No matter where you are in life, it is an honor to be asked your opinion. It takes it to the next level to be asked to teach from your experience. It seemed like a basic task: Come to Florida Atlantic University and speak to a group of eager, budding, medical-school-bound students how I chose my profession and wound up doing what I’m doing today. Again, it seemed straightforward.

What Is Your “Little Red Arrow”?

They say life is all about the journey—medicine is no exception. I told this bright, aspiring crowd that everyone needs to find their “little red arrow”. The “arrow” metaphor is derived from a marketing funnel: Many options are at the top of the funnel, but over time they get whittled down to a single path, a single “red arrow” that points you in the right direction.

The field, the calling, the area of medicine that will become your passion will give you an excitement that no other field can. The wizard doesn’t choose the wand, the wand chooses the wizard (apologies to J.K. Rowling). That is where you point your arrow.

How I Found My Little Red Arrow (Total Nose Approach TM)

I described for the students my path, beginning in Baltimore from a “learned family of physicians” (“Stepbrother” reference for any Will Ferrell fans), continuing at Yale as a molecular biophysics major, heading to the University of Chicago Medical School, and then getting accepted to the Otolaryngology/Head and Neck Surgery residency program at The Johns Hopkins Hospital in Baltimore. I even had to admit my age, as I became chief resident in the Department of Otolaryngology/Head and Neck Surgery at Johns Hopkins the year after Ben Carson held the same position there in the Department of Neurosurgery. My connection with Ben ends there: Sorry, but I have no aspirations of running for president.

Dr Nathan Nachlas Speaks to Pre-Med Students at FAU about Total Nose Approach

Dr. Nathan Nachlas speaks to a bright young group of pre-med students at Florida Atlantic University in Boca Raton, Florida.

It is fortunate when luck meets the open mind. As I was searching for my little red arrow at Johns Hopkins, my professor, David Kennedy, brought back from a sabbatical in Austria a new technique for minimally invasive sinus surgery. This was to be the start of my little red arrow. Dr. Kennedy was the consummate rhinologist, and I had the pleasure of being one of his instructors at the first-ever United States Conference On Endoscopic Sinus Surgery, which was held at Johns Hopkins in 1985. Just as he concentrated solely on the inside workings of the nose, my subsequent training as a facial plastic surgeon in Beverly Hills, California, was with a wonderful surgeon, Dr. Wally Berman, whose internationally recognized forte was the outside of the nose. My formal training was thereby completed. In fact, technically I (and my co-chief resident that year) were the first surgeons in the world trained in both the outside cosmetic and reconstructive aspects of nasal surgery and this new, minimally invasive approach for internal nose and sinus issues.

How the above developed into my ”little red arrow” was fortuitous. Immediately after departing Beverly Hills and establishing my practice in Boca Raton (almost three decades ago), I received patient referrals to Floridians who had contacted  Johns Hopkins had referred them to me. It was not long until the first such referral asked about the outside of their nose as well. It seemed a natural fit for me. Why not do the total nose? I was hesitant at first. However, any doubt in my mind dissipated when I saw the patient’s elation during his post-operative visit. The Total Nose Approach TM was an industry-changing procedure that was here to stay. To see Total Nose Approach TM in action, watch this video.

Keeping Your Little Red Arrow Pointing In The Right Direction

It’s been nearly three decades since I first performed the Total Nose Approach TM procedure. Since that time, we have made refinements to minimally invasive sinus procedures, including balloon sinuplasty, as well as minimally invasive procedures for rhinoplasty. Performing the Total Nose Approach TM, enabling patients to look and feel their best, has become my “sub-sub-subspecialty” (otolaryngology-facial plastic surgery-rhinology-the Total Nose). My Total Nose Approach TM patients are extremely appreciative, some even declaring that these surgeries have been “life changing”—see their testimonials on this page. That validation is what keeps that little red arrow pointing in the right direction. Your goal, as I related to the eager and diverse group of FAU students—most of whom stayed awake for the entire lecture—is to connect with the “wand” that was intended for you, and to make your own unique mark on the world.

