Facial Plastic Surgery Questions and Answers: Part 8

Question: Rhinoplasty + Belle Filter? 
Answer: Best to make an appointment with a rhinoplasty specialist, who takes high-quality photographs, and then does imaging on those photographs for you to see what your new nose would look like upon your facial features. While imaging is important for the education process, it is more important is to study your perspective surgeon’s rhinoplasty photo gallery, which should be extensive with results that you like. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your specialist wisely, based on extensive experience. 

Question: Doctor didn’t show photos from past procedures. Is this a bad sign?
Answer: Rhinoplasty is the most difficult procedure to perform in the entire field of cosmetic surgery, so it’s imperative that you look for a surgeon who has an extensive portfolio of before and after rhinoplasty images that look very natural. Consider making appointments with additional rhinoplasty specialists who can perform computer imaging to give yourself an idea of what your new nose would look like upon your facial features.

Question: Neck lift or lipo with necktite?
Answer: Even at age 36, you have significant inelasticity of the skin on your neck, which will only worsen when you lose more weight or perform liposuction. A neck lift would be required with skin removal to tighten the inelastic skin. Noninvasive treatments will only give very minimal benefit, if anything.

Question: Is the bump on my rhinion caused by caudal deviation?
Answer: A caudal septal deviation does not cause a prominent rhinion. These are two completely separate issues. A deviated septum is fixed with a septoplasty and is usually billed the patient’s medical insurance for medical necessity. Any changes to the outside of the nose is considered cosmetic rhinoplasty, and must be paid for by the patient. Both a septoplasty and a rhinoplasty can be performed in the one anesthesia with one recovery. Digital computer imaging of your nose upon your facial features would also be helpful to understand what can be accomplished With a cosmetic closed rhinoplasty.

Question: Is fat repositioning necessary with a lower blepharoplasty to fix my eyebags?
Answer: Fat positioning in the lower lid simply does not work very well, therefore, a trans-conjunctival approach Removal of the fat pads from the inside of the eyelids will be all that’s required to rejuvenate your eyes.

Question: Should I get a small chin implant?
Answer: A full set of facial photographs from all angles are required to make a determination about how best to proceed. Chin implants are placed under local anesthesia as an outpatient surgical procedure. In our practice, we place the implants through a small incision underneath a chin.

Question: I had a full facelift 10 months ago. What are these pouches under my chin? How can they be corrected?
Answer: The Photographs are rather limited, so full set of facial photographs from all angles with your hair pulled up behind your ears would be more helpful. From the limited photographs, there appears to be residual fat deposits in the neck which can be located above or below the muscle cords themselves. The muscle cords themselves are separated. It also appears that there’s additional skin laxity in the neck and prominence of the salivary glands as well. While a necklift alone can address most of the issues,but if there’s excess skin present a revision lower face and neck lift will be needed to tighten loose and inelastic skin in the neck.

Question: Bulbous nose and uneven nares. Advice?
Answer: A closed rhinoplasty approach can accomplish reduction of the the bulbous tip, shaving down the hump And narrowing the bridge line. All incisions are placed on the inside of the nose. No external incisions are required. The nostrils will still have some degree of asymmetry even after a rhinoplasty procedure.

Question: Is this nose attainable for my nose?
Answer: Rather than trying to obtain another person’s nose, it would be much more important to perform digital computer imaging On your nose with your facial features. A closed rhinoplasty approach can accomplish refinement of the nasal tip, shaving down the dorsal hump, and narrowing the bridge line with all the incisions placed on the inside of the nose.

Question: Rhinoplasty effects on upper lip?
Answer: A properly performed closed rhinoplasty should not affect your upper lip at all. It would be helpful for you to undergo digital computer imaging of your nose upon your facial features by a very experienced rhinoplasty surgeon. Study your perspective surgeon’s before, and after rhinoplasty photo gallery, which should be extensive with results that look natural.

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