Facial Plastic Surgery Blog

I’m Asian and want to know how you would suggest changing a bulbous nasal tip and flared nostrils? Flared nostrils can be addressed with nostril narrowing procedures. Through these procedures, I am able to remove the excess skin of the nostril and hide the incision in the crease between the nostril and the face. To […]

Is it true that augmentation is common in African American procedures and what does this entail? Augmentaion of the African American dorsum or bridge of the nose is not uncommon. The method I choose for augmentation includes using cartilage (from either the septum, ear, or rib) diced and wrapped with temporalis fascia. Temporalis fascia is […]

Rami K. Batniji Facial plastic and reconstructive surgeons Dr. Rami Batniji, lauded for his natural results (rhinoplasty leads the list) and remarkable patient care, discusses the evolution of eyelid procedures. UPPER LIDS I am writing a paper for publication that describes my experience with a unique, minimally invasive endoscopic brow lift. I perform this surgery […]

Rami K. Batniji, M.D.1 and Edwin F. Williams, III, M.D., F.A.C.S.1,2 ABSTRACT Many techniques have been developed for rejuvenation of the midface. This article describes the technique of subperiosteal midface elevation via an endoscopic brow incision approach developed by the senior author and reviews the results of this technique, with specific emphasis upon the effect […]

Rami K. Batniji, M.D.*, Stephen W. Perkins, M.D.# *Batniji Facial Plastic Surgery, 361 Hospital Road, Suite #329, Newport Beach, CA 92663 #Meridian Plastic Surgeons, Meridian Plastic Surgery Center, 170 W 106th Street, Indianapolis, IN 46290 *corresponding author: Rami K. Batniji, M.D., 949.650.8882/949.650.2293 (facsimile) Acknowledgements The authors would like to acknowledge Nancy A. Rothrock for her […]

How do you improve a flat, wide nasal appearance as often seen in African American noses? The flat wide nasal appearance can sometimes be addressed by bringing the nasal bones inward via osteotomies. However, in African American noses, the nasal bones may be very short and wide and the bridge or dorsum of the nose […]

What does “pillow face” mean and how is it prevented? Over time, we lose volume to the face, resulting in older, hollow appearance. One solution is the injection of filler material. If too much filler material is injected, the result can be large, unnatural lips and unnaturally large cheeks. This appearance of “over-injection” of filler […]

Is there a gel treatment for crow’s feet? The treatment options I recommend for crow’s feet include Botox which softens the muscles that form crow’s feet. I also recommend a good eye serum, such as IS Clinical’s eye serum, to hydrate the skin around the eyes. If the crow’s feet are more prominent, I may […]

I am Asian-American and am seeking a consultation on rhinoplasty. I would like to have the bridge of my nose raised and narrowed and also have the width of my nose at the nostrils narrowed. I believe that this means some type of augmentation. Can this be done without detracting from my Asian features? Yes, […]

Are there limits to what can be achieved with ethnic rhinoplasty? Ethnic rhinoplasty limitations include the inherent strength and resilience of the nasal cartilages, the thickness of the nasal skin, and the healing process of the individual. Another consideration is the harmonious balance between the nose and the facial features. In ethnic rhinoplasty, we like […]