Mark B Constantian

read moreDr. Mark Constantian is unwavering in his commitment to understanding each patient's unique goals and creating a safe, effective surgical plan. Dr. Mark Constantian specializes in secondary, or revision, rhinoplasty, to help patients who experience problems as a result of a previous rhinoplasty. After more than 42 years of practice, I am formally announcing my retirement from plastic surgery. I am still seeing consultations and accepting physician referrals for rhinoplasty and I will retire when I finish my waiting list.

read moreAt the practice of Mark B. Constantian, MD, FACS, we specialize in primary rhinoplasty and secondary rhinoplasty, but also offer a wide range of other procedures. People visit our Nashua office from Boston, Massachusetts, and beyond because of Dr. Constantian's cosmetic surgery expertise and dedication to superior patient care. Plastic surgery is not magic; it is real surgery. While a great deal can frequently be accomplished, you and I must understand each other to develop an effective surgical plan that you wish to carry out.

read moreBlepharoplasty is aimed at reducing the aging changes that occur in the eyelids: looseness and puffiness of the upper and/or lower eyelids. In its most complicated form, blepharoplasty involves an incision in each upper lid at the crease, through which bulging fat and excess skin or muscle are trimmed. If you have puffiness from protruding fat as well as excess skin and muscle, that sometimes requires a similar incision just below the lower lid lashes. Patients with puffiness in the lower lids but without much extra lower lid skin can often undergo fat removal through the inside of the lower lid, thereby avoiding the external scar and giving a quicker recovery.

read moreThe term "facelift" is a misnomer, because the operation actually tightens the cheeks and neck, rather than the entire face. As we age, a number of things happen in differing amounts and at different rates in each of us. Each of these aging changes needs to be diagnosed and treated individually and in varying amounts. Some patients need all of them treated; some, only a few. That is why facelift surgery at our New Hampshire practice, between Manchester and the Massachusetts border, is tailored to the individual patient, addressing the specific problems that he or she is concerned with.

read moreYou may wonder why we perform all rhinoplasties closed when so many surgeons use the open approach instead. Imagine that you know nothing about either operation, but that the open method has been the traditional rhinoplasty technique, instead of the other way around. The scars are visible and not always good, recovery is significant, the tip must be supported by artificial means (struts or sutures), and many of the changes are created by non-anatomic methods, and the less experienced surgeon does not have precise control over the result.