Facial Plastic Surgery Questions and Answers: Part 06

Question: Would I be a good candidate for non surgical nose job? Want to get rid of the hump and straighten the front profile.
Answer: We don’t recommend nonsurgical rhinoplasty, especially upon your nose. Placement of filler is only temporary, make your nose bigger, and can have significant complications. Consider a closed rhinoplasty to shave down the dorsal hump, decrease the overall projection of your nose, and improve the asymmetry and crookedness. All the incisions are placed on the inside of the nose, and there is no painful packing. Digital computer imaging of your nose would also be helpful to understand what can be accomplished with the procedure upon your facial features.

Question: Skin-only facelift in early 30’s?
Answer: Much more information is needed to make sure you’re a candidate for a facelift procedure. Please Post a full set of facial and neck photographs from all angles in a chin neutral position to make a better determination. If you only want hey skin only facelift, you’re basically performing a pre-1973 style face lift. It’ s very important tighten the fascia layers and muscle layers underneath The skin, so that there’s no tension on the skin itself which results in a very minimally detectable incision.

Question: Rhinoplasty in 2019, what did my primary rhinoplasty surgeon do to my nose? Looking into revision.
Answer: Overall nose looks very good, but the reason your nose looks over projected is because you have an under-projected chin. Probably best to leave your nose alone, and just consider placement of a chin implant to augment your recessive chin forward for better facial balance and proportions. This can be done the local anesthesia as an outpatient procedure.

Question: 24F. What is the best course of treatment for these lines that drag my face down?
Answer: A very conservative lower blepharoplasty performed through a trans- conjunctival approach in the inside of lower lid can accomplish removing the herniated fat bags in your lower lids.

Question: I’m 21, female trying to figure out what procedures would be best for me. I want to still look natural and like myself. Advice? 
Answer: A closed rhinoplasty approach can accomplish narrowing the bulbous nasal tip and reducing the dynamic flaring that you’re having when you smile. All the incisions are placed on the inside of the nose, and there’s no painful packing required. You also appear to have thick skin in the nasal tip, which is going to reduce the amount of refinement in that area. It is Important have realistic expectations. You do not appear to need any of those other procedures.

Question: Early 30s, have very loose/ thick skin on my neck at the back of my neck/jaw. What’s the best surgical option for me? 
Answer: The photographs demonstrate significant fat deposits located both above and below the platysma muscle in your neck. Since you’ve already had liposuction, most of the fat is probably located below the muscle which is going to require and neck lift procedure. This also includes a platysma plasty to significantly improve the jawline. Your BMI should also be less than 32 to be a good candidate for this surgical procedure.

Question: Would I benefit from a bulbous tip rhinoplasty?
Answer: You are not a candidate to perform just a tip plasty. If you narrow the tip appropriately, it will be too narrow relative to the wide nasal bones that are present in your photographs. A full closed rhinoplasty with all incisions placed on the inside of the nose would be required. Thick skin in the tip of the nose is going to prevent refinement in that area, so it is very important have realistic expectations.

Question: What type of surgeon should I seek out to remove a chin implant?
Answer: If possible, go back to your original surgeon and Have the chin implant removed. If not, seek out facial plastic surgeon who has done lots of Chin implants for best results. Make sure that you want to either simply take it out, or put it in the proper anatomical location if it’s crooked. This can be done under local anesthesia as an outpatient procedure.

Question: What procedures to look at to correct webbed neck/chin?
Answer: The photograph that you presented is not very good, therefore please post a full set of facial and neck photographs from all angles to make a determination about how best to proceed. Liposuction can accomplish removal of the fat deposits above the platysma muscle, but it appears from the limited photo that you have fat deposits below the muscle which is going to require a neck lift procedure.

Question: Is it commonplace to do ultrasonic rhinoplasties under local anesthesia?
Answer: You’re not going to be able to tolerate any type of rhinoplasty under local anesthesia due to the fact that bone work is required. In our practice, we use a very small osteotome to perform osteotomy’s under general anesthesia by a board certified physician anesthesiologist. Study your prospective surgeon’s before and after rhinoplasty photo Gallery.

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