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Rhinoplasty to Narrow the Bridge of the Nose

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194241161 xs - Rhinoplasty to Narrow the Bridge of the Nose | Beverly Hills | Los AngelesPatients put their trust in Dr. Geoffrey Keyes because he is one of the leading facial cosmetic surgeons in the greater Los Angeles area. He uses his expertise to perform safe and effective rhinoplasty (nose job) that brings out the best in the patient's facial features. All sorts of revisions can be made to the nose, and we'd like to focus right now on surgery to make the bridge thinner and narrower.

Issues with Broad or Flat Nasal Bridges

Sometimes when a person's nose is flat or broad, it can have a negative effect on overall facial aesthetics. Since the nose is such a prominent facial feature, it has a tendency to alter the symmetry and appearance of the face. Even a subtle adjustment of a nose that appears broad or flat can result in changes to your overall facial appearance.

Is narrowing of the bridge possible?

Yes, it is.

The narrowing procedure can be done by careful bone reshaping. Modern surgical techniques have allowed facial plastic surgeons to revise the narrowness and thinness of the bridge of the nose without affecting the appearance of the bridge in profile. In other words, if a patient so wishes, his or her nose will look exactly the same when viewed from the side yet appear narrower when viewed from the front.

Ideal Candidates for Rhinoplasty to Address Bridge Shape/Contour

The best candidates for rhinoplasty are people who would like to alter the appearance of their nose. They should be in good health overall and not suffer from serious systemic conditions that would make the surgery risky in any manner. It's also important for patients to have realistic expectations about the surgery and what it entails in that this improves patient satisfaction and demonstrates that patients are willing to follow pre-op and post-op instructions closely.

Patients who seek to have their nose narrowed come from different ethnic backgrounds. In order to ensure the best results, we will always tailor the surgery to their needs to appear subtle rather than trying to force the patient's nose to conform to a single beauty standard.

What to Expect from Your Rhinoplasty Procedure

The rhinoplasty will be performed using general anesthetic in order to prevent undue worry and stress to the patient. An open rhinoplasty will be likely given the amount of revision to the bone and cartilage that will be required, though this sill vary from patient to patient depending on his or her needs.

During this particular kind of rhinoplasty, your surgeon will focus on removing and reshaping the bone and cartilage of the nose so that you look your very best. As alluded to above, we will strive to ensure that the results of your rhinoplasty complement the overall appearance of your face and other facial features.

Other Matters to Consider Regarding Nasal Bridge Reshaping

In addition to narrowing the bridge of the nose, we are also able to remove ridges and bumps from the bridge and even make adjustments to the nostrils and the tip of the nose. All of these matters can be discussed in full detail when you stop by for a consultation.

Learn More About Your Rhinoplasty Options

For more information about how rhinoplasty can enhance your overall appearance, be sure to contact our facial plastic surgery center today. Dr. Keyes and his entire team look forward to your visit and discussing your aesthetic goals.

102216925 xs - Hump Reduction Rhinoplasty: Enhancing the Bridge of the Nose | Beverly Hills | Los AngelesWhen it comes to improving the overall appearance of your face, it's important that you consider visiting the Keyes Surgery Center. Patients throughout Los Angeles have benefited from our expert care, which includes a special focus on rhinoplasty (nose job), a procedure that can improve the size, shape, and contour of the nose.

Rhinoplasty can be performed to address various kinds of aesthetic flaws. Right now, let's focus on bumps located on the bridge of the nose, alternatively referred to as humps and bumps.

The Aesthetic Problems of Bumps and Humps

If you have a pronounced bump or hump on the bridge of your nose, it can dominate the general appearance of your face. Sometimes the bump may lend your face some character, but other times the bumps can be very distracting, and may even be the source of major self-consciousness or low self-esteem.

How big a difference can hump reduction make?

Quite a major difference. The nose is such a central and prominent facial feature, that even a small adjustment can leave you looking much different. During a consultation, digital imaging may be used to help you see what the likely results of your surgery will be like before it is actually performed. Think of it as a predictive before and after photo.

Ideal Candidates for Revising the Bridge Through Rhinoplasty

The best candidates for hump reduction are people who have bumps or humps on the bridge of their nose that lead to major self-consciousness or issues with self-confidence. They should be in relatively good health otherwise and not suffer from medical conditions that would make a surgical procedure a risky endeavor.

