Nasal fractures most commonly occur as a result of blunt facial trauma sustained in events such as motor vehicle accidents, sports-related injuries, assaults and falls. In fact, the nasal bones are the most frequently fractured facial bone and tend to peak in incidence during the second and third decades of life with a male predominance. In a basic sense, the external nose is made up of bone (the upper third of its structure) and cartilage ...

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To accurately assess and characterize the external nose, we have to obtain a solid understanding of the underlying anatomy. In fact, multiple structures influence the surface topography of the nose including the skin (varies in thickness along the nose) and the underlying structural framework of bone and cartilage (osseocartilaginous skeleton). Since this is a large topic, I will focus on the skin and subcutaneous tissues here with a future post on the osseocartilaginous skeleton. Skin ...

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In today’s post, the focus will be on hyaluronic acid (HA) fillers and what differentiates the different products from one another. You may have heard of many names thrown around for HA fillers including Juvederm, Juvederm ultra, Juvederm vollure, Restylane silk, Restylane refyne, Belotero, etc. What is Hyaluronic Acid and How does it Work? Hyaluronic acid (HA) is a type of sugar (polysaccharide) that is present in body tissues, such as the skin and ...

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In my last blog post, I wrote all about PRP (Platelet-Rich Plasma) and why it is has many valuable qualities that we can use to our advantage. Today, I would like to compare PRP to the newer PRF (Platelet-Rich Fibrin). Though PRP and PRF are both types of blood concentrate therapy, in which certain components of blood are concentrated in order to harness growth factors, they differ in some key characteristics that I will discuss ...

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PRP (Platelet-Rich Plasma) is a common treatment that is being used extensively in the field of Facial Plastic Surgery for hair loss, facial rejuvenation, and multiple other indications. Perhaps, you have heard of men getting scalp injections for baldness or come across the “Vampire Facial” as popularized in the media. Today, I will focus on the scientific background of PRP and the reasons behind why it works. This will allow you to be informed regarding ...

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The concept of nonsurgical skin tightening is something that we all hope to achieve in the field of Facial Plastic Surgery. Patients often ask about noninvasive or minimally invasive options available to address loose and lax skin and tissue. In this blog post, I would like to discuss the scientific basis behind these therapies and the different treatment modalities that are available today. Nonsurgical skin tightening of any type is based on dermal thermal damage ...

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Fillers represent one of the most requested minimally invasive treatment options to re-volumize the aging face. The first filler available in 1981 was bovine collagen but its short duration and potential for allergic reactions limited its widespread usage. The introduction of HA (hyaluronic acid) products in 2003 revolutionized the world of fillers. In fact, the first HA filler available was Restylane, which is still often used today. Juvederm products did not become available until 2006 ...

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Welcome to the new Amar Gupta, M.D. Blog! Thank you so much for your time and interest in learning about topics in Facial Plastic Surgery. For our first post, I would like to focus on the beginnings of the specialty, how it has developed over time, and what it represents today. Modern Facial Plastic Surgery began over 100 years ago and was created by Otolaryngologists (Ear, Nose, and Throat Surgeons) who wanted to treat ...

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