I had with the injections was pleasant – it was painless and fast and the doctor was very friendly. The results were visible the next day..”

Dana3262 had a first rhinoplasty that left a bump on one side and a dent on the other. She did not know about permanent injection rhinoplasty until her consultation with a Beverly Hills cosmetic plastic surgeon.

She writes: “Dr. K was able to even out the ridge so it doesn’t stand out quite as much and he filled in the dent making it even across my entire bridge. The procedure’s were quick, painless, permanent and I went back to work after each injection without any marks or bruising….This is the only surgeon who will ever touch my face again!”

Kiki2011 writes that she had flat, bumpy, “potato nose” and that she had been saving for a surgical rhinoplasty “…but from what I can tell, they usually cost over $5000 and I just wasn’t up for the recovery time.

“I just had Restylane injections in the bridge of my nose and it looks AMAZING. The entire bridge is more straight and defined..”

(Read more about the experiences of non-surgical rhinoplasty patients.)

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

Nose Jobs: Factors leading to a Great Rhinoplasty

Posted on May 14, 2012 by admin

"A plastic surgery measure an important angle before rhinoplasty on a pretty girl"

Plastic Surgeon Measures Important Angle before Rhinoplasty

When most rhinoplasty patients start inquiring about a nose job, they learn how many factors can affect the quality their procedure.

It’s not only the size and shape of your nose, but some seemingly unrelated matters like the type and quality of your skin.

For instance, oily skin is usually thicker and tends not drape down even if the cosmetic surgeon removes a nasal hump and makes the tip less wide. In effect, the surgeon is taking material away from nasal framework.

Skin is something like upholstery; it looks better in the end when it can shrink down equally all over the nose, providing a nice contour. For a cosmetic plastic surgeon performing rhinoplasty, thick skin can be challenging.

Moreover, the patient with oily skin can expect skin eruptions and other breakouts. (Read more about skin and rhinoplasty)

And who among us ever think about the actual strength of one’s cartilage? But to a nasal specialist, stronger cartilage is easier to work with. (Post continues, below)

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The patient below had only rhinoplasty with no change in the shape of his nostrils, creating a more youthful appearance and handsome face. (Robert Kotler, M.D. photo)

"A young man shows the before and after changes made by rhinoplasty"

Left, before rhinoplasty and three months after surgery, right

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(Continued from above) Weaker cartilage is a different creature. The surgeon can’t remove very much because less robust cartilage may not support the rest of the nasal framework, leading to nasal collapse.

Don’t get the idea we discover the answers during nose surgery. Nasal surgeons figure these things out during the patient’s first consultation so we can answer all the questions and perhaps explain why a certain request cannot be met or only partially met.

Smart rhinoplasty surgeons look up inside the patient’s nose and discover if there are any breathing blockages.

Here’s a typical quandary: the patient wants a narrower nose. But the surgeon observes the breathing airways in the nose aren’t the best. Satisfy the patient 100 percent and the after-surgery breathing will be hampered. Of course, there is no real choice because — first and foremost — the nose is a functional organ whose purpose is to pass air to the lungs.

But surgeon and patient can have a discussion about internal surgery to open the airways as much as possible. Perhaps this particular nose has a deviated septum or needs turbinate reduction.

Among other factors, your rhinoplasty surgeon also needs to know if you:

Smoke
Had a previous nose job
Have an untreated broken nose
Are old enough
Have legitimate reasons for wanting a better looking nose.

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

Nose Job & Neck Patients: Chin Augmentation is In

Posted on May 11, 2012 by admin

"A chart with years like 2011 in the background says Report"

Plastic surgery statistics for 2011

How the lowly have risen to prominence. Taking first place in the “most-increased” category of the 2011 plastic surgery statistics was a newcomer: chin augmentation.

Usually, most people don’t think about chins at all unless they are watching late night funny man Jay Leno or become involved in a situation where they must swallow hard and “take it on the chin.”