It's important that patients have realistic expectations about the recovery process as well as these will help contribute to positive patient experience and overall satisfaction with the results of the procedure.

Will bone or cartilage be revised?

It actually depends on the location of the hump on the bridge of the nose. If the bump is located in the upper third of the nose, bone will be revised. If the hump is in the lower two-thirds of the bridge, cartilage will be revised. In many cases, a combination of bone and cartilage will be revised during the rhinoplasty procedure.

The exact nature of the procedure will be discussed during the consultation process so you have a solid understanding about the nature of the surgery beforehand.

What to Expect During Hump Reduction Surgery

Patients will be placed under general anesthetic while undergoing surgery in order to prevent major pain and discomfort. Incisions will be made either inside of the nostrils or along the skin between the nostrils in order to access the cartilage and the bone structure.

Recovering from Rhinoplasty

As patients recover from the hump reduction surgery, they will experience some amount of discomfort for the first few days. Swelling and bruising are also common after undergoing rhinoplasty as this is a common surgical side effect in general.

Heavy lifting, strenuous physical activity, air travel, and blowing your nose will all be prohibited as you heal given just how sensitive your nose will be after surgery. In fact, the bridge of the nose will be so delicate that patients will be instructed to not wear sunglasses or prescription eyeglasses. The bridge of the nose really will be that tender that a slight bit of weight and pressure can affect the overall results of surgery.

Schedule a Consultation for Rhinoplasty

If you would like to learn more about rhinoplasty and how it can benefit you and your needs, be sure to contact our facial plastic surgery center today. Dr. Geoffrey R. Keyes looks forward to your visit and helping you achieve all of your aesthetic goals.

180225833 xs - Asian Rhinoplasty: Nose Jobs Performed On Different Ethnicities | Beverly Hills | Los AngelesOne of the reasons that so many patients throughout Los Angeles turn to Dr. Geoffrey Keyes is his expertise and sensitivity when it comes to surgical aesthetics. These are key qualities to have when it comes to ethnic rhinoplasty, which are nose surgeries designed for people of various cultural backgrounds. It takes years of experience to understand how to tailor surgical needs to a patient's facial features rather than restoring to a one-size-fits-all form of treatment.

With this in mind, we want to focus on ethnic rhinoplasty that is performed on patients who are Asian.

About Asian Rhinoplasty

Asian rhinoplasty is a kind of ethnic cosmetic surgery that is performed on patients of Asian descent. Through Asian rhinoplasty, the overall facial features of the patient can be enhanced or altered simply by adjusting the proportions and appearance of the nose.

Misconceptions About Asian Rhinoplasty

One of the most common misconceptions about Asian rhinoplasty is that it is performed in order to give patients a more Caucasian nose. This is definitely not the case. When performing any kind of ethnic rhinoplasty, our goal is to reshape the nose in order to better complement the facial features of the patient rather than forcing the patient into a single cultural beauty standard.

Common Aesthetic Aims of Successful Asian Rhinoplasty

When performing ethnic rhinoplasty on Asian patients, the following concerns are often considered:

  • Creating a more defined nasal bridge
  • Improving the definition of the tip of the nose
  • Narrowing the size of the nostrils
  • Improving overall symmetry of the nose

In many cases, the issue isn't necessarily removing tissue or reducing the size of the nose but rather adding definition as a means of enhancing overall appearance.

Ideal Candidates for Asian Rhinoplasty

Th best candidates for Asian rhinoplasty are people who would like to alter the appearance of their nose. They should be in good overall health and not suffer from any medical conditions that would make a facial surgery of any kind a risky endeavor.

What to Expect During the Rhinoplasty Procedure

Rhinoplasty can be performed as either an open surgery or a closed surgery depending on the needs of the patient. Closed surgery involves incisions that are made entirely within the nostrils, while open surgery will involve an incision made in the skin between the nostrils in order to adjust major structures of the nose.

In general, open surgery is required when more extensive revision is recommended. Rest assured that the scarring from open rhinoplasty is well-hidden given where it is placed.

Recovering from Rhinoplasty

The nose will be very tender and delicate for weeks after surgery. Because of this, patients need to avoid touching their nose and blowing their nose until their surgeon says otherwise. Strenuous physical activity and heavy lifting both need to be avoided as well. Patients who wear glasses are recommended to switch to contacts in order to prevent any pressure being placed on the bridge of the nose.

