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Archive for February, 2015

Ethnic Rhinoplasty – The Latest Trend

posted on February 28, 2015 by


The newest trend in Rhinoplasty is that of the ethnic Rhinoplasty. This new focus of plastic surgery is sparking a rise in “Ethnic Blending” which is the concept that as everyone wants to minimize their nose, the noses are looking more alike across the board. Typically, Asians want a more prominent nose as theirs are wide and have poor cartilage support, while the common concern with Black patients is the width of their nostrils. And in terms of Middle Easterners they have very distinct shape and often times a “hump” they are unhappy with.

One major concern with those of ethnic backgrounds seeking nose jobs is that they don’t want having the procedure to be seen as an unhappiness with who they are and that they are not proud of the attributes common with their heritage. Dr. Payman Simoni, a Beverly Hills surgeon who specializes in Rhinoplasty, focuses on minimizing the nose and drawing attention to the eyes instead. Simoni states,“ The ethnic nose job is very difficult and the key is to create subtle changes in the profile and in the definition of the nose, without completely changing their ethnic characteristic.”

In this ethnic Rhinoplasty, an experienced surgeon should maintain an individuals facial balance, as well as stay true to their given racial attributes. Dr. Simoni stresses, “A surgeon needs to be extremely knowledgeable to the unique anatomical nasal distinctions. He adds, “The technique for an ethnic nose job is very much different than the traditional process. If a surgeon is not skilled in this aspect and familiar with ethnic Rhinoplasty the result could be disastrous, and the nose can end up pinched, upturned or a number of other undesired variations. The most well known case of this type of mistake is that of Michael Jackson’s nose”

With the use of computer imaging, vital to this sort of procedure, Dr. Simoni is able to pinpoint both his and his patients’ desired objectives and therefore achieve remarkable results.

Heidi Montag- More Surgery?

posted on February 28, 2015 by

HeidiRadar Photo Courtesy of

Heidi Montag was photographed on her recent Costa Rica Vacation with a suspicious tape over her nose, leading many to question if she had gotten yet another nose job. After the strange photos of her on the beach wearing the tape and a splint hit the web, Montag took to her own defense with the following statement; “Except for filming and a few photo shoots, I’ve had my nose tape on 24 hours a day since November. It takes a year for your nose to heal. This is just the first photo that anyone has seen of it. The last time I didn’t wear tape after surgery and my nose changed shape. The tape is supposed to keep the swelling down and hold my nose in place the way Dr. Ryan (celebrity plastic surgeon) sculpted it. Dr. Ryan always said I was his best, most cautious patient, and I’m not taking any chances now that he’s gone. I don’t want my face to fall off like Michael Jackson’s.” Beverly Hills Rhinoplasty specialist Dr. Payman Simoni does not recommend wearing tape that long after a nosejob. He adds, “The tape will actually increase the skin swelling, it in fact hinders the healing process due to the constant putting on and pulling off.” Montag also stated how she is however looking for a doctor in Costa Rica to reduce her breast size slightly from her current G cup to a D or Double D. Dr. Simoni recommends finding a doctor in the US and the more local the better.” You don’t want to have to keep flying to a different country for your follow-ups, it would be an extreme inconvenience for your post-op care”

Dr. Simoni malpractice claims discussed

posted on February 28, 2015 by

With the economy in the state that it’s in, you would think many people couldn’t afford plastic surgery -and you’d be right. As of late many patients are getting procedures done anyway with no intention of paying for them. These actions are catching surgeons off guard since they are used to working with clients who usually have no qualms about money. “We had a huge trail of bounced checks since the economy made a downturn” explained famed Beverly Hills facial plastic surgeon Dr. Payman Simoni, while others tried disputing their credit card charge(s) with innovative excuses.”

The most serious of these cases though comes in the form of extortion. “In a few situations, patients threatened to post negative comments and ratings about our practice on social and forum websites if we did not refund their money once their procedure was completed”, explained Dr. Simoni.

