rhinoplasty fairfax va
Ready Caucasian vs Ethnic Rhinoplasty

Our nose takes up less than 10% of the area of our face, but why is there such a fascination with it? For one, it is at the very center. The first thing people see is our face, and with the nose at the center, it really defines our facial beauty. Additionally, every nose is unique, and a large part of the unique shape is related to our ethnic roots. Let’s break down some of the differences and what the implications are when it comes to rhinoplasty.

Aesthetic Differences

You might be thinking, a nose is a nose, right? It is worth a closer look. Non-Caucasian people tend to have wider and flatter noses. If you draw a straight line down from the inner corner of your eye, the nostril outline in Caucasians meets that line. However, in many non-Caucasians, the nostril outline extends outside this line, giving the appearance of a wider nose. Another feature is the tip of the nose, which is often more pointy and projects farther forward in Caucasian people compared to non-Caucasian people. While some non-Caucasian patients may desire rhinoplasty for a narrow or pointy nose, the shape of your nose should be consistent with your ethnicity and facial beauty when undergoing rhinoplasty.

Structural Differences

In Caucasians, the skin and soft tissue of the nose are thinner, and the underlying cartilage and bone are stronger. However, non-Caucasians have thicker nasal skin and soft tissue. Additionally, the underlying cartilage and bone are weaker, which may lead to drooping of the nasal tip and flattening with certain facial expressions.

Implications for Rhinoplasty

The general process of Caucasian rhinoplasty makes the nose smaller, which may involve bringing down a hump or narrowing the nasal bones. If structural work is necessary, the cartilage from within the nose is usually abundant and strong enough to do the job.

In non-Caucasian rhinoplasty, the goal is often to make the nose bigger or stronger. The structural work of making a nose bigger and stronger requires strong cartilage. Because the nasal cartilage and bone are weaker and less abundant, some non-Caucasian patients may require cartilage from other parts of the body, including the ear or rib. The new stronger nasal framework helps improve the definition for excellent long-lasting results.

Conclusion

Rhinoplasty is a very personal experience for patients. The goals of rhinoplasty must be in line with aesthetic norms that are consistent with your ethnicity and culture. Most importantly, the end result of rhinoplasty should complement your facial beauty and look like your nose. Trust your rhinoplasty surgery to a specialist who is aware of these differences and proficient in the different techniques. Call (703) 705-2100 for more information or to schedule your consultation with Dr. Jae Kim today!

injection rhinoplasty
Ready Surgical vs Injection Rhinoplasty

The nose is the most central feature of your face. A rhinoplasty, or nose job, is a procedure that changes the shape of the nose. At Jae Kim, MD Facial Plastic Surgery, Dr. Kim has performed many rhinoplasties. He specializes in Asian rhinoplasty and offers surgical and non-surgical options to help your nose look great and breathe well.

There are various reasons for considering rhinoplasty, but the primary goal of the procedure is to make the nose more beautiful and harmonious with your face. Features that can be changed include humps or bumps on the nasal bridge, asymmetry of the tip or nostrils, to deviated septums and crooked shape due to previous nasal trauma or surgery. Dr. Kim uses proven and safe techniques to achieve your goals.

Rhinoplasty Options

The most widely known procedure to accomplish this is surgical rhinoplasty. This procedure is usually performed under general anesthesia in a hospital or ambulatory surgical center. The nose is reshaped using various surgical techniques. Though it is an invasive procedure, the results of a surgical rhinoplasty are permanent.

Injection rhinoplasty has grown in popularity over the past few years. It is a less invasive procedure that can be done in the office. The nose is reshaped by injecting filler material, usually consisting of a more robust hyaluronic acid filler such as Juvederm Voluma or Restylane Lyft.

Major Differences

The primary difference between surgical and injection rhinoplasty is that surgery results in a permanent change. Injection rhinoplasty can last up to a few years but eventually melts away.

There is a limit to the types of changes that are possible with injection rhinoplasty. Because filler is being added, the nose can only become bigger. The main two changes are camouflaging a bump and refining the nasal tip. Other maneuvers are generally unproven or unsafe. Also, there is no proven method to correct poor nasal breathing with injection rhinoplasty. Surgery addresses all of the structural and functional aspects of the nose.

