How old is too old for a rhinoplasty?

There is no such thing!

While the majority of #rhinoplasty patients are in their 30s or younger, a significant number of patients 50 and older seek #plasticsurgery of their nose.

People who have rhinoplasties in middle age fall into two main groups:

•Some have always hated their nose
•Others find that their nose changes (droops or grows) as they get older.

Some of my middle-aged rhinoplasties are done together with a #facelift, and others, like this one, are done in isolation.

This particular #nosejob posed challenges due to thick skin and a #hangingcolumella.

Despite these issues, the Turkish #polygonconcepttip prevailed!

Consider this: a healthy 50 year old is likely to live to see 80. Why spent 30 more years being self-conscious?

Life is short. If you are lucky enough to be able to change something you don’t like, do it! ...

Multi-pronged glowup!

Patient-submitted photo taken 4 years after rhinoplasty, buccal fat reduction, Lipotite, and chin filler.

Those original results are complemented by tasteful yet powerful treatments by our nurse injectors (cheek, lip, tear trough filler, toxin) and estheticians (skin care).

I love her transformation, and hope you do too!

I am grateful that she is allowing me to share with all of you the long term results of our multi-pronged, team approach.

——
#plasticsurgery #facetite #accutite#injectables #liposuction #beauty #botox #fillers #lipfiller #liplift #rhinoplasty #septoplasty #nosebynayak #Botox #Juvederm #wrinkles #fillers #Dysport #RHA #lipfillers #Voluma #skincare #darkcircles #esthetician #glowup #illhavewhatsheshaving
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“Rhinoplasty Season” 2021 Continues!

Today’s patient is another one week postoperative result with almost no bruising or swelling - thanks to new techniques I have implemented in the last year or two (plus a little bit of luck)!

Although almost none of my rhinoplasty patients have meaningful bruising at one week, most have more swelling than he does.. Final results for *everyone* take at least a year.

——
#revisionrhinoplasty #plasticsurgery #fattransfer #nayakplasticsurgery #polygonconcept #chinlipo #chinliposuction #polygonconcepttip #tip #doublechin #chinimplant #CO2laser #bulboustip #liposuction #rhinoplasty #tiprhinoplasty #crookednose #lipfiller #liplift #deepnecklift #deepplanefacelift #preservationrhinoplasty

#rhinoplasty
#septoplasty
#nosebynayak
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

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Day 9 after Deep Necklift and Deep Plane Extended Facelift

She is healing ahead of schedule. Most people take 2-3 weeks to look “passable.”

You can see her fresh, healing incision lines, swelling, and a little bit of bruising remaining.

She will continue to evolve over the coming weeks, with final results evident around 6 months.

I will keep you updated with new photos as she heals!

🗣Comment below: Would you feel comfortable returning to work at this stage?

——
#necklift #facelift #plasticsurgery #fattransfer #extendeddeepplanefacelift #buccalfat #buccalfatremoval #omakase #doublechin #chinimplant #CO2laser #platysmaplasty #submentoplasty #blepharoplasty #liposuction #hyperbaricchamber #botox #skinremoval #skinremovalsurgery #liplift #looseskin #massiveweightloss #hyperbaricmedicine #hyperbaricoxygen
#mildhyperaric

#deepnecklift
#deepplanefacelift
#nayakdeepnecklift
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

📩 DM me pics or text to 314-991-5438 (more secure, preferred!)

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✈️ If you will be traveling in, please let us know so we can give you travel info

✅ I will review personally, and my staff will send you complete information, including travel/recovery info and price range! ...

“Rhinoplasty Season” 2021 Continues!

Did you know that facial plastic surgery is a seasonal field?

Rhinoplasty, for instance, tends to be more popular in the summer. Many young adults are between school years and prefer this timing.

Today’s patient is another one week postoperative result with almost no bruising or swelling - thanks to new techniques I have implemented in the last year or two (plus a little bit of luck)!

Her healing is not typical. Although almost none of my rhinoplasty patients have meaningful bruising at one week, most have more swelling than she does. Some still bruise or swell tremendously, but that is really rare nowadays. Final results for *everyone* take at least a year.

