Facial Plastic Surgery Questions and Answers: Part 02

Question: Should I consider a revision rhinoplasty because I am not happy with how big and outwards my nose is?
Answer: A revision rhinoplasty can accomplish shaving down the residual cartilaginous dorsal hump, decreasing the overall projection of the nose, and lifting the nasal tip. It’s important to release the depressor septi ligament which dynamically pulls the tip downward when smiling. The skin in the super tip area of the nose will require steroid shots after the procedure to prevent further swelling in that area and to prevent a polly- peak deformity. 

Question: I would like to know what kind of lift I can get for the area under the chin and jowls?
Answer: A mini lift will only give you mini results, and would be an inappropriate procedure to address rejuvenation of your face and neck. A comprehensive lower face and neck lift can accomplish listing the jowls, tightening loose facial and neck skin, tightening loose facial muscles, and removal of the fat deposits in the neck which also includes a platysma-plasty. Consider placement of a chin implant for the recessive chin profile which will also give improvement to the jawline.

Question: Would rhinoplasty fix my profile/hump?
Answer: Yes, a closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip cartilages, and narrowing the bridge line with all the incisions placed on the inside of the nose. No external Incisions are required. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience producing natural results.

Question: Is getting a rhinoplasty during the pandemic too risky?
Answer: In our practice, performing only virtual consultations, and then patients are Covid 19 tested just prior to the plastic surgery itself.

Question: Was offered a submaxillary gland reduction. Will I get a good result?
Answer: In some patients, some patients have sub maxillary glands that are very enlarged and ptotic. When the Neck becomes de-fatted, the Glands become more prominent. In certain instances, a portion of the gland can be removed to get better neck contouring. If you have large glands, then you’ll have visible neck bulges after your facelift if they’re not reduced.

Question: Facetite risks? Does it remove the fat or just tighten the face?
Answer: It would be best to submit a full set of facial and neck photographs to make inappropriate determination upon what procedure you’re going to need accomplish your goals. Minimally invasive procedures give minimal results, if any. If you’re fat deposits are located above the platysma muscle in the neck, liposuction is a Great alternative. If you’re fat deposits are located below the platysma muscle in your neck, then a surgical neck lift with a platysma plasty is going to be required. 

Question: Chin implant vs sliding genioplasty – which procedure would be right for me?
Answer: Your side profile photograph demonstrates an overly projecting nose with a dorsal hump, and an under projecting chin. In our practice, we perform many chin implants in combination with a closed rhinoplasty. If you’re only wanting to perform a chin implant, that can be performed under local anesthesia which takes about 30 minutes. The implant is inserted through a small incision underneath the Chin. A sliding genioplasty is performed by an oral surgeon in a hospital setting under general anesthesia it with an overnight stay at the hospital and is much more invasive. It’s usually performed when the teeth are significantly out of alignment. Digital computer imaging of both your nose and your chin would be helpful to understand what can be accomplished with both procedures upon your facial features. Choose your surgeon wisely based on extensive experience.

Question: Primary rhinoplasty – can I accomplish everything and do I need grafting?
Answer: A closed rhinoplasty approach can accomplish refinement of the bulbous nasal tip, shaving down the dorsal hump, lifting the tip slightly and narrowing the bridge line with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Also important to release the depressor septi ligament which dynamically pulls your tip downward when smiling. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your rhinoplasty specialist wisely based on extensive experience. Digital computer imaging of your nose upon your facial features would also helpful. The only cartilage graft needed would be a graft called a spreader graft placed underneath your upper lateral cartilages to prevent them from collapsing after the hump removal. 

Question: Revision brow lift after endoscopic brow lift failed?
Answer: A full set of facial photographs are required to make a determination about being a candidate for a brow lift procedure. In our practice, we perform a coronal brow lift which can accomplish lifting and adjusting the asymmetry in the eyebrows, raising or lowering the hairline, and adjusting the muscles of the forehead to improve the vertical and horizontal lines. It’s also important to wait at least a year after your first surgery before embarking on another forehead lift. 

Question: Is it a bad idea to get a rhinoplasty and facelift in one procedure?
Answer: In our practice, we performed the combination a facelift and rhinoplasty frequently. The reason we do this because patients undergo one anesthesia with one recovery period and are back to work at two weeks. A full set of facial and nasal photographs are required make a determination about being a candidate for both procedures.


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