Tag: Dr Behnam khorami

What a beautiful nose shape or form?

What a beautiful nose shape or form?

Beautiful nose

What is the shape and form of a beautiful nose? Is it possible to define a standard for a beautiful nose?

You must have heard that beauty is a relative concept.

Nevertheless, balance is always desirable and considered beautiful. Nose The procedure should be both beautiful and natural, and the two should not contradict each other.

Today, the science of aesthetics has been able to set standards.

That the whole world will accept it and will consider the nose that has been acted according to those criteria beautiful .

Some of these beauty criteria are introduced in this article.

1- Proportion of facial components

2- Relationship of nose, lips and chin

3- Nasal deviation

4- Communication of the nose with the eyes

5- Nasal width

6- Under the nose

7- Nasal height

8- Behind the nose

9- The angle between the nose and the lips

The most important factor in determining the success rate Nose surgery, Is the thickness of the skin of the nose.

In people with very thin nasal skin, the smallest asymmetries appear under the skin.

On the other hand, in people whose nose skin is thick and so-called fleshy nose, the changes that are given will not be very noticeable..

The best candidates for rhinoplasty are people with medium-thick nasal skin.

In cosmetic surgery, changes are made in the placement of the bones and cartilage of the nose to bring the structure of the nose closer to the standards and look more beautiful. However, after surgery, changes are made during the repair of nasal tissues.

It occurs that is not completely under the control of the surgeon.

Generally 90 % Changes on Nose Is under the control of the surgeon and 10 % Cases are not available to him, and in these cases, if the person wishes, a second surgery is needed to correct the unwanted changes.

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CAP challenges rhinoplasty and lift the upper lip

CAP challenges rhinoplasty and lift the upper lip

Many cosmetic surgeons are not comfortable with upper lip lift surgery, let alone want to do it with rhinoplasty combine. However, this can be done without any risk to the patient.

The concern is that it is possible that the blood flow to the columella or the middle part between the two nostrils will be cut off, because if the blood does not reach this part, the result will be necrosis or dead tissue in the columella and an ugly wound will appear in that part.. what if rhinoplasty If it is performed endonasally, that is, inside the nose and in a closed way, there will be no need to worry, because in this method, the incisions are made inside the nose..

However, if the rhinoplasty surgery is performed with an open technique, caution should be taken. In the open technique, rhinoplasty is performed from the outside on the columella. The reason for using this technique is that in this method, the plastic surgeon has better access and visibility to the work and has more control over the operation. Since in the upper lip lift, it is necessary to cut the base of the columella, which is the place where it connects to the upper lip, the same part may be cut for nose surgery, and therefore, cutting this part is done with two different goals..

This situation becomes more complicated when the cut from open rhinoplasty surgery has not yet healed. In this situation, the plastic surgeon must be careful and cut in such a way that the blood supply path is not damaged. Often, the safer method is to have the incision site of the lip lift above the incision site in these reconstructive cases جراحی زیبایی Nose be separate. These precautions become more necessary when the nostrils are to be reduced during rhinoplasty.. Not only should the upper lip line up well with the columella, but it should also match the newly narrowed nasal bridge without being out of place after the restoration..

Delicate surgery with familiarity with the patient's anatomy and the biophysics of the upper lip lift are key factors in achieving the desired result in this combination surgery..

Dr Behnam khorami

Jaw surgery specialist

Check the link- Cartilage in rhinoplasty

Check the link- Cartilage in rhinoplasty

More people applying operation rhinoplasty They are worried about cartilage transplant. Some of these are obvious concerns about the rhinoplasty instead of under the skin and is stepping down. They believe that such surgery should be refused. In response to this concern, we must say yes; It is true that in rhinoplasty, the cartilaginous part of the nose, the operated part can be seen under the skin, especially in people who have a thin face or fair skin.. But that does not mean you should avoid performing rhinoplasty surgery. On the contrary cartilage transplant in rhinoplasty And whether it is very important and necessary in nose correction surgeries, and in both types of this nose surgery, cartilage graft surgery is performed by a skilled and experienced plastic surgeon.. In fact, noses that have loose cartilage in their lower part distort the face of their owners and make them look unattractive.. With cartilage cosmetic surgery, you can add charm to these types of noses and the faces of their owners.