To find out more or book an appointment for The Total Nose Approach™  call us at 561-939-0909 or fill out the short form below!

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Cassie Johnson was an outstanding high school soccer player.  As goalie, she was being recruited by many prestigious colleges.  When confronted with the possibility of having a procedure to relieve her chronic sinus suffering, her first question was, “How much school will I need to miss?”  Cassie’s second question, however, was more difficult: “When can I return to soccer?”

In today’s world, whether a high school or college student; an adult runner, biker, gym user, or triathlete, it seems like the dogging issue is, “When can I return to full activity?”  This is how balloon sinuplasty recovery comes into play; it’s a marvelous selling point of the new procedure.  Balloon sinuplasty recovery has revolutionized treatment for long-term sinus sufferers.  If you read balloon sinuplasty reviews online, and explore the experiences of the thousands who have undergone this often life-changing procedure, you will understand how and why this has been a blessing for patients.

Sinus Treatment: The Old Way (Removal)

Not long ago, whenever someone came into my office with a diseased sinus which failed to respond to medications, we removed it. I remember it well: I performed many of these procedures during my tenure at Johns Hopkins, both as a resident and as assistant chief of service at the Department of Otolaryngology/Head and Neck Surgery.  After all, what better way to get rid of disease than to put it in a jar?

All of us have four sets of sinuses: the frontal sinuses in the forehead, which often produce sinus headaches; the ethmoid sinuses in the nose, which also produce pain and headaches; the maxillary sinuses in the cheek, where disease can be present as dental pain or facial pain; and the sphenoid sinuses, which are all the way in back and produce headaches towards the top or back of the head.

In addition to the pain, patients had often complained of congestion, stuffiness, drainage, and clogged ears.  Any of these sinuses could and previously would be surgically removed if they were chronically diseased and if the patients were suffering enough. So, to avoid putting the patient through a difficult and unpleasant surgery, we would repeatedly treat, then treat again, then treat some more.  An army of medications, including antibiotics, decongestants, antihistamines, steroid sprays, allergy shots were all provided to desperate patients.  We gave these treatments as long as the patients could tolerate them, because the cure was so much worse!  Taking out a sinus involved cuts below the lip, above the head, around the eyes, and sometimes all three!  These sinus surgeries were reserved for the sickest of the sick.  Then, finally, came a true revolution in the treatment of diseased sinuses: computer-assisted endoscopic sinus surgery

Sinus Treatment: The New Way (Balloon Sinuplasty)

Computer-assisted endoscopic sinus surgery eliminates the need for cuts below the lip or through the skin.  What used to be a week-long, inpatient procedure quickly transformed into a minimally-invasive endoscopic procedure, performed through the nostril most often at an outpatient center.  A procedure that took three to four hours now could be done in less than one–and without the uncomfortable packing!  What could be better?  However, that nagging issue about resuming exercise remained; could there be a way to decrease that frustrating three-week waiting period?

Enter balloon sinus dilation, one of the best sinus treatment options available.

Balloon Sinuplasty Recovery: Back On The Field Faster

The same technology developed by the makers of balloon catheters, used to open clogged heart arteries, is now utilized to relieve

Balloon Sinuplasty Recovery Woman Running

Athletes don’t want sinus headaches slowing them down. New sinus surgery gets them back in action.

sinus blockage.  The major difference between balloon sinuplasty and endoscopic sinus surgery is that no tissue is removed.  As a quick in-office procedure, balloon sinuplasty is performed without the need for general anesthesia.  A thin wire is guided into the sinus and a balloon is passed over the wire.  Throughout the process, it is inflated, deflated, and removed.  Each affected sinus is

treated and packing is not required.  The patient often feels better immediately in the chair!  And, as the proverbial proof is in the pudding, patients resume full activity within just days.  Read online balloon sinuplasty reviews: they seem almost too good to be true – but they are, and to date tens of thousands of sinus sufferers are thrilled.  It’s all about recovery, and balloon sinus recovery is really awesome!

