Dr Greg A Patriarca MD

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Did you just have rhinoplasty but your results are the worst you could have expected?You can't even look in the mirror c...
21/10/2023

Did you just have rhinoplasty but your results are the worst you could have expected?

You can't even look in the mirror can you? Yes you just had a botched nose job!

You were scared the first time you had rhinoplasty, doubly scared now because you cant live with the results you just had.

You need revision rhinoplasty but who do you trust now!

Asian rhinoplasty has become a burgeoning segment of nasal surgery owing to the explosive popularity and expansion of co...
20/10/2023

Asian rhinoplasty has become a burgeoning segment of nasal surgery owing to the explosive popularity and expansion of cosmetic surgical procedures in the Asian population, both in the Western and Eastern hemispheres. As it has grown into one of the most popular facial plastic procedures for Asian patients, the surgical approaches and techniques employed during Asian rhinoplasty have also developed an increasing level of sophistication and complexity, while producing improving aesthetic results in a more predictable and durable manner.

The salient aspects of Asian rhinoplasty include not simply the individual nature of the anatomy, but the very personalized aesthetic unique to each patient. Rhinoplasty, whether reductive or augmentative, is not an algorithmic operation with a rote sequence of steps which, once executed, results in a functionally and cosmetically successful operation. A beautiful nose, based on canonical measurements of angles and distances, may, in the context of the entire face result in disharmony, and a less than optimal result.

An appreciation for the concept of Asian beauty is essential to achieving a result during Asian rhinoplasty that will not only create a beautiful nose, but a nose that will enhance a patient’s overall appearance. Asian patients are not seeking to appear “Westernized”, an antediluvian notion some misguided surgeons have erroneously propagated, but rather to achieve characteristics and features that more closely resemble others within their ethnicity. Especially in the case of rhinoplasty, the ideal of a straight dorsum plus a refined tip will require surgery equally as often in white patients as it will in Asian patients, albeit it with a contrarian approach. The concept of Asian beauty in the 21st century embraces the attractive aspects of both “Western” and “Eastern” features and creates a coalescent ideal that emphasizes enhancement rather than transmutation of natural

Most nose surgery surgeries are approached in a similar fashion; they all begin with incisions, either in the closed or ...
20/10/2023

Most nose surgery surgeries are approached in a similar fashion; they all begin with incisions, either in the closed or open style. Regardless of where your incisions are placed, cartilage and/or bone will be removed to lessen the size of your nose.

The nasal septum may be deviated, which requires correction to improve both the appearance of the nose and its function....
20/10/2023

The nasal septum may be deviated, which requires correction to improve both the appearance of the nose and its function. Nasal obstruction may also be caused by a collapse of the tip cartilages resulting in external valve collapse. Deviation of the nasal septum along with deficiencies in upper lateral cartilages are a common occurrence in revision cases resulting in internal valve collapse requiring the use of cartilage grafts called "spreader grafts" to spread open this narrowed area.

Alarplasty is very common, particularly among patients that are undergoing rhinoplasty surgery and usually are done simu...
20/10/2023

Alarplasty is very common, particularly among patients that are undergoing rhinoplasty surgery and usually are done simultaneously because a patient seeking to alter the bone or cartilage in their nose under rhinoplasty surgery will often request that adjustments be made to their nostrils as well – alarplasty surgery!

Among the Asian rhinoplasty population, silicone nasal implants are considerably more popular given the fact that Asian ...
19/10/2023

Among the Asian rhinoplasty population, silicone nasal implants are considerably more popular given the fact that Asian noses typically have an insufficient amount of native cartilage support to provide even moderate definition.

In many of these cases, given that there has been an important damage in the structure of the nose in prior surgeries, i...
19/10/2023

In many of these cases, given that there has been an important damage in the structure of the nose in prior surgeries, it is necessary to reconstruct what was lost or damaged.

Some surgeons use the patients' own tissues, or synthetic tissues, or a combination of both. If the patient's own tissues are used, they can be rib cartilage, septum cartilage or ear cartilage.

Personally, we prefer (in a case that needs a reconstruction of the support and structure of the nose) to use ear cartilage. It is strong, flexible and malleable enough to recreate most of the cartilaginous nasal structures (which are the ones that are most damaged by prior surgeries).

A failed rhinoplasty can be fixed by a skilled surgeon who has had special training in this field. Even with the best su...
19/10/2023

A failed rhinoplasty can be fixed by a skilled surgeon who has had special training in this field. Even with the best surgeons, 3-10% of rhinoplasties need minor revisions one year or later. It is just the nature of the variability of each individual patient's healing.

Rhinoplasty is performed under general anesthesia. A very small incision is made along the base of the nose, which is no...
19/10/2023

Rhinoplasty is performed under general anesthesia. A very small incision is made along the base of the nose, which is not noticeable after the skin heals. This incision is connected to incisions inside the nose, which are never seen.