One con artist requested $100,000 or she threatened to ruin Dr. Simoni’s reputation online. Soon finding out they were not the only victim of her scam (she has done this to handful of other plastic surgeons) they were quick to turn her down, and in no time hundreds of negative posts against Dr. Simoni were scattered throughout the Internet. Thus resulting in potential patients -who were not aware of this type of deception- seeing and believing the postings and then canceling their procedures.
These scam artists know these facts and use it to their advantage.

To make matters worse, some websites are taking part in this online fraud themselves and requesting exuberant amounts of money from plastic surgeons to remove these fake posts. Websites like and are at the forefront of these extortion schemes. These websites invite negative comments and block positive ones to force plastic surgeons in to paying them kickbacks.

Online extortion has become an important expenditure for many plastic surgeons. These con men target top plastic surgeons to better ensure their paybacks. Many assume that plastic surgeons make enough money –“so who cares”. But in reality, once these unnecessary expenses occur, plastic surgeons have more difficulty easening up on their fees to try to help their patients in this tough economy. So once again, ultimately, the honest people are the one who get hurt, patient and their doctor alike.
Many say that a tough economy brings out the worst in people, but in terms of plastic surgery offices it’s bringing the worst people IN.

Dr Simoni, Cosmetic Surgeon Beverly Hills

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Payman Simoni, M.D., the founder and President of Simoni Plastic Surgery, has devised and trademarked an array of minimally invasive procedures for taking years off a patient’s appearance. With a background that includes more than two decades of training, practice, and research in the medical fields of otolaryngology and facial plastic surgery, Dr. Simoni has introduced and now regularly performs the Simoni Face Lift (TM), Dream Liposuction (TM), and Designer rhinoplasty (TM) at his practice’s Beverly Hills and Long Island offices.

The revolutionary Simoni Lift (TM) tightens facial and neck muscles, skin, and fat in a minor outpatient procedure that avoids the two pitfalls of traditional face lifts: general anesthesia and an overly tight “done look.” In contrast to older cosmetic surgeries that put patients under with a general anesthetic, which sometimes created fatal consequences, patients of Dr. Simoni remain awake and alert throughout their procedures with local anesthetics.

Dr. Simoni contends that unwanted results from traditional face lifts came about because patients underwent surgery while unconscious and lying down. Dr. Simoni achieves more lifelike results when he can see how a client looks and will eventually look while upright and awake. Dr. Simoni’s approach minimizes incisions, pain, numbness, and recovery time. Most Simoni Lift (TM) clients return to work in only 7 to 10 days. With the lifting of restrictions on the use of stem cells by the Obama administration in recent years, Dr. Simoni increasingly has utilized fat stem cells in injections for faster repair of aging skin and volume loss.

Dream Liposuction (TM), another trademarked specialty of Simoni Plastic Surgery, combines VASER liposuction, which applies the latest ultrasound technology, with tumescent liposuction, in which the patient receives injections of a local anesthetic and epinephrine to shrink blood vessels in the critical area. Here again, Dr. Simoni eliminates cutting and suturing, thereby reducing recovery time. Patients are usually back to their daily routine in two days.

A board-certified ear, nose, and throat surgeon, Payman Simoni, M.D., also has perfected a Designer rhinoplasty (TM) technique that allows him to reshape patients’ noses without having to break and reset them or apply postsurgical packing. Innovative procedures like this one have distinguished Dr. Simoni from the many other Beverly Hills-based rhinoplasty specialists, making him one of the most highly sought-after cosmetic surgeons in the area.

Plastic Surgery Graduation Presents: Nose jobs and Breast Implants Top Lists

posted on February 28, 2015 by

Many 2012 high school graduates across the country are receiving special graduation gifts: plastic surgewoman-big-nosery.

The Daily reported that the number of breast implants among teenagers has soared by 200 percent over the past 10 years. Plastic Surgeons performed over 23,000 breast implants last year, according to the American Society of Plastic Surgeons.

