Girls With The Mostest

Dr_Naderi · Posted: Tue May 22, 2007 11:41 am Post subject:

Well I guess I could start a new practice based on one patient as long as you come in 8 times a day for Botox! ooch

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Carissa21674 · Posted: Tue May 22, 2007 6:38 pm Post subject:

YOu'd need more than that.......the cost of living down here is sky high compared to Virginia. It's gotten so ridiculous that people have been leaving the state over the past 2 years.

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Dr_Naderi · Posted: Tue May 22, 2007 6:54 pm Post subject:

True but I never said just how much I would charge for Botox!!! say what
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[Online recommendations are not a substitute for actual live consultation and examination.]

Carissa21674 · Posted: Tue May 22, 2007 7:15 pm Post subject:

Good point. Well, Pandi....I think you're better off just taking a trip with the kids up to Virginia. Soak up some of the colonial atmosphere while you're there. DC, Williamsburg are both great.
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Carissa21674 · Posted: Tue May 22, 2007 7:33 pm Post subject:

Have you ever used Artefill, Radiasse or Restylane for the nose? Meaning if there was a very slight asymmetry and the patient didnt want any revision?
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Dr_Naderi · Posted: Tue May 22, 2007 7:41 pm Post subject:

Not Artefill but collagen or restylane or radiesse are fine as a temporary fix until a rhinoplasty is done. For example lets say a slight depression shows up 3 months post up. At that time a temporary filler can be used if the patient is truly bothered by the depressed area until the one year point when a minimal revision can be done to place a slice of cartilage in the area as the permanent solution to the problem.
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DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

Carissa21674 · Posted: Tue May 22, 2007 7:45 pm Post subject:

Hmmmmm....well, my ps had mentioned briefly using Artefill. I think b/c it's a permanent filler. Anyways, I think it looks like it's slightly asymmetrical due to the 2 bone spurs that are above it, if that makes sense. It doesnt in anyway shape or form affect my breathing and it doesnt interfere with my daily life or anything like that I was just pondering which would be more beneficial....

a filler to make the nose look symmetrical and leave the spurs as is or just nipping it in the bud and ridding myself of the bone spurs.
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PS procedures: BA, Lipo, Rhino

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Dr_Naderi · Posted: Tue May 22, 2007 9:28 pm Post subject:

Most Rhinoplasty surgeons do not recommend artificial material in the nose. Artefill has not been around long enough to know how it will do in the nose. Even the Artefill drug rep. comes to me for Restylane instead of Artefill if that tells you something! You don't want to be a guinea pig. Wait and then do the definitive procedure if needed. You can try a little cosmoderm or Restylane meanwhile if you wish but I would just wait.
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[Online recommendations are not a substitute for actual live consultation and examination.]

danielle06 · Posted: Fri May 25, 2007 4:56 pm Post subject:

Dr Naderi
What is your opinion on Thermage-thermacool. I would lie to firm up the skin on my inner thighs due to stretch marks. Is this procedure really able to give good results for the price??
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Dr_Naderi · Posted: Sat May 26, 2007 4:07 pm Post subject:

I have a Thermage machine in my office but I reserve it for people who are either too medically unstable to undergo surgery or just do not want surgery in any way/shape/or form or are willing to accept the potential subtle results Thermage may offer.

It is done pretty much the same way on every patient but some achieve great results and some hardly gain any noticeable results. The downside is that you may spend the money but not see much of a result but unfortunately you can't tell until you do it.

If money is no object then you may consider it. If you only need subtle tightening then you may consider it. It will not do anything to reduce actual stretch marks.

I cannot tell you anymore since I do not perform any body procedures and my partner who is a general plastic surgeon sees the body patients.

Good luck.
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DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

pandi · Posted: Sat May 26, 2007 4:17 pm Post subject:

just read the botox comment LMFAO .I needed that laugh.But hey, I do plan on that mid cheek lift and an eye lift. That oughta get ya started.
Seriously though,On the thermage, Im curious...I keep hearing that it really isnt worth the hype or the price. Is this true?

Dr_Naderi · Posted: Sat May 26, 2007 4:27 pm Post subject:

Again my theory is this: If done properly it can't hurt other than put a small dent in your wallet. If you have a deep pocket then you dont lose much by doing it and you may be pleasantly surprised. If you are saving up for a good cosmetic procedure and expect "surgical results" then dont waste time and money on Thermage.

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[Online recommendations are not a substitute for actual live consultation and examination.]

deleshish · Posted: Sat Jun 09, 2007 3:38 am Post subject:

sfsdfsdfsdf

Dr_Naderi · Posted: Wed Jun 13, 2007 1:48 am Post subject:

Its my pleasure.

