Facial Plastic Surgery Questions and Answers: Part 08

Question: What should I do for my chin?
Answer: You have a recessive chin due to the fact that your mandible bone never grew far enough forward. If your teeth are significantly out of alignment, then you can consider a genioplasty performed by an oral surgeon under general anesthesia at a hospital setting with an overnight stay at the hospital. If you’re looking for a simple cosmetic improvement, then consider placement of a Chin implant to augment your chin forward for better facial balance, and proportions. Chin implants can be placed under local anesthesia through a small incision underneath the chin, which takes about 30 minutes in the office setting.

Question: Chin implant replacement after 35 years?
Answer: It is certainly possible to remove the old implant and insert a new chin implant. This time we would take the old one out and put the new one in through a small incision underneath your chin, and not go through the mouth again. This procedure can be performed under local anesthesia as an outpatient procedure which would take about 30 minutes.

Question: Want to get my nose done?
Answer: It’s very important to have specific goals in mind on exactly what you’re trying to accomplish with cosmetic rhinoplasty. The side profile shows that you have a slight dorsal hump and a slight hanging columella, which can be improved. The front profile demonstrates a bulbous nasal tip, which can be reduced, however if you have thick skin present, the amount of reduction will be limited. Digital computer, imaging of your nose upon your facial features would also be helpful.

Question: Is it possible to place a graft to fix nostril flare?
Answer: You have a combination of alar retraction, a hanging columella, and A mild polybeak. All these can be addressed with a  rhinoplasty approach with all the incisions placed on the inside of the nose. That alar retraction is best treated with the composite graft harvested from the ear.

Question: 6 months post face, brow and neck lift. Unhappy with neck and face lift results
Answer: A full set of facial photographs from all angles with your head in a chin neutral position are required to make a determination about what’s going on. The very limited photographs appear to have a bulging submandibular gland, but that will also need to be confirmed on physical examination.

Question: Should I wait for fillers and Botox to dissolve before having a facelift and a neck lift?
Answer: Botox and fillers will have no effect on a lower face and neck lift procedure, So it is very acceptable to undergo a surgical treatment you are interested in performing.

Question: Facelift did not fix/ tighten my jowls – I look exactly the same after facelift. What can I do to fix this?
Answer: A full set of facial and neck photographs from all angles are required to make a determination about how best to proceed. You’re gonna need to wait at least one year after the primary facelift before embarking on another procedure to allow full healing first. Your incisions are still very fresh, and you have significant edema behind your ears. your next surgeon they want to see a copy of the operative report as well.

Question: Facelift after tightening procedures?
Answer: The previous non-invasive treatments that you have will have no effect moving forward performing a lower face and neck lift procedure. Study your prospective surgeon’s before and after facelift photo gallery to make sure that the results look very natural.

Question: Seeking a more balanced profile, chin or nose first? Do I have any jaw issues?
Answer: From your description, it sounds as though you have an overly projecting nose, and an under projecting chin. A full set of facial photographs from all angles are required to make a determination about how best to proceed with two surgical procedures. In our practice, we frequently perform a rhinoplasty to shave down the dorsal hump simultaneously with placement of a small chin implant to augment the chin forward for a better facial balance and proportions. If you have a recessive chin, that makes the nose look bigger than it really is. Digital computer imaging of your both your nose and your chin would be helpful to understand what can be accomplished with both procedures. If you’re looking to only perform the chin implant, that can be done under local anesthesia as an outpatient procedure, which takes about 30 minutes. Rhinoplasty requires general anesthesia.

Question: Would a septoplasty straighten my nose or only fix breathing problems?
Answer: A septoplasty will only fix breathing problems in the back of your nose as a result of the fracture. If you’re looking to straighten your nose, you’re going to need a cosmetic rhinoplasty. Both procedures can be done simultaneously under one Anesthesia with one recovery period. Rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience. 


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