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Body & Soul

Facial Plastic Surgery and Its Effects on the Voice with Babak Azizzadeh, MD

Dr. Azizzadeh is a Board Certified, Harvard trained Facial Plastic Surgeon, specializing exclusively in facial plastic surgery. As a clinical faculty of the UCLA School of Medicine, Dr. Azizzadeh is actively involved in teaching facial plastic surgery to residents and medical students. In addition to his busy surgical practice, Dr. Azizzadeh has also been actively involved in several humanitarian causes such as the Medical Missions for Children (MMFC) and the R.O.S.E. Fund (Regaining One’s Self-esteem), a national non-profit organization committed to ending violence against women and children by assisting survivors in regaining their self-esteem. He has operated on many famous faces. Dr. Azizzadeh's website is http://www.facialplastics.info/

RHINOPLASTY (NOSE JOBS) & THE VOCALIST

MBADC
: What about rhinoplasty?

BA
: Everyone has avoided rhinoplasty in the past because of fear that it would change the voice—and it does, to a certain extent. But it used to affect the voice a lot more, because in the ‘80’s and early ‘90’s the technique that plastic surgeons used to employ--and still many plastic surgeons are using--is what we call a reductive rhinoplasty. They took a lot of cartilage out of both the external and internal aspect of the nose, thereby really changing the entire resonance chamber of the nose and affecting the register, voice, etcetera. Our approach is to really maintain a strong nose, strong cartilage, avoid overresection of cartilage, and really to avoid overresection of the internal aspects of the nose and what we call the turbinates, in order to maintain almost the same nasal passageway--and do just subtle changes of the nose that will probably not affect the voice, as well as the nasal passageway. So the whole theory again is to really not go for a major change in the nasal shape and nasal breathing passageway, but to do more minor and maintain the strength of both the external cartilages and internal cartilages.

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