Facial Plastic Surgery Questions and Answers: Part 1

Question: How can I tell if someone is an expert on revision rhinoplasty?
Answer: Every busy rhinoplasty surgeon has done lots of both primary and revision rhinoplasty procedures. Study your perspective surgeon’s rhinoplasty photo gallery to make sure that it is extensive with results that you like. There should be hundreds of patients on their photo gallery. Also look for a double board-certified ENT/facial plastic surgeon, who can address both functional and cosmetic nasal surgery issues.

Question: Multiple facial procedures during the same operation?
Answer: More information is needed such as a full set of facial photographs to make sure you’re even a candidate for all of these different procedures. Multiple procedures can be performed under one anesthesia with one recovery. Best to limit the general anesthesia to five hours to be considered done as an outpatient procedure. Also, very important to understand if you have thick skin in your nose, you’re going to most likely require steroid shots in the tip of your nose multiple times in the postoperative period, so make sure you have adequate follow up.

Question: Chin lipo & FaceTite or neck lift?
Answer: Much more information is needed such as your age, and a full set of facial photographs to make a determination about how best to proceed. In our practice, a necklift removes fat deposits above and below the platysma muscle in addition to a platysmal plasty. When there’s loose and inelastic skin in the neck which is probably the issue in these limited photographs, then a lower face and neck lift is going to be required to tighten loose and inelastic facial and neck skin.

Question: I want my nose shortened and narrowed. Is what I want achievable?
Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip somewhat, and narrowing the bridge line. All the incisions are placed on the inside of the nose. The side profile photograph demonstrates an overly projecting nose and an under projecting chin. A closed rhinoplasty approach can accomplish decreasing the overall projection just a few millimeters. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the projection of the nose from the side profile. Thick skin in the tip of the nose will prevent refinement in that area, so it’s important to have realistic expectations.

Question: For jawline & neck area is Smart, ultrasound or Laser lipo recommended or safe?
Answer: Much more information is needed, such as your age, and a full set of facial and neck photographs to give you the best treatment choice. It’s also very important to understand that there are two compartments of fat in the neck, and they’re located both above and below the platysma muscle in your neck. The noninvasive treatments will give you very little improvement. Liposuction can only accomplish removal of fat deposits above the muscle. The fat deposits below the muscle have to be removed with a surgical neck lift, which also includes a platysma plasty to significantly improve the jawline. No skin removal is required on patients less than 50.

Question: Question about procedure for weak chin/jawline.
Answer: The photographs demonstrate a recessive mandible and fat deposits in your neck, located both above and below your platysma muscle in the neck. Consider placement of a chin implant to augment your chin forward, and a neck lift procedure, which can accomplish removal of the fat deposits above and below the muscle, in addition to a platysma plasty to significantly improve your jawline.

Question: Is it best to have two separate incisions when receiving jaw and neck liposuction?
Answer: Much more information is needed, such as your age, BMI, and a full set of facial and neck photographs from all angles to make a determination about how best to answer your question. It’s very important to understand that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle in the neck. Liposuction can only accomplish removal of the fat deposits above the muscle. In our practice, We only make one incision underneath the chin to address these issues. If you have lots of fat deposits at the jawline, then we make two small incisions behind the ears to remove the fat underneath the angle of the mandible.

Question: How do I fix my side profile?
Answer: A full set of facial photographs are require to make a determination about how best to proceed regarding two procedures. A closed rhinoplasty can accomplish shaving down the dorsal hump and decreasing the overall projection of the nose. All of the incisions are placed on the inside of the nose. A chin implant can accomplish augmenting the chin forward for better facial balance and proportions. Digital computer imaging would be helpful to understand what can be accomplished with one or both procedures upon your facial features.

Question: What type of rhinoplasty is recommended for me to get a shorter, more narrow nose?
Answer: A closed rhinoplasty approach can accomplish narrowing the bridge line and refining the nasal tip. All the incisions are placed completely on the inside of the nose. An alar plasty is performed to narrow wide nostrils. Consider placement of a chin implant for the recessive chin profile from the side photograph.

Question: 56 year-old lady. What are my best options to look more youthful?
Answer: In our practice, a lower face and neck lift with accomplish tightening loose facial and neck skin, tightening loose, facial and neck muscles, lifting the jowls, and removing the significant compartments of fat located both above and below your platysma muscle. This also includes a platysma plasty to significantly improve the jawline.


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