Multiple follow-up visits will take place in the weeks ahead to ensure that healing is progressing properly. As time passes, patients will be able to return to normal activities that they enjoyed before the surgery was performed.

Schedule a Consultation for Facial Plastic Surgery

If you would like to learn more about rhinoplasty and how it may be of benefit to you and your needs, be sure to contact our facial plastic surgery center today. Dr. Geoffrey Keyes looks forward to your visit and helping you achieve all of your aesthetic goals.

womans face three quarter 1 - The Recovery Timeline After Undergoing Rhinoplasty Surgery | Beverly Hills | Los AngelesDr. Geoffrey Keyes has a great understanding of the nose and how it can be enhanced to improve a person's overall appearance. He has helped countless patients throughout the greater Los Angeles by performing rhinoplasty. Even a subtle rhinoplasty can have dramatic effects on the face, allowing other facial features to become more prominent and the patient's face to appear more elegant and balanced in the process.

While the rhinoplasty surgery itself is important, the recovery process is crucial for ensuring the best possible results. Let's take a moment right now to look at the recovery timeline for rhinoplasty and what patients can expect.

The Nose Is Extremely Tender and Sensitive After Rhinoplasty

One thing that's worth noting is that the nose is very tender and sensitive after undergoing a nose job. The nose is so tender, in fact, that simply wearing glasses too soon after surgery can lead to poor aesthetic results. If a patient blows his or her nose too soon after surgery, the pressure can similarly lead to poor appearance as well as surgical complications.

What to Avoid Doing After You Undergo Rhinoplasty

Because of the above considerations, patients are urged to avoid the following activities until their surgeon instructs them otherwise:

  • Wearing eyeglasses and sunglasses
  • Sneezing/blowing your nose
  • Rubbing or touching the nose
  • Strenuous physical activities
  • Swimming
  • Air travel
  • Team sports
  • Direct/prolonged exposure to the sun
  • Smoking and alcohol consumption

What to Expect During the First Days After Rhinoplasty

During the first days after rhinoplasty, patients can expect a fair amount of fatigue, soreness, bruising, and swelling. Puffiness and bruising around the eye area and cheeks may occur as well. The discomfort can be addressed by taking pain medication as directed, and the discomfort should go down considerably after the second day.

It's important that patients get a lot of rest and that they recline with their back and head elevated. Sleeping on your side or lying with your back flat should be avoided as this can affect the recovery process.

What to Expect During the First Weeks After Rhinoplasty

By the end of the first week, you will have visited the practice for a follow-up visit to ensure that you are recovering properly and free from complications. Any casts or splints around the nose will usually be removed after five to seven days.

The majority of patients will be able to return to work and most of their normal activities after a week. By this time, major swelling should have abated, and bruising should no longer be an issue. The swelling will continue to go down as the weeks progress.

What to Expect During in the Months After Rhinoplasty

As the months progress, you will notice the swelling after surgery fade completely. Issues with tingling and numbness in the nose may persist but should be less of an issue as time goes on. The nose will still be sensitive in the months ahead, but you should be able to engage in exercise and team sports again. Be sure to wear nose protection just in case.

Schedule a Consultation for Rhinoplasty

For more information about rhinoplasty and how it can help you have a nose that looks great, be sure to contact our facial plastic surgery center today. The entire team looks forward to meeting you in person and helping you achieve a more ideal appearance through safe and effective care.

dec blog post 2 - The Art of Nasal Reconstruction | Beverly Hills | Los Angeles
Culture Appears Across Your Face

In terms of safety, most Board Certified Plastic Surgeons receive some training in rhinoplasty, but training programs concentrate on different areas of plastic surgery dependent upon their curriculum. Creating a beautiful nose requires aesthetic expertise that moves far beyond basic surgical techniques.

Your overall look is the sum of your face’s parts. For instance, from a purely physical point of view, your cultural identity is a combination of the shape of your eyes; the size of your nose; the size, placement, and turn of the lips; and the proportions and space between each feature.

Your nose literally plays a central role in your face’s total look. Thus your nasal reconstruction should enhance your overall appearance, not just the nose itself. After all, when you seek a to improve the look of your nose, you’re probably looking forward to how an improved nose means an improved overall appearance.