As for her early result, make sure to swipe all the way to the last photo! It emphasizes front view shadows - so you can really appreciate the elegant, three dimensional changes the Turkish Polygon Concept was able to achieve in her nasal tip contours. That view also shows her swelling the best.

👉What do you think of her new nose?

——
#revisionrhinoplasty #plasticsurgery #fattransfer #nayakplasticsurgery #polygonconcept #chinlipo #chinliposuction #polygonconcepttip #tip #doublechin #chinimplant #CO2laser #bulboustip #liposuction #rhinoplasty #tiprhinoplasty #crookednose #lipfiller #liplift #deepnecklift #deepplanefacelift #preservationrhinoplasty

#rhinoplasty
#septoplasty
#nosebynayak
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

📩 DM me pics or text to 314-991-5438 (more secure, preferred!)

🔑 Include your age, accurate height/weight, and what you want to improve

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✈️ If you will be traveling in, please let us know so we can give you travel info

✅ I will review personally, and my staff will send you complete information, including travel/recovery info and price range! ...

Progress Photos:: 16 Days Postop!

This patient is checking in with at-home photos submitted about 2 weeks after her complex revision rhinoplasty.

Her tip is already shrinking down to her new framework. The front view is just starting to narrow. Exciting!

From here, she will see changes every week.

Some weeks will be steps forward, others backward, until the final result evidences itself in 1-2 years (revisions take longer than primaries).

The postop swelling roller coaster is emotionally harder than the surgery!

👉Can you relate? Tell me what you think about her progress below!

——
#revisionrhinoplasty #plasticsurgery #fattransfer #nayakplasticsurgery #polygonconcept #chinlipo #chinliposuction #polygonconcepttip #tip #doublechin #chinimplant #CO2laser #bulboustip #liposuction #rhinoplasty #tiprhinoplasty #crookednose #lipfiller #liplift #deepnecklift #deepplanefacelift #preservationrhinoplasty

#rhinoplasty
#septoplasty
#nosebynayak
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

📩 DM me pics or text to 314-991-5438 (more secure, preferred!)

🔑 Include your age, accurate height/weight, and what you want to improve

☎️ Include your name, email, and text # (our emails sometimes land in spam, so we’ll text you to alert you it was sent).

✈️ If you will be traveling in, please let us know so we can give you travel info

✅ I will review personally, and my staff will send you complete information, including travel/recovery info and price range! ...

“Redheads are bruisers!”

I cannot begin to count the number of times I have heard this statement, or a variation of it, in my lifetime.

People with red hair are commonly found to require more anesthetic and metabolize lidocaine more quickly than people with other hair colors, possibly linked to a loss of function mutation in the melanocortin-1-receptor (MC1R) gene (Google it!)

During and after surgery, redheads also generally bleed and bruise more than people with darker complexions.

Their bruises take longer to finally clear. They have almost no epidermal melanin to serve as a natural “concealer,” so you can see the very last traces of yellow and green through their beautiful, fair skin.

But there are exceptions to every rule!

This patient is only one week postop rhinoplasty, with essentially no bruising or swelling - thanks to new techniques I have implemented in the last year or two (plus a little bit of luck)!

Her healing is not typical. Although almost none of my rhinoplasty patients have residual bruising at one week, most have more swelling than she does. Some bruise and swell tremendously, but that is really rare nowadays. Final results for *everyone* take at least a year.

As for her early result, make sure to swipe all the way to the 4th photo! It emphasizes shadows - so you can really appreciate the elegant, three dimensional changes the Polygon Concept was able to achieve in her nasal tip contours.

Medical followers: have you heard similar things about redheads?

Have you experienced them in your clinical practice?

——
#chinlipo #chinliposuction #plasticsurgery #fattransfer #nayakplasticsurgery #polygonconcept #polygonconcepttip #tip #doublechin #chinimplant #CO2laser #bulboustip #liposuction #rhinoplasty #tiprhinoplasty #crookednose #lipfiller #liplift #deepnecklift #deepplanefacelift #preservationrhinoplasty

#rhinoplasty
#septoplasty
#nosebynayak ...

