Investigating the causes of nasal tip drooping after surgery

In the continuation of today's article, the site of Dr. Behnam Khorrami (Best of nose surgery – Jaw surgeon of Isfahan) We examine the causes of nose tip drooping after surgery.

Improper surgical techniques

This is the time factor Nasal prolapse Surgery can be performed in an unprincipled manner. It means that the surgeon should only try to reduce the volume of the nose by using old techniques and regardless of the condition of the nose and the condition of the person. Therefore, if you want to avoid the problem of nose drooping after surgery, we recommend you to visit an experienced and expert nose surgery doctor..

Failure to take care after nose surgery

In some other times, the surgery is performed in a principled and correct way, but the person himself neglects the post-operative care and problems such as Nasal prolapse is obtained. توجه داشته باشید که کوتاه بودن تیغه میانی بینی، بلند و بزرگ بودن غضروف سر بینی و تقویت نکردن غضروف بینی در حین جراحی بینی از جمله از دیگر عواملی هستند که می‌توانند باعث افتادگی بینی پس از جراحی شوند. It is worth noting that fleshy noses are more prone to drooping than other types of noses due to their structure..

If you want to after surgery, the problem Nasal prolapse If it does not happen to you, you should first visit an experienced plastic surgeon and after the operation, carefully implement all the points that are recommended regarding post-operative care..

Prevention of drooping of the tip of the nose

with reinforcement Cartilage of the tip of the nose You can prevent nose droop to a great extent. For this purpose, doctors remove cartilage from other parts of the body such as the earlobe or ribs that have resistant cartilage and transplant it to the nose in the process of rhinoplasty.. Another common way to prevent a droopy nose is to glue the tip of the nose. Since gluing the nose is also effective in shaping it, it should be done correctly and in a principled manner. Also, after the surgery, you should be very careful not to hit the tip of the nose after the operation. Because your nose is in a very sensitive state and is easily vulnerable.

Problems caused by droopy nose

A droopy nose can cause many problems for a person if it is not treated. One of these problems is messing up a person's appearance and greatly reducing his self-confidence. After that, a droopy nose Breathing problems It also brings with it so that the person has difficulty in breathing.

Reconstructive surgery to fix droopy nose

If the tip of your nose droops for any reason after surgery, reconstructive surgery can be performed to fix the problem.. This is done by a cosmetologist. Note that reconstructive surgery to fix a drooping nose is a very sensitive procedure because if the surgeon fails to solve this problem, the person cannot treat the droopy nose anymore and has to live like that for the rest of his life..

Therefore, be very careful in choosing a nose surgeon. In reconstructive surgery to fix nasal droop, ear cartilages or ribs are used to strengthen the nasal cartilage and fix its droop.. Note that the best time to repair a drooping nose is one year after rhinoplasty.

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Review of care after jaw surgery

Jaw surgery is a major surgical procedure that can be used to correct jaw abnormalities, such as an overbite. underbite or crossbite, be done. After surgery, it is important to follow your dentist's or surgeon's instructions carefully to ensure a quick and uneventful recovery..

Immediate care after surgery

* rest: Get plenty of rest after surgery. Avoid vigorous activity and keep your head up.
* ice: Use an ice pack on your face to reduce swelling. Do not apply ice directly to your skin. Wrap it in a towel or cloth.
* Medications: Take the painkillers and antibiotics prescribed by your dentist or surgeon as directed.
* Diet: For the first few days after surgery, eat only liquids and soft foods. Gradually, as you recover, you can add more solid foods to your diet.
* oral hygiene: Continue brushing and flossing as usual, but from teeth brushing or avoid flossing the surgical area. Your dentist or surgeon will give you specific instructions on how to clean your mouth after surgery.

The first weeks after surgery

* Inflation: Swelling after Jaw surgery This is normal and may take a few weeks to subside. Elevate your head and use an ice pack to reduce swelling.
* The pain: Pain after jaw surgery is also normal. Your dentist or surgeon will prescribe pain medication to help manage the pain.
* numb: You may have numbness in your lips, chin, or tongue after surgery. This numbness is usually temporary and resolves as the nerves heal.
* Limitation of jaw movement: Your jaw movement may be limited after surgery. This limitation gradually improves with recovery. Your dentist or surgeon may recommend exercises to help improve your jaw's range of motion.

