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Dr. Jason Roostaeian

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United States
Los Angeles, CA
Dr. Jason Roostaeian

Plastic surgery, cosmetic surgery, reconstructive surgery, beauty treatments

06/28/2024

The power of a facelift is really in the neck and jawline. Here, we did deep neck work with gland reduction alongside a High SMAS facelift to get a significantly improved contour. What do you think?

06/27/2024

Difficult Terriary Rhinoplasty with Rib

After two prior rhinoplasties with other surgeons, this patient still had many subtle (and some not-so-subtle) details that required improvement to help optimize her results.

Here are the highlights:
1) If you look at the front view, you can see significant asymmetry of the bridge and tip. The bridge had a c-shape deformity and the tip was overly pinched with a S-shape contour.

2) On the worms eye view, you can appreciate alar asymmetry with poor support between the tip and the nostril. This creates a dip in the skin that creates shadows on either side of the tip which frames it and makes it appear more prominent and harsh. Check out the oblique views to best appreciate this phenomenon.

3) On the right profile view, you can see the nostril rim was retracted upwards with a harsher a-frame shape that we softened. You can also appreciate correction of the flatter and taller appearing tip to a more round, refined, and vertically compact tip that has a more natural appearance.

Well done rhinoplasty is all about the details. This is why I always preach that you need to see every angle of the work with well done standardized photography to appreciate all these fine details.

06/21/2024

Join me for exclusive education at a luxury resort at COMBINED — Face + Rhino and Breast + Body in Scottsdale, AZ on September 5 – 8.

Register today for the latest face, rhinoplasty, breast, and body techniques!

06/03/2024

Beautifully natural results where we made some nice improvements to the nose and neck. Combination procedures like this are often my favorite for this reason, where we can make subtle but meaningful changes to a few areas that come together to really optimize the result!

05/29/2024

Dorsal Preservation

In many cases, like this one, the most dramatic changes can be seen in the profile views. In fact, for many of my patients, they don’t want a notable change in their frontal view, as they are already relatively happy with what they see in the mirror. This is always a positive sign in my book and a great reason to employ dorsal preservation techniques because it allows us to preserve the natural contours of the bridge of the nose that we see in the front view while still dramatically reducing a dorsal hump on the lateral view. What do you think?

05/22/2024

LOTS OF SMALL CHANGES CAN MAKE A BIG DIFFERENCE!

This lovely patient came in hoping to improve her neck, jawline, and eyes. I performed various procedures including a High SMAS Facelift with deep neck gland reduction, along with a temporal browlift, and blepahroplasty to achieve her goals. Bringing together the benefits of each of these procedures allowed us to avoid piecemealing the face and thereby create a more natural, uniformly youthful, radiant appearance...what do you think? Stay tuned for the true side by side before and afters from every angle in our next post to really appreciate all the details!

05/13/2024

INTERESTING RHINOPLASTY

Thick nasal skin with extremely small/weak tip cartilages made this a very challenging case. If you look at the pre-op views, you can see that there is a overall lack of definition of the tip with no support causing the droopier appearance on the profile view. She also had a wider bridge that is most evident on the frontal view. To give greater definition, we added cartilage grafts to the tip from the septum. These cartilage grafts have to be placed in a way to help support an improved shape but not add bulk. She waited a while to get this done for herself so the key was to bring out the best in her natural beauty and not over do anything a detract away from it!

03/28/2024

Revision Rhinoplasty with Rib Graft Reconstruction

Here are the before and after photos from our last reel. This patient came to me following a previous rhinoplasty that had left her tip destabilized and drooping downward. Her revision surgery required major reconstruction with rib grafts.

Although her profile is where the most obvious changes are visible, my favorite angle is from the front when she’s smiling. This is where you can appreciate the subtle but meaningful changes to the tip.

First, pay attention to how the light reflex on the tip extends vertically in the ‘before’ photo. This made the tip look elongated downward, creating an unusual sausage-like appearance (and was a dead giveaway for prior surgery). By contrast, the attractive natural nose has a horizontally oriented ovular tip highlight, like you see in her ‘after.’

