Facial Plastic Surgery Questions and Answers: Part 08

Question: Do Nose exercises work? Can you really change the nose with facial exercises, pinching, pulling, or by blowing it?
Answer: No, nose exercises do not work. Below the skin of the nose, there is cartilage and bone which must be surgically altered in order to change the shape. In our practice, we perform closed rhinoplasty with all the incisions placed on the inside of the nose.

Question: Maintenance for Brow Lift w/ Botox – how many times a year should I get it?
Answer: In our practice, we do not perform an endoscopic brow lift, just the coronal approach which can accomplish softening of the corrugator muscles which create the vertical lines in the forehead and soften the frontalis muscle which creates the horizontal lines in the forehead. As long as those muscles have been softened, no maintenance is required. Much more information is needed such as a full set of facial photographs to determine if your candidate from brow lift procedure.

Question: 72F, 5’2, 97lbs, deep plane face & neck lift & upper & lower bleph is lack of surgeon a risk?
Answer: Yes indeed, lack of experience is a risk for many different complications. The deep plane facelift has a higher incidence of facial nerve branch paralysis than her traditional smas facelift. You also need to consider getting a letter of clearance from your primary care physician before undergoing elective cosmetic surgery under general anesthesia. 

Question: Bulbous tip revision after septoplasty – revision or Tip Plasty?
Answer: A full revision rhinoplasty is going to be required in order to reduce the bulbous nasal tip, narrow the bridge line, and reduce the hanging columella that’s present. Ear cartilage might need to be used if grafting is necessary, since you probably don’t have any cartilage leftover inside the nose after the septoplasty. Also consider placement of a chin implant for the recessive chin present on your side profile photograph. Placement of a chin implant will help with facial balance and proportions, especially from the side View with respect to your nose. Revision 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.

Question: Can a facelift and a rhinoplasty be performed at the same time?
Answer: Yes, a facelift and a rhinoplasty can be performed simultaneously under one anesthesia with one recovery period. Choose your surgeon wisely based on extensive experience producing natural results, especially with both of these two procedures.

Question: Would I be an ideal candidate for a nonsurgical rhinoplasty and brow lift?
Answer: To lift the Central Part of your eyebrows will require a surgical brow lift, and Botox cannot accomplish that. We do not recommend nonsurgical rhinoplasty because of the potential for vascular occlusion and skin necrosis. A Closed rhinoplasty is required to be able to shave down dorsal hump, refine the nasal tip, lift the tip of the nose and narrow your bridge line. Also important to release the depressor septi ligament which dynamically pulls the tip of your nose down when smiling. Choose your surgeon wisely based on extensive experience, since rhinoplasty is the most difficult procedure to performed correctly in the entire field of cosmetic surgery. 

Question: Would Morpheus8 help minimize the appearance of my double chin?
Answer: No morphious eight will not help your situation. You have significant fat deposits located in the neck both above and below the platysma muscle in your neck. It also appears that most of the deposits are located below the muscle. Once you’re at your ideal body weight with a BMI less than 32, then you can consider surgical alternatives. Liposuction can only accomplish removal of the fat deposits above the muscle which will be minimally effective. A surgical neck lift will remove the fat deposits both above and below the platysma muscle which also includes a platysma plasty to significantly improve the jawline. At age 37, no skin removal is required.

Question: Age 52, what areas of the face will a lower facelift address & how long does a neck lift last?
Answer: In our practice, a lower face and neck lift addresses tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removal of fat deposits above and below the platysma muscle in the neck in addition to a platysma-plasty to significantly improve the jawline. Most facelifts last 10 to 15 years. For our current price list, please see the link below.

Question: Male – Full facelift/deep plane or mini facelift + fat injections is sufficient?
Answer: Mini facelift can you give mini results and we rarely ever performe them.A lower face and neck lift is going to be required to remove the deep neck fat deposits that you have in your neck in addition to the fat deposits above the platysma muscle. A platysma plasty is also performed significantly improve the jawline.

Question: Is this polly beak deformity?
Answer: Yes, you do have a poly beak deformity. The poly beak can be created from either thick skin or excess cartilage. Thick skin is treated with steroid shots, while residual cartilage is treated with a revision rhinoplasty. Revision rhinoplasty is more difficult than primary rhinoplasty, so choose your rhinoplasty specialist very wisely based on extensive experience.


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