Weeks and months after surgery

* Follow-up visits: After surgery, you should visit your dentist or surgeon regularly to check your recovery and make necessary adjustments to braces or other orthodontic appliances..
* Diet: After a few weeks, you should be able to gradually return to your normal diet. However, you may need to avoid hard or sticky foods that can damage braces or other orthodontic appliances..
* oral hygiene: It is important to maintain good oral hygiene after jaw surgery. Brush and floss your teeth and visit your dentist regularly.
* The activity of the: After a few weeks, you can gradually resume your normal activities. However, it is important to avoid vigorous activities that can put too much pressure on your jaw.

Full recovery from jaw surgery may take several months. However, by following your dentist's or surgeon's instructions and taking proper care of yourself, you can have a quick and uneventful recovery..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Examining what not to do after jaw surgery.

Jaw surgery is a major surgical procedure that can be performed to correct jaw abnormalities, such as an overbite, underbite, or crossbite.. After surgery, it is important to follow your dentist's or surgeon's instructions carefully to ensure a quick and uneventful recovery..

In addition to the care instructions you should follow, there are also things you should avoid doing after jaw surgery..

• intense activity: In the first days and weeks after surgery, avoid vigorous activities that can put too much pressure on your jaw.. This includes exercise, heavy lifting and contact activities.
• Hard or sticky foods: After jaw surgery, from hard or sticky foods that can stick to braces or other appliances Orthodontics Do not harm. This includes foods such as nuts, candy, gum, and hard meats.
• drinking from a straw: Drinking through a straw can create negative pressure in your mouth, which can dislodge blood clots and cause bleeding.. after Jaw surgeryAvoid drinking from a straw.
• Your doctor may temporarily prescribe a safe alternative medicine for your patient: Smoking can slow the healing process and increase the risk of complications. Avoid smoking after jaw surgery.

• alcohol: Alcohol consumption can interfere with pain medication and slow down the healing process. Avoid alcohol after jaw surgery.
• Exposure to heat: Exposure to heat can increase swelling and slow the healing process. Avoid heat exposure, such as saunas or hot baths, after jaw surgery.
• sleeping on the side: Sleeping on your side can put a lot of pressure on your jaw. After jaw surgery, lie on your back and keep your head elevated.

It is important to follow these instructions carefully for a quick and uneventful recovery. If you have questions about what to do or what not to do after jaw surgery, talk to your dentist or surgeon..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Techniques of closed nose surgery techniques

In the continuation of today's article, the site of Dr. Behnam Khorrami (Best of nose surgery – Jaw surgeon of Isfahan) تکنیک های جراحی بینی به روش بسته را مورد بررسی قرار می دهیم. Different techniques of nasal packing surgery include the following:

Rhinoplasty with preservation package

in the method رینوپلاستی Preservation (preservation rhinoplasty)While correcting the appearance defects, the surgeon preserves the natural anatomy of the nose so that the underlying tissues are not damaged.. This modern method of nasal packing has very few side effects.

Nasal surgery by plasma pack method

In this method, the surgeon does not make any incisions in the nasal structure. In fact, the operation of nasal packing with the plasma method means putting the outer part of the nose in contact with the plasma. Plasma is a type of ionized gas with high temperature that penetrates the lower layers of the skin of the nose. By burning those areas, this gas shrinks the nose and makes it appear smaller. Therefore, the nose gets a proper shape with the least complications and its structure is lifted.

این روزها عمل بسته Fleshy nose طرفداران زیادی دارد، زیرا پوست ضخیم بینی، نوک گرد، سر پایین و پهن بینی گوشتی را می‌توان به راحتی با روش رینوپلاستی بسته جراحی کرد. In this method, fleshy spots on the skin of the nose are burned with the help of a plasma jet device.

Application of closed rhinoplasty

If you are looking for a minimally invasive rhinoplasty procedure with minimal side effects, closed rhinoplasty is a great option. This type of modern surgery is performed with an endoscope and does not leave any scars after the operation. In general, the most important applications of closed nose surgery include the following:

• Correction of slight deviation of the nose
• Treatment of deformed nose
• Removal of nasal polyps
• The treatment of Breathing problems

How is the surgery done?

how Closed nose surgery This is how the surgeon makes an incision inside the nostril and no incision is seen outside the nose. Therefore, the nose is not completely open and the surgeon cannot access its underlying structure.

In fact, nose surgery is performed in a closed manner through narrow openings and the surgeon has limited vision. For this reason, closed rhinoplasty is considered to be suitable for removing appearance defects and myopia, and it is very important that the surgeon has enough skill and expertise to perform this operation..

