Rhinoplasty for the Bulbous Nose: What You Should Know to Get the Best Results

The nose is a prominent facial feature, and certain characteristics can make it even more prominent. A bulbous nose is a common nasal complaint where the tip of the nose is rounded and enlarged. Rhinoplasty for the bulbous nose refines the tip, creating harmony within the nose and enhancing your facial appearance. When your nose isn’t stealing all the attention, people can see you, not just your nose. Contact Dr. Fleming to schedule your Beverly Hills Rhinoplasty consultation. What Is a Bulbous Tip? A bulbous tip occurs when the tip of the nose is enlarged and rounded in appearance. What causes a bulbous tip? Genetics are a primary cause of a bulbous tip, but some people develop this feature later in life. Men are more likely to have a bulbous tip than women. Causes of a bulbous tip include: Poorly defined cartilage Weak cartilage strength Heavy soft tissue coverage Thick nasal skin Some medical conditions and lifestyle practices Reshaping the Bulbous Tip: How Rhinoplasty Helps Rhinoplasty is a procedure that involves reshaping the nose. Patients with a bulbous tip can benefit from rhinoplasty for a more attractive nasal tip. Dr. Fleming uses several techniques to refine and shape the bulbous tip including: Cartilage Removal and Shaping Cartilage from the nasal tip is removed and the remaining cartilage is reshaped. This shaping reduces the size and roundness of the bulbous tip. Suturing to Create a Sharper Nasal Tip Specialized suturing techniques that bring the nasal tip into a more pointed shape.

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24 Hours to Rhinoplasty: How to Properly Prepare for Surgery

Surgery day is almost here. Just 24 hours separate you and your new nose. Make the most of your final day before surgery by tackling these last-minute preparations. A little work before surgery makes for an easier recovery after. Stock the Fridge Right after surgery, you’re not going to want to cook, but you’re still going to need to eat. Stocking up on healthy staples and possibly preparing a meal or two that you can easily reheat will make eating right so much easier during recovery. Some patients feel nauseous after anesthesia and when using pain medications. Make sure you have some bland, comforting foods on hand. Broth, plain rice, crackers, and bananas are popular choices for an upset stomach. Some patients find ginger candies or tea comforting. Fill Your Prescriptions Most patients require a few prescription medications during recovery. Dr. Fleming may ask you to take antibiotics or pain medications as you heal. If you’ve received prescriptions, fill them and pick them up before surgery. Finalize Transportation You won’t be able to drive home after surgery. The day before your rhinoplasty, double-check with your ride and finalize your plans. Your ride should drop you off at the surgery center at check-in time. Then, they can return to pick you up several hours later. Choose a trusted adult for this important role. You’ll also need a ride to your first follow-up appointment the day after surgery. Take a Shower We ask rhinoplasty patients to avoid getting their nasal splint wet

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Dr. Fleming Featured on eHealth Radio Network to Discuss Rhinoplasty Surgery

It’s important to know the pre and post care of a Rhinoplasty procedure, and it can help put you at ease knowing what will be required. Dr. Richard W. Fleming, an expert Plastic Surgeon in Beverly Hills, CA. joins eHealth Radio and the Plastic Surgery Information Channel to discuss what to expect before and after rhinoplasty surgery. Listen to interview with host Eric Michaels & guest Dr. Richard W. Fleming discuss the following: How long does it take to recover from a rhinoplasty? How should patients prepare for a rhinoplasty surgery? What makes your known for your expertise and skill with the rhinoplasty procedure? How long does the surgery take? Do you perform revision and ethnic rhinoplasty in addition to traditional rhinoplasties?

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6 Cosmetic Nose Issues Rhinoplasty Can Fix

Rhinoplasty can help enhance your appearance and correct many health issues. Learn about 6 reasons to consider having a rhinoplasty with The Beverly Hills Institute! Interested? Contact us for a consultation or call us at 310-278-8823.

