Dr. Victor Enrique Martinez Zavala, MD

Rhinoplasty is any surgery done to change the shape and structure of the nose. It is commonly done for cosmetic purposes, but it may also be done to reduce breathing difficulties. Surgery may include any part of bone or cartilage of the nose. In some cases, cartilage is transplanted from the ear or rib to augment the nose.

Rhinoplasty may be done for reasons that are primarily about appearance, such as:

• Changing the shape or size of the nose to better fit the proportions of the face
• Lifting a downward tilt at the tip of the nose
• Adjusting an asymmetrical nose
• Closing unusually large nostrils
• Reconstructing a nose that has been damaged after trauma.

"Trigger finger," or stenosing tenosynovitis, is a condition where the tendons at the base of a finger become irritated and swollen. They may develop small lumps similar to scar tissue. As the swollen, bumpy tendons pass through their sheath, a tunnel of connective tissue that holds them in place, they become stuck. The finger gets frozen in a bent, curled position. If forced, the finger can be straightened. When this happens, the stuck tendons slip through all at once, often causing a popping or clicking noise. Many cases of trigger finger respond well to non-surgical treatments such as NSAIDs, splints, or injected steroids. However, in severe cases, surgery may be necessary.