The practical difference between open rhinoplasty versus closed rhinoplasty is small, but obtaining the best results for...
19/10/2023

The practical difference between open rhinoplasty versus closed rhinoplasty is small, but obtaining the best results for the patient is important.

The closed technique allows for faster operation and less swelling during the recovery period.

On the other hand, an open rhinoplasty surgery allows for more precision for difficult noses and when altering the nasal structures for more complex cases like revision rhinoplasty.

Dr. Patriarca is an ENT/Rhinoplasty Specialist and is sought after for his expertise in Revision Rhinoplasty and Structu...
18/10/2023

Dr. Patriarca is an ENT/Rhinoplasty Specialist and is sought after for his expertise in Revision Rhinoplasty and Structural Rhinoplasty. He is also a Board Certified plastic and craniofacial surgeon specializing in facial plastic surgery, orthognathic (jaw) surgery, and craniofacial surgery.

Revision rhinoplasty often requires cartilage for structural support for the tip and/or bridge of the nose. Septal cart...
18/10/2023

Revision rhinoplasty often requires cartilage for structural support for the tip and/or bridge of the nose. Septal cartilage is often deficient and plastic surgeons often must choose cartilage from elsewhere in the body, particularly the ear and occasionally the rib.

Soft tissue irregularities along the bridge of the nose or tip may also require tissue that provides a cover or camouflage and acts as a "natural filler" which is permanent. An excellent source is "temporalis fascia," which can be taken from a remote incision within the hairline and results in no noticeable deficit. Occasionally, scarring within the nose requires the use of skin grafts to reopen a distorted and narrowed nasal airway.

In many of these cases, given that there has been an important damage in the structure of the nose in prior surgeries, it is necessary to reconstruct what was lost or damaged.

Some surgeons use the patients' own tissues, or synthetic tissues, or a combination of both. If the patient's own tissues are used, they can be rib cartilage, septum cartilage or ear cartilage.

Our personal experience (in a case needs a reconstruction of the support and structure of the nose) is to use ear cartilage. It is strong, flexible and malleable enough to recreate most of the cartilaginous nasal structures (which are the ones that are most damaged by prior surgeries).

Do you need something more substantial to get the nose you want through bone reconstruction or a hump reduction?
18/10/2023

Do you need something more substantial to get the nose you want through bone reconstruction or a hump reduction?

Can’t even look in the mirror and much less too embarrassed to go out! You need a REVISION because your new nose:Doesn’t...
18/10/2023

Can’t even look in the mirror and much less too embarrassed to go out! You need a REVISION because your new nose:

Doesn’t match your face.
Is Now Infected!
You can't breathe.

With a small amount of cartilage extracted from the ear, we can solve almost all the cases of nasal reconstruction deriv...
17/10/2023

With a small amount of cartilage extracted from the ear, we can solve almost all the cases of nasal reconstruction derived from problems caused in prior surgeries.

It is usual for surgeons to use aggressive techniques, to remove a lot of cartilage to narrow the nose or make it pointier. This has negative aesthetic and functional consequences in long term, meaning that the nose will look bad and, to top it off, the patient will not be able to breathe well! ).

The auricular cartilage, especially from the auricular shell, is ideal to reconstruct the entire nasal tip, giving it an esthetically adequate shape again. At the same time it solves breathing problems and can solve profile defects, for example in the cases where a big nasal hump is removed. We can even also close septum perforations.

Facelifts Starting at P150K. Drink the Fountain of youth and turn back the clock and take decades of your face. Get th...
17/10/2023

Facelifts Starting at P150K. Drink the Fountain of youth and turn back the clock and take decades of your face. Get the permanent solution to remove those jowls, deep creases around your nose and mouth, and the deep wrinkles of your neck and face and your sagging neck.

Upper eyelid surgery 55,000
Brow/Temporal Lift 150,000
Mid Facelift 150,000
Mini Facelift 180,000
MACs Facelift 280,000
Forehead Lift (Endoscopic) 240,000
Full Facelift 380,000
Deep Plane Facelift 360,000
Neck Lift 100,000
Chin Implants (P6K) 172,414
Cheek Implants (P7K) 206,897
Forehead Implants (Implant P15K 206,897

Dr. Greg A Patriarca MD is a Board Certified Facial Plastic Surgery/ ENT Rhinoplasty Specialist With over 25 years of experience. As a facial plastic surgeon he specializes in Blepharoplasty, Full/Macs Facelifts, Deep Plane Facelifts, Facial Implants and Neck Lifts. As an ENT/Rhinoplasty Specialist he is sought after for his expertise in Aesthetic, Functional, Structural and Revision Rhinoplasty.

Address

57 Paseo De Roxas
Roxas
1226

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm
Saturday 8am - 5pm

Telephone

+951675962

Website

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