Facial Plastic Surgery Questions and Answers: Part 03

Question: What is a functional rhinoplasty?
Answer: A functional rhinoplasty is performed only for nasal obstruction such as a septoplasty, turbinate surgery, or valve collapse. This surgery is only performed to improve air flow dynamics, it will not change the shape of the nose. Functional nasal surgery can be billed to the patient’s medical insurance, once medical necessity has been documented and preauthorization has occurred through your medical insurance prior to the surgery. To change the shape of the nose requires a cosmetic rhinoplasty, which must be paid for by the patient themselves. Both functional and cosmetic surgery can be performed together under one anesthesia with one recovery period.

Question: Follow-up: Neck wrinkles and crepey neck skin 2 months after neck lift and facelift. Do I need a revision?
Answer: The photographs demonstrate loose and inelastic skin in the neck, along with residual fat deposits in the neck as well. Best to wait at least one year, and then perform another lower face and neck lift procedure to address all of these issues.

Question: Had fat injected in hollow under my chin after face/neck lift in 2018. What can be done to correct it?
Answer: Much more information is needed, such as a full set of facial photographs from all angles, and whether or not you have gained any weight after the fat injections. A neck lift procedure can address removal of the fat and sculpt a new jawline.

Question: What procedures to fix my saggy profile and undefined jawline?
Answer: Much more information is needed such as you age and the status of the skin tone in your neck. The side profile photograph demonstrates a recessive chin profile for which a chin implant can improve. The fat deposits in the neck be removed with liposuction and the jawline can be significantly improved a platysma-plasty. Depending upon your skin tone, this may be able to be accomplished with a neck lift, or a lower face and neck lift.

Question: I’m 23. Am I eligible for a chin implant? What can I do to fix this?
Answer: The side profile photograph demonstrates a recessive chin profile for which chin implant can certainly improve. Liposuction can accomplish removal of fat only in the neck.

Question: How long after a labiaplasty surgery can you get rhinoplasty?
Answer: Since you’re having the labia plasty under local anesthesia, you can undergo a rhinoplasty under general anesthesia at any time once you feel comfortable enough. Rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so choose your surgeon very wisely, based on extensive experience producing natural results. Digital computer imaging would also be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Wondering what would you do to bring the most balance to my face? I’m 21F 5’3 and 95 to 100 pounds.
Answer: The photographs demonstrate an overly projecting nose, and an under projecting chin. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the over projection of the nose from the side profile. Rhinoplasty is the most difficult operation to perform correctly in the entire field at cosmetic surgery, so it is imperative that you and your surgeon are both on the same page regarding the specific changes regarding her nose. Digital computer imaging of both procedures would be helpful to understand what can be accomplished. A closed rhinoplasty approach can accomplish making specific changes to your nose such as shaving down the dorsal hump, decreasing the overall protection of the nose, and reduction of the bulbous nasal tip.

Question: How can I remove this stubborn fat under chin?
Answer: Liposuction can accomplish removal of the stubborn fat underneath your chin on a permanent basis. That can be performed in combination with a rhinoplasty at the same time.

Question: What needs to be done to achieve this look (smaller/thinner version of my nose)?
Answer: To narrow the nose requires osteotomies placed in the nasal bones, a tip-plasty to narrow the nasal tip cartilages, and an alar-plasty to narrow wide nostrils.

Question: Are there any modern procedures in 2021 where permanent cheekbone implants can be placed without the risk of nerve damage?
Answer: In our practice, we used Implantech brand of solid silicone cheek implants placed through an intra- oral approach well underneath the facial nerve branches, and that has not been an issue in our practice. The implants are placed directly over the maxillary bone. Cheek implants are manufactured in a large array of thicknesses, sizes, and shapes.

Leave a Reply

Your email address will not be published. Required fields are marked *

    Contact The Seattle Rhinoplasty Center