Question: Do I have to dissolve filler in my nose before rhinoplasty? Answer: Placement of filler in the nose distorts the anatomy of the nose itself, so it’s best to dissolve the filler several weeks ahead of time. Rhinoplasty is a procedure that is performed in millimeters, so it’s best to go in to the procedure with your normal anatomy, not an artificial anatomy. Question: Why don’t doctors recommend a cheek or mid face lift? Answer: It’s because the Face does not descend vertically with the aging process, like the lateral face does. The mid face shrinks with volume loss, therefore we place cheek implants in the cheeks to restore that lost volume. There are many different complications can occur with a midface lift, that’s why we never recommend them. Question: Recessive chin and fat cheeks – SMAS face/necklift and/or genioplasty? Answer: Even though…

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…

Question: What should I do for my chin? Answer: You have a recessive chin due to the fact that your mandible bone never grew far enough forward. If your teeth are significantly out of alignment, then you can consider a genioplasty performed by an oral surgeon under general anesthesia at a hospital setting with an overnight stay at the hospital. If you’re looking for a simple cosmetic improvement, then consider placement of a Chin implant to augment your chin forward for better facial balance, and proportions. Chin implants can be placed under local anesthesia through a small incision underneath the chin, which takes about 30 minutes in the office setting. Question: Chin implant replacement after 35 years? Answer: It is certainly possible to remove the old implant and insert a new chin implant. This time we would take the old one out and put…

Question: 26/f. What kind of surgeries or improvements could I make to help balance out my facial features more? Answer: A full set of closer photographs of your nose from all angles are going to be required to make a determination about being a candidate for a rhinoplasty procedure. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features. Question: How can I find be sure I’ll like my nose after my first procedure? Answer: Even the most experienced rhinoplasty surgeons have a touch- Up rate between 10 and 20%, so it is important to ask that question to your prospective surgeon. The sinus pain you are having needs to be addressed with a CAT scan of your sinuses, and then if you have polyps, then functional endoscopic sinus surgery is performed. A rhinoplasty will…

Question: Would I be a good candidate for non surgical nose job? Want to get rid of the hump and straighten the front profile. Answer: We don’t recommend nonsurgical rhinoplasty, especially upon your nose. Placement of filler is only temporary, make your nose bigger, and can have significant complications. Consider a closed rhinoplasty to shave down the dorsal hump, decrease the overall projection of your nose, and improve the asymmetry and crookedness. All the incisions are placed on the inside of the nose, and there is no painful packing. Digital computer imaging of your nose would also be helpful to understand what can be accomplished with the procedure upon your facial features. Question: Skin-only facelift in early 30’s? Answer: Much more information is needed to make sure you’re a candidate for a facelift procedure. Please Post a full set of facial and neck photographs…

Question: Would it be possible to reduce a slight bump on my nose and no tip revision or anything else? Answer: Much more information is needed, such as whether or not you have had previous rhinoplasty surgery, a copy of the operative report if you have a previous rhinoplasty, and a full set of facial photographs from all angles to make a determination about how best to proceed. When shaving the dorsal hump down, osteotomies placed in the nasal bones are most certainly going to be required to close the open roof created from the hump removal. It is also important to make sure all the components of the nose balance with themselves, and the entire new nose balances with your facial features in all of the angles. Question: What happens if I bump my nose again after the filler and is it safe…

Question: How invasive is the process of fixing an open roof deformity during a revision rhinoplasty? Answer: First of all, a full set of facial photographs and an in person examination are going to be required to make the determination of having an open roof deformity present. If it is present, both medial and lateral osteotomies can accomplish closing the open roof through a closed rhinoplasty approach. Open rhinoplasty would not be unnecessary, which would allow a faster healing. All the incisions are placed on the inside of the nose, and no painful packing as required either. Question: Crooked nose – how much might it cost to treat this? Answer: In our practice, we perform a closed rhinoplasty approach with all the incisions placed on the inside of the nose. There are no external incisions, and no painful packing is required. Straightening the nose,…

Question: What is a functional rhinoplasty? Answer: A functional rhinoplasty is performed only for nasal obstruction such as a septoplasty, turbinate surgery, or valve collapse. This surgery is only performed to improve air flow dynamics, it will not change the shape of the nose. Functional nasal surgery can be billed to the patient’s medical insurance, once medical necessity has been documented and preauthorization has occurred through your medical insurance prior to the surgery. To change the shape of the nose requires a cosmetic rhinoplasty, which must be paid for by the patient themselves. Both functional and cosmetic surgery can be performed together under one anesthesia with one recovery period. Question: Follow-up: Neck wrinkles and crepey neck skin 2 months after neck lift and facelift. Do I need a revision? Answer: The photographs demonstrate loose and inelastic skin in the neck, along with residual fat…

Question: Can I make changes to my nose? Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip, and straightening the nose with all of the incisions placed on the inside of the nose itself. No external incisions are required, and no painful packing is required either. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features. Due to the thick skin you appear to have in the tip of your nose, you may need a couple of steroid shots after the surgery to make sure the nose is balanced. Question: Mini facelift with a chronic illness? Answer: You are not a candidate for a facelift at this time based on the photographs, you presented, and you’re only 35 years old. More importantly, is to see if you’re even…

Question: Do you have any advice please as I am going to get a facelift and under eye fat removal? Answer: It’s very important to look at your prospective surgeon’s before and after facelift and eyelid photo Gallery to ensure that you’re going to get a great result. Big hospital systems tend to concentrate on reconstructive plastic surgery, so it’s important to find out how much elective cosmetic facelift and eyelid surgery that your surgeon is performing on a routine basis. It’s best to make appointments with three busy facelift surgeons and then make your decision. Question: Does a maxilla’s forward position affect the long-term results of a tip rotation in rhinoplasty? Answer: A full set of facial photographs from all angles and much more information is needed to answer your question. There are multiple anatomic factors in the nose that relate to rotation,…