Deep Necklift, Deep Plane Facelift, Full Face CO2 Laser 4 Months Postop

(patient-submitted after photos)

This 58 year old patient visited from Ohio after having found me on Instagram.

In these 4 month photos, she already looks amazing!! Her last bits of swelling will clear around 6-9 months.

She is a great example of the power of the Deep Necklift and deep plane extended facelift combined.

She is totally reshaped, but does not look “tight” at all!

Because most of her neck shape was overgrown deep tissues, a facelift with necklift consisting of liposuction and platysmaplasty would have looked ”tight,” yet still failed miserably in changing her shape.

I wish to thank her for being so nice to share her results back to Instagram – paying it forward!

What do you think of her result?
——
#necklift #facelift #plasticsurgery #fattransfer #extendeddeepplanefacelift #buccalfat #buccalfatremoval #omakase #doublechin #chinimplant #CO2laser #platysmaplasty #submentoplasty #blepharoplasty #liposuction #hyperbaricchamber #botox #skinremoval #skinremovalsurgery #liplift #looseskin #massiveweightloss #hyperbaricmedicine #hyperbaricoxygen
#mildhyperaric

#deepnecklift
#deepplanefacelift
#nayakdeepnecklift
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

📩 DM me pics or text to 314-991-5438 (more secure, preferred!)

🔑 Include your age, accurate height/weight, and what you want to improve

☎️ Include your name, email, and text # (our emails sometimes land in spam, so we’ll text you to alert you it was sent).

✈️ If you will be traveling in, please let us know so we can give you travel info

✅ I will review personally, and my staff will send you complete information, including travel/recovery info and price range! ...

Today is our 22nd wedding anniversary.

It is also Dev’s first day of college at Georgetown.

How time flies!

We are blessed. ...

Deep Necklifts do what no other necklift can!

In many cases, including this one, I can create a perfect neckline with no ear incisions, gimmicky lasers, or skin removal.

How? Those other treatments incompletely correct one layer of the neck - the subcutaneous (subQ) fat under the skin.

My deep necklift technique has taken me 17 years to perfect. I correct up to NINE different layers of skin, muscle, fat, glands, and fibrous tissue of the lower face and neck, meticulously sculpting each one independently through incisions hidden in the mouth or under the chin crease.

Head over to my IGTV Deep Necklift series where you will find interviews and videos of her during her healing process starting the day after surgery!

——
#necklift #facelift #plasticsurgery #fattransfer #extendeddeepplanefacelift #buccalfat #buccalfatremoval #omakase #doublechin #chinimplant #CO2laser #platysmaplasty #submentoplasty #blepharoplasty #liposuction #hyperbaricchamber #botox #skinremoval #skinremovalsurgery #liplift #looseskin #massiveweightloss #hyperbaricmedicine #hyperbaricoxygen
#mildhyperaric

#deepnecklift
#deepplanefacelift
#nayakdeepnecklift
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

📩 DM me pics or text to 314-991-5438 (more secure, preferred!)

🔑 Include your age, accurate height/weight, and what you want to improve

☎️ Include your name, email, and text # (our emails sometimes land in spam, so we’ll text you to alert you it was sent).

✈️ If you will be traveling in, please let us know so we can give you travel info

✅ I will review personally, and my staff will send you complete information, including travel/recovery info and price range! ...

🗣Let’s talk about grafts!

This patient is shown one week after complex revision rhinoplasty.

👉 Tell me what you think about her transformation below!

She is still a little bruised, still a little swollen, still a little “up” at the tip…

…but already a LOT better!

What does any of this have to do with grafts?

I find a lot of people are afraid of them and seem to believe that avoiding them decreases the possibility of dissatisfaction or eventually needing a revision.

In fact, 90% of the issues that I fixed during her procedure last week could have been *prevented* if expert structural grafting had been employed during her original rhinoplasty 🤯

To be clear – this was not her original surgeon’s ”fault!”

He did a great job based on the state of our knowledge in 1989 (when the surgery was performed) and she looked great for the first many years.

