David W. Kim
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About My Practice
How do you define a successful result?
When an aesthetic improvement is harmonious with each patient’s features, without looking artificial or overdone, I consider it a success.
How has your teaching and lecturing experience enhanced your skills as a doctor?
After teaching medical students and residents for six years, I honed my communication and motivational skills, which translate well into educating patients.
Why are consultations such an important part of the patient experience?
This is when I make that critical connection with each patient—when I am able to discover the results that can fulfill my patients’ dreams.
Do you perform any pro-bono work?
I work with victims of domestic violence.
What is your favorite part of your job?
The unveiling after a rhinoplasty—when I take the cast off and see a patient cry out of happiness—is the most fantastic feeling.
What framed photos are on your desk?
I have a few photos on my desk, including a picture of my 7-year-old twins and 10-year-old son, and a photo of my wife.
American Board of Facial Plastic and Reconstructive Surgery
American Board of Otolaryngology/Head and Neck Surgery
Affiliation:Fellow, American Academy of Facial Plastic & Reconstructive Surgery, Fellow, American College of Surgeons
A Minute With
The biggest misconception about my field
There is such a thing as “perfect”
My happiest professional moments
When I make that critical connection with each patient—when I am able to discover the results that can fulfill my patients’ dreams
My operating room playlist
Right now it’s Prince, Arcade Fire,
Wilco and the Velvet Underground
How my profession has evolved
The bar is higher than ever given how savvy and educated our patients are
Most memorable patient reactions
Some of the most gratifying moments are when patients tear up after the reveal following a rhinoplasty
Do your best at all times
My greatest achievement
Raising my kids to be happy, compassionate and humble individuals
What i can’t live without
My family and my bike—I keep photos of my family on my desk
Three words that best describe me
What i love most about my profession
I consider it a success when an aesthetic improvement is harmonious with a patient’s features, without looking artificial or overdone
How does someone know it’s time for a facelift?
It’s different for everyone. Usually
each person reaches a point when
they look in the mirror and see
someone who looks much older
than they feel
- Revision Rhinoplasty
- Chin Implants
Can you achieve the results of a facelift, the jowl/neck lift, by injection or other means? Are there alternatives to a facelift that will get you facelift results? Without surgery?What our experts say:
There are no nonsurgical procedures which can duplicate the effects of a facelift. The facelift surgery allows one to elevate and reposition sagging areas of the face and neck upward into a more youthful position. This type of effect requires surgery. There are, however, a variety of nonsurgical treatments which can improve the appearance of the face in ways similar to a facelift, though typically in less magnitude. One example is facial volumization with soft tissue fillers. Because the aging process leads to deflation of the face (in addition to sagging), replacement of lost volume with fillers can rejuvenate the face without surgery. Another option is laser skin resurfacing. This procedure allows for dramatic skin surface rejuvenation with wrinkle reduction, textural improvement, elimination of discoloration and better tone. These nonsurgical procedures may be used in conjunction with a facelift to enhance results. But, they may also be used a stand-alone procedures to provide rejuvenating effects without surgery.
Can Botox or Dysport help shape my brows?What our experts say:
Yes absolutely! Botox acts by relaxing the muscles into which it is applied. Since the eyebrows are influenced by the pull of the muscles above and below them, strategic placement of Botox can serve to improve eyebrow position or shape. Most commonly, Botox is placed just below the tail of the eyebrows [off label] in order to relax the muscles which pull the end of the eyebrows downward. The effect of the treatment is an elevation of the tail of the eyebrow, a result which rejuvenates and opens the area around the outer corners of the eye.
How long is the recovery from rhinoplasty?What our experts say:
I advise patients to take about one week off from work or school and three weeks of no exercise. Swelling will persist for several months and may fluctuate depending on activity or diet. I also advise patients to avoid activities which risk trauma to the nose for about three months.
I had a nose job and I don’t like the result, can I get another rhinoplasty procedure?What our experts say:
Unfortunately, rhinoplasty does not always go perfectly the first time around. The good news is that almost every problem resulting from rhinoplasty can be corrected with a revision procedure. About 1/3 of my rhinoplasty practice is revision of previous rhinoplasty surgeries. It is advisable to seek treatment from a surgeon who performs a high volume of revision rhinoplasty as these procedures tend to be more complicated than primary surgery.
I’m having a hard time breathing through my nose, do I need a nose job?What our experts say:
In many cases, nasal breathing problems may be successfully treated with septoplasty and/or turbinate reduction. These procedures are performed completely inside of the nasal passages and generally do not change the external appearance of the nose. In many cases, these procedures may be performed in conjunction with a cosmetic rhinoplasty. There are some type of nasal breathing problems in which a functional rhinoplasty is needed to adequately improve airflow. In these cases, there is typically a need to strengthen the external structures of the nose in order to correct the problem. One of the more common examples of this is when the nasal side walls collapse with inspiration through the nose, a condition known as nasal valve collapse.
If I am getting a nose job, do I have to consider augmenting or reducing my chin as well for balance?What our experts say:
The nose and chin have an important cosmetic relationship in the face, particularly with regard to the profile appearance. A small chin can make a nose look larger and vice-versa. The most common scenario in which chin work is done in the same setting as rhinoplasty is when one has a large nose and a small chin. In this type of case, a reduction rhinoplasty and a chin augmentation will be performed to provide better balance to the face.
How does a chin reduction work?What our experts say:
Chin reduction may be performed by removing some of the bone creating the excess projection in the chin area. There is a limit of how much bone may be removed with this method so it is best for a small amount of desired change. For more reduction, the lower jaw is split and set backward. This type of procedure is more commonly performed when there is a problem with an underbite that needs to be corrected, rather than solely for cosmetic purposes.
Is there preventive anti-aging work I can have done before I would need a facelift?What our experts say:
There are numerous topical skin-care regimens which can reduce surface aging signs. Anti-aging treatments such as Retin-A or topical antioxidants can improve the condition of the skin prior to surgery. Sun protection is also a critical part of prevention to slow down the aging process.
Which injectable fillers are best for which areas of the face?What our experts say:
I prefer HA (hyaluronic acid) products, such as Juvederm or Restylane for the under eyes and lips. For cheeks and smile lines I use both HA products as well as Radiesse, a hydroxy-appetite product. I also find that Sculptra is a useful product option for regional facial volumizing. It is hard to generalize about best choices based solely on anatomical area as the selection depends on individual anatomy as well as the patient’s personal goals and preferences.