Cassie was back on the soccer field in two days.  She went on to become a superstar in college, starting as a varsity goalie all four years, breathing well, feeling well, and living headache free.

Balloon Sinuplasty: Our Boca Raton Office’s Journey

Being at the forefront of any scientific or medical field is both exciting and a privilege.  I was fortunate enough to be the chief resident in the Department of Otolaryngology/Head and Neck Surgery at The Johns Hopkins Hospital in 1985, when endoscopic sinus surgery was introduced.  Subsequently, we transformed that revolutionary technique into computer-assisted endoscopic sinus surgery in the early ‘90s. We added meticulous computer guidance to the endoscope to ensure more complete correction of the sinus blockage and greatly improve patient safety.

More than a decade later, we began testing the idea of balloon sinus dilation, monitoring balloon sinuplasty recovery time. In June 2014, we were honored to perform the first in-office, computer-guided balloon sinus procedure in the United States.  That case, and hundreds that would follow, has proven to be the new revolution in creating beautifully functioning noses and sinuses.

Three decades of revolutionary and evolutionary advancement in the treatment of chronic sinus disease is now rewarded with the incredible experience of balloon sinuplasty recovery measured in days, not weeks.

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So I really hadn’t envisioned the details of this blog until several weeks ago, while I lay on the wet grass of transition area one at Ironman Augusta 70.3. For my colleagues who are unfamiliar with triathlons, the Ironman is a grueling, body-jarring event that begins with a 1.2-mile swim, follows with a 56-mile bike ride through the challenging hills of Augusta, Georgia and neighboring South Carolina, and concludes with a half marathon (13.1-mile run) back through the town of Augusta. Please don’t ask why… it’s just something that we do. And do. And do.

Break An Athlete’s Nose, Break Their Breathing

So there I was in transition after what was, for me, a very refreshing swim and a fairly peppy run towards the area where you get on the bike. You lay down briefly on the grass while a very friendly volunteer strips off the glove-fitting wetsuit. True punishment would follow: One of my fellow competitors inadvertently (I assume) stomped on my face, his foot smashing loudly against the bridge of my nose. It was the crack heard around the world (my world that is) and the blood started gushing. Somewhat dazed, and listening to a panicked volunteer telling me how she was going to get the doctor on call and not to move. My only instinct was to get to my bike before I would be disqualified for blood loss. Probably the sane thing to do would be to wait for help and put some ice on my nose for a few minutes; however, sanity and athletes don’t always go hand-in-hand. Sometimes, they would truly qualify as oxymorons.

I knew I had a bit of an issue when I got to my bike and mistakenly put on my running shoes, not remembering whether I had already completed the bike portion of the race–that should have been a warning. But no worries. After a quick shoe change and slapping on my helmet, off I went. Still bleeding profusely, but knowing (I am a nose doctor after all) that all bleeding eventually stops, I collected my thoughts somewhere around mile ten of the bike portion. The bleeding stopped and the task at hand became clearer. I then spent the next several hours riding and thinking about just how important it is that the nose and the oxygen it delivers work together to muscle athletes through a sporting event. I finished the bike and run portions, then proudly got photographed with my bloodied face and bloodied race outfit.

Why Athletes Love Sinus Treatments

For athletes, it's crucial to fix bump in nose for maximum airflow

To athletes, optimal breathing is essential to perform their best. The nose makes it all possible.

Several of my patients are athletes. I routinely hear them get excited about their increased energy after I perform nose and/or sinus surgery on them. Some of these athletes haven’t been able to breathe their entire life. For others, a nasal mishap, like the one that I now was experiencing firsthand, altered their ability to get enough oxygen to their body during exercise stress. In both cases, that newly found breath of air can make all of the difference. Many take breathing through their nose for granted. I will often see patients with nasal polyps almost totally obstructing their nose. However, these patients don’t notice the effect until just prior to their visit. Interestingly, once the polyps are gone and breathing returns to normal, they literally feel as though they have been given a new lease on life.