A highly qualified plastic surgeon will create a customized plan based on the outcome you’re looking for and the procedure that is appropriate for you. A skilled doctor will base his recommendations on a thorough physical examination and his or her experience performing the procedure. 

Whether it’s decreasing the size of the tip of your nose or getting rid of a bump on your bridge, it’s important that you and your doctor discuss how the integration of change will influence your facial expression. Your surgeon should be able to explain how each change will influence not just the nose itself but the entire face.

 

Who to Look For

I recommend that you work with a surgeon who specializes in nasal reconstruction. There is no substitute for training and experience.

Board Certification in Plastic Surgery or Otolaryngology – Head and Neck Surgery is most important.

Consider making appointments with a couple of doctors. During your consultation ask about their qualifications, specialized training, academic work, before and after photos, and how they would address your particular case. There are many more important factors required to evaluate the competency of the doctor, but these provide you a solid start.

cosmetic face6 - Scar Tissue Matters for Los Angeles Rhinoplasty Patients | Beverly Hills | Los AngelesWhen you think about the dynamics of your facial features, you'd be surprised just how much difference a minor adjustment can make. That's why rhinoplasty has proven to be such a dramatic procedure to perform. Simply by making subtle changes to the bridge of the nose, you can alter the complete appearance of your face.

Many patients have questions about scarring after they undergo rhinoplasty. We'd like to take just a few moments right now to go over the basics of rhinoplasty scarring and what you need to know.

About Rhinoplasty

It's probably best to cover some of the basics of rhinoplasty first before we discuss surgical scarring. Also known as a nose job, rhinoplasty is a procedure in which the shape and size of the nose is surgically altered in order to add prominence to other facial features and improve overall facial aesthetics.

Is there scarring after rhinoplasty?

As any facial plastic surgeon will tell you, scarring is a natural part of surgery. It is your body's natural response to trauma, so it will occur after you undergo an elective procedure or a medically necessary one.

Now with that in mind, we do want to point out that the scars that result from rhinoplasty are generally small and/or well-hidden, and that they are hard to notice so long as patients heal properly and without complications.

Incisions Made During Rhinoplasty Surgery

The scars that you will experience after you undergo the nose job will depend on the rhinoplasty surgical method that is used. There are two options:

  • Closed Rhinoplasty – The incisions during closed rhinoplasty are made entirely within the nostrils.
  • Open Rhinoplasty – During an open rhinoplasty, an external incision is made on the skin between the nostrils (the columella) through which the surgeon will make his or her adjustments.

The incision method that a surgeon uses will ultimately depend on your aesthetic goals. Open rhinoplasty allows for greater adjustment of the overall structure of the nose, whereas closed rhinoplasty tends to be limited by comparison in the amount of structural adjustment that can be made.

Avoiding Major Scarring After Rhinoplasty

Regardless what kind of rhinoplasty is performed, there are a number of things that a patient can do to ensure proper healing and as little scarring as possible. It's imperative that patients follow their surgeon's instructions for post-operative care to the letter. These instructions help ensure the most efficient healing and quickest recovery time.

If patients notice any undue pain or discomfort, they should contact their surgeon immediately to ensure that they get the care that they need as soon as possible.

Other Concerns Regarding Rhinoplasty

In addition to scarring, many patients have questions about ethnic rhinoplasty for adjusting the prominence of the nose and revision rhinoplasty to correct complications from a previous surgery. We will be more than happy to discuss all of these matters in full detail when you stop by the practice for a consultation.

Learn More About Rhinoplasty

For more information about nose job surgery and your many options for facial rejuvenation and aesthetic enhancement, be sure to contact our Los Angeles rhinoplasty / facial plastic surgery center today. The entire team here looks forward to meeting you in person and helping you achieve the best possible cosmetic results.

Start with a Checklist

In Atul Gawande’s New York Times Best Selling book, The Checklist Manifesto, the physician describes the importance of checklists. From building skyscrapers to running hospitals, checklists ensure projects and procedures are safe and effective. In my industry, there are multiple ways to measure the patient-safety record of a plastic surgeon. For example, the Institute for Safety in Office-Based Surgery has an ISOBS patient’s checklist. In the checklist, ISOBS stands for Inquire, Stable, Office, Best, Suited, Plan, and Communication. Each word has a question associated with it:

 

Inquire: What are my doctor’s credentials?