This type of nose surgery is performed under general anesthesia and faster, because the surgical procedures only involve separating the skin of the nose from its skeleton with the help of special tools to make the necessary corrections..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Examining suitable people for doll rhinoplasty

In the continuation of today's article, the site of Dr. Behnam Khorrami (Best of nose surgery – Jaw surgeon of Isfahan) افراد مناسب برای رینوپلاستی عروسکی را مورد بررسی قرار می دهیم.

Doll noses are known as upturned noses; Therefore, the most important principle in the operation of a doll's nose should be the creation of a suitable arch in it. In fact, this type of rhinoplasty, in addition to creating a beautiful arch, causes the bridge of the nose to rise and its tip to rise.. However, experts do not consider doll nose surgery suitable for everyone, because it is very important to pay attention to the proportion of the nose with other parts of the face in fantasy nose surgery..

Characteristics of candidates for doll rhinoplasty

This type of rhinoplasty is suitable for small faces. Because the nasal form after Doll rhinoplasty It becomes very subtle. In this way, the surgeon can easily match the arched and small nose with other delicate features of the face. Also, people who have a bony nose can be a good candidate for the upturned doll nose model.

But if you have a wide or big face, it is better to give up on doll nose surgery. This type of large and masculine faces usually have large parts, and the delicate, upturned and arched nose of a doll is not easily coordinated with its other parts..

on the other hand fleshy noses که اغلب پوست ضخیم و نوک گرد دارند هم گزینه مناسبی برای رینوپلاستی عروسکی به‌شمار نمی‌آیند. Because the thickness of the skin of the nose prevents the subtlety of the surgery from being seen.

Procedures before doll rhinoplasty

It is better to follow the following points carefully before plastic nose surgery:

• At least 2 weeks before surgery, under the supervision of your doctor, avoid taking non-steroidal anti-inflammatory drugs and anticoagulants such as aspirin, warfarin, indomethacin, ibuprofen and heparin..
• Stop drinking alcohol 2 weeks before the operation.
• Limit smoking and use of other similar tobacco products starting 2 weeks before surgery.

Care tips after doll nose surgery

It is necessary to observe the following points in all types of nose surgery such as doll rhinoplasty:

• Using hot and cold compresses to reduce inflammation, swelling and pain according to the instructions of the surgeon
• Placing an extra pillow under the head and sleeping in an arched position
• Avoid pressing and hitting the face
• Taking painkillers to relieve pain and inflammation under the supervision of a doctor
• Consuming soft, pureed foods and avoiding chewing hard foods
• Adequate fluid intake
• Not touching the nose and its surrounding area after surgery

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Check some points about closed nose surgery

In the continuation of today's article, the site of Dr. Behnam Khorrami (Best of nose surgery – Jaw surgeon of Isfahan) چند نکته در مورد جراحی بینی بسته را مورد بررسی قرار می دهیم.

Nose surgery without tampon

Until a few years ago, before plastering the nose, the surgeon used to insert 2 tampons into the hole to control the bleeding, which were painful when removed.. Currently, with the advancement of technology, a silicone nasal splint is used, which does not cause any pain or discomfort to the patient..

Preparation before closed nose surgery

Before any procedure, be careful in choosing an experienced and skilled rhinoplasty surgeon so that the result of the operation is what you want.. مهم‌ترین اقدامات برای آمادگی قبل از Closed rhinoplasty شامل موارد زیر می‌شوند:

• Drink plenty of fluids.
• Smoking must be stopped 2 weeks before surgery.
• At least 2 weeks before the operation, stop taking aspirin with the advice of an ear, nose and throat specialist
• Do not use lotion or cosmetics on your face 24 hours before the procedure.

Post-operative care of nasal packing

Care methods after Closed nose surgery They help you to get the desired result. Therefore, take the following points seriously:

• Put a cold compress under the eye for 24 hours after the surgery.
• Eat soft and liquid foods and avoid chewing hard foods for 72 hours after the nose job.
• Keep your mouth open when you cough or sneeze to prevent pressure on your nose.
• Limit salt intake for faster recovery of swelling around the nose.
• Put some pillows under your head while sleeping.
• Avoid heavy physical activity for a few weeks after rhinoplasty.
• Learn from the surgeon how to apply glue on the nose correctly.
• Do not take a hot shower for 72 hours after surgery.
• You should not use prescription glasses and sunglasses for several months after surgery.

