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Nasal Tip Rotation and Rhinoplasty Surgery

One of the most challenging – and satisfying – parts of a full rhinoplasty is adjusting the rotation of the nasal tip.  Tip rotation is defined by the position of the nasal tip relative to the nasal dorsum (bridge) and the lip.  The angle between the lip and the nose (the nasolabial angle) is smaller in an under rotated nose than it is in an…

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Age Related Changes of the Neck

Neck Lift, Submentoplasty and Playsmaplasty: I often see patients who are unhappy with the age related changes that have occurred in their neck.  Often I am told that the changes happened literally overnight.  What do patients notice?  Mainly three things:  first, skin changes – either a change in the texture and appearance of the skin or a change in the amount…

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The Facial Aging Process and a Time Lapsed Aging Video

We all know that people age at different rates.  Major factors influencing the process include genetics and lifestyle choices.  Despite this the general pattern of aging is quite predictable.  Skin becomes lax as the elastin and collagen proteins  lose their strength over time.  The subcutaneous fat layer (fat immediately beneath the skin) which is associated with a youthful facial contour thins…

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