Facial Plastic Surgery Questions and Answers: Part 10

Question: Which procedure would help even out my side profile and lower face?
Answer: You only have a minimal amount of fat in the neck, so liposuction will only give you a minimal result. Consider placement of a chin implant to augment your recessive chin forward for better facial balance and proportions. A closed rhinoplasty can accomplish shaving down the dorsal hump, narrow the bridge line and refine the nasal tip with all incisions placed on the inside of the nose. Placement of a chin implant can be done under local anesthesia, while a rhinoplasty procedure must be done under general anesthesia.

Question: Would a chin implant or genioplasty be the better option to correct my receding chin and side profile?
Answer: Chin implants are performed under local anesthesia which takes about 30 minutes. A sliding genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay and is much more invasive.

Question: Is it okay to have filler done a year prior to a face and neck lift?
Answer: Yes, it is certainly acceptable to undergo filler placement prior to the facelift procedure. The area that you’re thinking about having it injected is not in area of the surgical facelift anatomy.

Question: 9 months post liposuction – what can I do to correct scar, and improve the appearance of my neck?
Answer: A lower face and neck lift procedure can accomplish tightening loose facial and neck skin, tightening loose facial and neck muscles, and remove what appears to be residual fat deposits in your neck. Stretching the skin back posteriorly should help to smooth out that scar.

Question: Request for second opinion: Is this achievable results with a mini rhino?
Answer: he dorsal hump is composed of both bone and cartilage which must be shaved down with a knife and scissors for the cartilage and an osteotome for the bone. Medial and lateral Osteotomies are required to be placed in the nasal bones to close the open roof, flattop nasal deformity created from the hump removal itself. Spreader grafts are then usually required to be placed underneath the concave upper lateral cartilages to prevent collapse of them. In our practice, this procedure is performed under general anesthesia as an plastic surgery takes about an hour and 1/2.

Question: Do spreader grafts make the nose less flexible and do they change tip projection?
Answer: Spreader grafts do not make the nose less flexible and do not change the tip projection of the nose. They are performed to help stabilize the upper lateral cartilages from falling inward after the dorsal hump removal. There also performed on the concave side when a crooked nose is present.

Question: What can I do to correct bulge after chin liposuction?
Answer: 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 the fat deposits above the muscle. A surgical neck lift it Is required to remove the fat deposits below the muscle which also includes a platysma plasty to significantly improve the jawline.

Question: Would a chin implant help me achieve a more defined side profile or should I consider other options?
Answer: The side profile photographs demonstrate an overly projecting nose, and a mild recessive chin. Placement of a small chin implant can accomplish augmenting your chin forward for better facial balance and proportions. A closed rhinoplasty approach can accomplish decreasing the overall projection of your nose, and shaving down the dorsal hump with all of the incisions placed on the inside of the nose. It would be helpful to undergo Digital computer imaging to understand what can be accomplished with your facial features with either one or both procedures.

Question: 42 y/o concerned about drooping jowls – Am I a candidate for lower face or cheek lift?
Answer: A full set of facial and neck photographs from all angles are required to make the best determination about what is the best procedure for you. It appears that you have a recessive chin, and significant pre-Jowl sulcus which makes your jowls look bigger than they really are. You may be a candidate for a chin implant to give better structural support for the soft tissues.

Question: 53 years old: am I ready for a lower facelift?
Answer: From the one very limited photograph, you do appear to have enough laxity in your jowls And neck to be a candidate for a lower face and neck lift procedure. In our practice, a lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, in addition to removing fat deposits in the neck which also includes a platysma plasty to significantly improve the jawline. Study your prospective surgeon’s before and after facelift photo Gallery looking for lots of natural results.


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