Sinus Treatments For Athletes: Fix the Crooked Nose

We offer several treatments for athletes who suffer from breathing issues or have a crooked nose. If you read balloon sinuplasty reviews, you will see how, in the right candidate, a fairly straightforward office procedure can eliminate severe congestion, pounding headaches, and annoying pressure. Other procedures, including repair of a deviated nasal septum, nasal fracture reduction, and turbinate surgery, are also used to improve airflow. Airflow is critical for athletes to perform their best.

Several patients who have heard about my misadventure ask me why I haven’t had that newly acquired nose dent fixed. Some have even asked why I don’t fix it myself (and yes, the thought has crossed my mind). I guess I just look at it as a battle scar, reminding me of a pretty fun day in Augusta.

Find solutions to your breathing issues. Schedule a consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request an appointment.

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So you’re in a rut. You suffer through your day congested, stuffy, and maybe even with a pounding headache. It could be allergies. It probably has taken its toll on your sinuses. All that sinus medicine at the pharmacy still won’t make you feel better. You then recall how your dad suffered with excruciating “sinus” pain all of his adult life, but was powerless to stop it.

Balloon Sinuplasty Reviews

Well, you’re in luck. These are not your dad’s sinuses, and a lot has changed over the years. Read balloon sinuplasty reviews.

Patient sees a Sinus Doctor

Sinusitis treatment has come a long way since your dad’s days of sinus headaches.

Read about balloon sinuplasty recovery. Amazing advances in the field of sinusitis treatment have given hundreds of thousands of chronic sinusitis patients a new lease on life.

Sinusitis Treatment In The 1980s

As chief resident in the Department of Otolaryngology/Head and Neck Surgery at The Johns Hopkins Hospital in the 1980s, sometimes I would spend four to five hours operating on diseased sinuses. The length of these sinus surgeries and the pain and discomfort that followed severely limited the appropriate patient selection. Don’t even get me started on the cutting and incisions that were required for sinusitis treatment.

Sinusitis Treatment Today

Then, along came balloon sinus dilation. This procedure involves a sinus doctor threading a thin wire up through the nostril into the sinus and then passing a balloon over the wire. The balloon is inflated, deflated, then removed. What remains is a sinus that is properly ventilated, allowing normal airflow into the sinus. No tissue is removed by the balloon. Balloon sinus dilation is so gentle and quick that the procedure can be performed in the office without general or intravenous anesthesia. Some patients recoil at the thought of being awake while someone is working on their nose. No problem: Balloon sinus dilation can easily be performed at the Boca Raton Outpatient Surgery & Laser Center while you are asleep.

The results of balloon sinus dilation are remarkable. In the appropriately selected patient, balloon sinuplasty recovery is quick—recovery is possible within days. Often our patients return to work the morning after and resume full activities, including exercise, within two to three days. No packing of any kind is used.

Balloon sinus dilation is not for everyone and not all sinus disease is limited to the blockage of the sinus passageways. Other advanced sinus surgery treatments are available. However, with new, computer-assisted balloon sinus dilation, a sinus doctor can now also remove nasal and sinus polyps in the office during the same sitting. Again, this is a quick, local procedure with no packing after.

See a Sinus Doctor

These are not your dad’s times and these are certainly not your dad’s sinuses. Thanks to these new technologies in sinusitis treatment, a sinus doctor can give you a breath of fresh air just days after what is most often a simple, quick office procedure, with a quick balloon sinuplasty recovery.. To discuss your chronic sinusitis issues, or to find more balloon sinuplasty reviews schedule a consultation with Dr. Nachlas in Boca Raton: Call now at(561) 939-0909 or contact us below!

 

Chronic Sinusitis: What Is It?

