Riverside Facial Plastic Surgery and Sinus Center

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Celebrity Plastic Surgery by Frank J. Scaccia, M.D., F.A.C.S.
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laser surgeryWelcome to Riverside's home page. As medical director of the facility, Dr. Frank Scaccia is a uniquely qualified Dual Board Certified Facial Plastic Surgeon and Otolaryngologist who specializes in cosmetic surgery, plastic surgery, rhinoplasty, facelift and treatment of sinus/nasal disorders. After a unanimous vote by his peers, Dr. Scaccia was appointed for 2012 as the Chairman and Section Chief for the departments of Ear, Nose and Throat, and Head & Neck Surgery at Meridian Health's Riverview Medical Center in Red Bank, NJ. Riverview is one of the busiest and most respected hospitals in the region being a 5 time winner of The J.D. Power and Associates Award. His list of honors in plastic surgery includes the Jack Anderson Award which he won in 1995 after receiving the highest score in the United States on the certifying exam given by the American Board of Facial Plastic & Reconstructive Surgery. In addition, his surgical abilities have been featured in Time, Newsweek, Channel 7 "Eyewitness News," and most recently this past June on the "Anderson Cooper Show" where a TV personality was commenting to Mr. Cooper how much she likes her new nose that Dr. Scaccia operated on for her and that he is an "amazing doctor." He has also contributed to the medical literature with publications in textbook and journals. Dr. Scaccia was one of the first to publish in a textbook a technique to perform simultaneous rhinoplasty and sinus surgery. Follow this link for a copy of this interesting book chapter.
MM More recently, Dr. Scaccia has been named as one of New Jersey's leading cosmetic surgeons in a special article on "Top Beauty Docs" by NJ Savvy Living Magazine magazine in the February 2006 through 2009 editions. Furthermore, he was cited as one of only seven cosmetic surgeons in New Jersey that was specifically recognized for his rhinoplasty nose skills. The criteria for selection of this honor was based on Castle Connolly's physician lead research team who uses a vigorous screening process to survey physicians and administrators at leading hospitals for recommendations of highly skilled, exceptional doctors in the field of cosmetic plastic surgery. In addition Dr. Scaccia has also earned the prestigious recognition of being listed in the 2006 to 2010 editions of "The Guide to America's Top Physicians," the 2006 through 2013 editions of "Top Doctors: New York Metro Area," the 2011 listing in "US News &World Report" of Top Doctors and 2012 edition of Top Doctors: The-Star-Ledger's Inside Jersey, the Marquis' 2007 through 2012 editions of "Who'sWho in America" and most recently, has been selected for inclusion in both the 2010 and 2012 editions of "Who'sWho in Medicine and Healthcare," and the 2011 through 2012 edition of "Who'sWho in the World." Finally, Dr Scaccia has the added distinction of being included in the 2013 list of "Top Cosmetic Doctors" in the nation by Castle Connelly Medical Ltd.
MM His new office is located in the historic town of Red Bank allowing convenient access from all northern and central New Jersey sites and the New York City metropolitan area. The plastic surgery NJ and sinus center NJ includes it's own federally approved and accredited ambulatory outpatient surgical suite built to hospital safety standards and is one of the first in Monmouth County to utilize Brain Lab's Image Guided Navigational Sinus System allowing for state-of-the-art endoscopic sinus surgery.
MMRiverside has also been awarded accreditation by JCAHO (Joint Commission on Accreditation of Healthcare Organizations) the nation's leading evaluator among hospitals and other healthcare groups for quality care and patient safety. The center underwent a thorough onsite evaluation against nearly 150 standards which demonstrates our mission to provide the highest level of care possible. Your safety, comfort and privacy are our top priorities. Procedures can be performed under various levels of anesthesia (including general and twilight sleep) and will be administered by only board certified physician anesthesiologists. You will find that Dr. Scaccia's commitment to safety and excellence is exemplified throughout this web site. One benchmark is the fact that in his 20 years (residency training and private practice) as a physician (which includes thousands of surgical procedures) no medical malpractice judgments or even settlements have ever been brought against him.
MMSome of the facial plastic surgery procedures performed at the center include facelift, rhytidectomy, mini facelift, midface lift, s-lift, platelet gel facelift, weekend neck lift, eyelid rejuvenation, blepharoplasty, eyebrow lift, forehead lift, lip enhancement/rejuvenation, chin/cheek implants, liposuction, snoring and sleep apnea correction, female nasal sculpturing, rhinoplasty, male nasal sculpturing, rhinoplasty, Asian nasal surgery, Afro-American rhinoplasty, Ethnic rhinoplasty, revision/redo nasal surgery and sinus surgery.
MMBotox injections, laser surgery for tattoos, moles, pigment, spider veins, wrinkles, skin resurfacing, hair removal and scars are also available. Other plastic surgery procedures performed include ear surgery (otoplasty), split earlobe repair, AlloDerm implants, sclerotherapy and chemical peels. Gentlewaves LED Photomodulation is a new technology that we are now using to reverse photoaging and potentially speeds healing after surgery.

