Facial Plastic Surgery Questions and Answers: Part 07

Question: Is it normal to have endoscopic midface lift and deep plane full face lift together?
Answer: In our practice, we do not perform a mid-face lift because the mid face does not descend vertically with aging process. The midface looses volume, therefore we insert cheek implants to improve the lost volume in the mid face. A lower face and neck lift procedure accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, removing fat deposits in the neck and lifting the jowls. 

Question: What type of fat is this called and what are the best options for removal to define my jawline?
Answer: A full set of facial photographs from all angles in a chin neutral position are going to be required to make a determination about how best to proceed. Also best to be at your ideal body weight before undergoing neck liposuction. The Fat in your neck is most likely located above the platysma muscle which can be removed with Liposuction under local anesthesia.

Question: Rhinoplasty without disrupting facial harmony?
Answer: The limited photographs demonstrate hanging Columella, alar retraction, and wide nostrils. All is can be addressed with the rhinoplasty procedure. Digital computer imaging would be helpful to understand what can be a conference with your nose on your facial features. To prevent the tip of the nose from drooping when.

Question: Does endoscopic septoplasty involve less side effects than non-endoscopic septoplasty?
Answer: The endoscope only provides visualization on the inside of those, and has nothing to do the surgery itself. Septoplasty still requires a knife to be able to remove the blockage which is composed of both bone and cartilage.

Question: Skin care before rhinoplasty to treat my thick skin?
Answer: No skincare regimen is going to be able to treat thick skin. It’s impossible to change the thickness of the skin in the tip of the nose. Follow-up care after your rhinoplasty procedure will be very important, since you’ll probably need some steroid shots to reduce swelling in that supra-tip area of the nose after the procedure.

Question: Did I break my nose? I have a big hump on my bridge and a droopy tip. How much will it cost to fix?
Answer: Trauma to the nose can cause a variety of issues such as a displaced nasal fracture, a nondisplaced nasal fracture, dislocation of the upper lateral cartilages off the nasal bones, and a deviated septum. A thorough internal and next generation the nose is going to be required.

Question: Is it better to combine multiple procedures at once, or complete them gradually?
Answer: A full set of facial photographs are required to make a determination as to whether not you are a candidate for four different surgical procedures. Those procedures can be performed together or separately, so is more of a personal choice. If you are to perform all them together, you would have about two weeks of visible bruising and swelling after the procedures. If you were to perform them individually, you would have two weeks of visible bruising and swelling four times. 

Question: What procedure(s) would make my face more attractive?
Answer: A full set of facial photographs from all angles are required to make a determination to best answer your question. It’s also best to be more specific about what’s bothering you, (the patient) rather than asking open-ended questions. For example, if the width of your nose from the frontal profile bothers you, then consider a rhinoplasty procedure. For some Rhinoplasty patients only the side profile dorsal hump bothers them. Digital computer imaging would also be helpful in education process to understand what can be accomplished with your facial features.

Question: Confused about all the options: which procedures should I consider for lower face work?
Answer: The limited photographs demonstrate significant fat deposits in the neck, jowls, and loose facial and neck skin. In order to address all of your issues, a lower face and neck lift is going to be required. In our practice, this procedure involves tightening loose facial and neck skin, tightening loose facial and neck muscles, removing the fat deposits above and below the platysma muscle which also includes a platysma plasty, and lifting the jowls. Noninvasive treatments would be a waste of time and money.

Question: I want to get my lips lifted and I’m also considering having a facelift revision – which one should I do first?
Answer: In order to make a determination about being a candidate for a revision facelift procedure, a full set of facial photographs are going to be required to make a determination about how best to proceed.


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