Sinusitis affects over 37 million people each year and is one of the most common health problems in the United States. Symptoms can affect your sense of smell, decrease your ability to breathe, cause incapacitating sinus headaches and severe nose pain, and diminish your quality of life. Specifically, chronic sinusitis is an inflammation of the sinus area that becomes blocked, which can then lead to these severe symptoms.

Chronic sinusitis is very prevalent in Boca Raton and across South Florida. In fact, South Florida has a number of allergy-inducing trees and plants. Mold in humid, hot air makes allergy-induced chronic sinusitis extremely common. Because Dr. Nachlas has been treating chronic sinusitis in Boca Raton for nearly 30 years, we have a unique perspective that empowers us to provide the most relief with the least inconvenience to the patient.

Chronic Sinusitis Woman Suffering

For many people, traditional chronic sinusitis treatments like medication provide only limited relief.

Traditional Treatments for Chronic Sinusitis

Once chronic sinusitis symptoms are diagnosed, treatment begins with medications and allergy control. Many sinusitis sufferers achieve significant relief from over-the-counter steroid nasal sprays (e.g., fluticasone and triamcinalone) and antihistamines. Antibiotics are used in the presence of active infection. Allergy evaluation with allergy shots can also provide some relief. Despite aggressive medical management, however, many people continue to suffer from chronic sinusitis.

New Treatments for Chronic Sinusitis

When medical and allergic therapy fails to provide relief to chronic sinusitis sufferers, we suggest new, in-office procedures. These new treatments are minimally invasive and provide significant relief. One of the most significant new advances in chronic sinusitis treatment is in-office, computer-assisted balloon sinuplasty. It’s been just over a year since our Boca Raton medical practice became the first in the United States to perform the sinus procedure. Balloon sinuplasty involves guiding a small balloon with a computer into blocked areas of the sinuses. Once the balloon is in place and verified by the computer, it is inflated to relieve the blockage. When the sinus balloon is inflated, it gently widens the walls of your nasal passageway, allowing more air to flow through without the removal of tissue or bone. This minimally-invasive procedure is performed in our Boca Raton office under local anesthesia and with minimal discomfort. No packing is required and patients usually return to full activities within days. The effects of the sinus surgery are typically felt within one to two weeks of the procedure.

What Patients Say About New Chronic Sinusitis Treatments

To date, minimally-invasive sinus procedures have been among our most rewarding in-office procedures. Patient satisfaction is over 95%, with the typical patient feeling the benefits within days of surgery. To further improve chronic sinusitis treatment, other procedures can be added to the minimally-invasive balloon sinuplasty procedure. These can improve breathing and correct a deviated septum (learn more about this Total Nose Approach). All of these conditions can be treated–no packing is required. After performing nasal and sinus surgery in Boca Raton for over three decades, we can say that our patients are extremely satisfied with the results. Elka is one of the patients who were pleased with balloon sinuplasty:

“It only lasted a few minutes, I didn’t feel any pain, when I got home I was a little sore, took a pill and never again felt any pain. I could feel the difference right away, no more pressure in my face, no more headaches. Recovery was easy, I didn’t get any swelling, and in 2 days I was back at work. Now I can breathe!”

-Elka Mnguni, Vitals.com, Sep. 14, 2015

Being able to provide results like that with efficient, in-office procedures has made the sinus surgery more available to busy students and professionals. Dr. Nachlas Nose Best! To discuss your chronic sinusitis issues, schedule a consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request a consultation.

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Millions of people suffer from sinusitis each year, lowering their quality of life and raising their healthcare costs. The inflammation of the sinus membranes causes breathing to become impaired and drainage of the sinus to be

Balloon Sinuplasty Woman in Pain

Pain in the forehead or between the eyes are common symptoms of sinusitis. Balloon sinuplasty might be your solution.

blocked, and the congestion can be quite painful. It often means more visits to your primary care doctor and several more trips to the pharmacy than you would make otherwise.

For you, the answer might be balloon sinuplasty.

Balloon Sinuplasty: What Is It?

