Facial Plastic Surgery Questions and Answers: Part 01

Question: Would alarplasty and ear cartilage reshaping the nasal tip help to narrow my nose? Approx cost in CA?
Answer: Nasal cartilage is always the primary grafting source for an alar-plasty, not ear cartilage. An alar-plasty accomplishes narrowing wide nostrils. A closed rhinoplasty approach can accomplish shaving down the hump, and narrowing the tip and the bridge line.

Question: Is change possible with a revision rhinoplasty?
Answer: Much more information is needed, such as a full set of facial and nasal photographs from all angles. A copy of the operative report would also be helpful as well to understand what maneuvers were performed during your last rhinoplasty. The nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. It appears that there’s thick skin in the tip of the nose which is going to prevent refinement in that area, so it’s important to have realistic expectations. Revision rhinoplasty is more difficult than a primary Rhinoplasty due to the fact that the previous alterations to the normal anatomy and scar tissue present.

Question: Addressing signs of aging around the eyes: Non-surgical methods or straight to brow lift and blepharoplasty?
Answer: From the photographs presented, you do not need a brow lift procedure, since the height of your eyebrows is acceptable. You do have asymmetrical eyelids, so just a conservative upper blepharoplasty procedure would be all that is recommended. An upper blepharoplasty procedure can be performed under local anesthesia as an outpatient procedure. Botox is the best treatment for crows feet. 

Question: Is it possible for a facelift to make my fibromyalgia worse?
Answer: There’s no direct association between a surgical facelift and a chronic medical condition like fibromyalgia. If you have a questions, get Clarence from your primary care physician.

Question: Will a non-surgical nose job realistically address asymmetry?
Answer: A non-surgical rhinoplasty only make your nose bigger, not smaller and more symmetrical. Consider a closed rhinoplasty to accomplish shaving Down the dorsal hump, and straightening and narrowing your nose with all the incisions placed on the inside of the nose itself.

Question: Around how much does an alar rim graft cost? 
Answer: Much more information is needed, such as a full set of facial photographs from all angles, and any operative reports from previous nasal surgery, to make a determination about how best to proceed. The cost of a rhinoplasty is determined by three factors which includes operating room costs, anesthesia costs, and the surgeon’s fee for performing the procedure. For many examples and our current price list, please see the link in the bio.

Question: I was suggested a fat transfer to address the hollowness beneath my eyes. Should I also go for a brow lift?
Answer: From the one very limited photograph, there appears to be low set eyebrows in addition to scleral show on the lower lids. Consider a brow lift procedure to raise the eyebrows, and A canthoplasty procedure to reduce the scleral show in the lower lids.

Question: Should I continue with filler and Botox or save my money and get a mini/mid facelift and neck lift?
Answer: Much more information is needed, such as your age, and a full set of facial photographs from all angles in a chin neutral position to make a determination about how best to proceed. The goal of a lower facelift is to Tighten loose facial skin, tighten loose facial and neck muscles, lift the jowls, and remove fatty deposits to the neck which also includes a platysma-plasty. Anticipate two weeks of visible bruising and swelling after the procedure. 

Question: Could rhinoplasty straighten my nose?
Answer: A Closed rhinoplasty procedure can improve the asymmetry of your nose, so it’s important to understand there is no perfect nose. Everyone has some degree of facial asymmetry and nasal asymmetry. A closed rhinoplasty approach can accomplish straightening and narrowing in addition to placement of a spreader graft placed under your concave upper- lateral cartilage on the right side in the midportion of the nose.

Question: What surgery or treatment do I need to improve the shape of my chin?
Answer: The limited photograph demonstrates a recessive chin profile for which a chin implant can improve. This can be performed under a local anesthesia as an outpatient procedure to augment your chin forward.


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