Another important detail in this transformation is the correction of the shadowing between the tip and ala (aka nostrils). This was due to a lack of adequate support that caused a framing effect, making her tip appear harsh and outlined in her pre-op photos.

I love that the post-operative result complements the patient’s natural beauty rather than distracting attention away from it. This is always one of my main goals in rhinoplasty…what do you think?!

03/15/2024

A common misconception is that the nose keeps growing as we age. In reality, the nose just appears more prominent on a more gaunt face. Another thing that changes with aging is that the nose can look more droopy. I think this is partially due to a loss of support for the tissues over time, but there is also likely a change in the position of the nostrils to higher and more posterior position that can give the illusion of a droopier tip (similar to changes with a smile) as the nostrils sit on a bony and soft tissue base that is receeding overtime.

While this paticular patient is relatively young in terms of any visible aging changes (as most these changes tend to be more apparrent later in life), I do think we achieved a more youthful appearance. Age reduction was not a goal of the rhinoplasty, but in the process of achieving his goals of reducing the dorsal hump and creating greater support for the tip to make it less droopy/more refined in appearance, the patient seems to just look younger, more confident, and energetic...what do you think?

03/12/2024

Correcting the Over-Resected Alar Base

Many things we do in plastic surgery are considered irreversible. One such example is an “alar base reduction” where we remove nostril excess at its junction with the cheek to narrow it. This patient had at least 5 prior rhinoplasties over the years which left her with multiple deformities as shown in the preop photos. The one that bothered her most, however, was the lack of a normal nostril aperture because of excessive resection leaving it too small to breathe through. Unfortunately, this is one of the more difficult things to try and correct as nostril skin is a unique type of tissue with no great replacement anywhere else on the body. Complications like these are devastating as there is no perfect solutions. This case emphasizes the importance of doing your research before any plastic surgery procedures to make sure you choose the right surgeon and optimize your chances of getting it right the first time and not having anything “overdone”!

Although this was a very challenging case, we fortunately were able to restore a more natural shape to the entire nose and most importantly for her a functional nostril that she could finally breathe out of. We used multiple ear grafts that provided both skin and cartilage to help replace the nostril skin that was removed as well as multiple rib grafts to give structural support to the entire nose to give it a better shape. I am so thrilled that this patient was finally able to achieve a happy ending with our help as shown here over a 6 months out from our revision surgery!

02/08/2024

A more detailed look of the face and neck lift with gland reduction in my previous post.

This patient came to me concerned that how she felt on the inside no longer matched who she saw in the mirror. Her neck bothered her the most, where the submandibular glands enlarge and descend below the jaw bone with age. (My research team and I showed this in recently published MRI studies.) To treat this, they can be reduced in order to re-establish a more youthful and defined neckline, which is proven to be safe in my personal practice and in published studies.

This procedure was performed alongside a deep plane “High-SMAS” facelift to elevate the jowls, allowing us to achieve the substantial change seen in her jawline. We addressed the deflation in the cheeks with facial fat grafting, while addressing the appearance of the upper and lower eyelids with blepharoplasties.

This comprehensive approach achieves substantial changes while still maintaining a natural looking appearance.

Thoughts?

12/28/2023

Male Primary Rhinoplasty

The dorsal hump is often where the conversation starts but so many more details come into play when we are trying to optimize overall aesthetics. If you look at the frontal view you will notice that the bridge is relatively wide and deviated to the left. Then on the profile you can see a hump, but equally important, is the tip which was bulbous, slightly wide, and lacking adequate support that gives it less definition and a droopier appearance. It is important to realize that every maneuver in rhinoplasty has a secondary effect on another aspect of the nose. A common example is the fact that when you take down a bony hump in a traditional manner you move down the nasal pyramid which causes an automatic widening effect. As you move down from the peak of any pyramid it gets wider towards it base. This would make the already wider bony bridge even wider if nothing else was done. This is why it is critical to look closely at all the details and make sure you end up with a nose that has appropriate proportions and is overall good balance when you are done. This to me is the key to creating natural looking result!

Address

200 UCLA Medical Plz
Los Angeles, CA
90024

Opening Hours

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

Telephone

+13108258827

Website

https://drjasonplasticsurgery.com/

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