Balloon sinuplasty is a minimally-invasive, endoscopic, catheter-based system which utilizes a flexible sinus balloon catheter to open up blocked sinus passageways. As the balloon is inflated, the inflamed passageway is gently expanded and restructured without damaging the sinus lining. The result is restored drainage and improved function.

In many cases when balloon sinuplasty is performed, there is no need for Dr. Nachlas to cut or remove nasal bone and tissue. Because of this, there may be reduced bleeding and it may be unnecessary to pack the nose, which can be uncomfortable. Additional advantages of the procedure include a short recovery time, with many patients resuming normal activity within 24 hours, and the ability to use other sinus surgery techniques or medical therapies in addition to or following balloon sinuplasty. Treatment options are not limited by the endoscopic surgery.

Balloon Sinuplasty: The Surgery Itself

Watch this video to see how Dr. Nachlas and other surgeons use balloon sinuplasty to treat patients with chronic sinusitis in place of more invasive surgical techniques.

Balloon Sinuplasty: Are You A Good Candidate?

Candidates for balloon sinuplasty have been diagnosed with chronic sinusitis and are frustrated with the reoccurring, uncomfortable, and emotionally draining symptoms of the condition, which may not respond well to medication. The FDA-approved technology is safe and considered extremely effective. Hundreds of thousands of patients have been helped to breathe better and lead a fuller life through balloon sinuplasty.

To schedule your appointment with Doctor Nachlas call us at (561) 939-0909 or request a consultation.

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Facelift-Sunscreen-Woman

Before your facelift procedure, preparation is critical. That includes using sunscreen to protect your face.

In South Florida, it can be difficult to avoid exposing your face to the sun. However, protecting your face will help you maintain the results of your facelift. UV light from the sun accelerates the aging process, leading to age spots, lines, and wrinkles. It’s particularly important to avoid sun exposure during the first few weeks after your facelift. During that time, your healing skin will be especially sensitive to the sun. Sunlight can also cause your healing incisions to discolor, making them more visible.

If you haven’t started your surgery, it’s helpful to get in the habit of wearing sunscreen everyday; choose one with an SPF of at least 30. A combination product, such as a moisturizer that contains sunscreen, can make it easy to remember to apply. You can further protect your face from damaging UV rays by wearing a hat while outdoors, putting on sunglasses and minimizing time spent outside between 10 a.m. and 4 p.m., when the sun is at its most intense.

 

To schedule an appointment with Dr Nachlas call Sandy Friedman, director of patient relations at (561) 939-0909. You can also request a consultation.

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Do you look in the mirror and see an aging face that does not reflect how you feel inside? As you age, your skin loses elasticity, wrinkles develop and facial tissue loses its youthful fullness. This process can start as early as your 30s. With advances in facial cosmetic surgery, Dr. Nathan Nachlas is able to help his patients achieve natural results. Specifically, his patients enjoy a more youthful appearance that helps them look as good on the outside as they feel on the inside.

facelift-before-after-nachlas

This is a 55-year-old female with significant loss of skin elasticity and jowl formation. Facial cosmetic surgery restored a more youthful appearance to her neck and jaw line.

Dr. Nachlas stresses natural and subtle cosmetic procedures, which enhance rather than change one’s appearance. In his years of extensive training and experience in facial plastic surgery, Dr. Nachlas has developed advanced techniques for creating natural-looking results. He will work closely with you to determine treatment options that match your individual needs. As with all elective surgery, good health and realistic expectations are a must.

Successful facial plastic surgery is a result of a good rapport between patient and surgeon. Because each patient is different, your treatment plan should be customized for you. Dr. Nachlas will spend a good deal of time with you, discussing your procedure, your questions, and your goals in order to develop this individualized treatment plan.

Facial Cosmetic Surgery: What Are My Options?

To learn more about the facial cosmetic surgery procedures offered by Dr. Nachlas, click on these links:

If you’re looking for non-surgical cosmetic procedures, consider facial rejuvenation such as injectable fillers or other aesthetic services. To discuss which facial cosmetic surgery procedure is right for you schedule an appointment with Dr Nachlas.  Call Sandy Friedman, director of patient relations at (561) 939-0909 or you can also request an appointment.

