Rhinoplasty Nasal Sculpting and the Nose Job

Your nose is the most prominent feature of your face. As a result, Rhinoplasty, also known as ‘nasal sculpting’ or more commonly known as a ‘nose job’ is one of the most common plastic surgery procedures performed today.

Perhaps you are considering Rhinoplasty for the following reasons:

1.    Maybe your nose does not tie in with your face. Perhaps it is too big or too broad or

2.    Maybe you have a hump on your nose that you’d like to have reduced or removed.

Below is a patient of Dr. Sharma’s that underwent Rhinoplasty to remove a hump on her nose.

This patient underwent Rhinoplasty to have a hump reduced on her nose. Notice how Dr. Sharma 's sculpting skills created a natural looking effect in the After photo.

If your nose does not fit your face, it can have a real impact on you psychologically. This issue can especially be a problem for teens and young adults. Be that as it may, we have seen patients seek Rhinoplasty in their 60's and beyond.

In these scenarios, our surgeons frequently perform Rhinoplasty to achieve facial balance and facial harmony. Your nose will look great from the front and from the side profile. Dr. Sharma will achieve results that look great from any angle!

Dr. Sharma will give you a nose that you'll be comfortable with from any angle. He has performed over a thousand nasal procedures and is very skilled in the art of nasal sculpting.

Perhaps you suffered nasal trauma recently or even many years ago. This type of trauma can adversely affect the appearance and function of the nose. Dr. Sharma often deals with patients who have suffered nasal trauma and fixed their noses so now they look even better than before!

Whether or not you have had an injury, you may have difficulty breathing through your nose. Dr. Sharma has extensive experience in dealing with both the aesthetic (beauty) and functional (breathing) portions of Rhinoplasty.

Depending on your nose, a Rhinoplasty procedure generally takes 1-2 hours to complete. Dr. Sharma prefers using general anesthesia so your airway will be protected during surgery. You will wear a small nasal cast for a week and return to work or school within that same time frame.

For best facial balance, Rhinoplasty is frequently performed with other procedures such as chin implants, neck liposculpture, lip augmentation or an eyelid procedure. 

Why Choose Dr. Sharma for Rhinoplasty?

Dr. Sharma is a Double Board Certified Facial Plastic Surgeon and has performed thousands of nasal procedures. He is comfortable with both open and closed techniques for Rhinoplasty. Why not seek the best possible result for the most prominent facial feature? Come and discuss your wishes for your ideal nose with Dr. Sharma.

Special Note: Revision Rhinoplasty

Dr. Sharma has a well-known reputation for helping patients that have not been happy with nasal procedures performed at other institutions. Revision Rhinoplasty requires special attention and significant experience. Dr. Sharma consistently provides outstanding results for Revision Rhinoplasty and first-time Rhinoplasty patients alike.

Contact Dr. Sharma's Coral Gables offices at (305) 456-5727. His offices are located at:

475 Biltmore Way

Suite 308

Coral Gables, Florida 33134

Facelifts and Necklifts in Coral Gables by Dr Vijay Sharma

Are you in your 40's or beyond? Are you concerned about the looseness of your neck and/or loss of jawline definition due to jowling? Do you have concerns about the smile lines between your nose and mouth? Are you dissatisfied by the way you look in the mirror, from the side, or in photos? Have you ever considered a cosmetic procedure to look and feel better but want to stay looking natural? If you answered yes to these questions, then let Dr. Sharma help.

These common concerns may be addressed with a facelift. Dr. Sharma is comfortable with multiple types of facelift procedures and tailors each patient's procedure to their specific needs, concerns, anatomy, and physiology. "In performing over 2,000 facelifts, I have come to appreciate the artistry involved in making people look younger and better with a natural appearance. We have all seen patients that look over-stretched or pulled. My overwhelming experience is that patients prefer to look well-rested and natural. Not wind-swept and not weird! In my office, I'm pleased to say, we consistently achieve outstanding natural appearing results."

In the video below, Dr. Sharma discusses the basics about facelift procedures.

A facelift is also known as a 'rhytidectomy.' The overall principal behind this procedure is to tighten the tissues underlying the skin to improve the appearance of the neck, jawline, and in some cases, the smiles lines between the nose and mouth. There is also careful removal of redundant (extra) skin. There are a variety of facelift procedures available to patients today.

