Crystal N

As the seasons change, so should your skincare! Fall is all about keeping your skin hydrated as the air gets cooler and drier. Here’s a go-to fall skincare routine you can reference when swapping out your summer products to help your skin thrive: 🍂

1. Start with a hydrating cleanser
2. Use a toner to remove any excess dirt, oil, makeup, and residue
3. Incorporate a gentle retinol
4. Boost brightness with a Vitamin-C serum
5. Swap your lightweight moisturizer for a richer, thicker formula
6. Don’t skip the SPF (yes, even in fall!)
7. Take care of your lips with a nourishing lip balm
8. Moisturize your hands with a thick hand cream

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This is a 2 year follow-up revision rhinoplasty case. The patient had had 2 prior rhinoplasties in the past and was bothered by the nasal deviation, the dorsal hump, and the under-rotated and under-projected tip. In the post-operative views, you can see the nose is straighter, symmetric dorsal aesthetic lines have been established, the dorsal hump was removed, and the tip was elevated and rotated. It’s amazing how a more symmetric and proportional nose improves the balance and overall aesthetics of the face. Posted with permission.



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This is a great example of how buccal fat removal changes the face. Buccal fat removal involves removing fat from the lower cheeks and the purpose is to narrow the lower 1/3 of the face. With removal of the buccal fat pad, the face appears less round and more angular or V-shaped. Buccal fat removal was popularized and trending during the pandemic, however, not everyone is a good candidate for this procedure. Ideal candidates are younger patients in their 20-30’s with a rounder face, and excess volume of the lower cheeks. As we age, the face loses volume and therefore patients in their 40’s plus may not be good candidates. An article in our journal from 2021, The Role of Buccal Fat Pad in Facial Aesthetic Surgery, by Drs. Rohrich and Stuzin, highlighted that this procedure can be beneficial in certain patients but if over resected or performed in the wrong patient, can lead to premature aging and midface distortion. Posted with permission.

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How important is the chin in a rhinoplasty case? This patient’s results show how important the nose-chin relationship is for a balanced and proportional profile. This patient had a crooked nose, a prominent dorsal hump, and a very deficient chin. After straightening her nose, removing the dorsal hump, lifting and refining the tip, and performing a sliding genioplasty; look how much her profile has changed aesthetically for the better.

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Thinking about getting a rhinoplasty? Here are some things you should know before getting this procedure!

1. Are you physically and mentally ready for a rhinoplasty and recovery process?
2. Can you articulate what your rhinoplasty goals are and are they realistic?
3. Have you found the right surgeon and practice to get you where you want to be?

If you have any questions, leave them down below!

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In facial feminization surgery, a common question we get is how do we contour the forehead and orbital rim. There are two main techniques that craniofacial surgeons utilize. A type 1 technique is where we use a burr or shaving device to shave and contour the bone to set it back or make it less prominent. To be a good candidate for this technique, one would have to have thick bone, a smaller frontal sinus, and less frontal bossing. A type 3 technique is where we use a saw to cut off the outer part of the frontal sinus bone, shave down the forehead and then replace the bone with titanium plates and screws. Good candidates for this procedure are patients with thin bone of the frontal sinus, a large frontal sinus and significant frontal bossing. We determine which technique would best achieve a patient’s goals through a clinical exam and a CT scan. Posted with permission. Videos are educational.

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Is it a good night’s sleep, filler, or surgery? These patients underwent a lower blepharoplasty procedure, and in the post-operative photos, you can see an improvement in the contour of the lower eyelids, no more bags, and reduced dark circles. The results? A brighter, more youthful, and refreshed appearance. Posted with permission.

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