Facial Plastic Surgery Questions and Answers: Part 01

Question: Strongly considering rhinoplasty. Would a smaller nose be compatible with my features?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, reduction of the hanging columella, and lifting the nasal tip, along with narrowing the bridge line with all of the incisions placed on the inside of the nose. Also important to release the depressor septi ligament, which dynamically pulls your tip downwards when smiling. Choose your surgeon wisely based on extensive experience, since rhinoplasty is one of the most difficult endeavors in the entire field of cosmetic surgery.

Question: Will a neck lift fix my dimpled chin?
Answer: No, a neck lift, or a face neck lift will not fix a dimpled chin. A small elliptical skin incision underneath the chin may help rotate those two dimples from in front of the chin to below the chin to make them less noticeable.

Question: How soon after buccal fat removal, jaw lipo, and chin implant can I get Morpheus8 done?
Answer: Much more information is needed to make a determination about three surgical procedures. Your age, height, weight, and a full set of facial and neck photographs before making any decision whatsoever. If your skin tone is fine, you don’t need any of the non-invasive procedures. It is acceptable to fly internationally one month after your surgery, but it’s gonna take 3 to 4 months for all the swelling to settle down and be fully healed.

Question: Will rhinoplasty help my breathing issues as well as improve the overall appearance?
Answer: Rhinoplasty is only performed to improve the appearance and look of your nose, such as reducing the bulbous nasal tip, shaving down the dorsal hump, narrowing and straightening the bridge line. A septoplasty, or turbinate surgery is usually performed to improve airflow dynamics through the nose. Functional nasal surgery is billed to the patient’s medical insurance once medical necessity and preauthorization has been accomplished. Both functional and cosmetic nasal surgery can be performed together under one anesthesia with one recovery period. Expect to pay for the cosmetic component yourself. A rhinoplasty is not going to improve airflow through the nose.

Question: For rhino profile morphs, do doctors typically adjust profile nostrils in the morphe?
Answer: Digital computer imaging from the site profile usually involves shaving down the dorsal hump and possibly lifting the tip and reducing hanging columella. That is all that can be done from the side profile.

Question: What type of procedure would be recommended for my primary rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish building up the indentation in the nasal tip, shaving down the excess nasal tip cartilage laterally, straightening the nose additional shaving down the relative dorsal hump. Osteotomies will also be required. This will be very difficult rhinoplasty procedure, so choose your surgeon widely based on extensive experience.

Question: How bad do I need a revision rhinoplasty? Rhinoplasty done 5 years ago.
Answer: A full set of facial photographs from all angles are going to be required to make a determination about how best to proceed. Your nostrils may never be perfectly symmetrical, only improved. If there is a hanging columella present, that can be reduced as well.

Question: Chin implant versus non-surgical options? I have a weak chin.
Answer: The photographs demonstrate fat deposits in the neck and a recessive chin profile. Consider placement of a chin implant to augment the chin forward, and liposuction to remove the fat deposits in the neck. Both procedures can be performed under general anesthesia or local anesthesia.

Question: Am I a good candidate for submental lipo?
Answer: The Photographs demonstrate a recessive chin profile, deposits located above the and below the platysma muscle in your neck. Consider placement of a chin implant augment the chin forward for better facial balance and support for the soft tissues in the neck. Liposuction will only remove fat deposits above the platysma muscle which will be an incomplete removal. You will need a surgical neck lift with removal of fat deposits under the platysma muscle and a platysma plasty in addition to liposuction. No skin removal is required.

Question: If I am 41 with a very bulbous nose, is it a bad idea to get rhinoplasty at this point in my life?
Answer: Its certainly acceptable to undergo a rhinoplasty at any age, since the skin will shrink wrap over the new framework of the nose.


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