Yet, the absence of a substantial chin can seriously compromise your appearance, so it’s no wonder more people are discovering the cosmetic surgery procedure to restore, say, a receding chin to its rightful and more attractive place in your profile. Pope Paul VI once noted the chin’s place in human attractiveness when he quipped: “A dimple on the chin, the devil within.” It also works the other way around observes 59-year-old Janette Berle, host on Sirus XM satellite radio when she declared: “I refused to think of them as chin hairs; I think of them as stray eyebrows.” (Continued below)

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The young woman below had chin augmentation only which was inserted through a short incision under her chin. The “after” photo, right, was taken three months after surgery. (Robert Kotler, MD photo.)

"A young woman with a receding chin line shows her picture after chin augmentation"

Chin Augmentation, Before and After

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(Continued from above) The rate of chin augmentation increased 71 percent from 2010 to 2011 among both men and women of all ages, with 20,680 procedures completed, says the American Society of Plastic Surgeons (ASPS) which annually crunches the numbers of all invasive and non-invasive cosmetic surgery procedures. The hit to wallet or purse? The ASPS reports the average U.S. surgeon’s fee at $1651 while RealSelf.com users report their average, total cost of the chin augmentation at $4671.

Chin implants are often used in connection with rhinoplasty and neck sculpting. That’s convenient for both plastic surgeon and patient because both procedures can be done through a single, well-hidden incision placed far under the chin. After healing, the resulting scar fades into the width of a single hair and is so slight, it’s nearly invisible.

Before rushing out, however, to augment your profile, make sure you find a surgeon who is very, very familiar with the procedure. The surgery is not difficult and takes us about an hour but some major nerves running through the treatment area are critically important. (Read more about how to find a fully qualified cosmetic plastic surgeon.)

We use medical grade silicone implants sized to fit each patient. After healing, your chin feels no different to you or others. But for a small procedure, the payback on appearance is tremendous.

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

Nose Job Patients Write to Us

Posted on May 10, 2012 by admin

"A close-up shows he hands and a pen of a man writing a letter" Several rhinoplasty patients recently wrote to us. A British man, L.C., wrote after we performed rhinoplasty on his son. The lad had an unattractive nose and had applied to the American Academy of Dramatic Arts while applying for small acting jobs on the side.

But he was rejected by the Academy and getting very few acting parts. In the performing arts, both men and women are judged on appearance as well as talent.

The British lad then came to us for nose surgery. After healing, his improved appearance helped and a proud father later penned:

“I just wanted to give you an update on the wonderful surgery you performed on my son O.C. His nose looks so natural you would never doubt that he wasn’t born with it.

Attached is a photo he sent to the American Academy of Dramatic Arts. He obtained a place.

Thank you so much for your incredible skill and kindness. You transformed my boy.

My very best wishes,

-L.C.”

Rhinoplasty improves a person’s perception of self via more self-confidence, so you could almost consider a nose job a type of brain surgery. (Post continues below.)

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On the left, a man’s nose is shown as it looked after two failed rhinoplasties done elsewhere plus sports injuries to the nose. On the right, his nose shows the results of permanent non-surgical rhinoplasty, using only a filler and a syringe.

"A young man shows his nose in before and after pictures of his repaired nose, using only a syringe"

Permanent, non-surgical rhinoplasty

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(Continued from above.) Another patient, understandably concerned about the price of cosmetic plastic surgery on her nose, came in thinking she needed revision rhinoplasty. A first rhinoplasty seven years ago left unsightly indentations on her nose. We saw immediately her nose could be vastly improved by permanent, non-surgical rhinoplasty, using Silikon 1000 in a syringe, all at a sharply reduced price over the cost of nose job surgery.

She writes in part:

“… I was very self-conscious about this (nose) flaw. I went to another Beverly Hills plastic surgeon before Dr. Kotler for a consultation..but he said it (non-surgical rhinoplasty) would probably help but he was very cool about it . …I felt like he just wanted the most expensive procedure done…But I didn’t have the time or money. The minute I met Dr. Kotler, I felt at ease….I also noticed how he treated everyone in the office with such warmth regardless of background. He has such empathy, charisma, and confidence. He took his time with me; explained the different options I had, etc. I felt like I was in great hands. I only needed two injections, and my nose looks much better now. I may go back to fix my deviated septum in the future, and I will definitely chose Dr. Kotler to perform this surgery.

Sincerely,

J.”

(Read more cosmetic surgery patient stories about nasal surgery changing their lives.)

