Rhinoplasty: Cost, Pics, Reviews, Q&A

Cherry Creek Face & Skin – Denver, https://www.drterkonda.com/

3150 E. 3rd Ave.Ste. 300, Denver, Colorado, US, 80206 (GPS coordinates: 39.7208096,-104.9500857)

(303) 224-4711

Oct 1, 2021 / Oct 1, 2021

I need to get my confidence back! What is the best acne scar treatment?

Acne scarring, Isotretinoin
Nov 24, 2017

I have seen very good results with a combined peel consisting of a fractionated CO2 laser peel placed on top of a modified TCA peel. You need to wait 6 months after your last dose of accutane before having any aggressive peels. Only a few physicians are trained by Dr. Obagi to do this peel.

What is the most suitable treatment for my acne scars? I’m a 22 Hispanic male.

Acne scarring
Nov 24, 2017

I have seen amazing results with a combined peel with a fractionated CO2 laser peel placed over a modified TCA peel. Only a few of us have been trained to do this peel by Dr. Obagi.

Brown spots on African American skin. What would be a good treatment to start with?

brown spots, ethnic skin
Sep 19, 2017

Hi ashleymr3,
Ethnic skin behaves differently than caucasian skin. Microneedling will not help the spots, and lasers can make them worse. I recommend topical creams combining tretinoin, hydroquinone and AHA’s. If the marks persists, then a modified TCA peels can be considered.
I hope this helps.
Sincerely,
Raj TerKonda, MD, FACS

One of my issues with my physical appearance is that my eyes are asymmetric?

Eyelid asymmetry
Mar 25, 2017

Hi Saltan,
Thank you for your question. I believe most of your asymmetry is from the lower eyelids, not the upper eyelids. The outer 1/2 of YOUR right lower eyelid is bowed and shows more white of the eye than the left. The outer angle of the YOUR right is also lower than your left. The outer angle is the where the upper and lower eyelids meet and form a V. I have corrected this type of asymmetry with a procedure called a lateral canthopexy. Additional views…

Face or neck lift?

Face lift after weight loss
Mar 25, 2017

Hi Jazz3847.
Thank you for your question. You need both a face and neck lift to improved the neck, jawline, and lower face. Neck lift alone will not correct the jowls and jawline. Face lift alone can help neck sagging a little, but will not deal with the vertical banding.
Good luck!

Otoplasty / ear reshaping. Is there a surgical solution?

otoplasty
Jan 5, 2017

Hi Orthognathic,

The top part of the ear protrudes a little, and this is accentuated by the middle part is retracted. Correcting the middle part is more difficult than the upper part. Normal protrusion of the middle and upper ear is approximately 20mm from the scalp. You would not require a full otoplasty to correct the upper part. Good luck!

Non surgical or open rhinoplasty?

surgical vs nonsurgical rhinoplasty
Jan 5, 2017

Hi viviooo,

You are a good candidate for rhinoplasty, and NOT a good candidate for noninvasive rhinoplasty. Fillers cannot correct the drooping tip, and cannot narrow the tip. Save your money for surgery to get a long-lasting result. Good luck!

How safe is it to get a chin implant removed and get sliding genioplasty 2 1/2 months post rh

Converting chin implant to sliding genioplasty
Jan 5, 2017

Hi Meghanm12,

While doing the procedure now probably will not affect your rhinoplasty, I would not rush into this. If your result is satisfactory and you are not having problems with the chin implant, I would leave it alone. Sliding genioplasty is reasonable if you are having problems with the chin implant.

What would I need done to fix my side profile? Not sure if I would need a rhinoplasty, chin l

chin/nose
Jan 5, 2017

Hi babyygurlxoxo,

You are a good candidate for rhinoplasty, neck liposuction and chin augmentation. Chin augmentation may be done with an implant or sliding genioplasty. I prefer the latter in younger patients. It is a more powerful method of augmenting the chin and flattening the neck.

Wait as long as possible with non-surgery methods like Sculptra and Ultherapy, or cut to the

Facelift in the 50’s
Dec 31, 2016

Dear Hope4me,

A face and neck lift would be required to eradicate the vertical creases in the face, and the fat pad and banding in your neck. In my hands, I would do a short-scar (aka “mini”) facelift without going behind your ear.

Your noninvasive option: Kybella to dissolve the fat in your neck, botox to the neck band, continue scuptra and Ulthera. If you do these until your 60’s, you will spend more money than the surgery, with less overall improvement. Also, health…

TCA cross and IPL for rolling scars or waste of time and money?

Acne Scarring
Dec 26, 2016

I have very good results for acne scarring with a combined chemical (TCA) and CO2 Fraxel. I would then clean up the remaining scars with other procedures including Sculptra, Bellafill. I have not had significant results with TCA CROS.

Is it safe to use exfoliating pads 9 months after an open septorhinoplasty?

exfoliation pads after rhinoplasty
Dec 26, 2016

It is fine to use these pads now. Although it takes 1 year for the nose to completely heal, your skin is OK to cleanse with the pads. The pads can help with oily skin, large pores, and thick skin.

I had a rhinoplasty done 18 months ago and want to pierce my septum. Do you think this could

septal piercing
Dec 26, 2016

The septum has three layer-cartilage with mucosal lining on each side. With septal deviation repair, cartilage is removed from the center of the septum, leaving mucosal lining without much support. The safety of the piercing depends on the amount of septal cartilage left in the caudal strut. I would consult with your surgeon to get the best answer. Good luck!

Am I handicapped in anyway by having an L strut compared to full septum?

Septal L-strut
Dec 20, 2016

Dear elizabeth1993,

L-struts are very common with septal deviation repair with or without rhinoplasty. A 1cm L-strut is standard to maintain support of the nose. However, some patients need a larger strut if the cartilage is weak, or can get away with a smaller strut if the cartilage is very strong.

Cold weather will not affect your septum, whether you have an L-strut or not. No need to worry.

Septoplasty/turbinoplasty but still had problems after. CT scan post op reveals concha bullos

Concha bullosa
Dec 17, 2016

If the concha bullosae are large, they can contribute to nasal obstruction. I will reduce the size of the concha bullosae when indicated. I do not get routine CT scans prior to nasal surgery MOST of the time, but will occasionally in very crooked noses to rule out concha bullosae.

If your nasal congestion is worse at night, this is usually an inferior turbinate problem or nasal valve collapse. There are many ways to reduce the inferior turbinates, and some…