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Announcement
Naficy Rejuvenation Center named BEST PLACE FOR SKINCARE by the readers of Seattle Magazine
Dr. Sam Naficy won the award for "Best Plastic Surgeon" and Naficy Rejuvenation Center won for "Best Place for Skincare" through Seattle Magazine's Readers' Choice Awards.
Contact us to experience what Seattle Magazine readers already know - exceptional treatments and results!
Announcement
Dr. Sam Naficy named TOP COSMETIC SURGEON
Dr. Sam Naficy was named Top Cosmetic Surgeon on the Eastside by 425 Magazine. Dr. Naficy has also been selected in the past as Top Doctor in Facial Plastic Surgery by Seattle Magazine. We thank our patients for helping Naficy Plastic Surgery & Rejuvenation Center become the top plastic surgery, cosmetic injection, laser, and skin care destination in the region.
Announcement
"Patients' Choice Award" by Vitals.com
Dr. Sam Naficy has been awarded the "Patients' Choice Award" by Vitals.com - a website dedicated to rating the quality of physicians across the country. Out of 720,000 physicians, only 5% received this honor.
Announcement
CoolSculpting non-invasive body contouring has arrived in Seattle and Bellevue!!
CoolSculpting, a non-invasive liposuction alternative that uses cryolipolysis technology, is now available at the Naficy Rejuvenation Center.
The CoolSculpting procedure offers non-invasive fat reduction without the need for needles, incisions or anesthesia. The treatment is done in our private clinic rooms while you relax, use your laptop computer or even sleep.
More about CoolSculpting!
CoolSculpting: The Cool Way to Reduce Fat
Announcement
NAFICY REJUVENATION CENTER IS A NATIONWIDE LEADER IN THE ADMINISTRATION OF BOTOX AND INJECTABLE FILLERS
At our office, we perform over 4,000 injections per year - making us #1 in the Pacific Northwest for Radiesse, #1 single location in the Puget Sound for Restylane, and #1 in the State of Washington for Botox (also the top 1.5% of all offices in the Nation for Botox)! We are one of Seattle's top injectors for Sculptra. All treatments are administered or supervised by a board certified facial plastic surgeon. When undergoing your treatment - make sure you choose a Provider with experience. Contact our office for further information, or to reserve your complimentary consultation and treatment time.
Announcement
COMBINATION TREATMENTS = CREATING THE BEST RESULTS IN THE LEAST AMOUNT OF TIME
Restoring volume in your face is one of the most effective and natural ways to look younger and more vibrant. Restylane and Juvederm treatments are a quick and effective way to give your face instant volume - smoothing out deeper lines and folds, and plumping lips for a youthful smile. The positive effects of Restylane and Juvederm are even more dramatic when used in combination with the smoothing effects of Botox. Botox not only smoothes fine lines and wrinkles - it also prevents new lines and wrinkles from forming! Both treatments can be performed in less than 15 minutes and typically do not require any downtime. Worried about facial skin laxity? Add Thermage to your treatment plan for a non-surgical face lift! Be proactive in maintaining your skin - call us for a complimentary consultation to see what combination treatments can do for you. You will be amazed by the results!
Announcement
FAT GRAFTING PROCEDURES FOR FACE, BREAST and BODY!
A comprehensive body liposuction procedure can be combined with a Fat Grafting procedure! This outpatient surgical procedure restores volume to the face and improves shape of the breast and buttocks. Our surgeons use a tumescent liposuction technique and IV sedation anesthesia to sculpt your curves and simultaneously improve facial, breast and body volume and contour. During your consultation with our experienced surgeons, you'll learn to learn more about this exciting and revolutionary procedure. Call 425-450-0880 to schedule your liposuction and fat grafting consult today!
About Fat Grafting Procedures
Announcement
FAT INJECTIONS TO THE FACE
One of the best ways to help reverse the signs of aging is to add body fat to the face! Using gentle techniques, Dr. Naficy removes fat from the abdomen, thighs, or buttocks. Your own fat is then injected into the face to fill in wrinkles, correct nasolabial folds, or to plump lips. The greatest advantage of fat over Sculptra or Restylane is that it is 100% natural. CLICK HERE to read more.
Rhinoplasty (Plastic Surgery of the Nose)
What is Rhinoplasty?
