Dr. Hootan Zandifar is a double board-certified facial plastic and reconstructive surgeon practicing in Los Angeles, CA. Dr. Zandifar specializes in the enhancement of facial appearance. Improving aesthetic, symmetry and proportion are key goals in cosmetic surgery. Having training in head and neck surgery as well as facial plastic and reconstructive surgery gives Dr. Zandifar a unique ability to be able to consider both the cosmetic outcome of the surgery as well as the functional outcome.
Education and Training
University of California, Los Angeles Bachelor of Science in Physiological Sciences 1998
UCLA School of Medicine/Charles R. Drew University MD 2002
American Board of Facial Plastic and Reconstructive Surgery
American Board of Otolaryngology
Dr. Hootan Zandifar, MD's Expert Contributions
As a facial plastic surgeon who specializes in rhinoplasty and functional nasal surgery, this is a very commonly asked question. The answer to this question truly depends on the need and the want of the patient. The nasal septum is the middle wall of the nose and in the case of a deviated septum, it...
In my experience, one of the most common patient symptoms that leads them to see a facial plastic surgeon is the inability to breathe through their nose. This is a fairly common and bothersome symptom. It can affect a person's sleep, exercise, and general day-to-day functioning. Treatment of nasal...
Beautiful luscious eyebrows are meant to be forever right? Well, unfortunately not for everyone. Just like the hair on your scalp, eyebrow hair can also become thin and even disappear forever. Although there are many factors that can lead to this, the main cause of eyebrow hair loss is over...
At times, newborn ears are misshapen or deformed. If this deformity is not the result of a loss of cartilage and only as of the result of misshapen cartilage then a simple, non-invasive procedure called ear molding can result in the return of the shape of the ear and prevent the need for surgery in...
Thank you for your question. A Rhinoplasty or a Nose Job is the type of surgery that is done to enhance the shape and appearance of the nose. If done correctly, the results should last you a lifetime. READ MORE
Thank you for your question. I know that as a 27 year old, the prospect of losing your hair is worrisome. Know that there are a few options for you. First, that is a pretty early age to lose hair so you should have a thorough history and examination to ensure there is no other causes of baldness. Then, you should start some sort of oral or topical medication to decrease the rate of hair loss. Then depending on the amount of hair loss you have so far we can either treat you with PRP (Platelet Rich Plasma) injection or replace the existing hair with a hair transplant procedure. Using a follicular unit extraction technique, we can naturally replace the lost hairs with no visible scarring. READ MORE
First of all let me say that I am sorry you are struggling with hair loss. You should know that female hair loss is not that uncommon. First, you need to have a thorough evaluation to pin point the cause of hair loss. Although, the most common cause is the same as in men (genetic), other causes such as hormone imbalance, traction Alopecia, nutritional deficiencies and so on can be seen more in women. These causes are often reversible. Once we have found the cause, then we are left with treatments. If we can reverse the cause then that is the first course of action. We can also treat the scalp with topical medications and there are oral medications that you can take to promote hair growth. PRP injections can be very helpful in restoring density to the hair. Finally, hair transplantation is an excellent way to restore a natural fuller hair. I want to introduce you to an organization that as a hair transplant specialist I work very closely with. It is called The Brave Program. It is a charitable organization dedicated to education and resource building for females suffering from hair loss. Their website is www.thebraveprogram.org There you should be able to have access to multiple levels of information and resource to better guide you. I hope this helps. READ MORE
A typical recovery time from a rhinoplasty is 10-14 days. Generally, the first 7 days you have an external nasal cast and if you had any septal work and internal cast. These are removed at the one week point. If you had an open rhinoplasty procedure then you will get your sutures removed at this visit as well. The nose is swollen and continues to be for the next few days. However, it will quickly look like a normal nose and by day 14 most bruising is gone and you can resume normal activities. READ MORE
The typical pain and discomfort of a Rhinoplasty is usually very short. Most patients will feel some acute pain the first 24 to 72 hours that is well controlled with medication. After that most patients will feel mostly pressure and throbbing and less pain. Occasionally some patients will have pain for one week but beyond that is very unusual. READ MORE
Ear pinning surgery (also known as Otoplasty) is usually performed under general anesthesia and so the actually surgery is painless. However, there is some discomfort after surgery but this is usually very minimal and only for a few days. Most patients can manage with over the counter pain meds and do very well post-operatively. READ MORE
A rhinoplasty is a typical surgery that is done to change the shape of your nose. It should not change your smile, however, immediately after a rhinoplasty and probably for about 2-3 weeks you may notice a change to the shape of your smile due to swelling from your surgery. This should resolve very soon and there should be no residual change to your smile. READ MORE
There are many ways to refine the shape of your jawline. In most patients this is as simple as expertly placing fillers along the jawline to improve its appearance. However, in some cases we need to place special jaw and chin implants over the bone to achieve the desired results. In some patients we need to perform a facelift or a neck lift to improve the jawline. READ MORE
The best treatment for deviated septum is a procedure called septoplasty. If the only issue is the deviation this can be done without changing the shape of your nose. However, often times, patients will combine a septoplasty with a rhinoplasty to get improvement of both the shape and the function of the nose. Septoplasty by itself is usually done through the inside of the nose with no visible incision and little to no bruising. The main reason to have a septoplasty is to improve nasal breathing or decrease the amount of nose bleeds. READ MORE