Stable: Are my medical conditions stable?

Office: Is the office accredited and licensed?

Best: Is the office the best place for my procedure?

Suited: Can this office handle an emergency?

Plan: After the procedure, what is the plan for my recovery?

Communication: After the procedure, who should I call if I have questions?

 

I recommend using the ISBOS patient’s checklist. As much as the medical industry is highly regulated, there remains room for procedural variation, and the ISOBS checklist is a consistent method of comparing doctors. I’ll provide two examples to illustrate my point.

Safety Checklist - Rhinoplasties and Patient Safety | Beverly Hills | Los Angeles

 

 

 


Part of “Inquire” involves asking the “yes” or “no” question, “Does the doctor have privileges to perform the same procedure at the hospital?”

This question addresses the surgeon’s expertise, credentialing, and reputation. Hospitals have the medical industry’s highest standards. Thus the length of time a surgeon has had hospital privileges points to his or her long term performance in the operating room. Years of hospital privileges indicate a surgeon has upheld high safety standards and maintained a long track record of safely completing procedures.

When you’re searching for the best doctor to perform your nasal reconstruction, you want to make sure he or she has considerable experience performing this procedure. In particular, this checklist item separates newcomers from experts who have completed countless procedures and know how to address multiple what-if scenarios.

Next, “Office” asks the question “Is the office accredited and licensed?” “Accredited” refers to AAAASF (American Association for 

Accreditation of Ambulatory Surgical Facilities) often referred to as the “gold standard” for quality patient care. I currently serve as president of AAAASF.  

Some, plastic surgery practices, such as mine, have in-house, accredited surgery centers where doctors can perform rhinoplasties. If your surgeon has an in-house surgical facility, make sure it has earned the AAAASF seal of approval, or accreditation from one of the other accrediting associations . If not, my simple suggestion is to move on to another doctor.

 

Due to the delicate nature of rhinoplasties, you should only trust skilled surgeons who have accrued a long list of satisfied patients and track record of performing procedures safely. While the subject matter of plastic surgery safety will most likely never make the cover of a popular magazine, assessing a doctor’s safety record is one of the most important steps to experiencing a satisfying surgery that will provide the long term benefits you’re looking for. By using the ISOBS patient’s checklist as a guide, you’re off to a solid start. 

Perfecting the Ethnic Nose VIDEO

ethnic rhinoplasty - Keeping it Real, Perfecting the Ethnic Nose | Beverly Hills | Los Angeles

“When you’re doing a rhinoplasty patients often want to maintain their ethnicity.  If you take an African American, you don’t want to take an African American nose and make it look like a Swedish nose, it just doesn’t work,” explains Dr. Keyes.

You have to take into account the specific internal and external features of each patient’s nose. Ethnic noses may require a considerable alteration of the internal structures in order to change the outer appearance.

Surgery to change the shape of bone and cartilage inside the nose.

Grafting cartilage from elsewhere on the body to extend the nasal tip.

Narrowing of the nostrils.

These major internal changes will impact the function of the nose.

Meaning, extreme care is given to keep ideal breathing function and open airways. With the reconstruction to the nose, rhinoplasty can also fix any hindrance or abnormalities of the nose.

How Young is too Young?

Dr. Keyes notes, “It’s not a matter of age; it’s a matter of growth.  So whether it’s a male or a female, they have to have reached maturity and their facial features have to be the size they’re going to be.  You don’t want to do a rhinoplasty on a ten year old girl because her nose hasn’t grown to its complete extent. Normally a girl at the age of sixteen, seventeen, or fifteen in some cases, their noses are full grown. For boys it’s a little longer but by the time they are seventeen or eighteen years old they can have a rhinoplasty.”

The Right Rhinoplasty for Natural Looking Results

Dr. Keyes uses a computer program, that allows him to alter the nose while the patients are sitting there to get an idea of what they want.  “Sometimes it’s not all about what the doctor wants it’s what the patient wants.  You have to educate the patient about what looks good and if you do rhinoplasty correctly and it looks natural, people don’t know you’ve had a nose job.”

laser skin tightening8 - The Risks of Rhinoplasty | Beverly Hills | Los AngelesA rhinoplasty can have a major positive impact on the appearance of someone's face. Just a slight adjustment of the nose can really complement or enhance other facial features. That's the interesting nature of facial aesthetics, and it's why you need to consult with a skilled facial plastic surgeon in order to achieve the best possible results.

