Diana Esho Shares Revision Rhinoplasty Experience on RealSelf

July 25th, 2014

With plastic surgery becoming so mainstream and readily accessible, it’s important for you to do some serious consideration on your options before undergoing your operation. This is especially true in selecting your surgeon; choosing the wrong doctor can have some drastic consequences and may leave you worse than before.

This is the story of Diana Esho, one of the latest patients featured on E! network’s “Botched”.  Diana was born with a defect in her nose, which gave her breathing problems. Diana spent a lot of time at the doctor growing up as a result. When one of her sisters had a rhinoplasty performed on her nose and had a great result, Diana saw the same doctor to have the obstruction removed. The doctor told her that he would have to completely restructure her nose, but that he could fix her breathing problem.

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E!’s Botched Patient Jenn Shares Her Deviated Septum Story

July 14th, 2014

Jenn FarinetIf you are a patient considering revision rhinoplasty, your choice of surgeon is extremely important. Having a previous rhinoplasty corrected takes precise skill and extensive training. A surgeon who specializes not only in general rhinoplasty but also revision rhinoplasty will be your best option.

This is something that Jennifer Farinet discovered on the July 6th episode of “Botched”, E! network’s newest television series. This show stars our very own Dr. Paul Nassif and Dr. Terry Dubrow as plastic surgeons who work together to correct previous cosmetic surgeries that have had disastrous results. Jennifer came on the show hoping to fix her nose after having two previous rhinoplasties.

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"Botched" with Dr. Dubrow officially premieres Tuesday, June 24 at 9/8c on E!

June 20th, 2014

Make sure to tune into the "Botched" premiere Tuesday, June 24 at 9/8c on E!

Google Hangouts with Dr. Paul S. Nassif

February 28th, 2014

Beauty at Any Age

February 6th, 2014

With each passing decade, aging individuals are introduced to a variety of changes. What were once subtle fine lines and wrinkles in one's thirties may become more pronounced as they reach their forties.

Fortunately, the staff at Spalding Drive Plastic Surgery offers a wide range of treatments to take advantage of that can help combat the issues associated with aging. These treatments can be preventative, or may address current issues a patient is experiencing at a point in their life. For all of the different age groups, a variety of treatments exist that can either slow or reverse the skin’s aging process. Taking care of the skin at a young age is important; doing so normally reduces the need for treatments in the future.

The teenage years mark a terrific time to begin a skin care regimen. In this period of life, of course, there is no need for cosmetic intervention to turn back the clock. But there are measures that can be taken to help minimize the need for procedures down the road. To start, avoid smoking. Not only does it cause cancer, it’s known to accelerate the aging process. Also, use sunscreen or sun block when you’re in the sun – and stay out of the sun when you’re not. Any mineral based, chemical free sun protection that contains zinc and/or titanium dioxide is usually non-irritating, water resistant, and will not run. Additionally, staying hydrated and using a moisturizer will help keep your skin looking its best.

Once the twenties arrive, the aging process is still not adding any noticeable variations in one's appearance. During the late twenties, if there are hints of visible lines or wrinkles, medically injectible neurotoxins such as Botox or Dysport (both derived from Botulinum Toxin A) may be used as a preventative treatment. For example, if an individual frequently frowns, either one of these products can decrease the lines that may appear from that in the future. Of course, no doctor should perform the injections if the patient does not need them, but for the right candidate, the late twenties may be a good time to start. Maintaining a daily skincare regimen is also important. Antioxidant serums and an SPF moisturizer/sunscreen are also great to incorporate into your routine.

Microneedling with PRP (Vampire Facial)

October 9th, 2013

A vampire facial is also referred to as "Microneedling with PRP." PRP, or "platlet rich plasma" is part of our blood. PRP contains growth factors that stimulate cellular regeneration and new tissue growth; it also promotes healing and repair of sun damage.

When performing microneedling with PRP, the first step is to numb the patient with a topical numbing cream. This allows for a more comfortable procedure. The next step is to draw the patient's blood and spin it in a centrifuge. The blood is then put into a tube with a reagent that helps separate the red blood cells from the plasma. The plasma is extracted, and will be applied during and after the microneedling treatment.