Yes, empty nose syndrome is an unfortunate complication of some types of nasal surgery. Empty nose syndrome is the condition where your nasal passages are visibly open but you feel like they are obstructed. It can be coupled with dry nose and crusting. The typical case that can lead to this condition is usually a septoplasty with or without turbinate reduction. However, it can also happen with turbinate reduction on its own. A rhinoplasty should not lead to empty nose syndrome unless it is coupled with a septoplasty. Luckily, the risk of empty nose syndrome is low. Some studies suggest that it is around 1% although others have suggested it is a little bit higher. The treatments for empty nose syndrome vary and the results are hit and miss. READ MORE
Brow lifts by themselves don't make your forehead smaller. However, it can be combined with a hairline advancement procedure which can decrease the size of the forehead. READ MORE
Non-surgical nose job is when fillers are used to change the appearance of the nose. I have to give a word of caution about this procedure. It has a higher rate of complication than a usual filler procedure and the types of complication can be pretty bad. For this reason I don't usually perform this procedure. READ MORE
Thank you for your question. It is really hard to say exactly how many treatments you need without actually examining you and seeing what it is we are treating. Dermabrasion is a procedure that is done to improve the appearance of scars, skin irregularities and certain other skin conditions. A microdermabrasion is a gentle procedure that is done to resurface the skin and give you skin a healthy glow. READ MORE
I guess the question is what do you want to change about your eyebrows? If you want them to be higher then yes you can have a brow lift to raise them. This can also be achieved using Botox. If you want fuller eyebrows then yes. This can be done with eyebrow hair transplantation. Hope that answers the question. READ MORE
There are so many factors that play a role in the efficacy of scar revision surgery. First, the type and location of the scar. Then the length, characteristics and color of the scar. Finally, the amount of normal tissue that is around it. For example, it is very difficult to get rid of a scar that involves a big portion of a body location. In those instances you can improve the appearance but not entirely get rid of it. READ MORE
This really depends on where you are located. There are some cities that still have rules regarding elective surgery but for the most part majority of the country is moving forward with allowing elective surgeries to proceed. READ MORE
Thank you for your question. Hair transplant procedures are not generally dangerous. First, you have to make sure that it is being performed by someone with great deal of experience. Second, you want it to be done in a clean facility. Otherwise, hair transplantation using the follicular unit extraction technique (FUE) is a safe and highly effective method to treat balding and thinning of the hair. READ MORE
Typically after nose surgery I have patients avoid types of food that makes their nose run. These could be spicy or hot foods. Also as the temperature of food goes up so will the blood flow to upper aerodigestive system. So it is best to avoid eating really hot foods and stick with warm or cold food and drinks instead. Good luck with your surgery. READ MORE
Botox treatment or any other similar treatments (i.e. Dysport or Xeomin) usually lasts 3-4 months. However, it isn't unusual that if you use these medications for a period of time that the duration between each injection increases. I have some patients that go 6-12 months before needing injection. However, they have been with me for years so it takes time for the muscles to not need these treatments as often. READ MORE
Absolutely not. Ear tubes are inserted on the ear drum which is deep inside your ear canal. Removal of the tubes should not in anyway change the shape of the ear itself. READ MORE
Both are great treatments to get rid of fat. It really depends on the amount of fat you need to get rid of and the number of treatments you are willing to have. Generally, both can get rid of a good amount of fat but Kybella needs more treatments than CoolSculpting. Procedures such as liposuction on the other hand will only need one treatment and can get rid of more fat from the face. READ MORE
This is a great questions. There are several ways to augment someone’s cheek. One is through the use of fillers like Restylane, Jeuvaderm, Sculptra and Radiesse. These methods give great results but are no permanent. You can also do cheek implants which is a surgical procedure. In this case, however, the results are permanent. You may want to start by getting fillers and if you like the results move on to a more permanent method. READ MORE
Cheek lift is usually done through 2 separate incisions. It is either done via a small incision in your mouth along the cheek. This is called a trans-buccal incision. Another incision is done through the inside of the lower eyelid. This is called a trans-conjunctival incision. Either incision heals well and there is no scarring. The best incision is decided after your exam. READ MORE
The short answer to your question is yes. Plastic surgeons can treat both acute burns and burn scars. However, most acute burns are treated in a hospital settings. As for burn scars, this can be done as an outpatient setting. READ MORE
There are a few ways to make lips bigger with surgery. One method is via fat grafting. This is where fat is taken from another part of the body (such as the stomach or thigh). Another method is to use a permanent implant for lip augmentation. Both these techniques give great results and have little recovery time. READ MORE
I am sorry to hear about your accident. There are many ways that plastic surgery can either remove or improve the appearance of scars. It really depends on the location of the scars and the characteristics of the scar. A raised scar can be injected with steroids, can be treated with lasers and dermabrasion. Depressed scars usually do well with resection and re-closure but can sometimes improve with dermabrasion. READ MORE
