07-19-09 | Posted by Wendy Lewis

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MEET THE MASTER OF THE CLOSED NOSE

Dr. Dayan is an award winning, board certified Facial Plastic Surgeon, who practices in Chicago. He specializes in facial plastic surgery including rhinoplasty, revision rhinoplasty, facelifts, eyelid lifts (blepharoplasty), chin implants, lip augmentation, and fat transfers. Dr. Dayan is also an active educator and researcher who has conducted sponsored research for FDA approval that has been instrumental to the advancement of non-surgical, minimally invasive cosmetic procedures, which are becoming the fastest growing segment of cosmetic medicine.

www.drdayan.com

What goes into creating a great nose?

My driving goal is to make my patient happy, not the mother-in-law, my colleagues or the nurses. Most people do not necessarily want a Da Vinci inspired, over constructed nose that is significantly different from the one they started with. The goal is to give each person the type of nose they want that fits their face. I find computer imaging software to be a great communication tool which helps me to better understand my patient’s desires. I will often show a few different options of what their nose could look like to see what aesthetic they find most favorable. Almost always it is a nose similar to what they have now, but smaller and more symmetrical. My years as a plastic surgeon and terra cotta clay sculptor have helped me to better understand facial angles and proportions. In general, the aesthetic goal is to create a nose that is in balance with the rest of the facial features and not steering attention away from the eyes.  Ideally, the eyes should be the focus of the face and the nose overlooked as it blends in with the rest of the face.

How is your technique different?  What kind of recovery time is involved?

Closed, closed, closed is the way to go! In a closed approach rhinoplasty, all incisions are made on the inside and are not visible. Healing time is generally much faster, swelling is reduced, and the outcome is a smaller nose that fits within context of the face.  Most people return to work within 5 to 7 days with no outward signs of having undergone a procedure. Bruising is minimal at most and packing of the nose is not necessary. The closed approach is able to reduce the size of the nose and still maintain the structural support within, but it is technically a more difficult approach so it requires a surgeon with a great deal of experience and knowledge of the internal nasal framework. But when done properly, a happier patient is often the result.

For patients who are not ready for invasive fixes, are there other solutions you suggest for noses?

Those seeking a quick fix to their nose may have heard about the “non-surgical nose job.”  Generally, this is when either a filler (Restylane®, Radiesse®, Juvederm®) or Botox® is used to change the shape of the nose. While this is a valid option for some people, for most adding filler or Botox® to the nose will not achieve the smaller more refined nose they may be seeking. Fillers can be used to create better symmetry and proportion to the nose but will actually make the nose bigger. In fact, it may put the nose at risk for skin damage and scarring. If you are thinking of undergoing a surgical rhinoplasty then a non-surgical nose job should be avoided. A surgical procedure is much more likely to achieve your goal and a filler in the nose can cause permanent skin damage, making a subsequent surgical procedure more difficult.  If you are completely opposed to surgery or can not undergo surgery for medical reasons than consulting with a qualified and experienced physician is a good idea prior to undergoing a non-surgical nose job.

Which celebrities have the most attractive noses?

The celebrity photo that patients most commonly bring in for me to see is Ashley Simpson. Clearly she has achieved a great result with her rhinoplasty as it has improved the overall appearance of her face. I think she is a good example of how a closed approach rhinoplasty achieves the aesthetic results desired rather quickly. Second to Ashley is Halle Berry who has a nose that would look appropriate on many types of faces.

You do a lot of non-invasive anti-aging work. What are some of the most popular requests?

Minimally invasive, no downtime procedures are the most in demand cosmetic procedures today. The number one non-invasive cosmetic medicine procedure in America is Botox®, hands down. Like aspirin, antibiotics and insulin before it, I believe that Botox® is a revolutionary drug and has changed the way a whole generation views cosmetic medicine. Second to Botox® in the world of non-invasive cosmetic medicine are fillers. Other popular non-invasive procedures include laser treatments to reduce red blemishes, dark spots and wrinkles.

For patients who want to turn back the hands of time, what is the magical age about which they ask?

Three years ago we conducted a study that asked 100 women between the ages of 49 to 51 in both L.A. and Chicago at what age they thought a woman looked her best. Interestingly, the number we got from the L.A. woman differed from the Chicago woman! In L.A. our cohort of woman thought the ideal age was 26, while in Chicago our group defined 35 as the ideal age. My experience is that most women who come in desiring to look better don’t ask for a specific age; rather they just want to look like a better version of themselves. Most women are happy if they can look 5 to 10 years younger. With cosmetic medicine; though, the goal is to not make someone look better. I argue that my job is to make someone feel better. It is a big difference and although it can be related it may not necessarily be so. I discuss this concept in detail in my book, Instant Beauty.

With the uncertain economy impacting discretionary income, what can consumers do to beautify on a budget?

There are low cost, minimal downtime, non-surgical options offered by qualified experts. As a patient/consumer, you just need to know how to package it to get the most bang for you buck.

Some suggestions that I give my patients include:

1. Deep FX laser

Stimulate your skin to deeper levels with results that continue to improve for months.  Restore the collagen and brightness to your face, neck and décolleté. Greatly reduce wrinkles, and blemish from years of sun-damage and stress.

1. Standard Process (Dermatrophin) nutritional supplements

This product contains vitamins and extracts that support cellular health. It helps to support healthy skin function, which is important while the skin is healing after a deep resurfacing treatment. It is great for skin conditions such as dry, cracked skin and even acne.

1. Dermaquest Post-skin Resurfacing Kit

This kit will enhance the results even further by offering a healthy environment for skin to repair itself in. This kit contains topical anti-oxidants, a collagen-activating serum, and Skin Vitalight to further even out skin tone and a moisturizer containing SPF 30, which is vital after any peeling treatment.

Campanile Plastic Surgery offers
cosmetic plastic surgery in Denver, Colorado including popular procedures such as breast augmentation, liposuction, tummy tuck (abdominoplasty) and other breast and body surgery options. The practicealso features some of the latest medical-grade skincare services and products including BOTOX Cosmetic and OBAGI Medical.

Urinary Catheter – AA Supply Solutions has a wide range of ostomy and catheter supplies available for either personal or professional use. They sell medical supplies in bulk or individually and can help with all of your male or female catheterization needs.

Houston Electric Wheelchair – Our Durable Medical Equipment retail and rental divisions consist of three fully equipped stores, each with a vast array of medical equipment, wheelchairs (for sale & rent) and other Complex Rehab related products. Whether it is a lift chair, or a reacher, Active American Mobility is able to meet virtually every medical equipment need.

Houston Botox Treatments – Expression lines may be caused by either conscious or unconscious expressions. Dynamic expression lines can be extremely aging. Botox treatments are injected into the muscles, where they block the nerve impulses responsible for the muscle contractions that can cause wrinkles. Transformation MediSpa has wrinkle and line treatments that can help.

If you are interested in learning more about getting straighter teeth, feel free to schedule aconsultation with our orthodontist. Our West London OrthodontistDr. Kyi specializes in straightening her patients teeth with lingual braces, hidden braces, incognito braces and invisalign London. Dr. Kyi is an experienced orhodontist practicing in West London. We have helped patients from all over London get straighter teeth and the smile that they’ve always wanted. If you are interested in learning more about getting straighter teeth, feel free to schedule a consultation with our orthodontist.

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