Nose surgery with donated cartilage

Although the form was appropriate and inappropriate provisions necessary to cartilage, but the cartilage tissue prepared for this link is not enough. This is about people who are expected to lead to serious damage of cartilage and bone will be worse. Because the bone and cartilage of the nose considerable amount destroyed. Secondary tissue damage caused after the appearance of the nose can be expected to show good form. So we need to be modified given the appearance of the nose by cartilage transplant. These tissues can be taken from the septum of the nose, ear or from the rib of the donor.
The appearance of the nose after cosmetic or rhinoplasty surgery should be carefully examined in advance and performed during rhinoplasty to make sure that the shape of the nose after cosmetic surgery is what you expected.. The exact implementation of a rhinoplasty surgery requires precision in the symmetry, angle, shape and shape of the nose, as well as its harmony and compatibility with the shape of the face.. In addition to medical skills, this type of cosmetic surgery also requires artistic skills and experience. In addition to this, proper and precise cartilage grafting by a skilled plastic surgeon, along with proper maintenance, will reduce deformation or corruption of the grafted tissue and thus improve the result. rhinoplasty will end. It can also be said that by performing surgery and cartilage grafting by a more experienced plastic surgeon, some of the consequences of rhinoplasty surgery, such as bleeding, tissue swelling, and the appearance of a bad nose, will be reduced..
Therefore, despite the difficulty and many problems of cartilage transplant surgery, it can be said that currently and with today's technology, this type of rhinoplasty surgery is the best and most effective way to جراحی زیبایی or nose correction. Undoubtedly, without using this type of cosmetic surgery, only a few people will be satisfied with the result of their nose cosmetic surgery.

Dr Behnam khorami

Jaw surgery specialist

Care for nose surgery

Care for nose surgery

Care for nose surgery

  • Preoperative nasal care

Before surgery, nose surgery care is required that the applicant should be given to them to have a better recovery period. The following points should be considered before surgery is named nose. Note, however, to get more detailed information should consult with your doctor.

1.) Two weeks before the operation should use aspirin.

2.) Tobacco and nicotine causes constriction of blood vessels as well as impaired blood circulation, so at least 2 weeks before surgery of the nose to avoid it.

۳) 8 hours before surgery, avoid eating or drinking.

4.) The day before surgery, drink plenty of water.

5) Take a shower the night before surgery. In addition to the body clean of any makeup and lotions and creams can also help to relax mandatory.

۶) If you nail it clear.

۷) Make sure way to achieve that is to go to the clinic or hospital to check up on the day of surgery not stress.

۸) On the day of any ornaments should be with you.

۹) Do not eat or drink on the day of surgery isolated.

۱۰) Tests and your medical records with you on the day of surgery.

The first 24 hours after surgery are the most difficult times of recovery. During this period the effect of anesthetic drugs is not gone yet. This time may be a little headache, swelling, bruising and nosebleeds Experience. Better this time person just rest and take painkillers prescribed by the doctor. Then all the tips you need to follow after you've brought nose.

1.) The best time for bathing after surgery, ask your doctor nose.

2.) At least 24 hours after the procedure a cold compress around the nose and under the eyes to reduce swelling and bruising .

۳) Up to 24 hours of mixing liquids and foods and soft. Eating foods and fruits that need to be chewing such as carrots and apples and avoid.

4.) Traveling by plane in the first days after the surgery is not recommended.

5) Open mouth to nose with sneezing or coughing burdened.

۶) Finn and fear because of the pressure to nose bleeding may be.

۷) Laughing and talking too much in the first few weeks do not.

۸) Do not eat salt.

۹) Foods that help to reduce swelling of the face do not neglect. Pineapple juice, aloe vera and celery can help reduce facial swelling. Celery juice to improve the taste you can mix it with carrot juice.

۱۰) When rest and sleep a few pillows under your head.

۱۱) Use a soft toothbrush.

۱۲) Two months of eyeglasses or sunglasses should be. You can replace the lens.

۱۳) The first few weeks of down and throw the heavy lifting, as well as extreme sports activities not.

۱۴) It will take time for the swelling to decrease and the skin of the nose to adhere to the skeleton, so the swelling on both sides of your nose will definitely be different, even if both sides are treated the same.. So do not be concerned.

۱۵) Taping to reduce skin inflammation and hang the skeleton is expected to be taken later in the taping of the nose.

۱۶) In the days and months after rhinoplasty nose is not so obvious you do not let other people's judgment.

Dr Behnam khorami

Jaw surgery specialist

Inconsistent treatment of jaw and facial disfigurement benefits

Inconsistent treatment of jaw and facial disfigurement benefits

♦ Improve oral and dental activity ( The biting and chewing)

♦ Improving the appearance of the face and teeth and increasing its beauty

♦ Long-term improvement of health-related quality of life, oral health-related quality of life and psychological functioning

Maxillofacial Surgery Benefits

• Chewing and biting are easier and the whole chewing process is improved.

• Excessive wear and breakage of teeth during life is minimized.

• The imbalance of the face is corrected, the lack of chin development, the lower teeth being more forward than the upper teeth, the upper jaw being more backward than the lower jaw, and the upper jaw teeth being covered by the lower jaw teeth are improved..

• The balance of the middle or lower parts of the face is corrected.