Botox is typically a very safe procedure. However, like most other procedures it can have some side effects. The most common side effect is headaches. These are usually temporary. You can also have allergic reaction to Botox. This is, however, very rare. Most other side effects are related to the Botox spreading from the area of injection to other locations. This can lead to a droopy eyelid or fullness of the upper eyelids. READ MORE
Facial plastic surgery in general is not very painful. However, there are many procedures that fall under the umbrella of facial plastic surgery and some of them can be more painful than others. For example, a nose job that requires hump reduction can be more uncomfortable than a blepharoplasty procedure. READ MORE
This is a great question. Hair transplantation is a wonderful procedure that gives great natural results. The best part is that it can be done totally with local anesthesia and the reason for this is that the procedure is not very painful. There is some injection involved during the initial numbing process but after that most patients are very comfortable and have no issues. However, I should caution that if your surgeon does strip technique then there is sutures and pain associated with this procedure. Most surgeons now will use a follicular unit extraction technique that is scar less and pain less. READ MORE
It is completely safe to have a nose job in the summer. My philosophy is that you should have your surgery when you have the most amount of time to recover and often times summer and holiday season are the best times to have a rhinoplasty procedure. READ MORE
Great questions. Otoplasty is a surgery that is usually done for protruding ears. it allows for tucking back the ears. There is no evidence that otoplasty procedure can affect your hearing. READ MORE
It is absolutely possible to treat male pattern baldness, however, it depends on the extent of baldness. If you have only a small U shaped hair left you are not a candidate for hair transplantation. Otherwise, hair transplantation utilizing follicular unit grafting is the best way to treat male pattern baldness. READ MORE
Under eye bags can easily be removed through a blepharoplasty procedure. To do this a small incision is made inside the eyelid where it is completely hidden. The fat area around the eye is then exposed and any excess fat is removed. Occasionally this procedure is coupled with removal of extra skin around the eye. The results are great and the recovery is very quick. READ MORE
Septoplasty is generally not too painful. There is some discomfort that’s associated with her and patients can sometimes experience pain in the upper teeth which is typically related to referred pain from the nasal floor. However, the most common complaint after a septoplasty is that the nose feels stuffy and there is pressure in the nasal area and the sinuses. The recovery from this is typically about one week and after that patients generally feel fine and can resume most normal activities. READ MORE
The length of a scar revision surgery really depends on the extent of the scar that’s being revised as well as its location. Simple scar revision surgery can take no more than 30 minutes. However certain scores require a lot more time. This could be because they are longer or are in areas of your body that pose certain challenges for your surgeon to achieve great results. READ MORE
This is a great question. Botox is one of the most used beauty products out there. It is generally very safe and has very few side effects. However, patients can experience certain side effects. Some of the side effects include headaches, bruising and discomfort at the site of the injection. Most of these side effects resolve in a few days to a few weeks. If you have an allergic reaction to Botox you may have more extensive side effects. However allergic reaction to Botox is relatively rare. READ MORE
Eye lif surgery or blepharoplasty can last a lifetime. Once you remove the excessive skin and fat, you have results that last forever. However, as you continue to age you end up getting more sagging of the skin and herniation of the fat which then may necessitate a repeat minor surgery in the future. Most patients don’t find any need for the second procedure and those who do won’t need it for at least a decade or two. READ MORE
Great question. The truth is most plastic surgery lasts a lifetime. What that means is when we do “eye bag surgery” or what we usually refer to as lower lid blepharoplasty with fat removal, we remove bulging fat from under the eyes and sometimes reposition it in a location that fills in grooves around the eyes (this is called fat pad repositioning). We then remove extra skin from the lower eyelids. As the result of this surgery the bags are gone. However, what we can’t do is to stop you from aging. What that means is that you will continue to age, your skin will increase in laxity and more fat from around your eye will bulge through in time. Now this can be anywhere from 10 to 20 years later and usually is not to the same degree as how it was initially. That’s why I say the results last a lifetime. READ MORE
The best way to recover from an eyelid surgery (blepharoplasty) is to listen to the instructions your surgeon has given you. But in general, these instructions would include resting your eyes, not rubbing or scrubbing your eyelids, not lifting anything heavy and not doing any strenuous activities. I recommend that my patients sleep with their heads elevated so that there is less swelling and bruising. I usually have them put a washcloth that has been dipped in ice bath over their eyes for the first 2 days. I have them avoid taking any medication that would cause increased bleeding and bruising (Such as ibuprofen, garlic, vitamin E,...). Finally, I usually have them take arnica a few days before until a week after surgery. When they do this, most of my patients are able to return to normal function 7 days after surgery. READ MORE
The short answer is yes. There is a procedure called buccal fat reduction that can decrease the fat over your cheeks. This is usually done through a small incision inside your mouth. However, this can only address the fat over your lower cheek basically around the mouth. To address extra fat or tissue over the rest of your cheeks a facelift procedure is usually needed. Through a facelift incision we can remove extra fat, re-suspend the muscles and remove extra skin. This leads to an over all great improvement of the cheek area. READ MORE