Microneedling is a fractional procedure that deposits the PRP into the dermal layer of the skin. To perform the microneedling, we use a new and advanced technology known as the Micro-Pen, or Dermapen. Unlike the roller, which re-uses the same needles for several treatments, is not sterile, and can tear the skin, these newer more advanced devices use disposable, sterile needle cartridges and are less damaging to skin. The Dermapen utilizes 11 or 12 tiny needles that penetrate the skin, causing microchannels, or "microinjuries." The skin now wants to repair itself, and creates new collagen around the injuries. New fibroblasts form, and a healing cascade takes place.

In general, Microneedling can be used to:

  1. Increase absorption of active ingredients, such as Platelet Rich Plasma or growth factors, into skin
  2. Stimulate collagen production which promotes rejuvenation
  3. Improve wrinkles, minimize pore size and induce skin tightening
  4. Improve surgical, traumatic, burn and acne scars

Microneedling may also improve stretch marks and hyperpigmentation (brown spots and melasma). Results are expected in 2-4 weeks after treatment. Following the procedure, we may see luminosity in the skin that was not initially evident. Acne scars, deeper wrinkles, and fine lines usually require multiple treatments. 4 weeks after the initial procedure, we like to treat the patient again. The cumulative effect that takes place following multiple treatments yields a fantastic result.

Dr. Nassif on John Johnson's Talk Radio LIVE

August 8th, 2013

On Monday, July 15, 2013, radio talk show host John Johnson along with co-host Dr. Estella Sneider welcomed Dr. Nassif in an exclusive radio show interview to discuss some of the latest trends in facial plastic surgery, including Nassif’s very own anti-gravity facelift. Johnson introduces Dr. Nassif as a world renowned facial plastic and reconstructive surgeon, considered by peers as the top rhinoplasty specialist around the world. Internationally recognized by media and print, Dr. Nassif is praised for providing consistently natural, attractive and functional aesthetic results.

Among Nassif’s impressive resume, many achievements, and philanthropic efforts, Johnson asks how Nassif became so attracted and dedicated to the field of facial plastic surgery.  Nassif explains that he originally trained as an otolaryngologist (ears, nose and throat specialist) and as part of his extensive training, he had the opportunity to deal with all the vital structures of the face and neck, including facial reconstruction techniques in cancer and tumor patients.  Nassif fell in love with both the artistry and functionality aspect of this type of plastic surgery.  He notes that this was the part of training that excited him the most and so began his journey and life-long career.

The Anti-Gravity Facelift

Today, Nassif’s skilled artistry and talents have led him to perfect a facelift procedure popularly known as the Beverly Hills Facelift or the Anti-Gravity Facelift.  By modifying the standard endoscopic mid-face lift, Dr. Nassif developed a modern day facial rejuvenation treatment that is minimally invasive and leaves no visible scarring to create a natural look with the shortest recovery time. The anti-gravity facelift utilizes a state-of-the-art gel therapy derived from the patient’s own blood cells (platelet rich plasma, or PRP) to accelerate the healing process, maintain good fat and promote collagen growth for an optimal complexion. The PRP process involves extracting the fat, spinning and purifying it to reveal the rich platelets which will then be administered through a cannula underneath the facial skin.  This type of fat grafting is semi-permanent as approximately 50% of the PRP survives in the body post procedure.  After incising and elevating the facial tissue during the anti-gravity lift, Dr. Nassif uses a cannula to gently distribute the healthy fat and platelet rich plasma (PRP), two essential elements that truly work to restore youthfulness to the face. 

This prompted Johnson to question the hype behind the vampire facelift.  Nassif explains that concentrated PRP is utilized in this treatment, as well.  A combination of filler and PRP gives instant and long-lasting results in the vampire facelift.  The filler provides immediate benefits while PRP simultaneously builds collagens and adds volume.  Nassif notes that fat can be harvested from many areas of the body and injected into the superficial layers of skin, for example, common facelift areas like the forehead, eyebrows, under-eye area and cheeks.  Dr. Nassif goes on to talk about micro needling – a newer rejuvenation procedure that utilizes a facial device with rapid rate turning needles to create micro holes in the face. Again, PRP is delivered into the face through these tiny holes to stimulate collage, soften wrinkles and promote overall smoother, younger looking skin.  Although this is most often considered a plasma delivery system, patients have multiple product/filler options.