• A gummy smile in which the lips are not fully closed or pulled upwards and many areas of the gums are showing will improve..

One of the advantages of jaw and mouth surgery is to make chewing and biting easier.

side effects Mouth and jaw surgery

Nerve damage

After jaw cosmetic surgery, temporary numbness of the chin, tongue, and gums due to bruising of the chin nerves is common.. In rare cases, the numbed area remains numb.

Damage to the teeth

If the teeth are not thoroughly cleaned, or during orthodontic treatment, drinks and acidic or sweet foods are consumed, the surface of the tooth is irreversibly damaged..

Relapse

The tooth and jaw may recur to a greater or lesser extent after the treatment is completed ( return to the initial state.) To minimize this tooth movement, patients are given retainer wires.

Dr Behnam khorami

Jaw surgery specialist

The impact of surgery on the jaw, face and nose

The impact of surgery on the jaw, face and nose

Jaw surgery:

Jaw surgery is typically done practical reasons or performance. The reasons are:: How to reform and improve the work of a jaw and teeth bite together.

Most people perform jaw surgery for these reasons, but this surgery also has advantages in terms of aesthetics. Common features of the profile of people with this disease include noses that may appear too large in relation to the face, or chins that are backward or small and "weak".. In this case, jaw surgery to bring forward the bottom of the chin gives more balance to the person's profile and makes the nose look a little smaller and the chin more prominent..

In people whose upper jaw is not developed enough, the nose may be too big compared to the face or the lower jaw may be forward. Moving the upper jaw forward corrects the bite problem and moving the face forward makes the facial features more obvious and noticeable.. In some cases, moving the upper jaw forward can cause the tip of the nose to rise slightly, which is unpleasant for some patients.. Meanwhile, during upper jaw surgery, some people add cheek implants to make the face more defined.

Looking in the mirror and not recognizing the person staring back at you can be very stressful. By performing jaw surgery, we will not immediately see the results of the operation because the face is very swollen after the operation. As the swelling subsides, the new face begins to appear with subtle or major changes. Most of the time, people are satisfied with the beauty of surgery results, but in some cases, they are not satisfied with the change in their appearance.

Dr Behnam khorami

Jaw surgery specialist

Treatment of bone graft

Treatment of bone graft

When jawbone is atrophied and there is no possibility of surgical implants, bone graft to rebuild the jaw assistance . The purpose of bone grafting in the jaw is that the process of welding the implant to the jaw takes place correctly . By protecting the jaw, bone grafting surgery makes teeth stronger and longer .

Requirements bone in the jaw bone graft from the patient's own body or other resources can be provided . What is the form of bone supply, it is the origin of three conventional methods in bone grafting surgeries in dentistry . We will briefly mention these three cases as much as possible :

1 – Dental implants and autograft

In this form of bone grafting, the bone is obtained from the patient and is transplanted to the desired bone . In autograft, bone removal surgery is performed, although this feature can be considered as a limiting factor, but it should also be taken into account that since the removal is done from the person's own body, the chance of success in this method is high and the possibility of transmission is high. Disease in this method is equal to zero .

2 - Dental implant and allograft

In this method of bone grafting, the bone is obtained from another person . Freezing and sterilization is an operation that is performed on the bone after removing the bone . Dentist Farhoudi says that because this bone is tested, the possibility of transmitting diseases such as AIDS in this way is zero. .

The disease may be passed or in the process of treating the problem of rejection of the recipient to be treated .

3 Dental implant and xenograft

This link is a link animal . Animal bones are used in this method . Before transplantation, bone proteins are separated .

Although this method is less common but more of a way of cow bone used in dental implant surgery .

Lack of bone and impossible to use in large defects, defects of this method are . However, the ease of xenograft bone graft, no need for a second surgery to harvest bone and lack of transmission, all the benefits are xenograft .

Dr Behnam khorami

Jaw surgery specialist

Transplantation of bone

Transplantation of bone

Autograft

Bone autograft from the patient's own body part is removed and grafted to another place. This requires two types of bone graft surgery. One to remove the bone from the affected area and the other to place the bone in the treated area.
Suitable areas for bone extraction included:

• Chin or ramus in mandible(The back of the mandible)
• hip or tibia (Tibia)
Although jaw bone grafting in this procedure requires hospitalization and anesthesia for surgery, it should be noted that bone removal from the patient's own body is an advantage and increases the chances of success.. Also, the possibility of disease transmission in this method is equal to zero.

آلوگرافت‌

In jaw bone grafting, the bone required for transplantation is obtained from the body of a deceased person, which has been processed in a laboratory. ( Freezing and sterilization) And is kept in Baft Bank. This option can be used if the patient does not want to remove the bone from his body.
The advantage of this method is easily accessible and does not require a second surgery. During clinical trials for bone allograft, positive and conclusive evidence is obtained and has an excellent safety results. In some cases, there is a possibility of transmitting the disease, infection or not accepting the recipient.