Less invasive procedures may generally be performed in the office under local anesthesia. Bigger, more extensive procedures tend to be performed under IV sedation or general anesthesia in an operating room. Any patient considering a facelift should discuss all the options available to them with their surgeon.

Here are a few Before and After pictures of some of Dr. Sharma's patients who underwent a faceleft and necklift procedure.

If you're interested in learning more about having a facelift and/or necklift procedure with Dr. Sharma, please contact our offices in Coral Gables at (305) 456-5727.

Nasolabial Fold Injections in Coral Gables by Dr. Sharma

Where are your nasolabial folds? They are the two folds of skin that run from each side of the nose to the corners of your mouth. They separate the cheeks from the upper lip. The term nasolabial comes from "nasus" meaning nose and "labium" which means your lip.

The circled areas represent your nasolabial folds.

This is a Before & After of one of Dr. Sharma's patients who had dermal fillers in her nasolabial folds.

With aging, the folds become more pronounced and may become cosmetically undesirable. Some folks consider it a sign of maturity, age, or character. The most significant factors that contribute to the prominence of the fold are excess skin, skin thinning and excess cheek fat. Dr. Sharma frequently treats these lines with injectable fillers.

Nasolabial Folds are also referred to as:

·        parentheses

·        “smile lines”

·        “laugh lines”

If you would like to restore fullness to your face, or enjoy plump lips, enhance shallow contours or soften those facial creases and wrinkles, then Dr. Sharma’s dermal fillers may be the answer.

The dermal filler industry exploded in the last decade and propelled the cosmetic industry to a new level. Filler procedures are highly sought by:

• men and women
• baby boomers looking for a boost
• aging adults seeking a more refreshed, youthful look,
• and younger adults, who want to correct features

Dermal fillers have also been known  as "liquid facelifts" because they offer many of the benefits of a surgical facelift without the downtime.

 Fillers made it possible for people seeking anti-aging treatments to:

·        smooth lines

·        fill facial folds

·        temporarily remove wrinkles

·        plump lips and cheeks

·        add volume to sagging features

 If you decide you want to reduce facial wrinkles and lines, hyaluronic acid might be a good choice as a dermal filler because of its compatibility with the human body.  This substance is found in almost every single living thing. In humans, it acts as a network that transfers essential nutrients from the bloodstream to skin cells.

High concentrations are found in soft connective tissues and in the fluid surrounding your eyes. It is also found in some cartilage and joint fluids, as well as skin tissue. It is extracted and reformulated and has become one of the most popular kinds of injectable fillers. The term might sound familiar because it’s the same substance often injected into aching joints of people who suffer from arthritis to ease their pain and provide extra cushioning.

If you are interested in smoothing wrinkles, sculpting lips, and improving other facial features, Restylane injections are a growing favorite. In 2003, Restylane is approved by the FDA and can produce positive results on facial wrinkles, particularly around the mouth and nose. Another benefit is the long-lasting results, as the effects of Restylane treatments can be visible for six months or more. Restylane can be administered on its own or in combination with other treatments, such as with a lip enhancing procedure.

What to Expect during treatment with Dr. Sharma:

·        patients may experience some pain and discomfort from the needle during injection

·        discomfort is generally minimal and well tolerated

·        procedure can take a few minutes up to 30 minutes

·        patients can return home or back to work and other activities shortly after their procedure

Things to Consider:

• If you are under eighteen (18) years of age, you will need written and signed parental consent to have this cosmetic procedure.
• If you have any dermatological allergies, please advise Dr. Sharma before receiving your dermal filler treatment.
• If you are pregnant, Dr. Sharma advises you to avoid all dermal filler treatments during your pregnancy.

Coral Gables Facial Plastic Surgeon Shares Secrets to Fuller Sexier Lips

Do you want more full lips that look natural? As we age, our lips become attenuated or thinned. Come visit Dr. Vijay Sharma and no one will ever know your secret to the beautiful full lips of your dreams.

Dr. Sharma's goal with lip augmentation is more full, natural-appearing and attractive lips. Multiple options are available to you for lip augmentation. Some patients may require treatment of both lips, while others require treatment for either the upper or lower lip. Lip lines or "smoker's lines" may also be treated at the same time.

