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New Year, New You!

2013 has been a busy year and we are looking forward to seeing you in 2014!

As we say goodbye to the current year, I wanted to thank my loyal patients for your support and wish you all a wonderful 2014. Our office building has seen a major construction project this past year (still unfinished), and we used the opportunity to perform a complete remodel of our office. If you are in the neighborhood, please stop in for a cup of freshly brewed coffee and take a quick tour of our gorgeous new facility!

What else happened in 2013?

Everything! We moved a step closer to the Holy Grail of plastic surgery.

This year saw the development of what may be the single most revolutionary procedure for rejuvenating aging skin and soft tissue. Not by pulling, freezing, burning or lasering, but truly repairing and restoring damaged skin. We call it Nano Stem Serum, and this is how it works:

I remain a leading edge surgeon and advocate for Natural Fat Transfer, where we use natural adipose (fat) tissue to fill lines and soften the thinning face as it ages. For reference, you can hear me talk about this in multiple short videos on my website. We now take the remaining, purified fat and gently process it to extract stem cells from the tissue and concentrate them into a smooth liquid. This serum is thin enough to be injected directly into damaged skin.

We can now make skin more healthy by placing growth factors and reparative stem cells exactly where we want them - in the skin! Injected into crows’ feet, upper lips lines and crepey skin, we see thickening and a smoother appearance. In the décolletage, we see softening and disappearance of wrinkles. We are also studying the effect of placing Nano Stem Serum into the lower eyelid skin for improvement of dark circles and skin discoloration.

Please feel free to call our office for any additional information we might be able to provide, and wishing you all a very happy and healthy New Year!

- Dr. K
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Lawrence M. Koplin , M.D., F.A.C.S.

American Board of Plastic Surgery

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Rhinoplasty Can Subtly Reshape Your Face for Greater Balance and Beauty

Nose surgery is one of the easiest ways to enhance your appearance. As your most dominant facial feature, your nose can affect the balance of your face—and your self-image. If you’re not happy with your nose, rhinoplasty, commonly called a “nose job”, can improve the shape, size, and general appearance of your nose. Dr. Koplin’s goal is to create a natural, harmonious blend of all your facial features.

Is Nose Surgery Right For You?

Nasal surgery is best performed after age fifteen, when your nose is fully developed. If you are a teen, make certain that you have thought carefully about surgery, and that you want to change your appearance based on your own feelings, rather than those of your parents or friends.

Assuming good health, there is no upper age limit for having nose surgery. Rhinoplasty is sometimes performed in conjunction with a facelift or other face rejuvenation surgery to correct a change associated with an aging nose, such as a drooping tip.

Oftentimes, breathing problems can be corrected during aesthetic nasal surgery. Dr. Koplin can help you determine whether internal nasal structures can and should be modified while reshaping your nose.

Nasal surgery can help you if:

How is Rhinoplasty Performed?

Because every nose is unique, not everyone will achieve the same results from rhinoplasty. Our goal is to obtain the best possible results for you.

Alterations may be made to increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, change the angle between the nose and upper lip, or reshape the tip. The surgical techniques employed will depend primarily on the goals established by you and Dr. Koplin. Incisions are usually hidden completely inside the nose.

Sometimes a very short incision is made across the vertical strip of skin that separates the nostrils, called the columella. This technique is called an "open rhinoplasty." Whatever incisions are used to reshape your nose, they will ultimately be very inconspicuous.

Through the small incisions described previously, work is done on the cartilage and bone that form the framework of your nose. Sometimes, the position of certain bones may need to be altered slightly in order to make your nose look narrower and straighter. If your nose needs to be built up in some areas, this can be done using nasal cartilage, or perhaps bone or cartilage from another site. The skin and soft tissues then redrape themselves over this new "scaffolding."

Dr. Koplin – the Consultation Process

Dr. Koplin will personally meet with you so that he understands your motives and expectations for rhinoplasty. He’ll examine and measure your face, discuss your options, and offer recommendations. During this initial meeting, Dr. Koplin will ask you a number of questions about your health, desires and lifestyle. He’ll also discuss likely outcomes of nasal surgery and any risks or potential complications

Dr. Koplin and Nose Surgery

Attention to detail, expertise in surgical technique, and pioneering work in the area of cartilage and natural fat transfer sets Dr. Koplin apart from other surgeons. For nearly 20 years, he has used a combination of these techniques to create custom-fitting grafts for a smoother nasal bridge, softly defined tip and a more natural appearing result.

Where is the nasal surgery operation performed?

Your custom procedure will be performed in a brand-new, state-of-the-art facility associated with our medical office. We are fully accredited by Medicare and AAAASF, and are held to the same standards as an operating room in a private or university hospital.

Your Nasal Surgery Procedure

General anesthesia is the gold standard for this operation. Under this type of anesthesia, you are fully asleep; there is no pain and no awareness. Safety and comfort are paramount. Your anesthesia provider has a wealth of experience in facial procedures, safety, and care. You will spend one to two hours in a fully-monitored and state-of-the art recovery room at the surgery center. Your registered nurse will be at your side every moment to attend to your safety and comfort.

Nose Surgery Recovery and Convalescence

You have several options: you may choose to have professional care, to stay in a recovery center, or recover at home. If you wish to recover at home, you must have someone stay with you the first night. We will send you home with precise instructions and a "care package" of supplies and medications.

What to expect after nose surgery:

The First Week:

You will leave our recovery room with a custom-molded plastic splint covering your nose. Dr. Koplin does not pack the inside of the nose (he believes it’s cruel), so you should be able to breathe well as soon as you wake up!

The morning after your nasal surgery, you’ll notice that your nose is more swollen: don’t worry, this is temporary. You’ll also have bruising around your eyes for a full week; sometimes as long as two weeks. Again, this is typical and temporary.

You can return to work and your usual activities the day after your surgery, though you should avoid strenuous exercise.

If you wear eyeglasses, you must not let them rest on the nasal bridge for six weeks after surgery. We’ll show you how to suspend them from the forehead and protect your new nose.

Even though all the inside stitches dissolve on their own, we still want to see you rather often at first. You’ll return approximately three days postop, just for a checkup and general cleanup of your nose --we also want to make sure you can still breathe well. On day seven, the outside and inside splints are all removed, and your nose is revealed to you and the world!

The Second Week and Beyond:

Your nasal airway improves, and residual swelling gradually diminishes (though the swelling may last longer than you would wish). The interior of your nose may feel dry; we’ll give you a saltwater nasal spray to provide comfort and aid healing.

We’ll plan to see you again two weeks after surgery to check healing and answer your questions. Also, you may now gently blow your nose!

After one month, your breathing will be at its optimal state.

You’ll visit us again at six weeks, at which time we’ll check to see if it is now safe for you to wear glasses.

We’ll take postoperative photos of your new nose three months after surgery. We’ll give you copies of your preoperative photos, too, so you can see your own “before and after”!

MAKE AN APPOINTMENT FOR YOUR CONSULTATION

If you’d like to find out how you can enhance and improve your appearance, click here to arrange your consultation today

To view a list of all procedures, visit our Procedure List page.