Great question. The detailed answers depends on the type of facelift that you are having. Is it a deep plane facelift or a short skin flap lift? Will there be a neck component or not? All of these factors can change the recovery time by a week or so. But in general, I tell patients that the recovery for a facelift is usually about 7-10 days. After that you can put on makeup and go out to do your day to day stuff. If you are preparing for a major event such as a wedding or a party then I would usually recommend giving yourself 4-6 weeks of recovery time. By then your new face appears healthy, fresh and perfect for showing off. READ MORE
This is a very important question. Often times I see patients that had nose jobs and now have difficulty breathing through their nose. The truth is that if done by a competent surgeon, a nose job not only improves the appearance of the nose but also improves its function. Meaning, after a nose job you should typically breath better than before. At the very lease you should not breath worse. In patients who need it, I usually combine a septoplasty procedure (to correct a deviated septum) with my nose jobs to improve the breathing of the nose. I sometimes find it necessary to address other functional aspects of the nose as well such as enlarged turbinates (turbinate hypertrophy) or collapsed nasal valve. I can then address each of these issues during the nose job (rhinoplasty) procedure. You need to find a surgeon who is very comfortable with all aspects of nasal function and form so that you have a great result bot cosmetically and functionally. READ MORE
Thank you for your question. It is a really good question that comes up frequently. The short answer is as many as you would need. But that statement needs some clarifications. Generally, most patients do not need a facelift until they are in their 50s or 60s. Before that we can manage many of the wrinkles and excessive skins with non-surgical procedures such as lasers, fillers and so on. But once the skin has become too saggy then the only solution is to have the excess skin removed and the muscle layer of the face supported. That's what a facelift would do. Typically when you have a facelift (if done appropriately) you can expect to look somewhere between 10-15 years younger. So now if you are 60 then you may look like you are 50. These results age with you but the benefit lasts forever. meaning that when you turn 70 you look like you are 60 and so on. Because of this most patients don't need a follow up full facelift. What we can do for them is to do a mini-facelift or a limited facelift in the future as the skin laxity returns. This is typically done only once or twice more and most patients don't even need nor want to have a second procedure because they are so happy with the results that they have. I hope that answers your question. READ MORE
One of the most common complaints I get from my patients after doing a facelift on them is that they feel like now their hands give their age away. It’s really a difficult area to treat because there isn’t really many options available to address the aging of the hand. That being said there are a few options available that give great results and help to make your hands appear younger. First, you can use a filler such as Radiesse to give some volume back to the hands. One of the changes of aging is that the skin of the hand becomes thinner and the fat in the tissues begins to thin out. A filler can improve both of these issues and help to improve the appearance of your hands. Second, you can do resurfacing of the hands. These can be done with light peels or lasers. Resurfacing helps to remove the age spots that appear on the hands and it can help to thicken the skin. Both of these changes help to improve the appearance of your hands. READ MORE
Thank you for your question. This is a very good question that comes up often. To understand what a mini facelift is we have to first explain what a full facelift is. A full facelift involves incisions generally around the ears and in the hairline as well as incisions under the chin. The skin is elevated over the face and the neck and it allows us to re-suspend the sagging muscles and remove extra skin. The incisions heal beautifully in natural creases of the face and you have a younger more rejuvenated look. A mini-facelift in many instances involves incisions that aren’t quite as long as a full facelift and the elevation of the skin usually isn’t quite as extensive. Therefore, a mini facelift has a shorter recovery time but also has a less dramatic results. Generally when you are younger than 60 having a mini facelift is a great option because you don’t need as much skin removed and your recovery is much faster. Also, when you have surgery earlier, you enjoy the benefits longer. READ MORE
Great question, Cheek implants are a really good option for those patients who do not have a prominent cheek bone. There are a few ways that you can put cheek implants in. One way to do it is through a small incision in the upper gum line. This lets us get access to the cheek bones and be able to place the implant where we want to. It also allows us to find and preserve the nerve that gives sensation to the cheek and upper teeth. A second way that a cheek implant can be placed is through a lower eyelid blepharoplasty incision known as a transconjunctival incision. This is a less commonly done approach. The appropriate approach can be decided with you and your facial plastic surgeon. READ MORE
This is a great question. What exactly is a Liquid Facelift. This is a term that I have seen being used more and more these days. To better explain it lets first explain what is a facelift. A facelift is generally a surgical procedure that uses incision artistically hidden around the ears and hairlines to reduce sagging of the skin and improve the jawline, neckline and the cheek area. The results of a facelift last a lifetime. The recovery can be around 1-2 weeks and there is a fair amount of down time associated with it. A liquid facelift on the other hand is when fillers are used to correct the wrinkles of the face. It has limitations to the amount of correction that can be done but as you would expect, it usually does not have a very long downtime. A liquid facelift is typically ideal for people who have less sagging of the skin and more hollowness. Both options are great and I would advise you to speak to a facial plastic surgeon to finds the ideal solutions for you. READ MORE
