Photo Credit: beautyinthebag.com
Photo Credit: zoskinhealth.com
Aaron Kosins, MD, is a well known rhinoplasty surgeon, but he doesn’t want anyone to be able to pick a “Dr. Aaron Kosins” nose out of a crowd. He’s all about natural looking, subtle enhancements that fit seamlessly with a person’s facial features. “The only people who should know you had surgery on your nose are your closest friends, husband, wife, or family members,” he says.
Rhinoplasty makes up a big chunk of Kosins’ private practice in Newport Beach, Calif, but he also performs body work and some reconstructive cases through his affiliation with the University of California, Irvine. In addition, Dr. Kosins is a member of the prestigious ZO® Skin Health faculty, and preaches the tenets of skin health advanced by Dr. Zein Obagi to Orange County and Beverly Hills residents.
He talked with Beauty in the Bag about all of this and more. Here’s what we learned:
How much of your practice is cosmetic versus reconstructive?
I do 80% cosmetic surgery and around 20% reconstructive including cancer surgery and procedures to repair traumatic injuries.
What is trending among Orange County plastic surgery patients today?
More and more, all kinds of people are looking for some sort of body or facial enhancement. Many are lured by the promise of more for less and they come in asking about non-surgical ways to enhance their body or face with less downtime. There are a lot of misconceptions out there about what certain procedures do and don’t do. For example, liposuction is good for minor contour irregularities, but I see all kinds of complications that occur when doctors treat larger areas over aggressively. Celebrity emulation can be an issue. I always ask patients what they want their new nose or breasts to look like and may have to explain why actress Megan Fox’s nose may look good on her face—but not theirs. Most patients understand.
What is your signature procedure?
Rhinoplasty. I don’t use nasal implants. I only use autologous tissue. The greatest innovation in rhinoplasty has been the ability to reconstruct the nose using our own tissues. I often remove implants and use rib, ear ,or septum grafts to reconstruct the nose.
Does the nose age, and can you treat it?
Yes and yes. A lot of women who have rhinoplasty in their teens start showing irregularities in the dorsum (bridge) with age because their skin thins, so I put a blanket of fascia (the body’s own connective tissue) on the dorsum to keep it smooth.
Is there a such thing as a liquid or filler nose job?
You can’t build structure with fillers. It needs to be replaced every seven to eight months. The nose has a similar blood supply as fingers. It’s tenuous and that means it can be dangerous if the injectables are done by unskilled practitioners. There is a role for fillers for correcting minor hills or valleys in the nose. You get what you pay for. You don’t spend $750 for filler and look like you had a rhinoplasty.
What are some of the important things people should know before choosing a plastic surgeon?
Look at the training. A lot of people say they do plastic surgery who aren’t trained to do it. Do your research. You can’t hide online. Make sure the surgeon specializes in the procedure you are considering. You should also like the person who is operating on you.
What is your go-to skin care product line and why?
Hand’s down, it’s ZO Skin Health and ZO Medical products. It really is the Ferrari of skin care lines. All of the products are created based on evidence and all claims are backed up by science. Many products out there say they will reduce the appearance of wrinkles, but that’s not a scientific claim. Today individuals spend more and more on products, yet their skin looks worse and worse. Imagine if you paid a lot of money for a diet and gained 50 lbs? Dr. Zein Obagi designed his products around the skin health restoration principles and the products work. They do what they are supposed to.
What do you mean by “skin health?”
There was no working definition of skin health before Dr. Obagi. Healthy skin is smooth, even in color, firm and tight, well-hydrated, tolerant, contour rich, and disease free. This definition helps guide the choice of therapies therapies and/or address the efficacy of any skin care regimen.
Photo Credit: joanrivers.com
Can we talk about Joan Rivers?
Sadly the iconic comedienne passed away at age 81 from complications that occurred during throat surgery. Rivers was placed in a medically induced coma to give her body a chance to heal, but her daughter and co-star Melissa had to make the painful decision to take her mother off of life support this week.
Always full of life, light and laughter (even when the chips were down which they often were for her), Rivers will be mourned and missed by her legions of admirers (myself included). Part of her legacy is and will continue to be her love of all things plastic. Unlike many celebrities who deny that they have ever had any plastic surgery even BOTOX, Rivers owned it. Many of her most notable quotes refer to her own nips and tucks as well as the not-always-so-glamorous aging process.
“I wish I had a twin, so I could know what I’d look like without plastic surgery.”
“I’ve had so much plastic surgery, when I die they will donate my body to Tupperware.”
She even joked that her grandson Cooper should call her “Nana Newface.”
Rivers’ career hit an all time high in recent years. She was a busy lady – a co-host of E!’s Fashion Police, star of her own online series In Bed With Joan, and pitch person for her jewelry line on QVC. She also endeared many a viewer (once again, myself included) with Joan & Melissa: Joan Knows Best? a reality show which highlighted her relationship with daughter Melissa. Joan’s penchant for plastic surgery was a running theme in this show. In the series 2 season premiere, Melissa stages a ‘skintervention’ to prevent Joan from having another cosmetic surgery procedure. Joan, in turn, turns this around as only she can by offering all those involved plastic surgery on her dime. It was amazing how quickly people switched sides.
According to Michigan plastic surgeon Anthony Youn, best selling author of In Stitches, “Joan Rivers is an icon in comedy, but also in plastic surgery. Her openness about plastic surgery has always been refreshing in a society where most celebrities feel the need to hide the fact that they’ve gone under the knife. She even wrote a consumer’s guide to plastic surgery which I was lucky enough to be a consultant for. A plastic surgery book by Joan Rivers?? Who wants too look like her? It is surprisingly one of the most well-written plastic surgery books that has ever been published. In the book she recommended that patients do their research, have your surgery done in a safe setting, and seek a board-certified plastic surgeon for your cosmetic surgery. Great advice from a legendary woman.”
The best lesson we can all learn from Joan is to laugh more – especially in the face of adversity. “Life is SO difficult — everybody’s been through something! But you laugh at it, it becomes smaller.”
—Joan Rivers June 8, 1933 — September 4, 2014 RIP