Facial Plastic Surgery Questions and Answers: Part 08

Question: I am looking into having rhinoplasty. Is what I am hoping to achieve realistic?
Answer: A closed rhinoplasty approach can accomplish narrowing the entire bridge line and nasal tip. An alar plasty can accomplish narrowing wide nostrils. The thick skin in the tip of the nose is going to prevent refinement in that area, so it is important to have realistic expectations. Also expect to receive steroid shots in the tip of the nose to reduce swelling during the several months after the procedure.

Question: Candidate for chin aug, chin lipo, and buccal fat removal?
Answer: The Photographs demonstrate a very recessive chin profile and only a small amount of fat in the neck. A chin implant would offer the best benefit by augmenting the chin forward for better facial balance and proportions. Simple liposuction of the neck can remove the small amount of fat deposits in that location. Both procedures can be performed under local or general anesthesia.

Question: Why is my nose deformed? I had a septoplasty 9 years ago 
Answer: Your septoplasty had nothing to do with the issue on your nasal tip cartilages. On the left side of your nose, You have a normal convex lower lateral cartilage. The lateral crus of your right lower lateral cartilage is concave. This usually requires cartilage grafting techniques to make the right side look more like the left. It’s important to know how much cartilage is left over on the inside of your nose for grafting purposes, since you a cal had septoplasty in the past And you may have a cartilage depleted nose.

Question: Will a chin implant and neck liposuction be sufficient for desired results with my low hyoid bone?
Answer: The Side profile photograph demonstrates a recessive chin and significant fat deposits in the neck located both above and below the platysma muscle in your neck. For best results, you would require a chin implant to augment the recessive chin forward because your mandible never grew far enough forward. This will offer improved structural support for the soft tissues in the neck. Liposuction alone will be an effective because it’s only going to remove the small compartment of fat above the muscle. Most of your fat is deep in the neck below the platysma muscle which is going to require a neck lift procedure, which also includes a platysma-plasty to significantly improve the jawline. No skin removal is required at age 32. The combination of a neck lift and chin implant should give you a fantastic result even if you have a low hyoid bone. Study your perspective surgeon’s before and after necklift photo Gallery to make sure that is extensive with results similar to your own that look very natural.

Question: 1 year post revision rhino. Can adding cartilage to the tip fix crookedness?
Answer: Revision rhinoplasty is the most difficult operation to perform in the entire field of cosmetic surgery, so much more information is needed such as a full set of facial photographs from all angles, and copies of the operative reports to find out what was accomplished the first two procedures before embarking on a third procedure. It’s very important to know how much cartilage is left over on the inside of the nose for potential grafting purposes.

Question: I live in the Charlotte area. Several consults, all different. What do I really need? My neck and under eyes bother me
Answer: From the photographs presented, you show the normal signs of aging in your neck and jowls for which a lower face and neck lift is going to be required. In our practice, the goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove the fat deposits in the neck above and below the platysma muscle which also includes a platysma-plasty to significantly improve your jawline. Regarding your lower lids, you have Festoons and a lower blepharoplasty procedure is not going to help with that. You have excess skin on your upper lids, and an upper blepharoplasty can accomplish a Nice improvement. Study your prospective surgeon’s eyelid and facelift photo Gallery to make sure that it is extensive with results that you like.

Question: Would I benefit more from fillers or a facelift?
Answer: The photographs demonstrate significant facial asymmetry which can be improved, but your face will not be perfect. Consider placement of a chin implant to augment your recessive chin forward, and custom carved to build up your left side of your chin more than your right. This can be done in combination with the lower face and neck lift to lift the Jowls, tighten loose facial and neck skin, tighten loose facial and neck muscles, and remove any fat deposits in the neck.

Question: Is a genioplasty right for me?
Answer: A genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay, and can help with sleep apnea. For purely cosmetic purposes, a chin implant can augment your chin forward, and a neck lift procedure can accomplish removal of the fat deposits in your neck located both above and below your platysma muscle in the neck to get a more aesthetically pleasing jawline. You’ll still have sleep apnea with elective cosmetic surgery.

Question: What are my permanent options to correct my eyelids and achieve a less tired look?
Answer: A trans-conjunctival lower blepharoplasty accomplishes removal of the fat bags that are creating the puffy look in the lower lids. The incisions are completely located on the inside of the eyelid, and there are no external incisions.

Question: Age 32, is ear surgery a relatively straightforward procedure?
Answer: In our practice, we perform otoplasty under local anesthesia as an outpatient procedure. Pinning the ear back requires making a small incision behind the ear and Using permanent sutures to hold it here backwards against your scalp. We try to match your left ear closely to your right ear. Your earlobes look just fine. We would definitely not recommend going to Mexico to have elective cosmetic surgery performed.


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