Rhinoplasty (plastic surgery of the nose, or nose job) is the most commonly performed procedure in facial plastic surgery. The name is a blend of the words rhino (nose) and plasty (to mold or shape). Rhinoplasty is by far the most complex and artistic procedure in facial plastic surgery. Dr. Naficy believes that the goal of rhinoplasty should be a nose that looks attractive and natural, and is in harmony with the rest of the face without having an "operated-on" look.
Rhinoplasty by Dr. Sam Naficy
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Dr. Naficy's practice has been 100% devoted to rhinoplasty and facial plastic surgery for the past 15 years. This is why Seattle doctors and patients have voted Dr. Naficy one of the top plastic surgeons for the face. Patients from the entire globe seek Dr. Naficy's expertise and he has many patients flying in for surgery both nationally and internationally.
Primary Rhinoplasty Photo Gallery
This photo gallery contains representative before and after images of primary rhinoplasty procedures performed by Dr. Sam Naficy. Click on any of the thumbnails to enter the slide show. All rhinoplasty and other facial plastic surgery procedures were performed by Dr. Sam Naficy. The text accompanying the photos describes the details of the procedures performed.
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Click on thumbnail to begin viewing slide show.
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Revision Rhinoplasty Photo Gallery
Here you will find a sampling of representative before and after images of revision rhinoplasty and complex secondary rhinoplasty procedures performed by Dr. Sam Naficy. Click on any of the thumbnails to enter the slide show. All revision rhinoplasty and other facial plastic surgery were performed by Dr. Sam Naficy. The text accompanying the photos describes the details of the procedures performed.
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Click on thumbnail to begin viewing slide show.
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What can Rhinoplasty Achieve?
Many undesirable features of the nose may be improved through cosmetic surgery. Noses may be made narrower, straighter, longer, or shorter. Humps may be removed and the shape, size, angle, and definition of the tip of the nose may be altered. Breathing problems, such as those caused by a deviated septum, nasal valve collapse, or enlarged turbinates may also be corrected at the same time as the cosmetic changes. The art of rhinoplasty is in obtaining the desired changes, while maintaining a natural appearance to the nose. Nasal plastic surgery may be performed for strictly cosmetic reasons (cosmetic rhinoplasty), for strictly breathing reasons (septoplasty), and more commonly for a combination of both (rhinoplasty + septoplasty). Rhinoplasty may be performed at any time after facial growth has been completed. This usually translates into age 15-16 for women and age 16-17 for men.
Bump on the Bridge
This is the one of the most common reasons for men and women seeking rhinoplasty surgery. The hump (or bump) may be made of bone, cartilage, or typically a mixture of both. In addition to the hump there may be other imperfections in the profile, such as the angle between the nose and the upper lip, which could also be corrected.
The ideal outcome in rhinoplasty is a natural-appearing nose with balance and harmony, enhancing the beauty of the eyes and lips.
Rhinoplasty by Dr. Sam Naficy
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Hooked Bridge and Droopy Tip
Mostly a profile problem, certain noses have a hooked and droopy profile. Ideally, the angle between the upper lip and the nose (the nasolabial angle) should be between 90-105 degrees in women, and between 90-95 degrees in men. When this angle is smaller than 90 degrees, it gives the appearance that the tip of the nose is drooping. The drooping of the nose tip is often accentuated with smiling.
In addition to removal of the hump, reshaping of the tip of the nose is required to produce a more desirable nasolabial angle. Good judgment and a strong artistic sense of facial balance and harmony are required to maintain a natural outcome.
Rhinoplasty by Dr. Sam Naficy
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Wide Nose, Wide Tip
Some noses show their undesirable features mostly from the front view. One of the more common scenarios is a nose with a tip that is too wide or too round or a bridge that appears too wide.
Correction of a wide, round, or boxy tip requires careful reshaping and sculpting of the tip cartilages in order to reduce tip size and improve tip definition. At the same time, the surgeon must be careful to not disrupt the structural support of the nose so that the nasal passages do not become obstructed. Correction of a wide bony bridge often requires inward repositioning (through a controlled fracture) of the nasal bones.
Rhinoplasty by Dr. Sam Naficy
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Short & Upturned Nose
At times the reason for the rhinoplasty is that the nose appears too short, upturned and somewhat unnatural in shape. Rhinoplasty can be performed to lengthen the nose. Lengthening a short nose is a challenging operation and Dr. Naficy has published a landmark article discussing the techniques for lengthening the nose.