Zenograft

In the xenograft bone for transplant, the sterilized bone mineral natural and all organic materials have been removed, is used. Today, the use of bovine bone as a graft material has become common in most oral surgeries and has been proven and proven as a reliable technique for many years..
Disadvantages of this method include the lack of ossification and the impossibility of using it in large lesions. However, the ease of bone grafting with this method, the lack of need for secondary surgery to remove the bone, as well as the absence of disease transmission, are all advantages of xenografts..

Alloplast

In the alloplasty method, synthetic materials are used to form bone. These substances stimulate some cells in the body to grow into bone without a transplant. Allograft or xenograft bone graft transplant is less effective Lvplast, but it is also less risk of infection.

Jawbone transplant complications

After surgery the patient may experience the following::

• Pain and Bleeding
• swelling surgery
• tooth sensitivity to cold and heat
• possibility of decay in the tooth root

Dr Behnam khorami

Jaw surgery specialist

What is Maxillofacial Surgery Complications?

What is Maxillofacial Surgery Complications?

In general, an experienced and skilled jaw surgeon examines all the complexities of the jaw and face structure well and then performs jaw surgery.. So the skill of the jaw surgeon is the most important cause of complications. However, we will explain some of the problems and complications of jaw surgery in the following article.

• Bleeding

Minor bleeding after jaw surgery is normal and you may experience nosebleeds one to two weeks after jaw surgery. Bleeding into the soft tissue leads to bruising and can be very extensive. In the early stages, the bruise covers the jaw, but if it spreads, it will also cover the lower neck and upper chest..
Unusual bleeding is when a blood transfusion is required during surgery, however, sometimes a patient may need a blood transfusion. Some patients donate their blood before surgery and use it if needed during surgery.

• Infection

In all surgeries, there is a possibility of infection, that is why you will be given antibiotics both during and after the surgery, so that if an infection occurs, it can be easily treated..

• Numb

After jaw surgery, you will experience numbness in the areas around the jaw. If the upper jaw has been operated, the top of the teeth will be numb, and if the lower jaw has been operated, the lower lip and chin will be numb, and when the nerve fibers in Now they are improving, you will face a tingling sensation. Feeling normal will usually return in 6 months or less.

• Nasal congestion

Nasal congestion can be caused by the tubes placed inside the nostrils during surgery or it can happen after upper jaw surgery. When the nose becomes congested, it can be cleared by special nasal cleaning sprays. fixed the problem. Cotton dipped in warm water can also be useful for removing nasal secretions. Nasal congestion will usually continue for one to two weeks after the surgery and then it will go away.

• Weight Loss

At the beginning of the post-surgery period, a weight loss of up to 2.5 kilos is expected. In most cases, weight loss is due to loss of appetite, which is related to wearing elastics. After the first week, your appetite should improve enough to compensate for the weight loss..

• Jaw stiffness and jaw joint noise

After orthognathic surgery, the jaw joints will be stiff for several months. The best exercise to overcome joint stiffness is normal jaw activities such as chewing. Sometimes there may be a grinding sound in the joints when the jaw begins to move.. These sounds may be permanent but do not affect the use of the jaw.

• Swelling

Swelling is a characteristic of the recovery period after jaw surgery. Putting ice on the face for the first 48 hours is effective in reducing swelling. After that, external heat in the form of heating pads or warm compresses helps to reduce the swelling.

مراقبت های لازم پس از انجام Jaw surgery

• It is recommended that the patient take absolute rest after jaw surgery.
• Avoid eating hard and chewy foods.
• After 6 to 8 weeks, normal foods can be consumed.
• Smoking is prohibited.
• Avoid doing any heavy activities.
• Medicines prescribed by the doctor should be taken on time.
• Use a cold compress to reduce swelling .
• Use salt and water solution for washing and disinfection.
Avoid brushing your teeth for a day.

Dr Behnam khorami

Jaw surgery specialist

Is surgery can be dangerous polyps?

Is surgery can be dangerous polyps?

The risk of bleeding from the nose and black eye due to damage to the lining of the nose there.

Entering medical devices into the nose can be dangerous for the eyes and muscles.

And to harm them.. Getting these tools in the skull, causing leakage of fluid from around the brain..

Of course, all of these complications are very rare. .

And the occurrence of such events is usually to help prevent a CTscan.

Have nasal polyps grow again?

Unfortunately, removing polyps does not always prevent them from growing back. They may take a few years to grow back after surgery.

If necessary, surgery can be repeated again..

Sometimes using steroid nasal sprays regularly can prevent recurrence of nasal polyps.

Dr Behnam khorami

Jaw surgery specialist