Temporary options last for months and include injectable fillers like Perlane or Juvederm for plumping up the lips. These procedures are comfortably performed in the office with local anesthesia. After the procedure, there may be a bit of swelling, but patients almost always easily return to work the next day.

Permanent options for lip augmentation are available. Permanent options may include the use of state-of-the-art lip implants. This procedure may be performed in the office under local anesthesia. There may be a bit more swelling with the permanent option as compared to injectable fillers. However, Dr. Sharma's patient satisfaction rates are high with both types of procedures.

Lip augmentation may be done by itself or in combination with almost any type of procedure: Botox, facelift, breast augmentation, and more. Lip augmentation can be that added boost to make another procedure really outstanding!

Why Choose Dr. Sharma For Lip Augmentation?
He is a Double Board Certified Surgeon with a tremendous amount of knowledge and experience with lip augmentation. You could go to the local spa and have almost anyone inject medication into your lips, but should you? Probably not! 

Dr. Sharma's fees are competitively priced, however, when it comes to something as important and intimate as your lips, patients are better served by Dr. Sharma's extensive experience and artistry as a facial plastic surgeon.

Ear Pinning In Coral Gables An Otoplasty Resource

Often, people with large, protruding or disfigured ears find them to be bothersome and are a major source for their self-consciousness. Otoplasty, which is plastic surgery for the ears, can enhance the appearance of your ears by improving the following aspects:

• the shape
• the position
• the proportion of the ear

It can correct a defect in the ear structure that is present at birth and becomes more apparent as you get older or it can treat misshapen ears caused by injury. The corrective goal of otoplasty is to set back the ears so that they appear naturally proportionate and contoured, because they are harmoniously set back, without evidence or indication of any surgical correction.

The Procedure

Otoplasty is one of the most common plastic surgery procedures that is performed to correct developmental abnormalities from birth and should be considered on ears which stick out more than 4/5 of an inch (2 cm) from the back of the head. It can be performed at any age after the ears have reached full size, usually around five or six years of age. Having the surgery at a young age has two benefits:

• the cartilage is more pliable, making it easier to reshape
• children experience increased self-esteem after the cosmetic improvement

As long as you are in good health, there is no upper age limit for this surgery. Ear surgery creates a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound benefits to your appearance and self-esteem.

This is a side view of a before and after of one of Dr. Sharma's patients who underwent otoplasty.

What to Expect:

• Typically, otoplasty surgery can take approximately two hours.
• The soft dressings over the ears will be used for a few weeks as protection, and the patient usually experiences only mild discomfort.
• Headbands are sometimes prescribed for nighttime wear to hold the ears in place following surgery.

Medications are administered for your comfort during the surgical procedure. Your choices include:

• local, intravenous sedation
• or general anesthesia

During your consultation, Dr. Sharma will discuss what the best option is for you.

Correction of protruding ears uses surgical techniques to create or increase the antihelical fold – the area just inside the rim of the ear - and to reduce enlarged conchal cartilage which is the largest and deepest concavity of your external ear. Incisions for otoplasty are generally made on the back surface of the ear. When incisions are necessary on the front of the ear, they are made within the ear folds to hide them.

 The procedure begins with an incision behind the ear, in the fold where the ear joins the head. Dr. Sharma may remove skin and cartilage and/or trim and reshape the cartilage. Your ears may also be reshaped, reduced in size, or made more symmetrical. Dr. Sharma then secures the cartilage in the new position with permanent stitches which will anchor the ear while healing occurs. Dr. Sharma makes sure your ears won’t look “pinned back’ but rather that he provides a natural appearance so your ears will be more symmetrical with your face.

Dr. Sharma’s ear surgery offers near immediate results in cases of protruding ears, visible once the dressings that support the new shape of the ear during initial phases of healing are removed. With the ear permanently positioned closer to the head, Dr. Sharma is able to hide surgical scars behind the ear or they are well-hidden in the natural creases of your ear.

A frontal view of a patient before and after Dr. Sharma's otoplasty procedure.

A frontal view of a patient before and after Dr. Sharma's otoplasty procedure.