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

Nasal Surgery: What Women Really Want for their Men

Posted on May 9, 2012 by admin

"A woman kept awake by a snoring mate covers her head with the pillow and screams for quiet"

Snoring: NOT what she wants!

Even before Sigmund Freud asked that question, human behavior experts were asking: “What do women really want, especially in bed?”

Well, how about this: a good night’s sleep?

Jet engine level noise from snoring husbands often wrecks wives’ sound sleep. But it’s not thoughtless hubbies: a common nasal condition is often the bugbear. Here’s what happens:

Many guys play rough sports and sustain broken noses that are often left untreated. The result is often a deviated septum, the thin partition separating the two nostrils. Or, the hapless guy could just be born with the bent septum. In any case, the result is snoring.

While there are other causes, many also have enlarged turbinates in the upper airway.

(Turbinates? They warm, humidify and filter air.)

Sometimes, allergies will make the turbinates swell, blocking the airway and causing the man to saw the logs all night long.

Here’s where things go off track. Somehow, some way, the hapless sinuses became the fall guy. Actually, if a person, man or woman, complains of sinus woe, it’s usually because the sinuses are reacting to the nasal blockages mentioned above. True sinusitis is fairly uncommon, actually. (Post continued below.)

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Left, the young man below shows the state of his nose after multiple nasal injuries. Rhinoplasty not only improved the appearance of the nose, but cleared his nasal passages for quiet, healthy breathing.

"A young man shows his surgically repaired nose after many sports injuries"

Rhinoplasty, Before (left) and After

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(Continued from above.)Then, many sufferers take a wrong turn and stampede for the corner drug store where they collectively buy a literal ocean of “sinus preparations” alleged to cure the following ailments, among others:

Post-nasal drip
Sinus headaches
“ pressure
“ pain
Dental devices that supposedly open the airway
Neti Pots

Many of the snoring masses are even assigned to wear CPAP (continuous, positive air pressure) machines nightly. The devices force air through the nose and into the lungs.

Lacking a CPAP, the snorer may become a mouth breather which leads to a separate set of medical misfortunes. He’s also likely to develop sleep apnea which involves waking many times at night, gasping for any air at all. And that could have dire cardiac consequences.

Collectively, about 48 million Americans are involved for one reason or another.

Nonetheless, a relatively easy, quick and real solution exists, giving women what they want while creating a more healthy — and former — snorer.

The solution? Starting with a thorough inspection inside the nose by a board-certified ENT (Ears, Nose and Throat specialist who is often a cosmetic plastic surgeon,) correction of:

A bent or deviated septum
Turbinate reduction

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

Deviated Septums: How Cosmetic Surgeons Treat Them

Posted on May 4, 2012 by admin

"A lovely woman holds her nose because she can't breathe"

My nose constantly drips!

Scan the many bulletin boards where people ask questions about their suffering from nasal blockages and you’ll see many mentioning surgical treatment for a deviated septum.

For instance, Bob23, Junebug and wannasnooze on the American Sleep Apnea Association’s Support Forum all mention deviated septum surgery as their treatment for:

Problem snoring
Sleep apnea
Infected sinuses
CPAP (continuous, positive air pressure) replacement
Constantly stuffy or constantly dripping nose

First item for anybody headed for septoplasty, the surgery to correct a deviated septum: a thorough exam by an Ear, Nose & Throat (ENT) physician or surgeon. Why? There may be other reasons for the symptoms.

Once everything else is eliminated, surgery is the only way to straighten a bent septum while restoring healthy, quiet breathing and the normal flow of nasal mucus.

Often performed by a cosmetic plastic surgeon with many years’ surgical experience on noses, the septoplasty procedure reshapes nasal bone and cartilage inside the nose without changing the appearance of the nose on the outside. However, if you don’t like your nose, during the same surgery would be a good time for rhinoplasty. (Yes, a nose job!) The two procedures can be done in a single surgical session. Septoplasty itself has been done since 1902. (Blog post continues, below.)

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In the top photo below, the patient’s left nostril is blocked by a deviated septum. The bottom picture shows correction of the deviated septum (septoplasty) which no longer blocks the breathing channel. Moreover, the man had rhinoplasty during the surgery. (Photo, Robert Kotler, M.D.)

