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Injectable fillers such as Restylane, perlane, Juvederm and Radiesse can be used successfully in correcting irregularities of the nose. Small depressions and irregularities of the nasal tip, bridge or even the side of the nose can all be "filled" with these products. They are particularly useful in patients that have had multiples prior operations. In these patients I would like to achieve improvement while reducing risk. Often these patients have had their stores of cartilage depleted and it can be "a long run for a short slide". As long as the residual deformity is small and not of any real functional significance the fillers work extremely well. It takes just  a few minutes in the office with essentially no recovery.

Call 410-902-9800 for more information. What are your thoughts?

Dr. S

I received an email about the 15 minute nonsurgical nose job.  email. The "non-surgical" nose job is performed by using fillers to hide imperfections or camouflage humps or bumps. It is true that at can take only 15 min and is very easy to do. Recover is minimal and you can return to full activity immediately though I recommend applying ice for the remainder of the day. The fillers used are the same as those used for wrinkles or depressions treated elsewhere on the face, such as Perlane, Juvederm, and Radiesse. Call 410-902-9800 to schedule your complimentary consultation. It is important to have this done by someonee who is able to perform surgical nose jobs (rhinoplasty) because you will better understand what can or cannot be improved with this method.

Dr. S

Someone recently sent me an email asking about PTS sutures. They were reading online about these "progressive tension sutures". This is the thing.........

Progressive tension sutures are sutures (stitches) which are used to do two things. The main thing they are used for is to reduce the chance of getting a seroma after surgery. Seromas are unwanted collections of fluid beneath the skin. In general, excess fluid occurs in the body for a number of different reasons. This excess fluid is returned to the circulation through the lymphatic system. After abdominoplasty the lymphatics are temporarily disconnected, making it more difficult fot the fluid to leave the area. It's important to get rid of the fluid early so that the "skin" can "stick"back down. When the fluid collects it is called a seroma. Small seromas usually resolve by themselves slowly over a few weeks. Some however are larger and won't go away on their own. If they persist they cause swelling and prevent you from being as flat as you could be. Also there is a risk of having a seroma become infected, which is a whole different problem you want to avoid.

Anyway, these progressive tension sutures are placed to help fix the skin in position. You can think of them as a quilting type of stitch. When properly placed you should not see them at all. I use dissolvable sutures so that they go away after about six weeks anyway. Together with the use of drains, it is the best way to prevent seromas and improve your recovery. I hope this helps to explain the PTS sutures. Let me know what other questions you may have.

Dr. S