Liposculpture is just a fancy word for liposuction. Do not be fooled by hyped terminology.

With that said, neck liposuction is a fantastic little procedure in someone with extra fat but not much loose or extra skin. If skin is the issue then a neck lift or a submentoplasty may be necessary. Sometimes a chin implant may also be a necessity to create a nice neck line in someone with a weak chin. These are all adjuncts to neck liposuction.

The fee is around $3-5k depending on who you see. The recovery takes 5-7 days although you will likely be bruised for up to 10-14 days or more. There is hardly any pain afterwards.

Hope this helped. Good luck.
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[Online recommendations are not a substitute for actual live consultation and examination.]

2gr8boys · Posted: Sun Jun 17, 2007 3:14 am Post subject:

Hello sir. I had septoplasty and sinus surgery a bit over a year ago. After the surgery my nose seems moreso off. I felt a good amount of relief as far as breathing for about four months post op. An ENT did the surgery because I went through my insurance and it was based on my ability to breath instead of cosmetic.
Since the surgery I feel like the tip of my nose is way off. Visually you only notice my deviated septum. It almost looks like I am missing some of the center between my nostrils. I truly believe the dr. didn't stitch it back straight enough.
If I had a PS would they be able to make sure that my nasal passages were clear. I still can tell that I am not breathing sufficiently through my right nostril because of the deviation. The ENT did not address this at all and mostly just cleaned my sinuses instead of correcting the misformed shape that caused the blockage.
Also would they unattach my nose from my septum and just make it straight. That seems like what is needed. My last surgery was done internally so I had very short recovery.

Thank you
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Dr_Naderi · Posted: Sun Jun 17, 2007 8:13 pm Post subject:

Hi,

You need to see a Facial Plastic Surgeon at this point. Facial Plastic Surgeons have trained in ENT surgery prior to their plastic surgery of the face fellowship making them ideal when it comes to aesthetic and functional (breathing) problems of the face.

Plastic surgeons have no training at all in the internal aspect of the nose and sinuses but the good ones can certainly address the aesthetic problems of the nose. On the other end, ENT surgeons have lots of training in internal nasal surgery (septum and sinuses) but most do not perform much cosmetic surgery although they are trained during their residency to do so and are Board Certified by the American Board of Medical Specialties to perform cosmetic (plastic) surgery of the face. But most do not.

When you have a functional and an aesthetic problem of the nose then the ideal specialist would be a good Facial Plastic Surgeon.

As far as your breathing problems: The septum is only a part of the resistance to airflow. Turbinates, internal valve and external valve are other areas that need to be evaluated. Your septum may have been a small part of the problem.

The septum and external nasal framework are connected so when one is deviated it can pull the other along with it. I sometimes see patients who have had too much cartilage removed from their septum which causes the septum to buckle or even collapse and result in an aesthetic and a functional problem.

Revision nasal surgery is always tricky and you need to seek an experienced surgeon. Good luck.
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[Online recommendations are not a substitute for actual live consultation and examination.]

Carissa21674 · Posted: Tue Jun 26, 2007 7:14 pm Post subject:

I'm sending you a PM.....
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2gr8boys · Posted: Wed Jun 27, 2007 2:23 am Post subject:

Thank you!

Yes, I had something done to my turbinates. He rattled off several things that I had no idea were. I just said, "Yes sir" and off to the OR I went.
As you said I think my issues are sorta a chain reaction of this and that.
I will definitely look in to finding a dr. that is a facial plactic surgeon. I had no idea there was a difference.
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Dr_Naderi · Posted: Wed Jun 27, 2007 10:32 am Post subject:

good luck. Let me know how things turn out.
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www.VirginiaFacialPlasticSurgery.com

www.VirginiaRhinoplasty.com

DrNaderi@VirginiaFacialPlasticSurgery.com

[Online recommendations are not a substitute for actual live consultation and examination.]

Carissa21674 · Posted: Sat Jun 30, 2007 10:59 am Post subject:

Since I"m about 8 months out now, I can start thinking of "touching up" a slight depressed area above midvault. Right now, I"m opting not to do cartilage and I definitely dont want Restlayne (too short acting for amount of pain).

So, if a patient came to you with this request....is there a filler you would recommend above all others and why?

If Artefill wasnt so new, I'd choose it but I'm leaning towards Radiesse but wanted to know if others worked as well.

Just out of curiosity.....do your patients have any real side effects from the injectable fillers when done on the face? If so, how long do they last?

Hope you and your wife are having a great weekend

_________________
34 y/o female
PS procedures: BA, Lipo, Rhino

[url=http://www.TickerFactory.com/]

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www.myspace.com/carissacnmt