Rhinoplasty Expert Responds to Nose Growing on Man’s Forehead in Chinese Transplant Case

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Los Angeles rhinoplasty surgeon Babak Azizzadeh, MD, FACS, responds to the recent article about an upcoming nose transplant of a man in China.

Babak Azizzadeh MD
It is interesting that the doctors implanted the nose on the forehead the way they did, as we would usually rebuild the nose directly where it needs to be.

A recent article published September 28, 2013, on National Geographic's website described the innovative nose transplant technique currently being performed on a young male in China. The patient has a nose attached to his forehead in preparation for transplant of the nose to the correct spot on his face. Babak Azizzadeh, MD, FACS, Director of the Institute for Rhinoplasty & Nasal Reconstruction in Beverly Hills, says this type of procedure is a way to repair severely damaged body parts, like the nose.

"Prelamination is when you implant cartilage or tissue in an area of healthy skin and tissue to create ingrowth of blood supply to the implanted material prior to transplantation," explained Dr. Azizzadeh. "Prelamination is very uncommon in nasal reconstruction; most rhinoplasty and reconstructive surgeons utilize rib and septal cartilage grafts onto the nose and rotate down the vascularized forehead flap."

The patient in China lost his nose in a bad car accident that resulted in a terrible infection. His doctors built him a new nose using cartilage from his ribs. To prevent the nose from collapsing, doctors must build strong layers of skin, tissue, and cartilage with a healthy blood supply. Skin from the forehead is commonly used in nasal reconstruction because of its good blood supply.

“It is interesting that the doctors implanted the nose on the forehead the way they did, as we would usually rebuild the nose directly where it needs to be. This technique has some advantages, but overall will not likely change the way current treatments are done,” said Dr. Babak Azizzadeh.

Dr. Azizzadeh is a rhinoplasty and facial reconstruction expert in Beverly Hills. He is known for his innovative surgical techniques and natural looking results. He commonly treats patients suffering from severe facial traumas that require extensive reconstruction.

“Facial reconstruction is always complex, and there are constantly new advancements being made in the field. It is through creative approaches to reconstruction that we can learn new ways to give patients their appearances and confidence back,” said Dr. Azizzadeh.

Dr. Azizzadeh is a Harvard-trained sub-specialist in nasal and facial plastic surgery, recognized as a Top Doctor by the US News & World Report for rhinoplasty. He is one of the leading experts in the fields of primary, revision and ethnic rhinoplasty, and is the author of five bestselling books, including the definitive rhinoplasty textbook entitled “Master Techniques in Rhinoplasty.” Dr. Azizzadeh is double-board certified in both facial plastic surgery and otolaryngology, which gives him a distinctive insight into both the aesthetics and function of the nose.

For more information on rhinoplasty in Beverly Hills, contact the Institute for Rhinoplasty & Nasal Reconstruction at (310) 657-2203.

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