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No one wants to look older than they feel, but sometimes your face ages faster than you would like. The Florida sun, repeated facial expressions and genetics all contribute to skin wrinkles. By your 40’s or 50’s, these wrinkles can alter your face’s appearance. To maintain your youthful face, Dr. Nathan Nachlas and his Boca Raton practice offer the minimal-downtime facelift, which can rejuvenate your face with natural-looking results.

Dr. Nachlas is a double-board-certified facial plastic surgeon. He trained at the renowned Yale-New Haven Hospital and Johns Hopkins Hospital. In addition, Dr. Nachlas earned a prestigious facial plastic surgery fellowship in Beverly Hills. During his extensive training, he learned advanced techniques in facial plastic surgery. His surgical skill is matched by the high level of personal attention he provides to each of his facial cosmetic surgery patients. It’s no wonder, then, that patients travel from West Palm Beach and Fort Lauderdale to see Dr. Nachlas.

Minimal-Downtime Facelift: Different In A Good Way

Minimal-Downtime-Facelift-Woman-Smiling

A minimal-downtime facelift, while a more limited procedure than the usual facelift, yields beautiful results.

Minimal-downtime facelift surgery addresses many of the same concerns that traditional facelift surgery does. The difference? Smaller and fewer incisions. This approach to facelift surgery is best suited for: 1) people with more moderate skin sagging and 2) those who would like a more limited procedure that still yields beautiful results.

The minimal-downtime facelift involves making short incisions. These incisions are made in front of and occasionally behind your ears. Don’t worry: They should not disrupt the hairline. Next, underlying facial tissue is repositioned and muscles are tightened, creating a more youthful foundation for your skin. Then, excess sagging or lax skin is removed. Finally, the skin is repositioned and held in place with tiny sutures. The result is firmer, lifted cheeks, smoother skin, and a sculpted, youthful-looking jaw line.

Dr. Nachlas performs minimal-downtime facelift surgery as an outpatient procedure, using general anesthesia for optimal patient comfort. The surgery typically takes 1 to 1.5 hours. The exception is if it is being performed in conjunction with other procedures such as eyelid surgery or nose surgery. Many patients find their minimal-downtime facelift results can be enhanced with injectable fillers. Dr. Nachlas’ practice in Boca Raton offers these as well.

Minimal-Downtime Facelift:   Recovery and Results

Dr. Nachlas will bandage your face overnight; minimal swelling is typical. He will make sure that you have prescription pain medication in case you need it to manage your discomfort. Over several weeks, Dr. Nachlas will monitor your recovery closely, and will let you know as soon as you can resume normal activities. Most patients typically return to work within 1 week.

Learn more about facelift options from Dr. Nachlas. Schedule a facelift consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request a consultation.

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Rhinoplasty is an exciting option for enhancing both the appearance and function of your nose. As a rhinoplasty specialist in Boca Raton, Dr. Nathan Nachlas understands that small changes in your nose’s appearance can have a big impact on your self-image. Add to that the important role the nose plays in breathing, and it’s clear that your nose surgery should be performed only by a highly experienced nose specialist. Dr. Nachlas has performed over 3,000 nose surgeries, all the while maintaining a remarkable patient satisfaction rate (read patient testimonials here).

Rhinoplasty Surgery: Do I Want Closed or Open?

At Dr. Nachlas’ office in Boca Raton, rhinoplasty can:

  • make the nose smaller, larger, narrower, or wider
  • change the angle or shape of the tip of the nose
  • remove a bump in nose
  • fix a crooked nose
  • correct any number of cosmetic concerns

Functional concerns, such as blockages or deformities which may affect breathing, drainage, and sense of smell, and may cause discomfort, can also be corrected by combining rhinoplasty and sinus surgery. Each rhinoplasty is unique, and Dr. Nachlas discusses in this blog different rhinoplasty procedures to help you determine which approach will result in the most natural looking, proportional nose for your face.