The procedural and downtime required for both treatments vary greatly. Injection rhinoplasty is done in 15-30 minutes with little to no recovery time. It is common for patients to feel swollen after the procedure, but this usually goes away after a day or two, and there is no interruption in daily activities. In contrast, surgical rhinoplasty can take a few hours, in addition to waiting before and waking up after surgery. In addition, it may take a few days or even up to two weeks to feel back to normal and resume normal activities.

Another major difference is the cost of procedure. Injection rhinoplasty does not require the use of anesthesia or an outside facility, both of which can be costly. In addition, surgical rhinoplasty is a more lengthy procedure that requires the knowledge, confidence, and precision of a qualified plastic surgeon, which are factored into the procedural fees.

Complications

Overall, complications of rhinoplasty are rare but can be serious. Even injection rhinoplasty, while it is less invasive, is not without risk. Complications of surgical rhinoplasty include bleeding or infection, poorer nasal breathing, and unsatisfactory appearance. Septal perforation, or a hole in the septum, can lead to crusting, foul odor, and dryness. Complications of injection rhinoplasty include skin necrosis, or skin death, and injection into blood vessels causing blindness. Even though these events are infrequent, you should always trust your face to a specialist to receive the safest and best care possible. Dr. Kim believes that rhinoplasty surgeons have the most extensive experience and knowledge of the surgical anatomy of the nose and are best fit to perform injection rhinoplasty.

Here at Jae Kim, MD Facial Plastic Surgery, we pride ourselves on delivering the best specialized care possible. Call (703) 705-2100 for more information or to schedule your rhinoplasty consultation today!

 

reduce bruising
How to Reduce Bruising

After facial procedures, including peels, lasers, injectables, or surgery, you want to minimize downtime and return to the normal rhythm of life as soon as possible. Depending on the nature of the procedure, the swelling and discoloration can last for days, sometimes over a week. It may be hard to look presentable if your face has some bruising that you might not want other people to see. Here are some tips to get back to your routine sooner.

Foods/Meds to Avoid

There are many foods, medications, and supplements that can worsen bruising, and they are largely the same ones that increase bleeding. These include, but are not limited to: aspirin, Advil, Coumadin, Warfarin, Xarelto, Eliquis, Vitamin E, fish oils, ginger, gingko biloba, salty and/or spicy foods. Blood thinning medications should be paused only with the approval of your primary doctor or cardiologist.

Arnica

Arnica is a natural herb that has been used to lessen the bruising and swelling after trauma to the human body for hundreds of years. Known as “leopard’s bane” and “wolf’s bane,” Arnica has been used as a European herbal remedy to shorten the recovery period for patients. This natural herb is now available in pill form for easier consumption. Though it’s available in many health food stores and vitamin websites, the dosage required to treat surgical patients is usually not available to the general public. At Jae Kim, MD Facial Plastic Surgery, we regularly give our patients Arnica from Sine-ech™ as part of the post-procedural regimen to help them recover and resume their daily schedule as soon as possible.

Pineapple (Bromelain)

Believe it or not, pineapple can help reduce the duration and severity of bruising. It contains an enzyme called Bromelain, which is found in the juice and stem of the fruit. The anti-inflammatory properties of Bromelain help reduce bruising and swelling. Here at Jae Kim, MD Facial Plastic Surgery, we encourage our patients to eat pineapples or drink pure pineapple juice to help reduce downtime. Do note that raw pineapple also contains many beneficial vitamins and minerals such as Vitamin C that can help boost your immune system and speed up healing as well. Try to steer away from canned or bottled pineapple juice, which may contain other artificial ingredients that can interfere with the healing properties of Bromelain.

Call our office at (703) 705-2100 for more information and tips for how to reduce bruising after surgery.

retinol
Is Retinol Right for Me?

What is Retinol?

Retinol is an anti-aging vitamin A-based ingredient widely used in topical skincare products. It works by reducing collagen breakdown in the skin and promoting cell turnover. As a result, it leaves skin plump and reduces the appearance of fine lines and wrinkles. Clinically prescribed to treat acne, products with retinol have been shown to reduce hyperpigmentation and to accelerate the renewal of superficial skin cells.

Retinol can be a vital component to a skincare regimen because not only does it promote the regeneration of smooth, healthy skin, but it also thickens the skin and evens skin tone.