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Dr. Scaccia

70 East Front St., Third Flr., Red Bank, NJ 07701 • Tel: (732) 747-5300 / Fax: (732) 747-9922

Additional Offices:


525 Route 70, Suite 3A, Brick Township, Ocean County, NJ 08723 •
Tel: (732) 262-3695
305 Seguine Avenue Suite #1 Staten Island, NY 10309 • Tel: (718) 967-2411
219 Taylors Mills Road, Manalapan, NJ 07726 • Tel: (732) 308-6000

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Content and photos are the intellectual property of Frank J. Scaccia, M.D., F.A.C.S. and Riverside Nasal & Sinus Center and may not be used or duplicated for any reason. ©2015

 

Big Nose Fix Asbury Park NJ 07712

 

One of the most difficult things to do during a rhinoplasty is to straighten a crooked nose. Several factors make this more challenging. The first factor is that the deviated cartilage and bone has a certain level of memory such that unless this is addressed the nose tends to drift back towards its pre-operative position. Another factor is that especially in congenitally crooked noses the nasal deviation may also occur in the setting of facial asymmetry. What this means is that it can be difficult to find a true midline plane in which to try to place the new nasal position. Crooked nose fix Asbury Park NJ 07712.

The crooked nose, commonly a result of a childhood injury, also occurs secondary to previous nasal surgery. Additionally, it can be hereditary and/or congenital. In other words, some people are just born with as it compensates for an asymmetric face. In fact asymmetry in the face is very common, and those with one side of the face smaller than the other will often have their nose lean toward the smaller side. On a person with an asymmetric face and a crooked nose, if we make the nose completely straight, the face will look imbalanced and heavy to one side. It will look strange. So on occasion in order to provide the most aesthetically appealing outcome, it may be best to not make the nose completely straight, still leaving it with a slight influence one way so the face appears in balance. Crooked nose fix Asbury Park NJ 07712.

Most commonly a crooked nose is due to a septal deviation. Although it is commonly thought that the nose has to be broken and reset to get it straight this is usually not the case. In fact by performing straightening and strengthening maneuvers on the septum usually the nose can be brought into midline. Spreader grafts, septal struts and a new minimally invasive bow tie suture are just some of the techniques Dr. Dayan uses to get the nose straight. Less commonly, the nasal bones are deviating in which case fracturing and resetting the nose may be necessary. However using small, precise instruments this can be done by a microfracture technique, much like a gentle tap on an egg shell will weaken the shell. The nasal bones are made malleable and then set into better alignment, resulting in little to no bruising and swelling around the eyes. Afterwards, a splint is placed on the nose for 7 days to make sure it stays in its new position. Patients are almost always surprised to find out how much easier the recovery is than they had expected. Crooked nose fix Asbury Park NJ 07712.

