Facial Plastic Surgery Questions and Answers: Part 04

Question: Is a nose job worth it?
Answer: Only the patient can answer that question. If your nose bothers you enough, then consider having it done. A closed rhinoplasty approach to accomplish shaving down the dorsal hump, decreasing the overall projection of the nose, lifting the tip and narrowing the bridge line. To Prevent the tip of the nose from drooping when smiling requires releasing of the depressor septi ligament.

Question: Wondering if I’m a good candidate for rhinoplasty with my bulbous tip nose?
Answer: A closed rhinoplasty approach can accomplish improvement of your nose including your bulbous nasal tip. All the incisions placed on the inside of the nose. Thick skin and the tip of the nose will prevent refinement in that area, so is important to have realistic expectations.

Question: How difficult would it be for surgeon to narrow my nose?
Answer: Rhinoplasty is the most difficult operation to perform in all cosmetic surgery, so it’s important to choose your surgeon based on extensive experience. For a very experienced rhinoplasty surgeon this would be a straightforward operation. A closed Rhinoplasty approach can accomplish your goals with all the incisions placed on the inside of the nose. No external incisions are required. Thick skin and the tip of the nose will prevent refinement in that area, so this must be determined at the time of the consultation. 

Question: Do I need nose job or jaw Botox?
Answer: The side profile photographs demonstrate an overly projecting nose, and an under projecting chin. The under projection of your chin make your nose look bigger than it really is. For better facial balance and proportions, consider placement of a chin implant augment your chin forward, which will help with your side profile. A standalone chin implant procedure can be performed under local anesthesia. If your nose bothers you, then consider a closed rhinoplasty approach to accomplish decreasing the overall projection of the nose, shaving down this dorsal hump, straightening it and refinement of the nasal tip with all incisions based on the inside of the nose. Rhinoplasty is performed under general anesthesia. Both procedures can be performed together under one anesthesia with one recovery. 

Question: Raising bridge with thin skin?
Answer: Revision rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, therefore a full set of facial photographs are required to make a determination about how best to proceed. Trying to make nostrils symmetrical is impossible due to the fact that there’s a left half of the nose and right half of the nose. There are multiple options upon how to build up a bridge, if necessary. It’s important know how much cartilage is left over on the inside of your nose for grafting purposes in addition to a copy of the operative report defined out what maneuvers were performed in the first procedure.

Question: How do I decided on a rhinoplasty surgeon when every surgeon has at least a couple bad reviews?
Answer: Choose your rhinoplasty specialist based on extensive experience, since rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery. Looking at reviews is only one metric to evaluate your surgeon, not the end all. Study your prospective surgeon’s before and after rhinoplasty photo Gallery and make sure that it is extensive with results that you like. Negative reviews are very common with rhinoplasty due to multiple factors which include unrealistic expectations, obsessive-compulsive disorder and body dysmorphia. We have even received negative reviews from patients who have allowed us to post their pictures on our before after Photo Gallery.

Question: Supratip deformity after rhinoplasty?
Answer: From the photographs presented, you have what’s called a poly beak deformity which is caused by residual cartilage in the lower part of your nasal dorsum. Rasping only works for bone, while the cartilage must be cut with a knife or scissors to give you a better profile.

Question: Can I have a mini neck lift performed without making any changes to my face?
Answer: Yes, a mini necklift would involve performing a platysma-plasty to help improve those two platysma muscle cords located in your neck. To accomplish this, there’s a small incision located underneath the chin crease. Alternatively you can also try Botox in the muscle cords first, and then if that doesn’t suffice, then try the Surgical option.

Question: Can I have a facelift at the same time as cheek implant removal?
Answer: Yes, it is certainly possible to undergo cheek implant removal at the same time as a facelift. Facelift incisions are in front and behind the ears, while the cheek implant removal incisions are placed inside the mouth above the upper teeth. A full set of facial photographs from all angles are required to make a determination about whether or not you’re a candidate for a lower face and neck lift procedure.

Question: If my surgeon shortened the tip but forgot to trim the excess skin in the columella would that translate to a longer philtrum?
Answer: Revision rhinoplasty is more difficult than her primary rhinoplasty, therefore a full set of facial photographs from all angles are required to make a determination about how best to proceed. A closed rhinoplasty approach can accomplish reduction of the hanging columella with all the incisions placed on the inside of my nose.


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