When you meet with your plastic surgeon, you will learn about the risks and benefits of rhinoplasty in detail, allowing you to make an informed decision about all of your needs. Let's take a moment right now to go over the risks of rhinoplasty in basic terms.

What should I know about the risks of rhinoplasty?

Risks are possible with all surgeries whether they are elective in nature or medically necessary. That's why it's important that patients understand both the risks and benefits of any surgery that they will undergo. This provides patients with realistic expectations of care, which in turn allows them to decide if the surgery would be good for them.

Potential Risks of Rhinoplasty

Some of the potential risks of rhinoplasty include:

  • Infection
  • Excessive bleeding
  • Injury to the septum
  • Swelling within the nose
  • Nasal cavity blockages
  • Skin irritation
  • Allergies to anesthetic
  • Poor surgical results

Are these risks common?

Generally speaking, these are all potential risks but they do not occur with every patient. Each person's healing experience is different, and we always strive to ensure that patients receive the best possible care.

Is there a way to reduce the chance of complications following rhinoplasty?

Yes. Your cosmetic plastic surgeon will provide you with a list of pre-operative and post-operative instructions that you should follow to the letter. By heeding these instructions, you will be able to ensure the best possible healing results.

It's important that patients keep in contact with their surgeons during the healing period. Should they notice anything that seems wrong or amiss, they should get in contact with their surgeon right away so that the issue can be addressed in a timely manner.

How Plastic Surgeons Address Rhinoplasty Problems

If a patient does experience a complication of some kind after surgery, there are various ways of addressing it. If there is an infection, antibiotics may be used to keep it under control.

For major complications that involve the nose itself, a secondary or corrective rhinoplasty surgery may need to be performed. When possible, the surgeon will use the same incisions as the one used from the primary surgery in order to limit the amount of scarring.

Making the Best Decision for You

We know that rhinoplasty is a major decision and that it should not be taken lightly. If you are interested in rhinoplasty or other facial rejuvenation treatments, it's worth your time to meet with a surgeon and discuss the surgery in detail. By getting information and asking questions, you'll be able to make an empowered decision about your appearance and your treatment options.

Learn More About Rhinoplasty

For more information about rhinoplasty and what you can expect from surgery, be sure to contact our Los Angeles facial plastic surgery center today. The entire team looks forward to meeting you in person and helping you achieve all of your aesthetic goals.

There are multiple reasons to undergo Otoplasty. Common problems the procedure addresses include earlobes that are disproportionately large, ears that prominently stick out, misshapen ears as a result of trauma, and lop ear (also called bat ear), which is when the top of the ear droops down.

While some patient’s ears are a result of genetics, injury or trauma to the ear can also lead to an unsatisfactory appearance. As a surgeon who is board certified in otolaryngology (commonly called an ENT or an ear, nose, and throat surgeon) and plastic surgery, I am particularly passionate about this procedure. In this post, I’ll provide an overview. 

Who to Look For

Because of the skill and expertise required to perform Otoplasty, it is recommended to work with a surgeon who has specialized training in surgery of the ear. Double board certification in both plastic surgery and otolaryngology (ENT surgery) is a solid start.

As you know, your ears play a role in your overall appearance. Thus your doctor must have specialized knowledge in order to create a balanced look that will provide pleasing results. Seeing before and after photos of procedures he or she has performed will help evaluate a doctor’s skill.

What to Expect

Because cartilage creates your ear’s shape, most procedures involve reshaping it. Surgeons often make incisions in the back of the ear in order to access the cartilage. If your doctor must enter through the front, he or she will most likely make an incision in the ear’s fold, which will prevent visible scarring. Once the procedure is complete, the surgeon will stitch the incision. Most Otoplasties are performed on an outpatient basis.

Throughout my career, I’ve performed ear surgeries on children and adults, and I have also spent years completing revision operations on patients who weren’t pleased with the results they received from previous doctors. Make sure your doctor frequently performs Otoplasties and has the specialized training and peer recognition required to be the most qualified to meet your needs.