What to Expect

Upon first use, most people experience irritation, but this is to be expected. It may be tough at first, so work your way up from 2-3 nights a week to nightly. It’s also important to wear SPF 30+ sunscreen and avoid unnecessary sun exposure. Retinol makes your skin more sensitive, so it’s necessary to take extra precaution to protect it for maximum comfort. With daily use, it takes 2-6 months to notice a difference in your skin health.

How to Add Retinol to your Regimen

To perfect your skincare regimen, apply your retinol along with your other night time serums after cleanser and toner. Follow it up with a good moisturizer, and don’t forget to wear sunscreen the following morning!

At Jae Kim, MD Facial Plastic Surgery, we offer various medical-grade retinol products to give you maximum anti-aging benefits. The PCA Skincare Retinol Brightening treatment and PCA Skincare Retinol Sensitive treatment are our patient favorites! The Brightening treatment works to create an even, bright and radiant complexion, and the sensitive treatment is specifically formulated for sensitive skin and is ideal for patients who are new to retinol. These nightly treatments boast significant age-defying properties such as reduction of discoloration and are a great addition to your skincare regimen!

We also carry the Alastin Renewal Retinol. This retinol product is safe for nightly use, and diminishes the appearance of fine lines and wrinkles and smooths skin texture and helps improve skin tone. It also uses potent hydrators to protect against dry skin.

Call our office at (703) 705-2100 for more information about retinol, sunscreen, and other services to look and feel your very best!

skincare routine
Should I Start a Skincare Routine?

Why Skincare Routine

Your skin is the largest organ and is constantly exposed to the environment. Your facial skin, in particular, is subject to sun damage, irritants, allergens, and pollutants, just to name a few. It is very important to take care of your skin because you’re stuck with it your whole life. A little effort and consistency now can pay off years and decades later, and your healthy radiant skin will showcase the best version of you for a long time.

When Should I Start?

The general rule is, the earlier, the better. It is perfectly okay to start in your 20s. Many people wait to take care of their skin until a problem shows up, which isn’t the best approach. You should start a skincare routine to prevent issues from happening later. One thing to note is that whether if you’re trying to prevent skin problems or to address them, skincare is not a sprint, but a marathon. In order to achieve the best results, it’s better to take care of your skin with a consistent daily routine.

Washing My Face

Remember to wash with lukewarm or cool water. Although hot water opens up your pores, it can irritate and dry out your skin. Try to wash your face twice a day, morning and night. The buildup of oil and dirt on your skin must be removed to decrease irritation, inflammation, and/or acne breakouts.

When washing your face, resist the urge to scrub aggressively, as scrubbing irritates the skin. By using circular motions with your fingertips or with a gentle washcloth, you can effectively remove all the dirt and gunk off your skin.

Use the right cleanser for your skin type. For dry or sensitive skin types, a gentle or creamy cleanser works best. For those with oily skin, a gel or foamy cleanser might be a better option. Water-based alcohol-free cleansers are another great option for all skin types as well.

Here at Jae Kim, MD Facial Plastic Surgery, we carry two different cleansers (EltaMD Foaming Facial Cleanser and Alastin Gentle Cleanser) that are safe for any skin type. Remember to pat your face dry; rubbing your face with a towel may cause irritation and redness.

Morning Routine

Mornings are rough; however, it’s important to take care of your skin at the start of the day so that you keep looking fresh throughout the day!

Cleanse your tiredness away with EltaMD Foaming Cleanser, a gentle oil-free cleanser great for sensitive skin. After patting your face dry, apply the appropriate correctives for your area of concern. Have some skin discoloration or dullness? Try out PCA Skin Vitamin B3 Brightening Serum to brighten your skin and target those dark spots! Focusing on anti-aging, Alastin Restorative Skin Complex is a great product to help volumize your skin and get rid of those fine lines and wrinkles.

While targeting those areas of concern is important, it’s equally important to moisturize as well! Nourish and hydrate your skin with Alastin Ultra Nourishing Moisturizer. Don’t forget to moisturize your neck as well with PCA Skin Perfecting Neck and Decollete. Finally, always, always, always protect your skin with a sunscreen like EltaMD UV Daily or a tinted sunscreen like Alastin HydraTint Protecting Sunscreen!