In 2011, the most requested plastic surgery procedure was rhinoplasty — a nosejob — with 33,000 surgeries. Breast surgery came second, and interestingly about 14,400 of the cases were boys with enlarged breasts, known as gynecomastia.

Dr. Simoni has seen the number of rhinoplasties quadruples around graduation time.

To recommend rhinoplasty to a teen, Dr Simoni looks at the teen’s physical and emotional maturity, checking the credentials of a surgery.  It is important for a teen to reach a brain maturity to understand the risks of a procedure and the expected recovery time.

A Dentist Did My Nosejob

posted on February 28, 2015 by

SS had decided to undergo a rhinoplasty. He researched doctors and found one he thought was well-qualified; his TV apearance touted him as board-certified and a top plastic surgeon in Los Angeles.

SS met with him for a consultation and underwent the procedure in his office several weeks later. Few months after the surgery he discovered a shocking sight:

His nose was crooked and and major dents all over it.

When getting a second oponion for his revision, Dr Simoni revealed to him that his previous surgeon was not board certified.  He would need extensive surgery to correct it.

As if this weren’t bad enough, he also informed him that his doctor is no longer licensed to practice medicine.

His “plastic surgeon” was actually a dentist.

Stories like SS’s are becoming more and more common across America. There are increasing number of doctors performing cosmetic procedures without the proper training or credentials.

In Los Angeles, I’ve been horrified by dozens of botched jobs, Dr Simoni explains. One of my patients, a beautiful 23-year-old model, was left with a upturned and scooped nose done by a gynecologyst.

Why does this happen?

Although state medical boards regulate who can obtain a license to practice medicine, they don’t restrict doctors from performing procedures outside of their training or specialty. Once they are licensed, there is no law against doctors performing any medical procedure they want to; as long as the patient consents to it.

As a board-certified facial plastic surgeon, I can legally perform a brain surgery for which I am completely unqualified. This lack of regulation has allowed an increasingly large number of doctors of all types — including gynecologists, general surgeons and even emergency medicine physicians — to perform tummy tucks, liposuction, facelifts and breast enhancement.

So why do so many doctors reject their chosen specialty and remake themselves as plastic surgeons?

One word: money.

Declining physician reimbursement has resulted in more physicians looking for ways to enhance their income. Plastic surgery is one of the only fields of medicine that is shielded from insurance companies.

So an increasing number of doctors are closing their traditional medical practices and opening cosmetic surgery centers. These physicians learn the basics of plastic surgery through weekend courses, shadowing other doctors, and even online webinars. This influx of poorly trained cosmetic surgeons has caused SS’s story to become just one of many.

If you are considering having plastic surgery, I implore you; do your homework. Find a facial or general plastic surgeon who is certified by the American Board of Plastic Surgery or the American Board of Facial Plastic Surgery.

For facial and nose plastic surgery, a doctor certified by the American Board of Facial Plastic and Reconstructive Surgery is considered an equivalent in all states.

I consider it a privilege that my patients put their lives and faces in my hands. All surgeons should.


In return, we have a moral obligation to only perform procedures that we are fully qualified to do.

No matter how well it pays.

Egypt MP Found Guilty of Rhinoplasty and Given Prison Time

posted on February 28, 2015 by


An Egyptian MP who p

retended he had been injured in a car-jacking to hide the fact he had had nose plastic surgery has been given a suspended prison sentence, reports say.

As member of the I



mist al-Nour party, Bilkimy resigned when his lie was exposed.  The Salafist al-Nour party follow a line of Islam that forbids plastic surgery.  They believe it is wrong to interfere with what God has created, and as a result of the case they expelled Anwar al-Bilkimy.

He was also found guilty of filing a false complaint, forgery and obstruction of justice by an Egyptian court.  He was given a three-month suspended sentence.

