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Jan 27
2012

Dr. Ghavami to Speak at 30th Hawaii Plastic Surgery Symposium

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At the  30th Hawaii Plastic Surgery Symposium (Jan. 28-30), Dr. Ashkan Ghavami will be sharing his insights on a variety of procedures, including lower eyelid blepharoplasty, ethnic rhinoplasty, and fat transfer to the buttocks. His remarks on lower eyelid rejuvenation will touch on the five-step approach he employs, which includes selective release of the orbicularis retaining ligament and filling the deep malar fat compartment. He will also discuss his approach to rhinoplasty in Beverly Hills, including his emphasis on preserving the distinct ethnic features of Asian, African-American, Hispanic, and Middle-Eastern patients. Finally, he will speak about his S-Curve Buttock Lift®, which often makes an effective complement to his Beverly Hills breast augmentation and tummy tuck procedures. To learn more about Dr. Ghavami's various Beverly Hills plastic surgery options, contact his office to schedule a FREE consultation.

Dec 27
2011

An Effective and Simple Approach to More Aesthetic and Predictable Lower Eyelid Surgery

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Plastic Surgeons in the field of blepharoplasty (plastic surgery on the eyes) are always looking for innovative ways to provide safer and more aesthetically pleasing results for their patients. In the past, some traditional methods have left patients with a hollowed out appearance that gives their eyes a prematurely aged look and distorts their facial features. Dr. Ashkan Ghavami, also known for quick recovery breast augmentation, buttock shaping with fat transfer, and rhinoplasty in Beverly Hills, has conducted research in the area of periorbital (eye region) rejuvenation while receiving prestigious society awards for these advances. At his sought after Beverly Hills plastic surgery clinic, he offers a comprehensive five-step procedure for improved lower eyelid surgery that addresses all aspects of eyelid aging.  This technique was recently published with colleagues in the PRS journal and developed by the lead author of the study, Dr. Rod J Rohrich.

In simplest terms, the success of this five-step approach relies on not taking too much away. By preserving fat and eyelid muscles, and blending lower eyelid fat with cheek fat, Dr. Ghavami is able to maintain and enhance the natural shape of the face. The first step is augmenting the supportive deep malar fat compartment. Dr. Ghavami injects fat deep to achieve suitable postoperative contour and position. Restoring the deep malar fat compartment also sets the stage for correcting the deep groove under the lower eyelid that surgeons call the “tear trough.” For severe cases, bone substitute can be molded directly on to the cheek-bones before fat is transferred closer to the skin.
The second step involves the preservation of the lower lid orbicularis oculi muscle. Conservative fat removal (if at all) protects the eyes from becoming dry as a result of aging. Once this is done, the third step requires the selective release of the orbicularis retaining ligament (ORL). Dr. Ghavami and colleagues helped define this critical structure in a published research article. The combination of the ORL release and the earlier deep cheek fat augmentation serves to seamlessly blend the eyelid-cheek junction and provide essential support to the lower lid so it does not look like it was operated on.
The fourth step is the strengthening of the lateral canthal support (lateral retinacular canthoplexy), which tightens the corners of the eyelids so they don’t droop after surgery. Finally, with the last maneuver, a minimal amount of skin is excised (if necessary). A so-called skin pinch or pinch blepharoplasty is sufficient in most cases. It is important not to remove too much at this point. By using all these steps, problems are prevented and effective lower eyelid rejuvenation is accomplished.
The blending of the eyelid-cheek transition zone, by disrupting the orbicularis ligament and filling the deep malar fat compartment, is essential for optimal results. If you are interested in learning more about this procedure, along with other options provided by Dr. Ghavami, such as Beverly Hills breast augmentation, open and closed rhinoplasty, revision rhinoplasty, ethnic rhinoplasty, and buttock augmentation with fat transfer in Los Angeles, please visit online at http://www.ghavamiplasticsurgery.com/face-surgery/eyelid-surgery-beverly-hills.html

