Facial Plastic Surgery Questions and Answers: Part 05

Question: Would it be possible to reduce a slight bump on my nose and no tip revision or anything else?
Answer: Much more information is needed, such as whether or not you have had previous rhinoplasty surgery, a copy of the operative report if you have a previous rhinoplasty, and a full set of facial photographs from all angles to make a determination about how best to proceed. When shaving the dorsal hump down, osteotomies placed in the nasal bones are most certainly going to be required to close the open roof created from the hump removal. It is also important to make sure all the components of the nose balance with themselves, and the entire new nose balances with your facial features in all of the angles.

Question: What happens if I bump my nose again after the filler and is it safe from a medical spa or plastic surgeon only?
Answer: In our practice we do not perform filler placement of the nose for the obvious risks and complications, is only temporary, and you will spent a lot of more in the long run than just undergoing a surgical closed rhinoplasty. If you have a dorsal hump, that must be shaved down and removed rather than adding fillers to make the nose larger. Digital computer imaging be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Healing with regards to Radix augmentation to fix dorsal hump VS actual hump removal? 
Answer: The nose is a 3-dimensional structure, therefore a full set of facial and nasal photographs from all angles are required to make a determination about what maneuvers are required during the rhinoplasty procedure. In addition, rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery. Consider digital computer imaging from different angles would be helpful to understand what can and cannot be accomplished with your nose upon your facial features.

Question: What can be done to fix how my nose looks when I smile?
Answer: The nose is a 3-dimensional structure, and a full set of facial photographs from all angles are going to be required to make a determination about how best to proceed. To prevent the tip of the nose from drooping down dynamically when smiling requires releasing the depressor septi ligament. To prevent the nostrils from widening when smiling, releasing the Lateral alar ligaments can be made from the inside of the nostil to reduce the amount of flare about 50%.

Question: Do I have enough under eye fat for lower blepharoplasty and should I include CO2 laser along with it for wrinkling?
Answer: The photographs demonstrate significant fat herniation and fat bags of the lower lids for which a transconjunctival lower blepharoplasty procedure can certainly improve. We do not recommend fat repositioning, just removal.

Question: Would lower blepharoplasty be an option for me?
Answer: A Full set of facial photographs looking straight at the camera from all angles will be required to make a determination about being a candidate for a lower blepharoplasty procedure. When significant bags are present in the lower lids, a transconjunctival approach lower lid blepharoplasty can accomplish removal of those fat bags creating the puffy look.

Question: How many facial procedures at once? Is it better to do a couple of them at a time to lower your risk of complications?
Answer: A full set of facial photographs from all angles are required to make determination about being candidate for all of these different surgical procedures. In our practice, we do not like to exceed five hours of general anesthesia in an outpatient setting. You must have an excellent health history. It’s important to ask your prospective surgeon how long it’s going to take to perform all these different procedures. You don’t want to end up in the hospital recuperating. Bundling facial plastic surgical procedures is very common, so that you have one anesthesia with one recovery. We do not perform facial fat grafting for a variety of reasons.

Question: Will braces/aligners ruin a nose job?
Answer: No, braces will not ruin a nose job. A rhinoplasty can be performed before, after, or during orthodontic treatment.

Question: What surgery or procedure will best suit me for my double chin?
Answer: The photographs demonstrate a recessive chin profile and fat deposits located above AND below your platysma muscle in the neck. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions from the side profile in addition to a neck lift procedure which can accomplish removal of fat deposits above of the muscle with liposuction, and surgical extraction of the fat deposits below the platysma muscle which also includes a platysma-plasty to significantly improve the jawline.

Question: Rhinoplasty second time, should I?
Answer: There are few minor issues that can be addressed with a revision rhinoplasty. A closed rhinoplasty approach can accomplish shaving down the bridge line just above the tip to give more of a supra tip break. The mild amount of hanging columella can also be Reduced as well. Also important to release the depressor septi ligament which pulls the tip down dynamically when you smile. There also appears to be thick skin present in the tip of the nose which will require some steroid shots for several months after the surgery to reduce swelling in that area to ensure that the nose heals well-balanced.

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