Dr. Sam Lam Plastic Surgery Forum

Hi Doctor, my poor dear Doctor, today I have made so many questions! (I had my computer at work down for a while and could not get into the forum as often as I wanted to).

Anyway, here goes the last one ;)

In people with long noses and/or noses where the angle between the skin over the mouth and the nose is 90º (or less, but ...

I spoke with a doctor who said that a great limitation in rhinoplasties is the thickness of the skin/cartilage in the inferior part of the nose. Do people with thick and wide tips get less of an advantage from a rhinoplasty? Ultimately, does a rhinoplasty on the rest of the nose cause it to be diproportionate?

Is it more advisable to have a rhinoplasty first and then a chin implant, or both together, given the ...

Hi Dr. Lam,

I kind of hate asking, as I don't want you to think I wasn't listening to you yesterday when we discussed my nose.
I hope you won't mind telling me again...Did you say 'open roof deformity' ? and if so, is this something I presently have OR something that may occur during rhinoplasty due to my situation?

I'm not asking for any promise, but do you suspect significant refinement* of my tip ...

Thank you for posting about your trip on the blog! Was looking forward to hearing from your experiences there!

Tell, doctor, and this is an unrelated topic (although related to the last one I posted)...

When a doctor performs the type of rhinomodelation (rhino without surgery) by using fillers, does necessarily lifting the tip of the nose lead to a narrowing of the width of the nose?
I am thinking of how the movement of ...

Dear Doctor, can the "non surgical nose surgery" (assuming the person is a good candidate for it) be done with Hyaluronic Acid injections? I know it is done with fillers, but I've noticed that in most countries in this area the substance used is metacrylate/PMMA. Something I know it is not FDA approved and would NOT use. Knowing that it would be temporary (which in a way is better -yes, more money but if it ...

I have been to several consults and most of the dr.s have decided I will needl; tip narrowing, nasal bones narrowed, alar base reduction, small hump removal, cartilage graft to push my nostrils downward (too much notril show). I was wondering about what you charge for a primary nose job? I am interested in knowing this info before visiting for a consult being that I am out of town.

Thank you,
hayes212

When you inject one's lips, do you inject a filler into the actual lip or in the skin slightly above the lip. I have always wondered. I am also wondering that if you do inject your blunt cannula or needle into the lip, would that cause trauma to some lips in your opinion?

I have a scar on either sides of my nostrils,b/c the surgeon thought my nose needed to be cut. In 2007, I had the scars revised after 12 years. I think the scars are more pronounced now because of the indentations. I recently found a dr. who does laser scar revisions. He says he could help smooth out my scar. He says he will need to do a laser peel on my entire face so ...

I have been researching rhinoplasty for about a year and a half now and I wanted to see an approximate estimate on how much this type of procedure would cost? I have a slight hump on nose. Do you offer modifications of the nose through pictures online? Thank for any and all information.

Christina

Hello Dr.Lam, I've got a specific question for you if you don't mind.

Can you reduce the length of the interalar spaces, I know you can reduce the width/flare of that area. I was thinking maybe if a surgeon can reduce the collumella and the length of the nostril sidewall, the space between the two will in consequence shrink along with them, if not that space will hang lower than the other parts of the ...