Facial Plastic Surgery Questions and Answers: Part 3

Question: African American rhinoplasty possible alarplasty? Recommendations for a slimmer nose?
Answer: An alar-plasty can accomplish narrowing wide nostrils with an incision placed at the base of the nostrils themselves.To narrow the nasal tip requires a conservative trim of the extra cartilage in that area. Thick skin in the tip of the nose prevents refinement, so it is important have realistic expectations. Osteotomies placed in the nasal bones accomplish narrowing the entire bridge line.

Question: Is it possible to get a smaller, defined nose & to narrow the width? 
Answer: A closed rhinoplasty can accomplish narrowing the tip and bridgeline, and shaving down the hump. An alar-pasty can accomplish narrowing wide nostrils.

Question: What type of neck/facelift would be best for loose neck and nasolabial folds? Can a skin only facelift last?
Answer: The photographs are rather limited, but it does appear that there’s fat deposits in the neck and a recessive chin profile present which exacerbates the neck issue. Consider placement of a chin implant to augment the chin forward for better structural support of the soft tissues of the neck, and a neck lift to remove the fat above and below the platysma muscle and and perform a platysma-plasty. At age 41, your skin tone should be totally acceptable and a faceliftis not required.

Question: I want to make my nose tip smaller but keep the same shape. Suggestions?
Answer: Digital computer imaging would be helpful for you to See what your new nose would look like up upon your facial features. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, reduction of the bulbous nasal tip, and narrowing the bridge line with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. In our practice, this procedure is performed under general anesthesia by a board certified physician anesthesiologist.

Question: Would a mid face lift or cheek pad lift be a better option for a fallen mid face area? 56 years old.
Answer: The photographs demonstrated a recessive Chin profile with a prominent pre-Jowl sulcus, which makes your jowls look bigger than they really are. Consider placement of a chin implant to augment the chin forward and give you more width from the frontal projection as well. If there’s loose and inelastic skin in the face and neck, then a lower face and neck lift is necessary. Consider cheek implants to Restore lost volume in the mid face area.

Question: 5 vials, too much?
Answer: The photographs demonstrate A recessive Chin profile and fat deposits in the neck. Placement of a chin implant can augment the chin forward for better facial balance, proportions and Support for the soft tissues in the neck. It will also give you a slight widening effect in the pre-jowl sulcus from the frontal view. Liposuction can accomplish removal of fat deposits in the neck at the same time. Both procedures can be performed under local or general anesthesia, depending upon the patient’s desires. The noninvasive treatments that you’ve mentioned simply do not work for this issue an be a waste of time And money.

Question: Would rhinoplasty be worth it in my case?
Answer: Much more information is needed, such as a full set of facial photographs from all angles, since the nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. It’s also important to know whether or not there’s any breathing difficulties out of the nose which may require a septoplasty, especially after trauma. Rhinoplasty is one of the most difficult operations to perform correctly in the entire field of cosmetic surgery, so choose your plastic surgeon wisely based on extensive experience. Digital computer imaging of your nose upon your facial features would also be helpful in the communication process.

Question: If I get a revision rhinoplasty because I can’t breathe correctly I could die?
Answer: Revision rhinoplasty is only performed to correct any cosmetic issues. If you’re having a breathing difficulty, you may need a septoplasty or turbinate reduction. These procedures are performed under a brief general anesthesia is an outpatient procedure, which is very safe.

Question: What steps are taken to make sure your rhinoplasty goes well?
Answer: In our practice, we have shifted in Virtual consultations, which can be done from any location. Rhinoplasty is the most difficult procedure to perform correctly in the entire Field of cosmetic surgery, so it’s very important to choose your surgeon based on extensive experience. X-rays are unnecessary. Digital computer imaging is also performed help in the communication process, so that patients can see their new nose would look like upon their facial features.

Question: Second dorsal rasping recommended after primary rhinoplasty?
Answer: The photographs demonstrate a significant cartilage and bony dorsal hump and wide nasal bones. A Revision closed rhinoplasty can accomplish narrowing the entire bridge line along with shaving down both cartilage and bone. Rasping alone can only accomplish bony dorsal hump removal, while surgical shaving of the cartilaginous dorsal hump is required, and then osteotomy’s are needed to close the Open roof/ flat top deformity created from the hump removal itself, otherwise the nose will look excessively wide with just a hump removal only.

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