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The Masculine v. Feminine Nose: Rhinoplasty and Facial Feminization

Nose reshaping surgery can be an important part of redefining the body during gender transition. The nose exhibits strong masculine and feminine characteristics. Rhinoplasty as part of facial femininization surgery can improve aesthetic outcomes and help patients to achieve the more delicate, feminine facial appearance they desire.  We realize that the decision to transition is a difficult and emotional one. Dr. Fleming and the staff at The Beverly Hills Institute of Aesthetic & Reconstructive Surgery are here to provide information and support as you take your next steps in this transformative process.  How Are Masculine Noses and Feminine Noses Different? Every nose is different, but masculine and feminine noses often have characteristics that differentiate one from the other. Not every feminine nose will have every feature on the list, nor will every masculine one. The goal of facial feminization surgery is to remove some of the masculine characteristics from the nose and add in more feminine ones.  How do masculine and feminine noses differ? In general, a masculine nose is: Larger overall 90-degree angle between the nasal tip and the lip Wider, straighter nasal bridge Female noses may have: Smaller size Lower bridge Shorter nose More tip definition Remember, a beautiful nose on one patient could look out of place on another. Dr. Fleming always customizes his approach to create a nose that is uniquely yours and in balance with your other facial features.  How Does Rhinoplasty Create a More Feminine Nose? Rhinoplasty is one tool we use in facial

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5 Subtle Ways Ethnic Rhinoplasty Achieves Facial Harmony

Rhinoplasty is a transformative procedure that improves facial harmony and enhances appearance. The size and shape of your nose are determined by your genetics, with ethnicity playing a major role in the features and characteristics of your nose. Ethnic rhinoplasty is a specialized type of rhinoplasty that honors the subtle differences in nasal anatomy between ethnic populations, seeking to create beautiful results for patients from every culture around the world.  Learn how ethnic rhinoplasty creates facial harmony through subtle variations in nasal appearance.  Proportion One-size-fits-all is a lie. Our bodies come in every shape and size, and one set size just can’t accommodate everyone. This is especially true for rhinoplasty. Your ideal nose isn’t a specific size, but it should be proportionate to your other features. If you have a large face, a larger nose will complement it. Smaller features? You’ll likely need a more delicate nasal appearance.  Ethnic rhinoplasty brings the nose into proportion with your other facial features. This can be accomplished by adding volume or removing volume from the nose.  Symmetry Symmetry in nature is beautiful. Rhinoplasty can improve facial symmetry. Many of our ethnic rhinoplasty patients have asymmetry from previous nasal injuries or surgeries. Nasal surgery can create more a more symmetrical facial shape.  Balance Bold is great for a new top, not so great for a nose. Facial appearance generally works best when facial features play as a team, with no one stealing the show. When a nose has very distinct characteristics, like flared nostrils

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3 Ways Forehead Reduction Can Dramatically Improve Your Appearance

The human face is divided into three sections – the upper, mid, and lower. Although the way different people perceive beauty does vary between cultures, a common trait among “beautiful” people throughout the world is a face that is well-proportioned. As such, patients who have a long forehead or a receding hairline can sometimes struggle with feeling less attractive. Forehead reduction surgery is a safe and effective procedure that brings the face into a better proportion. Also known as hairline-lowering or hairline advancement surgery, forehead reduction surgery can improve your appearance in a number of ways. Forehead Beauty Scientists explain that the forehead exists in its bare state so that humans can clearly convey emotions. It’s our eyebrows and forehead muscles that reveal surprise, confusion, anger, and more, after all. With all of this muscular flexing going on, however, the forehead becomes wrinkled more quickly than other parts of the face. Expressive people actually have deeper forehead wrinkles than those who keep their emotions in check. A forehead reduction addresses these signs of aging. How a Forehead Reduction Improves Appearance 1) Diminish Wrinkles and Frown Lines During a forehead reduction, a portion of the forehead skin is removed, and the hairline is pulled forward. Not only does this visually reduce the size of the forehead, it stretches the skin, eliminating wrinkles.  In this case, a forehead surgery improves your appearance twofold – by giving your face better proportions and also restoring a youthful appearance to the upper third of your

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Rhinoplasty 101: Everything You Need to Know about the Dorsal Hump