"A patient shows his repaired deviated septum in before and after pictures

Deviated septum surgery and rhinoplasty

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(Continued from above.)Depending on the particulars of a case, other internal nasal structures known as the turbinates may also become involved. Turbinates are bony, flesh-covered structures in the upper nose and can block healthy breathing due to swelling caused by any number of reasons.

Actually, having deviated septum is incredibly common and ranks as the third most frequently performed operation of the head and neck. Some are born with a bent septum while others knock the septum from its normal position in:

Car accidents
Sports
Fist fights

Another septum problem, cocaine abuse, can lead to hole in that structure, creating a whistling with each breath. (Read more about the septum and cocaine abuse.)

After septoplasty, most patients notice some swelling and discomfort which is easily controlled with medications.

Yet another critical step is thoroughly checking the credentials of the nasal surgeon you use. Check for board certification in a specialty known as Otolargyngology and, for cream of the crop, a head and neck surgery fellowship.

Also, look for a surgeon who uses the Kotler Nasal Airway, a device that helps you breathe while nasal packing is inside the nose, after surgery. (Watch a video about the Kotler Nasal Airway.)

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

Nose Jobs for Teens: When to say Yes

Posted on May 2, 2012 by admin

Two recent cases of teen rhinoplasty give pretty good guidelines on when a young adult should — and should not – have a nose job.

Frequently, teens want a less-than-attractive nose rejuvenated through surgery because an overly large or misshapen nose makes them a target for:

Teasing
Bullying
Ridicule

Bullying is such a serious issue that most psychiatrists and plastic surgeons recommend children with large ears have otoplasty, the ear pinning procedure, before starting the first grade.

Discussing teen nose jobs in a recent Medscape blog was a professor of psychiatry and a professor of plastic surgery.

(Read our last post about the deciding factors for granting, or turning down, a teen rhinoplasty.)

In one case, a 17-year-old girl with mild cerebral palsy and developmental delay complained the size and shape of her nose caused others to “be mean”. The parents put off any cosmetic surgery until the young lady was “old enough to decide for herself” but could go ahead if she wanted. (Article continues below.)

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Below, the young lady’s unsightly nasal bump and drooping tip are rejuvenated, using tissue from inside her nose, creating a more feminine appearance.

: Left, before surgery. Right, three months after surgery. (Robert Kotler, M.D. photos); ______________________________________________________________________________

However, the plastic surgery professor, Sherrell J. Ashton, M.D., in the department of Plastic Surgery at N.Y. University School of Medicine thinks cosmetic plastic surgery should be put off for now due to the patient’s developmental delay.

The professor of psychiatry and pediatrics, Robert L. Findling, MD, MBA at Case Western Reserve, wondered about what would happen after cosmetic nose surgery. Would her intellectual status cause continued teasing and abuse? Both professors agreed the best decision was waiting until the youngster was old enough to ask for her own surgery.

In the second case, an 18-year-old woman had just graduated from high school and had been admitted to a performing arts program at a prestigious university. Her parents were wishy-washy about her nose job but decided to leave the go-ahead to the teen who asked her university advisers about the importance of improved appearances.

The instructor just pointed to a line in a song in A Chorus Line which tells of the impression a theater critic had about one wannabe star: “Dance: Ten; Looks, Three..”

Results? The 18-year-old had every good reason to go ahead with her surgery. Improving her looks would also vastly improve her self-confidence which stage performers need in spades.

Adds Dr. Findling: “Her concern about looks and being in the performing arts is a realistic one.”

(Read more about nose jobs.)

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

Rhinoplasty for A.D.; Only Regret is Waiting

Posted on April 27, 2012 by admin

"A young woman shows her new nose after cosmetic surgery"

Left, A.H. before rhinoplasty

Many patients pen thank you notes, but one in particular stands out.

When A.D. (privacy laws prevent us from revealing her name) now 29, came to see us, she said she could not recall a time when she liked her nose or willingly posed for pictures.

Her displeasure with her nose was constantly on her mind when dating or attending social functions.

She wrote: “I always wondered if people noticed how big my nose was, the size of the bump on the top or the way it comes down too far, covering my upper lip.”

If you read much about plastic surgery, you’ll find there are many who feel that we should accept ourselves as Nature made us, forgetting “vanity” and nose jobs.