Complications of nose surgery

In this type of nose operation, the surgeon does not have access to the underlying tissue and it can be said that his control is less. Therefore, choosing a skilled and skilled ear, throat and nose doctor can help you make the desired changes to fix the minor and visible defects of the nose.. In fact, closed nose surgery is not a restorative operation, therefore, the lack of sufficient skill of the surgeon can cause damage to the structure of the nose (Cartilage and bone) Be. Among other disadvantages of nasal packing, it can be mentioned that it is less durable. Some surgeons believe that people in middle age and with the beginning of the changes of this period may experience drooping of the tip of the nose.

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Examining the importance of how to sleep after nose surgery

In the continuation of today's article, the site of Dr. Behnam Khorrami (Best of nose surgery – Jaw surgeon of Isfahan) We examine the importance of how to sleep after rhinoplasty. During the sleep process, more and better blood flow reaches the tissues and muscles of the body. In this way, the increase of sufficient oxygen and nutrients help to recover faster and the recovery period is shorter. That's why the nose surgeon recommends spending a lot of time sleeping and resting to reduce pain and swelling.

But in order to avoid possible injuries while sleeping, such as rolling over or hitting your face on the pillow, you should pay attention to important points about the way to sleep after nose surgery.. During the recovery period after nose surgery, the body works harder to repair wounds and form nasal cartilage..

Therefore, there is a possibility of weakening the immune system. Sleeping properly after rhinoplasty will help your immune system to recover faster, reduce pain and swelling..

How to sleep properly after nose surgery

Adequate rest and quality sleep lead to the release of hormones needed by the body to accelerate your recovery process after Nose surgery To be. But it is very important that you know how to sleep after nose surgery.

Head in the mode 45 put degree

بهترین حالت خوابیدن بعد از عمل بینی به صورت طاق باز است که در این حالت سر با زاویه 45 The degree is slightly higher than the body. This method of sleeping after nose surgery protects you from possible risks and injuries. To make the head more comfortable in the angle 45 Put some pillows on top of each other under your head.

Keep the head higher than the body

As we said before, the best case Sleeping after nose job Keeping the head higher than the body. This situation is made possible by placing several pillows on top of each other and placing them under the head. The reason for its importance is the effect of gravity, which is thus minimized and prevents swelling of your newly operated nose.. If you get back pain in this position, put a small pillow under your knee.

Take the rolling roads

When the sleep becomes heavy, due to the use of sedatives, it is possible that you cannot control your head movements.. That's why it is recommended to put a few pillows around your face to prevent it from rolling and damaging your nose..

If you are used to sleeping on your side, be sure to avoid this sleeping position for the first few days after surgery. Because the purpose of sleeping with an open arch is to minimize the possible injuries of the nose after the operation, and sleeping on the side increases its probability..

Sleep alone or away from others

The most important recommendation of the surgeon after nose surgery is to avoid injury. The probability of this happening while sleeping is very high. You should try to stay away from any trauma for several weeks after rhinoplasty.

Therefore, it is recommended that you sleep alone as much as possible or that your distance from the person who came to take care of you is very long.. In this case, sudden movements during sleep can be controlled to prevent injury.

Do not sleep on your stomach at all

They will definitely tell you in the consultation sessions before rhinoplasty that sleeping on your stomach will put a lot of pressure on your nose.. In this case, the new cartilages that are being regenerated will be damaged. Therefore, it is recommended not to sleep on your stomach for a month after nose surgery.

Avoid shaking your head and nose

It is very important not to shake or tilt your head too much or even too slowly. In this case, your nose will not be affected and the possibility of pain, swelling or bruising will be significantly reduced. Because shaking the nose, especially while sleeping, can damage the nose surgery and slow down the healing process due to inflammation after the operation..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Examining the methods of removing stitches after nose surgery

In the continuation of today's article, the site of Dr. Behnam Khorrami (Best of nose surgery – Jaw surgeon of Isfahan) We examine the methods of removing stitches after nose surgery. The recovery period and taking care is the most important stage of rhinoplasty and achieving ideal results. The stitches will be removed after a few days, and it is completely normal to see a stitch mark, which will not be very pleasant.. Therefore, it is necessary to carefully follow all the care and instructions given by the doctor to help heal the scars and stitches.. Things like:

Use of ointment :

Since the prescribed ointments contain zinc oxide, vitamin A and D. They lead to the stimulation of the production of new skin cells and finally, it will help to remove the stitch marks.

nose massage :

stitch place The one that is formed contains collagen. On the other hand, the body itself produces collagen to close the scar, and this is the case in people with thicker skin. It makes scar tissue and sutures thicker. Basic massage of the nose helps to weaken the fibrous tissue and collagen produced. In addition, it prevents the accumulation of blood and fluids inside the nose and will help to reduce swelling and bruising after the operation..