Actors Adrian Brody and Sarah Jessica Parker rely on their dorsal humps to win them unique roles, but you’re most likely not auditioning for the next quirky comedy.  As the center point of our face, the shape, and the size of our nose play a significant role in our appearance and the first impression we make. The largest and most prominent component of the nose is the nasal dorsum, a region of bone and cartilage that runs from between the eyes to the nose tip. Whether due to genetics or injury, the nasal dorsum can become enlarged, humped, and aesthetically unpleasing. In the rhinoplasty specialist’s office, dorsal hump surgery is one of the most common requests. What is the Dorsal Hump? Commonly referred to as the nose ‘bridge,’ the nasal dorsum connects the tip of our nose to our face. An enlarged nasal dorsum is frequently referred to as a dorsal hump, as bone or cartilage along the bridge forms a bump or pronounced nasal shape. A hump on the top of the nasal bridge is typically boney. A hump lower down consists mostly of cartilage. The shape of our nose, and particularly the bridge, heavily influence the character of our entire face. As such, when the nasal dorsum develops a dorsal hump, it impacts the aesthetics of the face, particularly when viewed from the side. For two reasons, it is vital that you consult only a highly experienced and specialized surgeon about the rhinoplasty techniques available to you. The nose

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Fillers or Fat Transfer: Which Is Better for You?

You’d like to soften lines and wrinkles on your face or fill in areas that have hollowed as you age — under the eyes or in the cheeks. And you’re not yet ready to consider a surgical treatment like a facelift or brow and forehead lift. You’ve heard that both dermal fillers and fat transfer can erase facial creases and restore lost volume. So how do you choose? Which treatment is right for you? It’s true that both dermal fillers and fat transfer, which we call liposculpture, can add volume to areas that, as part of the aging process, have lost substance beneath the skin. And it’s true that both treatments can soften wrinkles and facial creases to restore a more youthful look. But there are important differences between the two approaches. How Dermal Fillers Work — Their Pros and Cons Injectable dermal fillers are a quick and relatively inexpensive treatment. Most are composed of hyaluronic acid, a substance that occurs naturally in the body, primarily in bone, cartilage and skin. Juvaderm and Restylane are hyaluronic acid fillers, and both come in different formulations for use in filling smaller or larger areas.  These hyaluronic acid fillers deliver immediate results. You may have a little swelling at first, but that disappears in a matter of hours. The volume enhancement and wrinkle-filling effects don’t take time to develop, as some other treatments do. But the fillers are also gradually reabsorbed by the body, so the effect of the treatment fades with time.

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How Selfies Help and Harm Your Plastic Surgery Consultation

Selfies can be a helpful tool or an unhealthy influence as you consider plastic surgery.  It wasn’t so long ago that prospective patients came to plastic surgery consultations with pictures of celebrities, pointing to aspects of the star’s appearance that they admired and wanted to emulate. The patient would look in a mirror and point out the flaws they hoped plastic surgery could correct.  Now, more and more patients bring in selfies to show what they hope to change with plastic surgery, often doctored images with idealized versions of themselves. Now it’s not just celebrities who can have airbrushed images of themselves. With filters on Snapchat and Instagram and inexpensive apps like Facetune, anyone can change their looks in selfies.  How Selfies Can Be Helpful in a Plastic Surgery Consultation The best candidates for plastic surgery have clear and realistic expectations about what a procedure can do for them. They understand the positive changes it can bring, but also its limits and potential risks. Used well, selfies can be a useful tool in explaining to the surgeon the changes you’d like to make in your appearance — what flaws you would like to correct. Even appearance-enhancing filters can be helpful in this conversation. They can help you show the doctor the look that you are seeking. Talking about selfies can be a way to communicate your desires. And it allows the doctor to explain how plastic surgery can or cannot deliver those ideal results. As part of a good consultation,

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Your Chin Augmentation Decisions: Implants vs. Filler

Your chin is the border to your lower face. It creates a distinct line that separates the face and neck. A weak chin throws the other features out of balance. It can make your nose look larger than it is or can cause your face and neck to blend together.  Chin augmentation can improve the appearance of the entire face. This procedure brings the facial features into balance.  Ask us about chin augmentation in Beverly Hills, CA. To learn more or schedule a consultation, call our office at 310-278-5523.  Your Options for Chin Augmentation Dermal fillers and chin implants are your two options for chin augmentation in Beverly Hills, CA. Dr. Fleming is experienced performing both procedures and creates natural-looking results for his patients using both surgical and non-surgical methods for chin enhancement.  Fillers- One of the easiest ways to augment the chin is to use an injectable dermal filler, like Juvéderm®. Dr. Fleming injects the product into the chin, using these synthetic fillers to create shape and structure. Results are temporary, but most of our patients enjoy an improvement in their appearance for 1-2 years after treatment. Results can be maintained with follow-up injections as needed. Dermal fillers offer immediate improvement with no downtime. They are a non-surgical option for chin enhancement. Implants- A chin implant is a permanent solution to a weak or undefined chin. In a surgical process, an implant is inserted into the chin and carefully secured in place. The size and shape of the implant