But all that depends on whose shoes you are walking in.

A.H. was in the accept-yourself-as-you-are camp for a while, writing, “I thought I needed to simply accept my nose and finally learn to love it.”

Nonetheless, A.D.s nose had a clear impact on her self-esteem and confidence. Three years ago, she made an appointment with a plastic surgeon but cancelled. And then never rescheduled.

More recently, she realized the hours she fretted about her nose was a waste of time and energy. Like many who have an intensely disliked body feature, she wanted confidence when meeting new people and appearing in pictures.

A.D. then came to us after combing the Internet and doing other research with her mother, an R.N. The duo asked all the right questions and, when satisfied, booked cosmetic surgery. She wrote: “Dr. Kotler’s academic credentials and quality of work were obvious …as was his empathy and compassion.”

She also liked our computer-enhanced “after” image prediction. (Read more about cosmetic surgery “after” imaging.)

Her procedure: Classic rhinoplasty with hump removal, narrowing of the entire nose and raising the nasal tip.

One-month after surgery, A.H. reported that her nose was tender, but she did not require medication. She was delighted no marks were seen on her face while friends said the rejuvenated nose matches her face and is so natural-looking, it makes her face look smaller and her profile softer.

She writes: “I can’t adequately describe how much better I feel knowing my nose no longer haunts me….it’s such a relief to look in the mirror and be happy.”

Regrets? Yes, one.

“That I waited so long…”

(See videos of patients telling about their cosmetic surgery.)

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

Rhinoplasty and Video Chatting

Posted on April 26, 2012 by admin

"A lovely woman waves to somebody on her computer screen while visiting over Skype"

Good Morning, Doctor!

When the Great Recession started back in 2008, one of the major reasons people wanted cosmetic plastic surgery was because of work. Many wanted:

New jobs and careers
Promotions
Increased self-confidence in the workplace

Cosmetic surgery still provides all that but then a monkey wrench of sorts was thrown into the mix.

During the economic downturn, companies had no choice but to drastically cut back on travel and distant conferences, taking up the slack with video, phone and Skype meetings. Now that our economy is gaining more steam, those same firms have forsaken expensive travel for the new, cheaper way of going to meetings.

Even your humble cosmetic plastic surgeon/blogger went with the new trend, offering potential but distant patients travel reductions by mailing or emailing their:

Before pictures
Pre-surgical clearances
Other medical records

Then, we just phone chat about surgery. We also went with the flow by offering consultations over Skype.

(Also read more about how we help cosmetic surgery patients avoid needless travel to Beverly Hills for surgery in a single trip. Blog post continues below.)

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The patient below cured his receding, double chin and bunched up neck tissue with only a chin implant. The after picture was taken only 10 days after surgery. (Photo: Dr. Kotler.)

: Left, before chin implant only. The beard hides the fresh scar under his chin. (Robert Kotler,.M.D. Photo); ______________________________________________________________________________

But the bottom line remains: people still must show their faces. Sometimes, depending on your computer screen, the electronic sight of your working self can be, well, unflattering.

The New York Times, for instance, recently observed that people usually look down into their video chat devices. That’s not the most favorable angle because looking toward the floor shortens the face and causes any extra neck tissue to bunch up.

(One Virginia-based plastic surgeon even designed a special face lift procedure to enhance your features while appearing in Skype meetings, according to the N.Y. Times article, “Ready for My Video Chat Close-Up”)

We’re not sure that is necessary, but the other work-related reasons for having rejuvenation surgery still hold true, especially having more self-confidence thanks to improved features and feeling better about yourself.

If you do a lot of video chatting and can’t lift your chair seat, be sure and tell your plastic surgeon before neck surgery or chin augmentation that, if all possible, you would not like the scar visible to your distant colleagues.

Consider: if you have one of our nose jobs, virtually all procedures and suturing are done inside the nose during a closed procedure. (It’s known as closed because the skin of the nose is left in place, with all surgery being done through the nostrils.)

The only mark that may appear happens during chin augmentation leaves a small scar far under your chin, facing your shoes.

Dr. Kotler: Ranked by MapQuest as #5 out of 500 medical & health professionals in Beverly Hills’ “Golden Triangle”

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