Rhinoplasty Specialist

In regards to rhinoplasty, specifically, Nassif states that we live in a melting pot of ethnicities, where patients of all backgrounds are seeking to soften ethnicity, but not really westernize their look. Ethnic patients want to refine their ethnic looking nose, but not create an artificial, unnatural-looking nose. An interesting fact: Nassif underwent his first rhinoplasty procedure at age 17, making him both a surgeon and a patient, and just last year he received another rhinoplasty surgery after his son jumped on his nose, leaving it asymmetrical.

Nassif engaged listeners on another hot topic: stem cell treatment.  He recognizes and appreciates that technology is evolving every year, and predicts that in the next five years or so stem cell preservation and procedures will become a mainstream medical affair.  In his practice, for example, liposuction procedures remove fat which undergoes a purifying process, leaving behind young, viable fat cells. Any extra fat cells after harvesting can be stored for second stage procedures. Even more important, however, these cells can be cryogenically preserved with the hope of treating future medical diseases such as cancer. 

Body Dysmporphia

Radio show co-host Dr. Estella Sneider had the benefit of sharing her own personal experience as a patient of Dr. Nassif’s for a facelift procedure that originally aired on Bravo network’s popular television series The Real Housewives of Beverly Hills. Dr. Sneider attests to how talented, dedicated, sophisticated and professional Dr. Nassif is, both in and out of the operating room.  As a psychologist, Dr. Sneider conducts mental health evaluations on patients electing plastic surgery to make sure that they are doing it for the right reasons.  Dr. Nassif admitted that he declines about seven percent of patient requests per year due to individuals afflicted with body dysmorphic disorder.  Dr. Sneider explains that body dysmorphia is a type of mental disorder connected with OCD wherein the individual is obsessed and/or paranoid about a portion of the body, usually the face, and fears that others are negatively judging them which can lead to paranoid traits.  Even after a cosmetic surgery, body dysmorphia sufferers will likely be dissatisfied with their appearance and the need for further surgery can turn into an unhealthy obsession with unrealistic expectations.

Dr. Estella asked Dr. Nassif to speak to the science behind today’s common injectables, Botox and Dysport – a familiar facial rejuvenating treatment that Dr. Nassif states involves the injection of neuromodulators to temporarily paralyze or weaken targeted facial muscles, ultimately preventing creasing and further wrinkling.  Dr. Nassif prefers the injectable filler Dysport because it provides a faster onset of action with longer lasting results.  Dr. Nassif concludes by encouraging prospective patients to always seek out an experienced injector, or board certified facial plastic surgeon by researching doctor qualifications, reading patient reviews and evaluating before and after photos. 

Dr. Nassif Makes a Decision for Health

July 11th, 2013

One of the results of being on “The Real Housewives of Beverly Hills” was seeing how I looked to rest of the world and realizing that I had become overweight. As a doctor, I’m well aware of the health risks associated with being overweight- from Type II diabetes and high blood pressure to reflux disease and depression. However it was the show that delivered the wake-up call that I needed to make fundamental changes to my diet and to start an exercise program to help me lose weight and improve my overall health. In late March 2013, I started on a life-changing journey by spending a week at The Clinic by Dr. H.

Created by Dr. Robert Huizenga of “The Biggest Loser,” The Clinic is a new, residential boot camp that helps people get on the road to health by eliminating excess fat and fat-related diseases. The program at The Clinic is fantastic with everything from endurance/interval training, boxing, dancing and yoga to cooking classes. The facility located in a 1920s villa in the Hollywood Hills is absolutely amazing too. Most important, my stay gave me a new way at looking at food and exercise and the desire to make the changes I learned at The Clinic a permanent part of my life.