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Rhinoplasty 101: Everything You Need to Know about the Dorsal Hump

Actors Adrian Brody and Sarah Jessica Parker rely on their dorsal humps to win them unique roles, but you’re most likely not auditioning for the next quirky comedy. As the center point of our face, the shape, and the size of our nose play a significant role in our appearance and the first impression we make. The largest and most prominent component of the nose is the nasal dorsum, a region of bone and cartilage that runs from between the eyes to the nose tip. Whether due to genetics or injury, the nasal dorsum can become enlarged, humped, and aesthetically unpleasing. In the rhinoplasty specialist’s office, dorsal hump surgery is one of the most common requests. What is the Dorsal Hump? Commonly referred to as the nose ‘bridge,’ the nasal dorsum connects the tip of our nose to our face. An enlarged nasal dorsum is frequently referred to as a dorsal hump, as bone or cartilage along the bridge forms a bump or pronounced nasal shape. A hump on the top of the nasal bridge is typically bony. A hump lower down consists mostly of cartilage. The shape of our nose, and particularly the bridge, heavily influence the character of our entire face. As such, when the nasal dorsum develops a dorsal hump, it impacts the aesthetics of the face, particularly when viewed from the side. For two reasons, it is vital that you consult only a highly experienced and specialized surgeon about the rhinoplasty techniques available to you. The nose

Read More »

3 Ways Forehead Reduction Can Dramatically Improve Your Appearance

The human face is divided into three sections – the upper, mid, and lower. Although the way different people perceive beauty does vary between cultures, a common trait among “beautiful” people throughout the world is a face that is well-proportioned. As such, patients who have a long forehead or a receding hairline can sometimes struggle with feeling less attractive. Forehead reduction surgery is  safe and effective procedure that brings the face into a better proportion. Also known as hairline-lowering or hairline advancement surgery, forehead reduction surgery can improve your appearance in a number of ways. Forehead Beauty Scientists explain that the forehead exists in its bare state so that humans can clearly convey emotions. It’s our eyebrows and forehead muscles that reveal surprise, confusion, anger, and more, after all. With all of this muscular flexing going on, however, the forehead becomes wrinkled more quickly than other parts of the face. Expressive people actually have deeper forehead wrinkles than those who keep their emotions in check. A forehead reduction addresses these signs of aging. How a Forehead Reduction Improves Appearance 1) Diminish Wrinkles and Frown Lines During a forehead reduction, a portion of the forehead skin is removed, and the hairline is pulled forward. Not only does this visually reduce the size of the forehead, it stretches the skin, eliminating wrinkles. If the patients brows are low they can simultaneously be elevated to overcome tired appearance. In this case, a forehead surgery improves your appearance twofold – by giving your face

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Ethnic Rhinoplasty

Ethnic Rhinoplasty in Beverly Hills–Dr. Richard Fleming Your ethnic heritage is part of your unique beauty. The shape of your eyes, lips, and nose should reflect your background while demonstrating aesthetic balance and harmony. When pursuing cosmetic nose surgery (rhinoplasty), it’s therefore essential to select a surgeon who has experience operating on patients of your ethnicity. At his Beverly Hills clinic, board-certified rhinoplasty specialist Dr. Richard Fleming performed rhinoplasty on patients from around the world. Over the span of his 25-year career, he’s pioneered innovative rhinoplasty techniques capable of achieving each patient’s goals while respecting distinct identity. To learn more about Dr. Fleming’s approach to ethnic rhinoplasty and view results of his past work, contact the Beverly Hills Institute at (310) 278-8823. What is Ethnic Rhinoplasty? Ethnic rhinoplasty is not a single procedure. Instead, this term refers to the practice of adjusting rhinoplasty methods on a case-by-case basis to flatter the patient’s individual features while honoring his or her ethnicity. These adjustments in technique are necessary because there are structural differences between Caucasian, African-American, Asian, Middle Eastern, and Hispanic noses. Using the same rhinoplasty methods on patients from all of these groups produces inferior, unattractive results. Understanding the Role of Ethnicity in Rhinoplasty Surgery Ethnic variations in nasal structure go beyond the shape and projection of different noses. While it’s true that people of African-American, Asian, and Hispanic descent often have noses that are more broad or flat than the typical Caucasian nose, there are other, less visible differences to

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We’re Back!