Bilkimy had originally claimed the bandages covering his forehead, nose and cheeks were the result of being hurt during a robbery as he drove on the Cairo to Alexandria road in February.

But it was the doctor and other medical staff, who exposed him publicly that they had performed a nose job on him to make his nose smaller.

Holly Maddison’s Nose Job Complication

posted on February 28, 2015 by

Holly Madison is an 33 year old model, showgirl and television personality. Besides her radiant beauty, this starlet is widely known for being one of Hugh Hefner’s girlfriends on the reality television series, The Girls Next Door and for her own reality series, Holly’s World.

In 2009, Holly opened up to Life & Style about her boob and nose jobs, but says that she’s not open to having any more work done:

“Plastic surgery made it easier for me to get things I wanted in my career. Without it, I wouldn’t be where I am today… My nose photographed really big in front of my face. If I wanted to do anything in the entertainment industry, I needed to get it fixed. I was definitely happy with the results. It made me more confident. And a lot of doors open when you look a certain way.”


Comparing to her pictures taken in 2001, it is obvious that Holly has undergone a dramatic rhinoplasty

procedure, explains Dr. Payman Simoni, a Rhinoplasty specialist in Beverly Hills.

Dr. Simoni has noticed a common post rhinoplasty flaw in Holly’s nose. What might this flaw be one may ask?  It is called an Inverted V Deformity. In this deformity, the lower edges of the nasal bones are visible to the naked eye. This edge or line forms an upside-down or “inverted” V.


Look closely at the picture of Holly. The middle portion of her nose has collapsed, and you can see a line on either side of the nose that joins i

n the middle to form the inverted V. This is a common problem that can occur after the removal of a nasal hump.  For some people, removal of the excess bridge can weaken the supports of nasal cartilages.  This weakness can cause the collapse of nasal sidewalls and create this abnormal look.  Dr. Simoni often uses the person’s own cartilages to support the nasal sidewalls to prevent this complication.

Dr. Payman Simoni uses the same cartilage graft technique to correct inverted V deformity in patients who have had previous complicated nose job.

Nose Job, A Graduation Gift

posted on February 28, 2015 by


Nose jobs known as Rhinoplasties are becoming popular graduation gift for high school graduates. Rhinoplasty is the most common surgery in teens, It is becoming more and more trendy for parents to gift their teens with nose jobs rather than vacation trips, cars and expensive jewelry. Since college is a stepping stone for every student it is extremely important for them to start school with confidence and great first impressions.

Dr. Payman Simoni , a Beverly Hills rhinopasty specialist,  noticed a number of growing teen Rhinoplasties in July especially teens aged eighteen and up.  As exciting as a getting a new nose is,  “it is extremely important to do extensive research on your surgeon before proceeding with your rinoplasty” explains Dr. Simoni.  Nose is the most prominent facial feature and it plays a major role in determining how we look, Rhinoplasties are highly satisfying if done correctly”.

You may well believe that Rhinoplasty is nothing but taking down a bump or making a nose smaller, but this is an extremely intricate and complex procedure of all plastic surgery procedures. It is a combination of science and beauty. It’s very easy for a surgeon to put a chisel on the nose and rasp away until they think they’ve got it right but this shows a lack of understanding of how the nose works and how the soft tissues reacts to surgery. That is why Dr Simoni always recommend seeing a rhinoplasty specialist.  Dr. Simoni recommends spending ample time with patients trying to understand their expectations. It is through to achieve their dream nose to help boost your teens self-esteem and confidence.

Dr. Simoni uses a 3D computer generated image which shows before and after pictures to help you and your teen understand what their nose will look like after the surgery. Dr. Simoni can help your teen start off the most memorable milestone of their life with a perfect nose for the beautiful years ahead.

Dr. Simoni is available
for consultation in the Beverly Hills Office.

Please contact our offices for a consult or referral at:

(310) 360-1360 888.DRS.90210 (888) 717-5586


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