Thank you for your questions. Facial wrinkles around the mouth and eyes are a very common complaint in my practice. You should know that there are many ways to treat the wrinkles of the face (also called Rhytids). First let's address the wrinkles around the eyes. To improve the appearance of these wrinkles, you can use products that weaken the movement of the muscles. These products include Botox, Dysport and Xeomin. They work wonderfully to decrease the wrinkles around the eyes and forehead and can also help to prevent new wrinkles from appearing. Sometimes the wrinkles around the eyes are cause by excessive skin. In this case you can have blepharoplasty or an eyelid lift. This procedure can be done with twilight anesthesia and achieves wonderful results with a quick recovery period. Another treatment for the wrinkles around the eye can be the use of resurfacing treatments such as lasers and chemical peels. As for the wrinkles around the mouth, they can be treated with lasers and chemical peels as well. However, you can also use fillers to fill the wrinkles and decrease their appearances. These fillers could be products such as Jeuvederm, Restylane or Belotero. READ MORE
Hi, sorry about your fall. Because the cuts from trauma generally have some crush injury to the tissues, they tend to leave more of a scar than surgical cuts. For this reason, it is best to see a plastic surgeon to evaluate your scar and see if there is anything that can be done to decrease the appearance of the scar. The good news is that there are lots of non-surgical options to improve the appearance of the scar. Your plastic surgeon can give you topical treatments to improve its appearance or use of lasers and resurfacing procedures. When all else fails, you can always resect and re suture the scar. READ MORE
Great question. Botox (or Dysport or Xeomine) is a product that weakens the strength of muscles. So we can use it to treat what we call kinetic wrinkles or wrinkles that are caused by muscles that move. A great example is the muscles that move your forehead and eyebrows. These can cause wrinkles between your eyebrows (labella) or the wrinkles of the forehead. When we use Botox in this area, it can decrease the appearance of aging. In your sister's case, if she does have sagging skin she may need either a filler or surgery to remove excessive skin. I recommend seeing a plastic surgeon to better evaluate what her needs are. READ MORE
To better answer this question it would be great to know what procedure it is that you are having. There are several treatments for re-contouring your jaw. For example, the jaw can be re-contoured with use of fillers. Fillers can help to make the jaw line more straight. Common risks of fillers are bruising and swelling. However, there can be some serious risk if injection is done improperly. The jaw can also be countered using liposuction or other types of treatments that remove or dissolve fat. This also can lead to bruising and swelling. Again if done improperly you can have some serious side effects. Finally, the jaw can be re-contoured using a facelifting or a neck lifting procedure. This procedure should be performed by a trained facial plastic surgeon and leads to great results when done properly. READ MORE
Thank you for your thoughtful questions. The truth is that any surgical procedure can be uncomfortable and there is no exception with nose surgery or Rhinoplasty (also referred to as a nose job). This can be due to many things such as pressure, congestion, difficulty breathing through the nose and yes pain. However, most patients are able to easily tolerate the pain and discomfort associated with rhinoplasty, by taking some oral pain meds. Most patients need only a few days of pain meds and then they find that simple Tylenol will suffice. As far as recovery for rhinoplasty it usually takes 1-2 weeks for most of the immediate swelling to subside. However, for about 6 weeks we don't want you to wear glasses or put pressure on your new nose. This way you can ensure that all the tissues fuse in their proper location and there is no shifting of the bones. Also, your nose can be mildly swollen for up to a year. No, this doesn't mean you look swollen but you feel like your nose is still firm or numb. Time will take care of these feelings and you will love your new nose. READ MORE
I'm sorry to hear about your burns. The treatment for burns is multifaceted and at times requires skin grafting. Most skin grafts will heal in 4-6 weeks. However, it really depends on the area that the grafts are placed and mainly how healthy the tissue under the burn area is. If it is healthy and has lots of blood supply then the skin graft should heal faster. If it is not then it will take longer. I hope you recover fully from your injuries and get back to your daily life. READ MORE
This is a great question that most patients ask. There is no set time for a nose job (also known as rhinoplasty). It all depends on many factors. First, what exactly will be done? Will the surgeon be removing a bump, making the tip smaller, narrowing the bridge or straightening the nose or all of those and more? The exact time really depends on how much work is needed. Second, have you had any surgeries before? Is it a revision surgery? Are you having any functional work such as septum done with it? I would say that in my hands most primary nose jobs take anywhere from 2-4 hours. Add to that about 30 minutes for going to sleep and waking up and you get a rough estimate of anywhere from 3-5 hours. Hope that answers your question and enjoy your new nose. READ MORE