The renovations are complete in our original office, and we look forward to seeing our patients again in our beautifully remodeled space! Ready for your consultation? Call us at 310-278-8823 or schedule a consultation here!

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Los Angeles Times Article

By Dr. Richard Fleming This is a very interesting and well-written article from the Los Angeles Times, which discusses the popularity of rhinoplasty for Iranian women. In our practice at the Beverly Hills institute, we have been privileged to perform rhinoplasty surgery on many Iranian women patients, and our experience has been quite similar to that described in the Times article. That is, almost all of these patients seem to feel that their “quality of life” has been greatly improved by this procedure. Thus, it is a “win-win” situation ( for both the patient and the surgeon) in that it is truly gratifying for our surgeons to have these patients, in their “follow up” visits with us, express their enthusiasm and satisfaction with their surgical results. (On a side note, we should observe that an additional “bonus” for we surgeons is that these Iranian women are generally so pleasant and so interesting –and fun–to work with, that this in some way also contributes to the success of these surgeries.) — Dr. Richard Fleming

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Social Media’s Influence on Plastic Surgery

By Devin Swift The number of requests for plastic surgery is increasing year after year, and one primary reason is the growth of social media. A poll conducted by the American Academy of Facial and Reconstructive Surgery shows surgeons are seeing more than a 30 percent increase in the number of patients interested in plastic surgery to improve their image on social media. Social media, particularly the “selfie”, has dramatically increased self-awareness translating into more patients seeking to improve their appearance. This trend was first documented in 2013 but continued into 2014 and by all accounts will increase throughout 2015. The advent of a device called the “selfie stick” – an extendable metal rod that attaches to a smartphone and allows for a wider variety of selfie shots – has only further promoted the self-awareness that leads to more plastic surgery requests. Another new wave of technology having an impact on plastic surgery trends are smartphone apps that can be used to alter images to create a different appearance. These apps can be as simple as a filter that changes the shading on an image, or they can apply artificial makeup and remove wrinkles. The plastic surgery procedures so far seeing the largest increase in numbers attributed to the selfie craze include rhinoplasty, hair transplants and eyelid surgery. Each of these procedures and many more are capable of providing a rejuvenated appearance and even addressing very specific cosmetic concerns. However, it is important to remember that plastic surgery isn’t right

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Obsession with Celebrities Physical Features

By Devin Swift An increasingly large number of people seeking plastic surgery are doing so in an attempt to mimic the appearance of celebrities. In 2014, 13 percent of surgeons surveyed by the American Academy of Facial Plastic and Reconstructive Surgery reported an increase in requests for celebrity procedures, up from three percent in 2013 and seven percent in 2012. The increase isn’t much of a surprise considering how much media exposure for celebrities in general has grown in recent years. Social media and expanded television coverage gives people more opportunities to see the celebrities they hope to emulate in appearance and more examples to request from their surgeons. In 2014, the most commonly requested celebrity features included Angelina Jolie’s lips and cheekbones, Beyoncé’s facial structure, Kim Kardashain’s eyes and jawline, Brad Pitt’s nose and Natalie Portman’s nose. Other celebrities rumored to have commonly requested features are Jennifer Lawrence and Julia Roberts. Lawrence for her nose and Roberts for her grin. Celebrity features are commonly requested in Beverly Hills plastic surgery offices, but the request for a celebrity feature is less common than a patient requesting a specific alteration to their appearance. It’s also important to remember that simply changing the appearance of one part of the face or body to resemble another person’s will not provide the same level of recognition. It’s fairly common for Beverly Hills plastic surgery patients to reference a certain image of a celebrity for an idea of what they would like from their procedure

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