Evening Routine

After a long day, it’s important to clear your skin of any dirt and gunk built up. Wash this layer of dirt off your skin with Alastin Gentle Cleanser, great for getting rid of any leftover makeup and environmental pollutants. Reduce any redness and even out skin tone with a retinol treatment like Alastin Renewal Retinol or PCA Skin Retinol Treatment for Sensitive Skin! Target the delicate eye area with Alastin Restorative Eye Treatment which reduces the appearance of fine lines and wrinkles around the eye and the appearance of dark circles.

Remember to moisturize before going to bed! The best time for your skin to heal and regenerate is at night, so hydrate your skin with PCA Skin Hydraluxe which also improves skin fullness. As always, don’t forget to hydrate your neck and decollete as well with Alastin Neck Complex which helps improve the appearance of crepey skin, fine lines, and wrinkles!

Call Jae Kim, MD Facial Plastic Surgery at (703) 705-2100 to learn more about skincare, as well as our other services!

neurotoxins
Are All Neurotoxins Created Equal?

There are currently four neurotoxin products on the US market: Botox, Jeuveau, Dysport, and Xeomin. In purely cosmetic terms, these are injections performed by medical professionals to relax muscles that make unwanted wrinkles and facial expressions. They can also decrease sweating in certain areas of the body like the armpits. Botox is the most popular one by name, and the brand name is often associated with the procedure, just like the word Uber is generally known to mean rideshare.

What are the four products, and how are they unique?

Introduced in 1977 as a treatment for strabismus (issues with weak eye muscles), Botox has solidified itself as a frontrunner in the neurotoxin market and is by far the most widely recognized brand. Botox is made by Allergan in the USA and is FDA approved to treat glabellar lines, forehead wrinkles, and crow’s feet. It has also recently been approved to assist in the treatment of chronic migraines. What makes this product unique is since it’s the oldest neurotoxin on the market, there are lots of studies available to support its use and efficacy. Allergan continues to push research to expand FDA approval for other areas. Results can be seen as early as 3-5 days after treatment.

Jeuveau is the newest neurotoxin on the market. Manufactured in South Korea by Evolus, it was approved by the FDA for cosmetic use about one year ago. Indicated for use on the glabellar lines, Jeuveau is quickly cementing itself as a key contender in the neurotoxin market. A study published in the Aesthetic Surgery Journal concluded that Jeuveau was not inferior to Botox in its efficacy. Jeuveau boasts an average onset of 2-3 days which sets this neurotoxin apart from its competitors.

Dysport comes from Galderma, which is headquartered in Switzerland. What makes this product unique is that it spreads to a wider surface area. This makes it especially good for use on the forehead and other large areas of the body. Many male patients prefer Dysport for that reason. Some patients have reported an effect within 24 hours of injection.

Xeomin is a neurotoxin manufactured by Merz, headquartered in Germany, as an alternative to the above neurotoxins. Though very uncommon, it is possible for your body to develop toxin-blocking antibodies. However, due to the peptides contained in this product, it is harder for your body to develop immunity to the effects caused by neurotoxin; this is what makes this product unique. Xeomin may be appropriate for patients who do not seem to get the desired effect after years of treatment with another neurotoxin.

Onset of Action

Botox: 3-5 days Jeuveau: 2-3 days Dysport: Within 24 hours Xeomin: 5-7 days How long does it last? The effects of all neurotoxins should last 3-4 months, sometimes longer. It takes that long for the injection to wear off and the body to regain the ability to trigger muscle movement. For this reason, it’s important to establish a neurotoxin regimen to maintain optimal results.

Conclusion

At this point, there is no single product that is the best for everyone. Dysport or Xeomin may work better for some people, while Botox or Jeuveau may work better for others. All four companies exhibit the highest quality in their product, and the indications and dosing for approved use continue to improve. Call Jae Kim, MD Facial Plastic Surgery at (703) 705-2100 to learn more about neurotoxins, as well as our other services!

Coronavirus (COVID-19) Alert

Your health and safety is our priority during this time and we are taking appropriate safety measures in our office. Dr. Kim is currently offering video consultations and all in-person appointments are currently postponed until further notice.

To schedule your video consultation today, please call (703) 705-2100 or email info@jaekimmd.com