Photo Credit: zoskinhealth.com
Aaron Kosins, MD, is a well known rhinoplasty surgeon, but he doesnâ€™t want anyone to be able to pick a “Dr. Aaron Kosins” nose out of a crowd. Heâ€™s all about natural looking, subtle enhancements that fit seamlessly with a personâ€™s facial features. â€œThe only people who should know you had surgery on your nose are your closest friends, husband, wife, or family members,â€ he says.
Rhinoplasty makes up a big chunk of Kosinsâ€™ 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,Â Dr. Kosins is a member of the prestigious ZOÂ® 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. Hereâ€™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 donâ€™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 Foxâ€™s nose may look good on her faceâ€”but not theirs. Most patients understand.
What is your signature procedure?
Rhinoplasty. I donâ€™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 bodyâ€™s own connective tissue) on the dorsum to keep it smooth.
Is there a such thing as a liquid or filler nose job?
You canâ€™t build structure with fillers. It needs to be replaced every seven to eight months. The nose has a similar blood supply as fingers. Itâ€™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 donâ€™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 arenâ€™t trained to do it. Do your research. You canâ€™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?
Handâ€™s down, itâ€™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 thatâ€™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.Â 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.