To answer this question, first, let me start by saying that any type of procedure or surgery can have risks. However, using injectables to plump your lips is generally very safe and the risks are very low. Now that being said here are some risks and depending on what type of material is used some of these risks are temporary and/or can be reversed. First, there is a chance of swelling and/or bruising. This is understandable, especially since if you have ever bitten or hit your lip you know how much the lip can swell. Ice and cool compresses will usually resolve this. Second, there may be some asymmetry to the lip. If this does happen, however, you can get a touch-up and make the lips more symmetric. Now the more serious risk is one that is called intravascular injection. This is when the material is injected into the vessel. This risk is very low but serious. If this occurs and you had a type of filler that was made of hyaluronic acid then you can get an injection of special medication to dissolve the filler. The lip may need further treatment as well. Luckily this risk is very low and if the injection is done properly it hardly occurs. READ MORE
This is a great question and good for you to think about this. When you are having cosmetic surgery around areas that serve a function (Such as ears, nose, mouth and eyes) it is always important to consider the effects of the surgery on those functions. You should always seek the advice of a surgeon experienced in surgery in those areas. Luckily, otoplasty (Surgery done to correct a protruded ear) done properly should in no way affect your hearing. The surgery will simply re-create the natural contour of your outer ear and reduced the protrusion of the ear. Your ear canal and vital ear structures that aid in hearing should remain undisturbed. READ MORE
This is a really good question that everyone who is considering rhinoplasty (Nose job) should consider. When surgery is being done around a structure that serves a function such as the nose extreme care needs to be done not to affect that function. In case of a rhinoplasty it can absolutely affect the way you breath. However, when done correctly, rhinoplasty typically can make your breathing better. I recommend seeking the advice of a surgeon who specialized in functional and cosmetic surgery of the nose. This way you can ensure that your breathing will not be negatively impacted. READ MORE
Plastic Surgery in general is very safe and carries little risk. This includes liposuction. There are some risks that can be seen with liposuction such as bleeding and infection but they are relatively low. There are some risks that are rarely seen such as poor cosmetics, nerve or muscle weakness and pigment changes, when the surgery is performed by a well trained and experienced surgeon. If you have an experienced surgeon who is appropriately trained then you should not worry about anything. READ MORE
I’m so sorry you are experiencing this. I know getting a facelift is a big decision and you don’t want to have any hiccups along the way. What I would say to you about your symptoms is that generally most nerve weaknesses that occur after a facelift are temporary and full recovery is expected. Especially if you did not have a deep plane facelift. Lots of times swelling around the nerve is the cause. To that end, if your over all health permits, we can put you on steroids to decrease the swelling further. This should aid in the recovery of the nerve. I hope you recover soon and get to enjoy your facelift as you had intended to. READ MORE
Hi this is a great question. There are multiple ways to address hair loss. The common procedure we consider "hair transplant" is a follicular unit graft placement. This requires harvest of hair follicles from the back of the head and transplanting them to the areas of hair loss. Depending on the amount of hair loss anywhere from 1500 to 3000 follicular units can be grafted in one sitting. This procedure is not a very invasive or painful procedure. Today most surgeons use a robot to harvest each follicular unit individually and all that is required is to numb the area of the harvest and the area of the transplant. After surgery there is some mild aching or discomfort but it lasts for only a few days. READ MORE
This is a great questions. We know that our nose continues to grow and mature into our early adulthood. It is generally thought that the safest age is when most of the growth has happened. In most that is after the age of 16. However, some people can have surgery a few years before that while others should have surgery a few years after that. This is generally determined based on how much bone structure maturity someone's face has. So the best way to know is to see your facial plastic surgeon. READ MORE
Unfortunately, no one can promise a 100% result. But the good news is that we can generally have a very good idea of what we can do or not do with a nose prior to the surgery. A crooked nose with a bump is something that can definitely be corrected with a cosmetic rhinoplasty and the results are generally very good and patients are very happy. You just have to make sure you surgeon is a board certified facial plastic surgeon who has completed years of training in facial and nasal surgery. READ MORE
Sometimes having a deviated septum is obvious. You can look at your nose from the base view and see if the middle wall is crooked. Sometimes it is not so obvious and the deviation is inside the nose. In that case the symptoms are generally a blocked nostril. Sometimes you can have nose bleeds because of a deviated septum. In that case, you will have to see your facial plastic surgeon or ear nose and throat surgeon to know if your septum is deviated. Generally, the only way to improve breathing is to have surgery to get the septum fixed. The surgery is usually outpatient and recovery is about one week. READ MORE
First, congratulations on losing over 100 lbs. That is a major accomplishment and you should be proud of yourself. Now, there are several treatments for stretch marks which include lasers, carboxytherapy and surgery. If you also have excessive skin after your weight loss then surgery that can remove the excessive skin and address the stretch marks is likely the ideal option for you. READ MORE
Most of hair transplantation does not need anesthesia but while you are getting numb it is best to have a slight amount of twilight sedation so that you do not feel the discomfort of the injections. This can be done without any breathing tubes placed and is only for your comfort. READ MORE
I assume what you are referring to is the cross marks from the stitch. To treat this depends on when your last surgery was. If it was less than a year then you should wait as it can continue to fade. If more than a year it can be treated with either topical medication, laser resurfacing or excision and re closure. READ MORE
