Facial Plastic Surgery Questions and Answers: Part 09

Question: When the nose bone is shaved down during rhinoplasty, how do you get out the shavings?
Answer: The dorsal hump is composed of both bone and cartilage. The cartilage is cut with a knife, and the bone is cut with a osteotome. A small amount of rasping is done to smooth out the edges. Any other residual debris is also removed with the rasp.

Question: Kybella and Coolsculpting or neck lift to get rid of my double chin?
Answer: The photographs demonstrate fat deposits above and below the platysma muscle in the neck. Liposuction can only accomplish removal of some of the fat deposits above the muscle, while a surgical neck lift is required to remove the fat deposits below the platysma muscle. A platysma plasty is also required after the sub- platysmal fat deposits are removed, which will also significantly improve the jawline. Noninvasive treatments are simply ineffective.

Question: Would I be a suitable candidate for chin implants?
Answer: The side profile photograph demonstrates a recessive chin for which a chin implant can improve. Chin implants are manufactured in a large array of thicknesses, sizes, and shapes. In our practice, we place Chin implants through a small incision underneath the chin under local anesthesia as an outpatient procedure which takes about 30 minutes.

Question: What can be done to fix uneven nostrils?
Answer: From the limited photographs, there appears to be an overly rotated nose, and a crooked caudal septum along with a hanging columella. This can be improved with a closed rhinoplasty approach with all incisions placed on the inside of the nose.

Question: Could my nose be improved by fillers or surgery?
Answer: More information is needed, such as a full set of facial photographs from all angles to make a determination about how best to proceed, since the nose is a 3-dimensional structure, and rhinoplasty is performed in all 3 dimensions. Unfortunately, these photographs are inadequate to make a determination. We do not recommend fillers placed in the nose for a variety of reasons. 

Question: What can be done to improve my side profile?
Answer: The photographs demonstrate an overly projecting nose with a dorsal hump, and a recessive chin profile. Consider a closed rhinoplasty approach to decrease the projection of the nose and shave down the dorsal hump. All the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. To augment the chin forward requires placement of a small chin implant which will help with facial balance and proportions, especially from the side profile with respect to the overly projecting nose.

Question: What procedures would balance my side profile?
Answer: The photograph from the side profile demonstrates a recessive chin, and fat deposits in the neck located both above and below the platysma muscle in the neck. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. A neck lift procedure can accomplish removal of the fat deposits above the muscle with liposuction, and surgical extraction of the fat deposits below the muscle which also includes a platysma-plasty to significantly improve the jawline.

Question:  46 contemplating a neck lift, any suggestions?
Answer: The limited photographs demonstrate platysmal bands in the neck, with loose and inelastic skin in the neck. A neck lift procedure can accomplish tightening the neck bands, and removal of fat deposits in the neck with liposuction. A lower face and neck lift is required if the skin tone is very loose and there is lots of excess skin in the neck itself.

Question: Should I get a chin implant?
Answer: The limited photograph demonstrates a recessive chin profile for which a chin implant can augment forward for better facial balance and proportions. In our practice for over 25 years, we have used Implantech brand of solid silicone chin implants with an excellent success rate. The implants are placed through a small incision underneath the chin under local anesthesia as an outpatient procedure.

Question: Why does my nose look like this? Is it possible maxilla & mandible will go back way it was? 
Answer: You have a slight dorsal hump, and a significant hanging columella. A closed rhinoplasty approach can address these two issues with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose would be helpful to understand what can be accomplished with the procedure.

Leave a Reply

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

    Contact The Seattle Rhinoplasty Center