Rhinoplasty by Dr. Sam Naficy
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Crooked Nose
A crooked, asymmetric, or deviated nose can throw the entire face off balance. The cause of a crooked nose may be the cartilage of the septum, the external cartilages of the nose, or underlying asymmetry of the face as a whole. Deviation of the septum, if severe, can push the lower half of the nose off center. Noses that have been fractured (broken) can also be crooked, as a result of the displaced nasal bones that healed in a crooked position.
Rhinoplasty by Dr. Sam Naficy
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Correction of a crooked nose is technically challenging, often requiring manipulation of both the cartilage and bone of the nose, as well as the septum. With a crooked nose, there is often nasal obstruction caused by a deviated septum. Simultaneous straightening of the septum will also help improve the nasal obstruction.
Rhinoplasty by Dr. Sam Naficy
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Revision Rhinoplasty
Dr. Naficy specializes in corrective surgery (revision rhinoplasty) for situations where the outcome from an initial rhinoplasty surgery was less than ideal. There are a number of reasons why patients seek a secondary rhinoplasty procedure. In certain situations, the initial procedure may have not fully corrected the undesirable features of the nose. In other situations, the initial rhinoplasty may have actually resulted in certain undesirable features. Some of the more common causes for revision rhinoplasty include a residual hump, irregularity or asymmetry of the bridge, tip asymmetry, tip pinching and collapse, too much nostril show (caused by alar retraction and/or hanging columella), or tip deformities (bossae).
Dr. Naficy specializes in complex revision rhinoplasty procedures and has an international clientele. In revision rhinoplasty, often a very small change, in the proper location, can make a big difference in the overall look of the nose.
Revision rhinoplasty by Dr. Sam Naficy
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Revision rhinoplasty typically requires a careful balance of removing and adding (grafting) cartilage to the nose to obtain the desired outcome. In many instances the cartilage needed for grafting can be obtained from the nose itself, usually from the septum. When septal cartilage is not present or previously used, cartilage may be harvested from the back of the ear or from the rib.
Revision rhinoplasty by Dr. Sam Naficy
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Rhinoplasty in Men
Male rhinoplasty has shares similarities with female rhinoplasty in some aspects but has some key differences. In male rhinoplasty, strength and symmetry of the nose are typically the most important. The male nose should not be made too small or too upturned as this may feminize the face.
Rhinoplasty by Dr. Sam Naficy
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What Type of Anesthesia is Used?
We use IV sedation anesthesia, which is a safe and effective method of anesthesia for facial plastic surgery. IV sedation anesthesia is extremely safe compared to the standard general anesthesia techniques used today. The main advantages of IV sedation anesthesia are: (i) it does not require putting a breathing tube in the throat, (ii) it does not require a breathing machine, (iii) the recovery is much faster, (iv) there is much less "hang-over" from anesthesia, (v) and there is much less nausea. All these elements translate into greater comfort and safety. Dr. Naficy has used this technique of anesthesia in several thousand plastic surgery procedures without any anesthetic complications.
During IV sedation anesthesia a small flexible IV (intravenous) needle is placed into one of the veins of the back of the hand. Through this IV line, relaxing medication is given to make you fall sleep. The amount of medication given is adjusted to the specific needs of each person. After you are sleeping, some numbing medicine is also placed in the skin to numb the area that is being operated on. The beauty of IV sedation anesthesia is that during the procedure you are unaware of anything going on and cannot hear anything, yet you are still breathing on your own.
When the procedure is finished, the relaxing medication is discontinued and you begin to wake up. Because the medications used in IV sedation anesthesia clear the system rather quickly, most of our patients are able to go home in less than 30 minutes after the procedure is completed.
Anesthesia guidelines [21kb PDF]
What is the Recovery like?
A tape dressing will cover the nose for one week. With modern techniques employed by Dr. Naficy, no packing is required inside the nose. There may be some discoloration and swelling around the eyes which will typically improve over 5-7 days. One week is usually enough time for returning to work and social activities.
Post-operative care instructions [18kb PDF]
I am interested! what do I do next?
If you are considering this procedure we encourage you to schedule a consultation with Dr. Naficy. There is a great variety in nose shapes and features and each procedure must be custom tailored for the patient to get the best possible result. During this visit Dr. Naficy will listen to your concerns and discuss your options. He will tell you whether you are a suitable candidate for this procedure and inform you of the potential risks of the procedure. Your breathing passages will also be evaluated and it will be determined whether you are eligible for insurance coverage of a portion of the procedure. Rhinoplasty costs will be also discussed at that visit.
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