We have learned over the last 30 years, however, that a result can look good initially yet fail later for very predictable reasons - mostly preventable with appropriate grafting.

Turkish polygon concept tip principles were also employed. They are super powerful, generate beautiful results, and also did not exist at the time of her original surgery.

While she looks better, she will not have a perfect result (no one ever does).

I expect her new, reinforced framework will behave better over the next 30 years, but there is no guarantee (there never is).

Yet another example of how rhinoplasty is the most humbling of all aesthetic procedures.

——
#revisionrhinoplasty #plasticsurgery #fattransfer #nayakplasticsurgery #polygonconcept #chinlipo #chinliposuction #polygonconcepttip #tip #doublechin #chinimplant #CO2laser #bulboustip #liposuction #rhinoplasty #tiprhinoplasty #crookednose #lipfiller #liplift #deepnecklift #deepplanefacelift #preservationrhinoplasty

#rhinoplasty
#septoplasty
#nosebynayak ...

Day 15 after Male Deep Necklift and Deep Plane Extended Facelift

My recent Texas patient, mid 50s, is now 15 days postop.

He is doing great!

Like everyone at this stage of healing, he still has modest face and neck swelling, and his incision lines are still immature. He will continue to evolve over the coming weeks, with final results evident around 6 months.

🗣Comment below!

👉🏾Do you think he is socially presentable at this stage of healing?

👉🏾Would you feel comfortable returning to work at this stage?

👉🏾Why or why not?

——
#necklift #facelift #plasticsurgery #fattransfer #extendeddeepplanefacelift #buccalfat #buccalfatremoval #omakase #doublechin #chinimplant #CO2laser #platysmaplasty #submentoplasty #blepharoplasty #liposuction #hyperbaricchamber #botox #skinremoval #skinremovalsurgery #liplift #looseskin #massiveweightloss #hyperbaricmedicine #hyperbaricoxygen
#mildhyperaric

#deepnecklift
#deepplanefacelift
#nayakdeepnecklift
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

📩 DM me pics or text to 314-991-5438 (more secure, preferred!)

🔑 Include your age, accurate height/weight, and what you want to improve

☎️ Include your name, email, and text # (our emails sometimes land in spam, so we’ll text you to alert you it was sent).

✈️ If you will be traveling in, please let us know so we can give you travel info

✅ I will review personally, and my staff will send you complete information, including travel/recovery info and price range! ...

One year rhinoplasty result!

She is the sweetest person you’ll ever meet.

Somehow, I think her new nose makes her entire face look “friendlier” than her old one did.

Can you put your finger on why?

——
#chinlipo #chinliposuction #plasticsurgery #fattransfer #nayakplasticsurgery #polygonconcept #polygonconcepttip #tip #doublechin #chinimplant #CO2laser #bulboustip #liposuction #rhinoplasty #tiprhinoplasty #crookednose #lipfiller #liplift #deepnecklift #deepplanefacelift #preservationrhinoplasty

#rhinoplasty
#septoplasty
#nosebynayak
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

📩 DM me pics or text to 314-991-5438 (more secure, preferred!)

🔑 Include your age, accurate height/weight, and what you want to improve

☎️ Include your name, email, and text # (our emails sometimes land in spam, so we’ll text you to alert you it was sent).

✈️ If you will be traveling in, please let us know so we can give you travel info

✅ I will review personally, and my staff will send you complete information, including travel/recovery info and price range! ...

This is terrible. Many of my viewers are not able to see my video from today.

Don’t let this happen to you!! Change your filter:

🚨Instagram created a default setting that filters out video and photo content they deem inappropriate. This will limit what you are able to see and affect your overall experience. #share 🚨 ...

Facial plastic surgery is my passion.

It is, without question, exactly what I was meant to do.

Until this year, I used IG predominantly to share before and after photos of people who trusted me to change their lives for the better.

I still do that several times per week, and hope you find my patients’ new beginnings inspirational.

More recently, I have also started sharing one of my other passions on IG: teaching.

Teaching has always come naturally to me.