Open vs Closed Rhinoplasty

When patients visit Dr. Nachlas’s practice in Boca Raton for rhinoplasty, many already know which changes they would like made. Some changes can be made through a closed rhinoplasty, which is performed via incisions in the nostrils. Other nose surgeries require the open approach, which involves an incision under the tip of the nose. Dr. Nachlas will assess your nasal septum and turbinates, as well as evaluate your sinuses if needed. Dr. Nachlas will recommend the appropriate surgery to help you get the best aesthetic and functional rhinoplasty results.

With great experience in both closed rhinoplasty and open rhinoplasty, Dr. Nachlas will help you choose which approach best fits your goals and needs.

Open Rhinoplasty Approach

As an experienced nose surgeon, Dr. Nathan Nachlas understands that even minor modifications to the nose can have a noticeable influence on the overall appearance of the face. Changing the width or length of your nose, narrowing the nostrils, or eliminating a prominent bump can bring your nose into harmony with other facial features and enhance your natural beauty significantly. As a nose specialist, Dr. Nachlas will evaluate all structures of your nose prior to recommending nose surgery. These structures include the bones and cartilage of the outside of the nose, as well as the septum, sinuses and turbinates inside the nose. Having nose surgery in Boca Raton with Dr. Nachlas will help you look and feel your best.

Open rhinoplasty requires an incision across the columella (the vertical strip of tissue separating the nostrils). This approach offers Dr. Nachlas the best access to the interior structures of the nose, as opposed to closed rhinoplasty, which is better suited for more limited procedures. The scar that results from open rhinoplasty is small and well concealed on the underside of the base of the nose. Over time, this scar typically fades to become nearly invisible.

Typically, general anesthesia is required for an open rhinoplasty procedure, but Dr. Nachlas will discuss anesthesia options for your particular surgery. The surgical time for an open rhinoplasty typically ranges from 1 to 4 hours, depending on the extent of the changes required.

Closed Rhinoplasty Approach

Closed rhinoplasty is nose surgery that is performed using incisions inside the nostrils, as opposed to open rhinoplasty which is done through a small incision along the underside of the tip of the nose. This approach to nose surgery has several advantages, including incisions that are totally hidden within the nose, shorter surgical time, and a generally quicker and more comfortable recovery.

Options for reshaping the nose include removing a hump, altering the tip of the nose, narrowing the bridge or nostrils, or any combination that results in the right nose for your face. Not all nasal surgeries can be performed using the closed technique, and Dr. Nachlas will discuss with you whether this is an option for your procedure.

Closed rhinoplasty is usually performed under general anesthesia, though in some cases local anesthesia can be used. Dr. Nachlas can achieve excellent results through this scarless approach.

Rhinoplasty Recovery and Results | Revision Rhinoplasty

Rhinoplasty Blog | Rhinoplasty Before and After | Images of the Nose

Before-and-after results from a Dr. Nachlas rhinoplasty patient.

Recovery varies for rhinoplasty patients, depending on age, skin consistency, the extent of the surgery, and whether this is a primary rhinoplasty or a revision rhinoplasty procedure. The nose will be splinted to help it heal properly in its new shape, and may be packed with gauze in some cases. Most patients will experience some mild swelling, bruising, and nasal stuffiness for the first few days after surgery, but find they can return to work in about a week. Nose surgery usually requires about a week of recovery time off of work. The nose will be splinted after surgery to help it retain its new shape while it heals. Mild bruising, swelling and stuffiness are common after rhinoplasty, but cold compresses and medication should provide relief from these discomforts. Although you can resume light activities after approximately a week, changes in the shape of the nose will take place over several months.

See before-and-after photos of Dr. Nachlas’s nose surgery patients. To learn more about improving the appearance and function of your nose through rhinoplasty, click here. Schedule a rhinoplasty consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request an appointment.

 

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Nathan E. Nachlas, MD