Facial Plastic Surgery Questions and Answers: Part 9

Question: Why is my tip so bottom heavy after rhinoplasty and what are the ridges in my nostrils?
Answer: From the photographs presented, there is a hanging columella present which is due to excess skin and cartilage left behind from your primary rhinoplasty. A columella-plasty can accomplish improvement of that area and release the depressor septi ligament which tethers your tip downward when you smile.

Question: Can I add cartilage to my nose and how complex will the procedure be?
Answer: Revision rhinoplasty is one of the most difficult operations to perform in the entire field of cosmetic surgery due to the fact that there’s been previous alterations to the normal anatomy, and trauma present. It’s also important to know how much cartilage is left over on the inside of the nose for grafting purposes. Choose your plastic surgeon wisely based on extensive experience.

Question: The sides of my nose are really high up which creates an unpleasant look. What procedure would bring the sides down?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refinement of the nasal tip cartilages, and reducing your hanging columella with all of the incisions placed on the inside of the nose. No external incisions are required, no painful packing is required either. If you’re interested in narrowing your nostrils, an alar-plasty can be performed simultaneously. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience.

Question: Noticed since adolescence that my nose is crooked, do I have a deviated septum?
Answer: You have a deviated septum on your CAT scan, and a deviated nose externally. A septoplasty can straighten the internal portion of your nose for breathing purposes, however a cosmetic rhinoplasty is required to straighten the External portion of your nose. Both procedures can be performed together under one anesthesia with one recovery period. Expect to pay for the cosmetic rhinoplasty yourself.

Question: Can I request anti-anxiety meds to take during rhino recovery?
Answer: In our practice, we manage postoperative anxiety and claustrophobia by placing a steroid shot into the inferior turbinates during the surgical procedure which minimizes a lot of swelling internally so the patient can still breathe after a rhinoplasty procedure during the recovery process. Antianxiety medication’s are also acceptable, but you shouldn’t mix them with narcotics.

Question: When can I go island hopping and surfing after rhinoplasty?
Answer: In our rhinoplasty practice, we ask patients to refrain from any heavy exercise for the first two weeks, and no contact sports for four weeks. It’s acceptable to go traveling at two weeks after your rhinoplasty procedure. More importantly, is to make sure you get adequate follow up after your surgical rhinoplasty procedure During the first year, in case you need any steroid shots for swelling when there’s thick skin present in the nasal tip.

Question: I have sagging on my neck under my chin. Would I be a candidate for facelift or PDO threads?
Answer: Minimally invasive techniques Will not accomplish rejuvenating the neck. A lower face and neck lift procedure accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat in the neck with Liposuction.

Question: Revision Rhinoplasty Consultations Advice?
Answer: The side profile photographs demonstrate an overly projecting those with a poly beak, and an under projecting chin. A revision closed rhinoplasty can accomplish shaving down the residual dorsal hump, decreasing the overall projection of the nose, refining the nasal tip And narrowing the bridge line. Also important to release the depressor septi ligament which dynamically pulls the tip down when smiling. All the incisions are placed on the inside of the nose. No external incisions are required and no painful packing is required. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions from the side profile with respect to the overly projecting nose .In our practice, we place chin implants through a small incision underneath the chin.

Question: What can I do to fix my nose?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refinement of the nasal tip, narrowing the bridge line, and reduction of the hanging columella. Also important to release the depressor septi ligament which pulls the tip down dynamically when you smile. All of the incisions are placed on the inside of the nose. No external incisions are required and no painful packing is required either.

Question: How important is it for me to seek a doctor who specializes in Asian Rhino versus a reg cosmetic surgeon?
Answer: Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choosing your surgeon is extremely important. Study their before and after rhinoplasty photo gallery which should be extensive with Noses that you like.

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