BIOGRAPHY
Name

Andrew Biello, MD

Biography

Andrew grew up in a suburb of New York City, before earning his undergraduate degree at Fordham University in the Bronx, NY. He attended medical school at the Uniformed Services University in Maryland, before beginning an Otolaryngology Surgery Residency in Hawaii. Andrew plans on pursuing a fellowship in Facial Plastic and Reconstructive Surgery. In his free time, Andrew enjoys exercise and exploring new hikes and beaches in Hawaii.

Topics

Papillary Thyroid Cancer

Papillary thyroid cancer affects roughly 5 to 15 per 100,000 individuals. In the mid 1900s, the use of radiation treatment for various childhood head and neck conditions lead to a spike in thyroid cancer during the late 1900s. Nuclear power plant accidents such as in Chernobyl, as well as radiation exposure in Japan after the bombing of Hiroshima/Nagasaki, have both... Continue Reading

Pituitary Adenoma

Pituitary adenomas are benign tumors of the anterior pituitary gland, with incidence rates between 4 and 78 per 100,000 individuals. They are more common in individuals with Multiple Endocrine Neoplasia type 1, who may develop tumors of the parathyroids, pancreas, and pituitary glands. These tumors can be functional (secreting hormones) or nonfunctional (not secreting hormones). Large tumors of the pituitary... Continue Reading

Chronic Sinusitis

Chronic rhinosinusitis is an inflammatory disorder of the paranasal sinuses, defined as lasting 12 weeks or longer. It is commonly diagnosed in middle-aged individuals, and may present with purulent drainage from the nose, nasal obstruction, headache, facial pressure or pain, and/or decreased sense of smell. Severe untreated cases can lead to meningitis, high fevers, vision problems, proptosis, cranial nerve deficits,... Continue Reading

Fungal Sinusitis/Mycetoma

Fungal sinusitis is a disorder of the paranasal sinuses, caused by fungal colonization after inhalation of fungal spores in the environment. Individuals with impaired sinus clearance may be at increased risk of fungal colonization developing into outright infection. In the setting of impaired clearance, fungal hyphae may become intertwined, leading to the development of “fungus balls” or mycetoma. Once a... Continue Reading

Pleomorphic Adenoma/Parotid Cancer

Pleomorphic adenoma is the most common benign salivary gland tumor. Anatomically, the parotid gland is the most commonly affected of the three major salivary glands, comprising about 80 percent of the cases. In the parotid, 75% of tumors are benign, and 25% are malignant, roughly. Pleomorphic adenoma, although slow growing and benign, has a high propensity for local recurrence if... Continue Reading

Acne Scarring

Acne vulgaris is a disease that is common in adolescent populations, with severe lesions frequently causing cosmetically unappealing scars on the face. The pathogenesis of scar formation from acne is thought to be from an altered healing response to the inflammation caused in the skin, which can negatively affect collagen’s ability to regenerate. Acne scarring most commonly results in atrophic... Continue Reading

Melasma

Melasma is a condition that results from hyper functioning melanocytes in the skin. After exposure to sun, patients may develop an exaggerated darkening of particular patches of skin faster than others. It typically occurs in young female populations, and individuals with more fair skin types. Melasma presents as mild, symmetric, brown to grey patches on the face or other sun-exposed... Continue Reading

Adenoid Hypertrophy

Adenoid hypertrophy is unusual growth of the lymphatic tissue in the oropharynx known as the adenoid pad. Enlargement can cause obstruction of the nasal airways, leading to mouth breathing and snoring. It can also contribute to Eustachian tube dysfunction, leading to middle ear effusions and otitis media, commonly in pediatric patients. Enlarged adenoids for long periods during facial development can... Continue Reading

Nasal Deformity

Nasal deformity requiring rhinoplasty, or “nose job”, is typically divided into two broad categories. Functional rhinoplasty aims to improve breathing, while cosmetic rhinoplasty is geared towards improving the perceived structure of the nose. Many characteristics and measurements determine the outward appearance of the nose. Classically, certain angle measurements and ratios have been described for the male and female noses. Rhinoplasty... Continue Reading

Lip/Cheekbone Volume Loss

The facial subunits and their relative proportions/symmetry encompass much of what defines subjective ideas of beauty throughout modern cultures. There are certain ideal ratios that define the cosmetically appealing lips and cheekbones (aka zygomatic arches). The cheekbones act to give the appearance of a lifted and elevated midface. Adding volume to the cheekbones gives the appearance of more defined and... Continue Reading

Jawline/Chin Deformity

In facial cosmesis, the chin and jawline are some of the most pronounced and noticeable subunits of the face. Accordingly, small changes in angulation and subcutaneous fat lead to drastic changes in facial structure and appearance. Retrognathia, otherwise known as a recessed jaw, is a common issue addressed with Orthognathic or “jaw surgery”. A small jaw can give the appearance... Continue Reading

Frey Syndrome

Frey syndrome, also knowing gustatory sweating, is classically described in patients after parotidectomy surgery. It occurs as a result of aberrant reinnervation of the superficial skin sweat glands by the deeper parotid parasympathetic neurons. Generally, there is a proportional increase in occurrence and severity of gustatory sweating with increases in extent of parotid tissue excised. The result of this phenomenon... Continue Reading