MDNews - Central New Jersey

exists for lower eyelid and midface rejuve- nation. Fillers like Juvéderm are injected to these regions as an office procedure with no downtime and yield immediate results that last one to two years. Rhinoplasty Like blepharoplasty, the conceptual underpinnings of rhinoplasty have evolved in the last 40 years. Its initial reductive focus, in which surgeons removed cartilage, bone and septum from the nose, has changed to emphasize preservation. Rhinoplasty's new look offers patients the benefit of a more appealing aesthetic with functional improvement. When patients have a deviated septum, surgical correction improves breathing. There are two primary approaches to rhinoplasty: endonasal and open. Dr. Asaadi is proficient at both modalities and stresses the importance of versatility. "The surgeon must be able to perform both endonasal and open rhinoplasty," he says. "Many surgeons do one or the other, but to tailor the surgery to individual patients, it is important to be skilled in both." The endonasal approach is best for correcting deviated septums and nasal valve stenosis, as well as for patients who have never undergone nasal surgery and do not have a difficult tip problem. This method gives surgeons better control over the tip of the nose and facilitates nasal grafting — a process made easier if septum cartilage is not obscured by scar tissue from previous operations. If septum cartilage is unavailable, cartilage from the ear or ribs is used to construct grafts that reshape the nose. Open rhinoplasty is the optimal method for addressing the needs of patients who have had previous nasal surgery, considerable scarring from prior injury, underprojected/overprojected nasal tip or asymmetrical tip cartilages. For open procedures, an incision is made along the columella. When patients seek a solution for an asymmetrical nose tip with a hump on the nose, Dr. Asaadi uses the open approach to perform a tip projection procedure that achieves excellent results without removing the hump from the nasal anatomy. Breast Reconstruction Dr. Asaadi applies the same atten- tion to detail to breast augmentation and reconstruction surgery as he uses in rhinoplasty and blepharoplasty. As women age and the skin loses its elastic- ity, breasts can lose their firmness and shape. Pregnancy can accelerate this process, and many women seek help to address normal anatomical changes to the breasts during and immediately following pregnancy. Dr. Asaadi offers several solutions to restore shape and tone to the breasts. Some women may only need augmen- tation, which increases breast size; some require mastopexy, which lifts and firms the breasts; and some benefit from a combination. Implants may be inserted in conjunction with mastopexy to restore size and firmness. Because it Dr. Asaadi performs facial skin laser resurfacing as an office procedure with the help of his assistant. Dr. Asaadi injects facial fillers to the lower eyelids and face for instant rejuvenation. The results are seen immediately with no down time, and patients return to their normal daily activities. M D N E W S . CO M ■ MD NEWS Central New Jersey | 7

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