Facial Plastic Surgery Questions and Answers: Part 1

Question: Are these Face TouchUp results realistic?
Answer: The resolution on the current photographs presented is inadequate to make a determination. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, straightening the crooked nose, narrowing the bridge line, and refining the nasal tip and decreasing the hanging columella with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. It’s also important not to turn the nose up,since it will look piggish from the frontal profiles. Consider placement of a small chin implant to augment your chin forward for better facial balance and proportions from the side profile. Both procedures are frequently performed together.

Question: Crooked nose, uneven nostrils – could this be fixed with a rhinoplasty?
Answer: A closed rhinoplasty approach can accomplish straightening the crooked nose, resetting the nasal bone straight, in addition to placement of spreader grafts on the concave side in the mid portion of the nose. There’s also hanging columella present which can be reduced. All incisions are placed on the inside of the nose. No external incisions are required and no painful packing is required either.

Question: Lack of a jawline – Do I need a neck lift?
Answer: The photographs demonstrated recessive chin, and fat deposits located above and below the platysma muscle. Consider placement of a chin implant to augment the chin forward and a surgical neck lift to remove fat deposits located both above and below the platysma muscle which also includes a platysma plasty. You should be at an ideal body weight and have a BMI of less than 30 to be a candidate.

Question: Am I a good candidate for sliding genioplasty?
Answer: A sliding genioplasty is performed by an plastic  surgeon under general anesthesia in a hospital setting with an overnight stay. It is usually performed when the teeth are significantly out of alignment. For purely cosmetic purposes, you can consider placement of a chin implant performed under local anesthesia, which is much less invasive and takes about 30 minutes performed in the office setting. Placement of a chin implant will have no effect on your teeth or lip incompetence.

Question: Are there any good methods of permanent cheek augmentation?
Answer: In our practice, we use Implantech brand of solid silicone cheek implants, and they are placed through an intra oral approach under general anesthesia as an outpatient procedure. Anticipate two weeks of visible bruising and swelling after the procedure.

Question: How to improve flat cheeks?
Answer: Fillers offer a temporary augmentation to fill out the mid face area. Cheek implants offer a permanent augmentation to the mid face area. Cheek implants are placed through an intra-oral approach under a brief general anesthesia as an outpatient surgical procedure.

Question: Unsure if laser (or what kind) is needed or mini or mid facelift or threads?
Answer: Much more information is needed, such as your age, and a full set of facial photographs from all angles, especially the side profile.The goal of the lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, remove fatty deposits in the neck, and lift the jowls. Nonsurgical options cannot accomplish what a surgical lower facelift can do.

Question: What happens to the collapsed upper lateral cartilage when spreader grafts are placed?
Answer: Much more information is needed, Such as a full set of facial photographs, a copy of the operative report and it’s important to know how much cartilage is leftover on the inside of the nose for potential grafting purposes. Spreader graphs are placed for collapsed upper lateral cartilages after a dorsal hump removal. They are a routine component of rhinoplasty. They give structural support to the thin cartilages in the mid vault of the nose.

Question: Am I good candidate for a Mini-facelift or a mid-facelift?
Answer: A mini facelift will give you mini results an would be a waste of time And money. If you’re looking to Address the aging mid face, consider placement of small cheek implants to restore lost volume in the mid face from the aging process. The photographs demonstrate fat bags in the lower lids, a recessive chin profile, jowls and significant deposits of fat above and below the platysma muscle in the neck . A lower blepharoplasty can accomplish removal of those fat bags in the lower lids and a conservative tightening of the lower lid skin if necessary. A lower face and neck lift is going to be required lift the jowls, tighten loose facial and neck skin, tighten loose facial and neck muscles, and remove Both deposits of fat in the neck in addition to a platysma-plasty. Also consider placement of a small chin implant the same time to augment the chin forward which will get better structural support for the soft tissues in the neck.

Question: What are solutions for a Flat/short nose?
Answer: A closed rhinoplasty approach can accomplish Shaving down slight dorsal hump, narrowing the bridge line and refining the nasal tip with all the incisions placed on the inside of the nose. Digital computer imaging of your nose upon your facial features would be helpful in the education process to understand What can be accomplished with the procedure.

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