From Beverly Hills / Los Angeles plastic surgeon. Plastic surgery by Dr. David Kim.
Follow my experience as I undergo a combo procedure of rhinoplasty to reduce the wideness of my nose and Breast Augmentation to enlarge the size of my breasts from a B cup to a D cup. I chose to go with silicone vs saline because the silicone feels more natural.
The main focus of rhinoplasty is to alter the bone and cartilage of your nose, because your skin and connective tissue essentially “hang” on a “frame” of cartilage and bone. During your surgery, small incisions are made on the inside of your nose, or in the columella (skin that separates the nostrils), before a selective amount of soft tissue is separated from the cartilage and bone. The surgeon will than alter the cartilage and/or bone to achieve your desired look; for example, bone may be removed or cartilage may be reshaped. During you consultation with Dr. Kim, you will learn which technique — “open” or “closed” rhinoplasty — is best to utilize for your surgery.
Breast augmentation is expected to take approximately one hour, and will be performed under a general anesthetic (puts you to sleep). During this cosmetic surgery procedure, a small incision will be made. This is where the doctor will create a pocket in which the implant will be inserted.
Typically, a breast implant can be inserted either under the breast tissue (over the muscle) or under the breast muscle (further below the breast tissue). With the intention of minimizing scaring, incisions can be made in either the armpit (transaxillary incision), along the areola (the darker skin surrounding the nipple known as the periareolar incision), or under the breast at the crease. Depending on the implant and surgeon’s preference, an incision can also be made in the belly button to insert the implant (transumbilical breast augmentation or TUBA). The exact location of the implant will depend on your anatomy, the look you want to achieve, and your doctor’s recommendation.
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