What Is Involved In Straightening A Crooked Nose?

To create a more straight nose the underlying framework must be made as straight as possible. This includes repositioning the septum and nasal bones. If a septal deviation is not addressed it may continue to push the nose off center. If the caudal septum is off center this portion of the septum can be rebuilt in the midline. Once the septum is centered any deviation of the nasal bones needs to be addressed. Crooked nose fix Asbury Park NJ 07712.

How To Straighten Deviated Nasal Bones

The nasal bones are commonly shifted with trauma. If not treated at the time of the initial nasal fracture the bones will heal in a crooked position. The resetting process takes about 6 weeks. After that time controlled bone fractures can be done. These osteotomies (bone cuts) are done with a fine medical grade chisel and allow for mobilization of the crooked nasal bones. Crooked nose fix Asbury Park NJ 07712.

In amphibians and lungfish, the nostrils open into small sacs that, in turn, open into the forward roof of the mouth through the choanae. These sacs contain a small amount of olfactory epithelium, which, in the case of caecilians, also lines a number of neighbouring tentacles. Despite the general similarity in structure to those of amphibians, the nostrils of lungfish are not used in respiration, since these animals breathe through their mouths. Amphibians also have a vomeronasal organ, lined by olfactory epithelium, but, unlike those of amniotes, this is generally a simple sac that, except in salamanders, has little connection with the rest of the nasal system. Crooked nose fix Asbury Park NJ 07712.

In reptiles, the nasal chamber is generally larger, with the choanae being located much further back in the roof of the mouth. In crocodilians, the chamber is exceptionally long, helping the animal to breathe while partially submerged. The reptilian nasal chamber is divided into three parts: an anterior vestibule, the main olfactory chamber, and a posterior nasopharynx. The olfactory chamber is lined by olfactory epithelium on its upper surface and possesses a number of turbinates to increase the sensory area. The vomeronasal organ is well-developed in lizards and snakes, in which it no longer connects with the nasal cavity, opening directly into the roof of the mouth. It is smaller in turtles, in which it retains its original nasal connection, and is absent in adult crocodilians. Crooked nose fix Asbury Park NJ 07712.

Birds have a similar nose to reptiles, with the nostrils being located at the upper rear part of the beak. Since they generally have a poor sense of smell, the olfactory chamber is small, although it does contain three turbinates, which sometimes have a complex structure similar to that of mammals. In many birds, including doves and fowls, the nostrils are covered by a horny protective shield. The vomeronasal organ of birds is either under-developed or altogether absent, depending on the species.

The nasal cavities in mammals are both fused into one. Among most species are exceptionally large, typically occupying up to half the length of the skull. In some groups, however, including primatesbats, and cetaceans, the nose has been secondarily reduced, and these animals consequently have a relatively poor sense of smell. The nasal cavity of mammals has been enlarged, in part, by the development of a palate cutting off the entire upper surface of the original oral cavity, which consequently becomes part of the nose, leaving the palate as the new roof of the mouth. The enlarged nasal cavity contains complex turbinates forming coiled scroll-like shapes that help to warm the air before it reaches the lungs. The cavity also extends into neighbouring skull bones, forming additional air cavities known as paranasal sinuses. Crooked nose fix Asbury Park NJ 07712.

In cetaceans, the nose has been reduced to the nostrils, which have migrated to the top of the head, producing a more streamlined body shape and the ability to breathe while mostly submerged. Conversely, the elephant's nose has elaborated into a long, muscular, manipulative organ called the trunk.

The vomeronasal organ of mammals is generally similar to that of reptiles. In most species, it is located in the floor of the nasal cavity, and opens into the mouth via twonasopalatine ducts running through the palate, but it opens directly into the nose in many rodents. It is, however, lost in bats, and in many primates, including humans. Crooked nose fix Asbury Park NJ 07712.