Three months after being at The Clinic, I’ve amazed even myself by dropping 22 pounds! Losing the weight has helped me reduce my risk of heart disease and made me feel more energetic at work and at play with my sons. Working out and running with The Clinic’s Michael Friedman has also inspired me to take on the challenge of doing a half marathon race this summer- more details to follow!

I hope that the videos of my time at The Clinic will help you start thinking how changes to your diet and daily exercise can help you take charge of your health and wellness. You can do it!

Watch Dr. Nassif on his wellness journey.

4 important tips you need to know before getting a nose job in Beverly Hills

April 25th, 2013

Rhinoplasty, or “nose job”, is surgery to reshape the nose.  Rhinoplasty can increase or decrease the overall size, width or height of your nose.  It can also change the shape, of your bridge, tip and nostrils.  Elements of your breathing can also be improved with a functional rhinoplasty.

nose job beverly hills 300x199 4 important tips you need to know before getting a nose job in Beverly Hills








Rhinoplasty can be life-changing and enhance both your appearance and self-confidence.  That being said, with so many surgeons performing rhinoplasty in Beverly Hills, how do you find the right doctor for you?

Nose Job Checklist

  1. First, there are no shortcuts.  Even with referrals, you as the patient should do your own research regarding the doctor.  Education, training, board certification, patient reviews and viewing a potential surgeon’s before & after pictures are important steps in finding the right surgeon.
  2. It is important to seek a rhinoplasty specialist, with a special expertise in rhinoplasty. Consider checking to see surgeon you’re considering with the American Academy of Facial Plastic and Reconstructive Surgery;  the world’s largest specialty association for facial plastic surgery and click here to visit the American Board of Otolaryngology.
  3. Once you find a doctor with exceptional credentials, the next step is to have a consultation with him/her.  This is where the art meets the science of plastic surgery and rhinoplasty.  There are many algorithms and formulas published throughout the years in plastic surgery textbooks.  However, your nose is unique.  Use your consultation to determine what your surgeon’s aesthetic is – meaning, do they find the same things attractive as you do, and ultimately, do they envision the same nose that you do. 
  4. The intangibles are just as important: do you connect with the doctor, does he/she seem passionate about rhinoplasty, does he/she instill confidence in you and make you feel comfortable?  The answer to all these should be a resounding “Yes!”  

Following these guidelines will not eliminate all the risks of surgery, but will ensure that you have the greatest chance for a successful surgery and a beautiful new nose.

Questions? Call us for a consultation

CTA CallToday02 300x73 4 important tips you need to know before getting a nose job in Beverly Hills

Male Plastic Surgery

April 10th, 2013

What are common male plastic surgery procedures?   

man outside Small 300x199 Male Plastic SurgeryFor men, there is often a negative stigma attached to pursuing plastic surgery. 

Men who choose to have plastic surgery or cosmetic procedures done may have traditionally been regarded as “vain”.  However, this may be a remnant of the past as today’s man accounted for 46% of the health and beauty products sold in 2011. 

Men also accounted for over 800,000 cosmetic surgery procedures in 2011 – approximately 10% of all procedures performed.  This represents a 100% increase compared to just a decade ago.  Three of the top five procedures are facial plastic surgery procedures: rhinoplasty, eyelid surgery and facelift. 

Especially for male plastic surgery, it’s important for patients to seek out facial plastic surgeons that will deliver a natural, masculine result.  Looking “fake” or “done” is a big concern for females seeking plastic surgery, but perhaps an even bigger concern for males.     

Proper Skin Care for Men

In addition to surgical procedures, men are increasingly realizing the importance of proper skin care and are taking advantage of a number of nonsurgical cosmetic procedures. 

Laser resurfacing and photofacials go beyond mere salon facials (which only address superficial layers of skin) to stimulate new collagen and skin growth, to leave your face looking smoother and younger.  Tough, rugged men may be attractive, but tough, rugged skin is not.

Do men get Botox and Facial Fillers?