This is a great question that comes up often. The answer, however, mostly depends on the exact type of plastic surgery that is being performed. With facial surgery, there are two categories of correction. It can be either soft tissue correction for aging (such as facelift, blepharoplasty, brow lift...) or bony augmentation (such as chin implant, cheek implant...) or a combination of both (such as a nose job or rhinoplasty). Each of these procedures has its own set of risks so without knowing which procedure, the general risks are bleeding, infection, nerve or muscle weakness, scarring or pigmentary changes. There are more specific risks associated with each different procedure. READ MORE
This is a great question. The best way to address a crooked nose is to have a rhinoplasty surgery. This is the best solution for improving the shape of the nose. READ MORE
Thank you for asking. The wrinkles around the eyes can be treated in several ways. First, having a good skin care regimen is important. You should always wash makeup at the end of the day and apply a good cleanser to remove any dirt from the skin. then application of a good moisturizer is important. Lastly, a good antioxidant lotion helps to stimulate collagen formation. A special eye cream can also be applied. This regimen should be followed regardless of doing any surgical procedure. Next, plastic surgery can help to remove the wrinkles. This can be done via various techniques and depends on your skin type and extent of the wrinkles. Lasers, peels and surgery can all be done alone or in combination to achieve the desired results. READ MORE
That is a great question. Botox is a medication and like all medications it can have side effects. However, the risks are very low. Most common complaint is bruising at the site of the injection and temporary headaches. In most cases these are very temporary. Botox is otherwise a very popular product injected safely millions of times each year with a very high patient satisfaction profile. Dr. Zandifar READ MORE
First let me say that IPL when performed properly is safe and with limited complications. After an IPL or photofacial it is not uncommon for some of our pores to get plugged and we feel the bumps on our skin. This is usually from the lube used on the laser during treatment. This is likely what you are experiencing. If this is the case, it should dissipate in a day or two. Just make sure you are using a non-comedogenic moisturizer. If there is redness or pain associated with it, then you could be getting an infection and I would see your doctor immediately to start the right kind of treatment. Hope this helped. Dr. Hootan Zandifar READ MORE
Areas of expertise and specialization
Faculty Titles & Positions
- Conducts Lectures through the Head and Neck Institute -
- Regional Top Doctor 2019 Castle Connely
- Top Physician Award 2017 Castle Connely
- Top Physician Award 2018 Castle Connely
- Top Physician Award 2019 Castle Connely
- Southern California Rising Sta 2013 Super Doctors
- Southern California Rising Sta 2014 Super Doctors
- Southern California Rising Sta 2015 Super Doctors
- Southern California Rising Sta 2016 Super Doctors
- Best of 2012 Plastic and Cosme 2012 Plastic Surgery Practice
- Top 100 Health Professionals 2014 The Leading Physicians of the World
- America's Top Physicians 2014 America's Top Physicians
- Hearing Loss
- Acid Reflux
- Deviated Septum
- Nasal Polyps
- Hay Fever (allergic Rhinitis)
- Ear Wax
- American College of Surgeons
- Fellow of American College of Surgeons
- American Academy of Facial Plastic and Reconstructive Surgery
- American Academy of Otolaryngology Resident Member
- Aesculapians – UCLA Medical Alumni Association
- UCLA Alumni Association
- State University of New York, Upstate Medical University Otolaryngology 2008
- State University of New York, Upstate Medical University 2008 Otolaryngology
Charities and Philanthropic Endeavors
- Osborne Head and Neck Foundation
- State University of New York, Upstate Medical University2004General Surgery
- Beeson Aesthetic Surgery Institute (Facial Plastic and Reconstructive Surgery)
Professional Society Memberships
- American Academy of Facial, Plastic and Reconstructive Surgery
Articles and Publications
Multiple Peer Reviews, 2 Chapters
What do you attribute your success to?
Hard Work and Dedication, Perseverance
Hobbies / Sports
- Traveling, Family Time
Favorite professional publications
- JAMA-Facial Plastics
Dr. Hootan Zandifar, MD's Practice location
Santa Monica, CA 90403Get Direction
Los Angeles, CA 90048Get Direction
Beverly Hills, CA 90211Get Direction
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Dr. Hootan Zandifar, MD's reviewsWrite Review
Get to know Facial Plastic and Reconstructive Surgeon Dr. Hootan Zandifar, who serves patients in Los Angeles, California.
Dr. Zandifar, a remarkable facial plastic and reconstructive surgeon, serves as the Director of the Skin Center at the Osborne Head and Neck Institute located in the Cedars-Sinai Medical Towers in Los Angeles, California. He specializes in “natural looking plastic surgery,” where every patient’s anatomy and natural appearance is restored but not drastically altered as a result of their surgery.
Osborne Head and Neck Institute is an innovative ear, nose, and throat / head and neck surgical practice. Its mission is to be the premiere referral source for the delivery of subspecialty care in pediatric and adult advanced ear, nose, and throat disorders, head and neck surgical oncology, and plastic and reconstructive surgery on a national level.
A native of Los Angeles, Dr. Zandifar received his medical degree from the prestigious David Geffen School of Medicine at UCLA. He completed his residency in otolaryngology – head and neck surgery at the SUNY Upstate Medical University in New York City and was then accepted to one of a few highly sought after fellowships in facial plastic and reconstructive surgery at the Beeson Aesthetic Surgery Institute in Indiana. The rigorous training he received under the tutelage of world-famous plastic and reconstructive surgeons enables him to provide the best and most advanced treatments available.
At the forefront of his profession, the doctor is board-certified through the American Board of Plastic Surgery, whose mission is to promote safe, ethical, efficacious plastic surgery to the public by maintaining high standards for the education, examination, certification, and continuous certification of plastic surgeons as specialists and subspecialists.
