You are correct that having a nose slightly shortened and reshaped is the surgical procedure referred to as Rhinoplasty. Most rhinoplasties that I perform are done with twilight type anesthesia where the patient is essentially asleep and not aware of anything. General anesthesia is used when we feel the surgical procedure will be lengthy especially with revision Rhinoplasty. For most primary rhinoplasties, these are performed through a closed or endonasal approach which has an easier recovery period and the procedure length is approximately 1.5 hours. There is usually a light dressing in each nostril but the nose is not packed. We place a flesh-colored metallic splint on the outside of the nose and this is removed at six days. Bruising typically lasts between four-six days in most patients.

If you have too much skin on your neck, this would probably require a necklift in conjunction with a weekend lift. A small amount of excess skin can actually be improved with just a weekend lift but many patients come in with a lot of extra skin and if only a weekend lift is performed, they would probably be disappointed. For this reason, an accurate evaluation needs to be performed as well as a determination if the patient would benefit from lipo-suction of the neck which is also routinely performed with a necklift. The incisions are made behind the ear and are hidden very well so that the patients can wear their hair up or short.

The most common food allergies are to dairy products, corn, wheat, soy, peanuts and eggs. These account for most food allergies, however, people are sensitive to many different foods. The most accurate way to test this is through an IgG food sensitivity testing which is a blood test. With this test, I test for 110 different food items, ranging from spices to grains to protein to all the fruits and vegetables, including nuts and seeds. This gives us some very thorough idea of all the foods that you may be sensitive to. They also range from low sensitivity to high sensitivity so it can help guide you as to how actively you have to avoid this food. The testing also provides information on your intestinal area, which is a good problem with developing food allergies later in life. The healthier the gutt, the less food allergies people tend to have, so we also try to improve the integrity and health of the GI system.

No, detoxification is really performed to clean simple eating that does not tax the body systems, and then after the supporting the functions of the liver, kidney, and gutt, and even the skin. The four organs of detoxification are the liver, kidney, gutt and skin, and we try to support all of these during a period of detoxification. It typically does not include fasting or using any type of colonic therapy. While these may be helpful, it is not something I would normally recommend as the most optimal way to help support the body’s detoxification process.