The number of men receiving Botox injections and facial fillers (Juvederm, Radiesse, Restylane, Sculptra) has also been exploding every year, as men have learned to seek out experienced physicians who are able to deliver natural (and not frozen) results. 

Just as many women before them, men have discovered a quick, painless 15 minute office visit can leave them looking more youthful and refreshed, without the downtime.  As long as men want to look good and feel good, male plastic surgery will continue to explode.   

Is plastic surgery right for you?

If you’re a man that’s been considering whether or not you should get plastic surgery, you should seek competent medical advice. Dr. Nassif and Dr. Yoo are experts in male plastic surgery. Call today to schedule a consultation and see how plastic surgery could help you.

CTA CallToday02 300x73 Male Plastic Surgery

Rhinoplasty Recovery – What to Expect

March 13th, 2013

Rhinoplasty, or a “nose job” as it is more commonly known, is one of the most

frequently performed cosmetic surgery procedures today. If you are considering
undergoing rhinoplasty it is important to consider all aspects of the procedure,
including what you can expect during your immediate recovery period so you can
make an informed decision.

In general, after rhinoplasty you can expect to experience some throbbing pain
and headaches. Most patients who have undergone rhinoplasty only require a
couple of days of a narcotic for pain relief. After that, most report that over-the-
counter pain relievers such as Tylenol are more than sufficient to relieve their
discomfort. The majority of patients are pleasantly surprised how the level of
discomfort is less than expected. Most bruising and swelling will resolve within 7-
10 days after surgery.

The most uncomfortable aspect of the recovery is probably not being able to
breathe through your nose during the first week after surgery. This is due to
swelling from the surgery itself, and sometimes from small silicone splints that
Dr. Nassif and Dr. Yoo place inside the nose to aid the healing process. Nose
blowing should be avoided for the first two weeks, and instead nasal saline
irrigation and sprays should be used to help keep the inside of the nose moist
and clean. As the swelling resolves, your breathing will be dramatically improved
compared to before surgery.

Dr. Nassif and Dr. Yoo see their patients the day after surgery, then one week
after surgery. At the one week post-op visit, the cast and sutures are removed
and a light, nude colored tape is applied. Light cardio exercise may resume 2
weeks after surgery, and full workouts may resume 4 weeks after surgery.

About 3-6 months after your surgery the vast majority of the swelling will have
resolved though your nose may still feel a bit numb. Healing will continue for a
full year after surgery. You’ll also be able to fully appreciate the aesthetic results
of your surgery at this point, which will make the minor discomfort experienced
immediately post-op entirely worth it.

Dr. Paul Nassif and Dr. Donald Yoo of Spalding Drive Plastic Surgery are skilled
facial plastic surgeons specializing in rhinoplasty and revision rhinoplasty.
Additionally, Dr. Nassif’s experience with rhinoplasty procedures has earned him
the nickname “The Nose Guy of Beverly Hills.”

Contact us at 310-773-9788 to schedule your personal consultation or to get
more details about rhinoplasty procedures with our providers.

Fractional Laser Resurfacing

March 13th, 2013

For years lasers have been used to improve wrinkles, stretch marks, acne and surgical scars, uneven skin tone, and other skin conditions. Lasers are well-suited to treat specific conditions because of their precision. In the dark ages of laser resurfacing (1990s) the entire skin surface was ablated (removed), leaving a very large, raw surface area. Undergoing laser resurfacing was a major ordeal, involving lots of preparation time for adequate pain control, and a prolonged recovery afterwards as the skin healed back over raw areas.

fractional laser image Fractional Laser Resurfacing







Figure 1.  Microbeams of laser light heat the skin to promote new collagen production.  

Enter fractional resurfacing technology. Instead of removing the entire skin surface, columns of laser light in a honeycomb pattern treat 20-30% of the skin surface at a time. These laser microbeams create areas of treated tissue surrounded by untreated tissue, allowing the skin to recover much more quickly and minimizing the downtime. The microbeams penetrate deep into the epidermis and dermis, stimulating collagen production. Side effects are minimized while healing and aesthetic outcomes are maximized.