During recovery, otoplasty patients may experience:

• temporary discomfort and numbness — managed with oral medications
• headaches — relieved through use of a long-acting local anesthetic
• swelling, which can be managed with head elevation - decreases within a week
• unusual sensations — may include itching or the lack of sensation at the incision line, which can disappear over the course of six months

If you'd like to have a consultation with Dr. Sharma, please call his office at
(305) 456-5727.

We are located at:
475 Biltmore Way
Coral Gables, FL 33134

Natural Looking Lip Enhancement with Dr. Sharma

If you’re considering enhancing your lips, then we encourage you to review Dr. Sharma’s Lip Enhancement Resource below.

Lip enhancement is a type of cosmetic surgery or non-surgical procedure that aims to improve the appearance of the lips by increasing their fullness through enlargement. Lips may be considered the most youthful aspect of a face, especially when complemented by high cheeks.

Now, you can enjoy plump lips with dermal fillers such as Restalyane, Perlane or Juvederm. The benefit to you is that you can immediately return to your normal activities. Restylane is a non-animal, clear gel that is reported to be very close to the hyaluronic acid found naturally in the body. The substance usually lasts four months in lips. While Juvederm is chemically similar to Restylane; many facial surgeons report that Juvederm is slightly smoother to inject. Dr. Sharma carries all three products in his Coral Gables clinic.

  

There are many options that now exist for improving the appearance of your lips, however, there is no doubt that successful lip augmentation is highly dependent on the skill of your facial plastic surgeon. Their skill should stem from many years of experience injecting the lips of many types of patients. Dr. Sharma has mastered the various injection techniques.

Dr. Sharma’s Procedure and Techniques


- Anesthesia: Local
- Location: Clinic
- Treatment time: 30 minutes
- Patient Status: Outpatient

Initial consultation

During your initial visit, Dr. Sharma will likely ask you to describe, in detail, what you would like to improve. We ask that you be specific about what you would like done. Bring photos that show what you like and don't like. Once Dr. Sharma fully understands your expectations, he’ll be able to consult with you to determine how your goals can be achieved.


Tell Dr. Sharma:

·   If you have any allergies

·   If you have a history of bad scarring

·   About any medications you are currently taking or recently stopped taking

You are at increased risk for complications if you have diabetes, poor circulation, heart, lung or liver disease, smoke, have a family history of blood clots, etc. You'll want to discuss your medical history thoroughly with Dr. Sharma.

Recovery

Pain Level: Mild discomfort.
Swelling or Bruising: Three (3) days to one (1) week
Exercise: Wait 2-3 days


To improve recovery:

·   keep ice packs applied to your lips for the first 24 to 48 hours

·   talking and chewing should be limited during the first 24 to 48 hours

·   limit smiling and laughing for the first few days

·   attempt to sleep in a semi-upright position during the first week

·   reduce the amount of bending over, straining, exercising or do any other activities that could increase pressure to your lips

·   avoid strenuous activities for 1-3 days

·   keep the lips clean to avoid infection


Risks and Complications

Major complications from lip augmentation are rare. With any surgical procedure, there is always a possibility of bleeding, infection, reaction to the anesthesia, slow healing or an unexpected result. Other possible complications include asymmetrical lips, cold sores, numbing, scarring, swelling, and permanent stiffness in the lip. Implant material can move to a new location within the lips and it may also protrude unnaturally. Allergic reactions such as itching, redness, and swelling may occur.


Here’s how Dr. Sharma does it:

Temporary Lip Injectables

Most lip plumping products are temporary. The ones that he uses the most commonly are Restylane, Perlane and Juvederm. Dermal fillers generally last around four (4) months in the lips, but can last a year or longer in other facial cosmetic areas. They are safe, generally don’t cause lumps or bumps, they’re very smooth to inject, and they look great.

Permanent Lip Injectables

Dr. Sharma regularly performs Permanent lip augmentation options. These include lip implants and other techniques. Please visit with Dr. Sharma personally to learn about these exciting and safe permanent options.

There are products that last longer than temporary lip injectables. Silicone, which lasts quite a long time, can be injected into the lips. However, permanent products that are injected tend to cause more problems in the long run because your body creates a little scar tissue around it, and it can create a little bump or a little lump. It can be visible and it can be painful. It should also be considered that once you insert something permanent into your lips, it can only be removed surgically.

We encourage you to contact our offices at (305) 456-5727 to obtain more information about your lip augmentation options.