To date, Dr. Zandifar remains a member of several professional organizations, including the American College of Surgeons (Fellow), the American Academy of Facial Plastic and Reconstructive Surgery (Fellow), the American Academy of Otolaryngology, and the UCLA Medical Alumni Association. He also practices plastic and reconstructive surgery at the Derm & Rejuvenation Institute, where he provides the latest techniques in plastic surgery alongside Dermatologist Dr. Kormeili.
Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two main categories – reconstructive surgery and cosmetic surgery. A plastic surgeon’s primary responsibility is performing surgical and non-surgical procedures, and they use a variety of reparative and reconstructive techniques to get the job done.
Throughout his line of work, Dr. Zandifar has published peer-reviewed articles in various scientific journals, including Laryngoscope, ENT Journal, Journal of Pediatric Otolaryngology, Brachytherapy, Journal of Pediatric Otorhinolaryngology, and Journal of Investigative Medicine. He has also presented in many national meetings, including the Annual American Academy of Facial Plastic and Reconstructive Meeting, the Combined Spring Otolaryngological Meeting, and the Triological Meeting.
Attributing his success to hard work, dedication, and perseverance, Dr. Zandifar has received several awards of distinction from his patients and colleagues. These include: Super Doctors® on the Southern California Rising Star℠ List (2013), Top Plastic Surgeon in Beverly Hills, California by the International Association of Healthcare Professionals, inclusion in the The Leading Physicians of The World publication (2013), Plastic Surgery Practice Best of 2012 Plastic and Cosmetic Surgeons, and Walter P. Work, M.D. Award for Outstanding Performance in Otolaryngology / Head and Neck Surgery.
In his personal life, Dr. Zandifar is a proud father of two, a devoted husband, and a true humanitarian. He volunteers annually to help the underserved internationally as part of various medical missions. Outside of the office, he enjoys traveling and spending time with his family. His favorite professional publication is JAMA Facial Plastic Surgery.
Hootan Zandifar, MD, FACS, is a Remarkable Otolaryngologist & Facial Plastic Surgeon with The Osborne Head & Neck Institute in Los Angeles, California
Hootan Zandifar, MD, FACS, is a well-versed otolaryngologist and facial plastic surgeon who diagnoses and treats patients as Director of the Skin Center and a facial plastic and reconstructive surgeon at the Osborne Head & Neck Institute located in the Cedars-Sinai Medical Office Towers in Los Angeles, California. The Osborne Head & Neck Institute is an innovative ear, nose and throat / head and neck surgical practice on a mission to be the premiere referral source for the delivery of subspecialty care in pediatric and adult advanced ear, nose, and throat disorders, head and neck surgical oncology, and plastic and reconstructive surgery on a national level. Dr. Zandifar has an impressive professional journey that spans eight years and his area of expertise is cosmetic and reconstructive surgery of the head and neck region with a special interest in facial plastic surgery, the treatment of skin cancer, and facial rejuvenation. Furthermore, Dr. Zandifar is conducting research with the Beeson Aesthetic Surgery Institute in Carmel, Indiana, where he completed his fellowship training. Throughout his many years in practice, he has upheld a steadfast commitment to the ethical and professional standards of his practice, as evidenced by his sterling record, and ensures an impeccable degree of patient satisfaction in all facets of his work. In addition to being a successful and highly-regarded facial plastic and reconstructive surgeon and otolaryngologist, Dr. Zandifar published his work in peer-reviewed journals, presented scientific data in various national and international meetings, and has had multiple faculty appointments. He has received several awards of distinction from his patients and colleagues, among which inclusion in the 2013 Southern California Super Doctors® Rising Star Edition, nominated among the Best of 2012 Plastic and Cosmetic Surgeons by Plastic Surgery Practice/PSP Magazine, and the Walter P. Work MD Award for outstanding performance in Otolaryngology/Head and Neck Surgery.
Hootan Zandifar, MD, FACS, attended David Geffen School of Medicine at the University of California, Los Angeles, and was awarded his medical degree in 2002. His otolaryngology-head and neck surgery residency followed at SUNY Upstate Medical University in Syracuse, New York. Furthermore, he performed a facial plastic and reconstructive surgery fellowship at the Beeson Aesthetic Surgery Institute/Beeson Cosmetic Surgery LLC in Carmel, Indiana. While there, Dr. Zandifar was an adjunct faculty member of the Department of Dermatology at Indiana University School of Medicine, where he taught Dermatology residents about skin defect reconstruction. He also ran a skin defect reconstruction clinic at the VA Medical Center and won a teaching award for his outstanding service and mentorship. Dr. Zandofar received board certification in head and neck surgery from the American Board of Otolaryngology in addition to his board-certification in facial plastic and reconstructive surgery from the American Board of Facial Plastic and Reconstructive Surgery. He remains at the forefront of his challenging specialty via memberships and affiliations with prestigious professional societies and associations, such as the American Academy of Facial Plastic and Reconstructive Surgery. Moreover, Dr. Zandifar attained fellowship of the American College of Surgeons having met the standards and guidelines required of the nation’s leading surgeons. In 2005, he was honored with a Research Award by the American College of Surgeons. He feels that his success is attributable primarily to his hard work, dedication, and perseverance, and dedicates his spare time to traveling and being with his family.
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