Facial Plastic Surgery Questions and Answers: Part 07

Question: Can I get a nose job a year after fillers?
Answer: A septoplasty is performed in the back the nose to improve airflow dynamics when there is a deviated nasal septum present. Medical necessity needs to be performed at the time of an in-person examination, and then preauthorization is then required for your medical insurance company. Anticipate co-pay and deductibles. A rhinoplasty is performed for cosmetic purposes, and there is no medical necessity. Plan on paying for that component of the surgery yourself. In our practice, both procedures are performed under general anesthesia by a board certified physician anesthesiologist for patient safety and comfort. It is not a good idea to perform this under local anesthesia since it will be very painful.

Question: Does Kybella not work for some people? Advice?
Answer: Kybella Is not very effective, and we do not use it in our practice for that reason. The limited photograph demonstrates fat deposits above and below the platysma muscle in the neck. Liposuction can accomplish fat removal above the platysma muscle, however a surgical neck lift with a platysma plasty is going to be required to remove the fat deposits below the platysma muscle which will significantly improve the jawline.

Question: What surgical or non-surgical options do I have to correct my jawline?
Answer: The side profile photograph demonstrates an overly projecting nose and an under projecting chin. A closed rhinoplasty procedure can accomplish decreasing the overall projection of the nose, shaving down the dorsal hump, refinement of the nasal tip, and narrowing the bridge line if necessary. All incisions are placed on the inside of the nose. No external incisions are required and no painful packing as required either. Placement of a small chin implant can augment the chin forward for better facial balance and proportions, especially with respect to the over projection of the nose from the side profile. Both procedures can be performed under general anesthesia as an outpatient procedure. Rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience.

Question: Can an endoscopic brow lift correct deep horizontal forehead lines?
Answer: Deep horizontal forehead lines are corrected only through a coronal approach forehead lift with the incision placed behind the hairline. The frontalis muscle is softened. The corrugator or “scowling” muscle can also be softened as well as lifting the height of your eyebrows and adjusting eyebrow asymmetries, since your right eyebrow is lower than your left.

Question: Which procedure would help me achieve a stronger looking jaw?
Answer: The side profile photograph demonstrates a recessive chin profile, so consider placement of a chin implant which can be done with local anesthesia. The procedure takes about a half an hour in our outpatient surgery Center. If you’re looking to remove the fat deposits in your neck, liposuction can accomplish removal of the fat deposits above the muscle, however a necklift maybe required to remove fat deposits below the platysma muscle which also includes a platysma-plasty to significantly improve the jawline. No skin removal is required.

Question: Are there non surgical options to improve my profile that would give me optimal results? If not, what would you suggest?
Answer: The side profile photograph demonstrates an overly projecting nose, an under projecting chin, and significant fat deposits above AND below the platysma muscle in the neck. A surgical closed rhinoplasty can accomplish decreasing the overall projection of the nose, narrowing and straightening the bridge line, and refining the nasal tip with all of the incisions placed on the inside of the nose. No external incisions are required. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions. Liposuction will only remove fat deposits in the neck above the platysma muscle which will be only minimal benefit.. A surgical neck lift procedure is going to be required to remove the fat deposits underneath the platysma muscle which also includes a platysma plasty to significantly improve the jawline.

Question: Would an oculoplast be equally qualified (to a plastic surgeon) to perform a browlift?
Answer: The generalized answer would be a yes, but it depends on the individual oculoplastic surgeons training and expertise. Study their photo gallery for brow lift procedures to make sure that it is extensive with results that you like.

Question: Do I need eyebrow lift or/ and blepharoplasty to look less tired/angry?
Answer: The photographs demonstrate hooded and excess upper eyelid skin for which an upper blepharoplasty procedure can accomplish significant improvement. The eyebrow position is totally acceptable and a brow lift is not required. A brow lift would only make you look surprised. The Horizontal wrinkles between your eyebrows are related to hyperactive corrugator muscles. Botox would be the most conservative treatment for those vertical lines.

Question: Should I do a nose job, chin implant or buccal fat removal first?
Answer: A full set of facial photographs, especially from the side profile going to be required to make a determination about how best to proceed with a nose job and chin implant.

Question: Will insurance cover a portion of my nose surgery?
Answer: Medical insurance may only participate in the payment for nasal obstruction issues. Co-pays and deductibles will apply, such as a septoplasty for deviated septum They will not cover removal of a dorsal hump.


    Schedule a Consultation Today

    The Seattle Rhinoplasty Center

    Dr Nose Knows
    Rhinoplasty Expert®

    Seattle, Washington 98104

    (206) 624-6200

    Schedule an Appointment