Keeping stitches clean :

One of the most important things that should be given importance to. This is to prevent the stitches from getting infected, so after each wash, the skin should be completely dry and use tetracycline ointment.. Whenever you notice that the nasal patch is wet, replace it immediately.

Essential care during rhinoplasty recovery

• Doing vigorous physical activities, sports, lifting heavy objects or keeping the head down should be avoided for at least one to two months.. Of course, you can do light sports such as walking to improve blood circulation in the body and speed up the healing process..
• To reduce swelling and inflammation, use an ice compress, which can even help heal wounds and stitches faster..
• Avoid prolonged exposure to sunlight as much as possible. Because heat can lead to the aggravation of swelling and inflammation and the healing process of wounds will be slower.
• Avoid smoking and alcohol consumption so as not to disrupt the blood supply and oxygen supply to the nose and stitches..

Useful links:

Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af

Investigating the return to sports activity after rhinoplasty

In the continuation of today's article, the site of Dr. Behnam Khorrami (Best of nose surgery – Jaw surgeon of Isfahan) We examine the return to sports activity after rhinoplasty.

Reasons for restricting heavy exercise after rhinoplasty

During recovery, a person's body is weakened and puts all its energy into improving and healing tissue damage.. Exercise or any other strenuous activity can cause bleeding at the surgical site or leakage of blood into the surrounding tissues; This problem can be caused by increased blood flow or it can be caused by facial muscle pressure. Finally, these factors cause extensive bruising and swelling in the treated areas.

In addition, during the recovery period, the person does not have the ability to breathe easily and quickly, and may have breathing problems.. However, doing sports or heavy activity until the doctor approves it leads to unpleasant side effects such as dissatisfaction with the results of the surgery, swelling and bleeding, prolonging the recovery period and health risks..

The length of the return to sports activity after rhinoplasty

فعالیت و Exercise after nose surgery It is not an issue that can be recommended for all people. In general, you need rest for the first 10 days after the operation, and it is better to reduce your activity as much as possible.

The first week after nose surgery

In the first week after Nose surgery You must have absolute rest and avoid any unnecessary activity. In the first week, it is better daily 20 Take a few minutes of light walking to speed up recovery by increasing blood circulation. Any sports activity other than walking is prohibited in the first week. During this time, it is better to stop walking whenever you feel tired or short of breath; Because it is a sign of increased heart rate and exposes you to bleeding.

week 2 until the 4 After Nose Surgery

2 until the 4 A week after the operation of the nose, stitches, splints or Nasal tampon It is removed and after removing them it is better than 24 Have a full hour of rest. After that, you can increase the sports activity by increasing the duration of walking and even experience slow running. But you should note that any activity that has the possibility of impact, contact and pressure on the nose is prohibited and you cannot go to sports such as bodybuilding; It is better to start exercise with yoga or other light exercises.

week 4 until the 6 After Nose Surgery

After one month, almost all complications after nose surgery have improved and there is no risk of bleeding or swelling. During this time, you can increase the intensity of the activity and even exercise at home or in the gym. Of course, you should be careful that any activity that involves the risk of falling or being hit is not recommended at all. It is important to pay attention to the following points during this period:

• It is better to avoid lifting heavy weights and do not experience martial arts as much as possible
• If your nose sores are completely healed, you can go to the pool and even the sauna
• Moderate intensity sports without contact and impact are unlimited
• Light jogging and moderate strength training are fine

6 week to 6 Month after nose surgery

Usually in most people 6 Full recovery takes place a week after nose surgery. But after complete recovery, you should also take care of your nose and avoid contact sports such as martial arts.. If you followed a professional and intense sport, it would be better at least 6 Take a month off from nose surgery. In any case, your health is more important and it is better to exercise until your performance is maintained; Not that you intend to upgrade it.

Useful links: Isfahan nose surgeon _ Jaw surgeon of Isfahan

Dr. Behnam Khorrami's page in the clinic 24 | Maxillofacial surgeon in Isfahan clinic 24 | Nose surgeon in Isfahan clinic 24

Dr. Behnam Khorrami, nose surgeon in Isfahan at Dr. Af | Maxillofacial surgeon in Isfahan at Dr. Af | Isfahan nose surgeon at Dr. Af