Nov 29
2011

Ethnic Nose Jobs: The History of Ethnic Rhinoplasty

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In Beverly Hills, I see noses of all ethnic origins.  These range from Persian (Iranian Rhinoplasty), Hispanic, and African-American to Israeli, Arab, and Asian.  Rhinoplasty is in and of itself a unique operation. Every nose should be tailored for only that person. No two people should have the same nasal shaping performed.  With the various ethnicities in Los Angeles, this is even more important. This makes the operation of nose jobseven more challenging, yet always fun and exciting. 
Rhinoplasty, since its origins has been intimately tied to specific ethnicities.  For example, John Roe used endonasal nose job approaches to perform cosmetic rhinoplasty on the “pug nose” (referring to Irish patients that had excessive nostril show and a high nasolabial angle), while Jacques Joseph, modified tips and dorsal humps in 1920s-1940s Germany. More recently, there have been numerous articles, documentaries, and media exposure over the popularity of rhinoplasty in Tehran, Iran, which is referred to by popular media as “the capitol of nose jobs.”   In Beverly Hills, it is interesting to see that many of the Iranian-Americans want something slightly different than their fellow Iranians residing in Iran. In addition, sometimes the mom that comes with her daughter to the nose job consult wants something different and is very involved throughout the process.
In the United States, “standards of beauty” propagated by the mass media, are mostly based on Northern European facial traits with well-defined aesthetic goals (straight, narrow bridge, narrow and sharply defined nasal tip, a nasolabial angle of 90 to 95 degrees in men and 95-105 degrees in women.  However, refining the nose of ethnic patients does not adhere to these European-based characteristics, which can lead to “racial incongruity”.
“Racial incongruity” refers to an imbalance between the physical traits of individual and their ethnic background.  A marked disproportion between nasal and facial morphology can be very conspicuous and awkward.  For example, a sharp supra-tip break and an overly narrowed alar  (nostril) base in an African American patient with Fitzpatrick 6 skin type (darkest skin colors), and thick fatty-fibrous skin, appears unnatural and over-done.  Many times African American patients in the media look like they have a nose that resembles a triangle that is too narrow for their face,  These are examples of incorrectly performed nose jobs that look imbalanced with the ethnic facial features and look overall fake and overdone. Many of the principles of avoiding and “over-operated” looking nose, are inherent to cosmetic nose surgery regardless of ethnic origins.  These concepts are even more important in ethnic patients and racial imbalances can be prevented through accurate pre-operative evaluation and a precise custom-tailored rhinoplasty.
Specific ethnic groups  desire rhinoplasty in the Los Angeles and Beverly Hills area that I see on a weekly basis: African-American, Hispanic (Many of which are Mexican-American), Middle Eastern (Persian or Iranian, Armenian, Arab etc.), and to a lesser extent Asian patients. A pre-operative evaluation and treatment plan that is sensitive to the ethnic nasal and facial features is very important.  While each ethnic group reveals a variable spectrum of nasal characteristics, certain classical features are commonly present and should be recognized by the plastic surgeon. 

Dec 20
2010

Flash Recovery Breast Augmentation - What You Need to Know and Details from The Doctors TV Show

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For women who want to achieve a more attractive breast shape and size, without the pain and drawn-out recovery of standard breast surgery, there is a breakthrough solution in what is coined the Flash Recovery Breast Augmentation ® with Dr. Ghavami. The tenets are based on the incredible and innovative research in quick or rapid recovery breast augmentation first published by Dr. John Tebbetts. Dr. Ghavami (who studied under Dr. Tebbetts) is proud to be able to utilize these concepts to reduce the recovery time and pain of breast surgery for his Los Angeles patient population.

Jun 23
2010

Dr. Ghavami’s Innovative ‘S-Curve Buttock Lift’ Surgery Transforms the Entire Body and Creates the Ultimate Curves

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By focusing on the whole body rather than just the buttocks, Dr. Ghavami is able to sculpt tissue in a way that gives new curves without synthetic implants. This is truly transformative.

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Plastic surgeon Dr. Ashkan Ghavami, serving Beverly Hills and the surrounding area.
Dr. Ashkan Ghavami: 433 N. Camden Drive Suite 780 Beverly Hills, CA 90210 | Tel: (310)275-1959 Fax: (310)887-4705 | www.ghavamiplasticsurgery.com

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