Facial Plastic Surgery Questions and Answers: Part 07

Question: 26/f. What kind of surgeries or improvements could I make to help balance out my facial features more?
Answer: A full set of closer photographs of your nose from all angles are going to be required to make a determination about being a candidate for a rhinoplasty procedure. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

Question: How can I find be sure I’ll like my nose after my first procedure?
Answer: Even the most experienced rhinoplasty surgeons have a touch- Up rate between 10 and 20%, so it is important to ask that question to your prospective surgeon. The sinus pain you are having needs to be addressed with a CAT scan of your sinuses, and then if you have polyps, then functional endoscopic sinus surgery is performed. A rhinoplasty will not help with extreme pain in your nose. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Am I suitable for a mini face lift?
Answer: In our practice, we rarely perform a mini lift because they tend to give mini results and are not very effective. A full set of facial photographs from all angles are required to make a determination about how best to proceed. We also perform a high-SMAS lower face and neck lift which accomplishes lifting the jowls, tightening loose facial and neck skin, tightening the loose facial and neck muscles, lifting the jowls, and removing any fatty deposits in the neck when present.

Question: What can I do to improve my profile? Should I do something to my nose?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump and reduction of the hanging columella and narrowing the bridge line with all of the incisions placed on the inside of the nose. No external incisions are required. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features.

Question: Neck wrinkles and creping neck skin 2 months after neck lift and facelift. Do I need a revision? Would thermage work?
Answer: Much more information is needed, such as a full set of facial photographs from all angles, and a copy of the operative report to know what type of procedure you had done in the past.

Question: What’s the difference between closed and open rhinoplasty and which works best for me if I want a big difference?
Answer: With closed rhinoplasty, all the incisions are placed completely on the inside of the nose. With open rhinoplasty there is a visible scar placed across the columella. You should be able to get a great result with either approach. Also consider placement of a chin implant to augment your chin forward for better facial balance and proportions, especially from the side profile with respect to the overly projecting nose.

Question: Will chin implant be beneficial if my top and bottom lip slightly don’t line up from profile view?
Answer: From the side profile photograph, you have a significant recessive chin profile for which a chin implant can certainly improve. Placement of a chin implant can be done as an outpatient procedure under local anesthesia. We make a small incision under the chin to insert implant. Digital computer imaging would also be helpful to understand what a new Chin might look like upon your facial features.

Question: Will a nose job drastically change my face?
Answer: The side profile photograph demonstrates an overly projecting nose with a droopy tip. A closed rhinoplasty approach can accomplished decreasing the overall projection of the nose, shaving down the dorsal hump, and lifting the nasal tip slightly. It is very important to give a very natural appearing nose so that it does not look like it has been a rhinoplasty has been performed. The changes from the front will be very minimal, however the side profile changes will be moderate. Best to perform digital computer imaging from different angles to understand what can and cannot be accomplished with your nose.

Question: Would I see a plastic surgeon for a deviated septum?
Answer: An ENT surgeon can Perform a septoplasty procedure to improve airflow through the nose. Nasal dripping is treated medically. Sinus headaches are treated with endoscopic sinus surgery, only after a CAT scan of the sinuses has been performed. A rhinoplasty changes the shape of the nose.

Question: Can I get my bulbous nose and sinus surgery together?
Answer: yes, a cosmetic rhinoplasty, and functional endoscopic sinus surgery can be performed together under 1 anesthesia with one recovery period. Seek out a double board-certified ENT/facial plastic surgeon who can perform both procedures simultaneously.

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