Fractional Laser Before and After Photos

fractional laser 2 Fractional Laser Resurfacing






Figure 2.  Before and after treatment of wrinkles with 1540 Fractional Resurfacing Laser.

fractional laser 3 Fractional Laser Resurfacing







Figure 3.  Before and after treatment of acne scarring and large pores with 1540 Fractional Resurfacing Laser. 



Top Liposuction Myths

February 10th, 2013

Liposuction is a terrific way to get rid of unsightly bumps and bulges that are difficult to eliminate through dieting and exercising. While this technique is extremely popular today, there are many myths pertaining to it. We debunk some common myths below:

Liposuction is a Weight Loss Tool
Liposuction is not meant to be a weight loss tool, and it will not remove all of the fat from your body. It simply was not designed for this purpose. For you to be an ideal candidate for this procedure, you need to be close to your ideal weight. Liposuction was solely designed to remove unsightly adipose tissues.

The Fat Will Never Come Back
Liposuction is not a permanent weight loss tool. You must stick to a healthy diet and exercise program to keep your weight off. Just as eating too much and not exercising will make an athlete heavy over some time, it will eventually make liposuction patients overweight as well.

Liposuction is Only for Women
Nothing could be further from the truth! Men can be perfect candidates for liposuction too. If you are a man and want to have your unattractive bulges sculpted away, this is the procedure for you. Liposuction is not gender specific; the procedure can help both women and men, alike.

Liposuction Can Remove Cellulite
Liposuction cannot remove cellulite. Cellulite is not caused by simply being overweight. It occurs when there is damage to connective tissues beneath the skin. Liposuction may temporarily reduce the appearance of cellulite, but it cannot cure it. If you want to treat cellulite properly, call our office at 310-773-9788 and ask about Cellulaze with Dr. Amron.

Anyone Can Perform Liposuction
This is a myth as well. Liposuction is a complicated process that requires professionals who are skilled and highly trained. It is typically performed only by qualified surgeons who have undergone years of training and are board- certified.

Liposuction Has Only One Benefit
Another myth surrounding liposuction is that it only offers one benefit, which is that it can make you more attractive. This can be true; however, there are many more benefits to liposuction as well. It can also significantly boost your energy and confidence levels.

As you can see, there are many myths pertaining to liposuction. However, there are many advantages to the procedure as well. If you have unsightly bulges that you have not been able to get rid of, liposuction may be the perfect choice for you.

We have many liposuction and non-surgical liposculpture treatments available here at Spalding Drive Plastic Surgery. Call us 310-773-9788 to schedule your consultation.

Endoscopic Brow Lift

February 6th, 2013

Lip Augmentation

February 5th, 2013

Do you want full, pouty lips? Great news – we have fantastic safe, effective lip augmentation procedures designed to plump your lips, giving the area surrounding them a smoother, more youthful appearance.

Cosmetic plastic surgery has undergone a huge surge in popularity over the last twenty years, due in large part to huge advances in techniques and safety. This has led to an increase in the number of lip augmentations performed. The following is a brief overview of non-surgical lip augmentations commonly performed today:

Non-Surgical Lip Augmentation

If you have uneven or thinning lips due to the effects of aging you don’t just have to grin and bear it. Talk to your cosmetic surgeon about possible non-invasive options for you. Non-surgical lip augmentation utilizes various fillers composed of hyaluronic acid, which are already a component of healthy skin. In addition, there is also a minimally invasive cure for those lines that appear above and below your lip line and those saggy mouth corners.

One example of this kind of treatment is called Juvederm which only takes about thirty minutes for your doctor to administer right in their office. The results of this treatment are dramatic and immediate, and can be expected to last from eight months to up to a year. It is also very natural looking and the procedure causes very little if any pain.

Call us at 310-773-9788 and ask us about our Luscious Lips Valentine’s Day special for non-surgical lip augmentation with
Juvederm plus complimentary Botox for Facebook fans only! Like us on Facebook to qualify.

Get Rid of Smile Lines

February 4th, 2013

Non-Surgical Facial Rejuvenation

February 4th, 2013

Watch a Rhinoplasty Surgery

February 4th, 2013