If, someday, I could no longer be a doctor, I would definitely be a teacher.

In fact, the word “doctor” comes from the Latin word for "teacher," itself from docēre, meaning "to teach.”

I enjoy teaching residents, fellows, and visiting surgeons, and normally spend six to eight weeks per year teaching my techniques around the world.

This year, stuck at home, I focused on a new type of teaching: using IG to explain complex facial surgery concepts in layman‘s terms.

As many of you know, I do that through extemporaneous “walk and talk” videos, sit-down IGTV videos, and weekend story Q&A’s.

The feedback I have received on all of these has been overwhelmingly positive! People tell me they love the information I’m sharing.

Because of this, my page has grown to 60k faster than I ever could’ve imagined.

I want to sincerely thank each of you for helping me reach this milestone. I love being able to impact not only my patients’ lives, but also educate, inspire, and entertain all of you.

🙏🏾 Thank you for giving me the opportunity!

❤️ If you find value in my content, please spread the word! Tag a friend and share this post on your story.

🙌 I would be grateful to be able to help even more people over the months and years to come. ...

One month later, she’s 10 years younger!

These are better views of the 42 year old featured in yesterday’s Reel.

One month ago, just in time for her birthday, she got a #neckbynayak, chin implant, buccal fat reduction, and facial fat rebalancing.

She is graciously allowing me to share her journey with all of you.

It helped her to see others over the last many years, and she is paying it forward.

She is healing perfectly!

Younger, better balanced, totally natural, all with no visible incisions.!

I will share her before and after photos over 4-6 months as she sends them.

❤️ Like if you think her result is pretty and natural!

——
#necklift #facelift #plasticsurgery #fattransfer #extendeddeepplanefacelift #buccalfat #buccalfatremoval #omakase #doublechin #chinimplant #CO2laser #platysmaplasty #submentoplasty #blepharoplasty #liposuction #weightloss #botox #skinremoval #skinremovalsurgery #liplift #looseskin #massiveweightloss #omakasefacelift

#deepnecklift
#deepplanefacelift
#nayakdeepnecklift
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

📩 DM me pics or text to 314-991-5438 (more secure, preferred!)

🔑 Include your age, accurate height/weight, and what you want to improve

☎️ Include your name, email, and text # (our emails sometimes land in spam, so we’ll text you to alert you it was sent).

✈️ If you will be traveling in, please let us know so we can give you travel info

✅ I will review personally, and my staff will send you complete information, including travel/recovery info and price range! ...

She NEVER had a neck this good, even in high school!

How can I be sure?

We were good friends in high school!

I have to say, it is getting less and less weird to do facelifts on my friends as I get older 👴🏽

In this 6 month postop transformation:

✅ Deep Necklift
✅ Deep plane extended facelift
✅ Chin implant

⚠️ Buyer beware!

👉🏽 The outcome of each of these procedures, as well as how they complement each other in the final result, is totally dependent on both the technical and artistic skill of the surgeon performing them.

👉🏽 No two surgeons, given this exact list of procedures to perform, will generate the same outcomes.

What do you think of her transformation?

——
#necklift #facelift #plasticsurgery #fattransfer #extendeddeepplanefacelift #buccalfat #buccalfatremoval #omakase #doublechin #chinimplant #CO2laser #platysmaplasty #submentoplasty #blepharoplasty #liposuction #botox #deepplaneextendedfacelift #skinremovalsurgery #liplift #looseskin #massiveweightloss #omakasefacelift #rhinoplasty #polygonconcept #polygoncomcepttip

#deepnecklift
#deepplanefacelift
#neckbynayak
——

📸 I offer price range quotes only after complimentary, private photo screening. Please follow all steps below!

📩 DM me pics or text to 314-991-5438 (more secure, preferred!)

🔑 Include your age, accurate height/weight, and what you want to improve

☎️ Include your name, email, and text # (our emails sometimes land in spam, so we’ll text you to alert you it was sent).

✈️ If you will be traveling in, please let us know so we can give you travel info

✅ I will review personally, and my staff will send you complete information, including travel/recovery info and price range! ...