Facial Plastic Surgery Questions and Answers: Part 09

Question: Best option for my double chin and more jaw definition?
Answer: The photographs are rather limited, but there does appear to be a slight recessive chin profile present for which a small chin implant can improve. The fat deposits in your neck are located above AND below the platysma muscle, therefore a neck lift with a platysma plasty will be required to remove both compartments of fat in addition to significantly improving the jawline. This procedure does not remove any excess skin. Three small incisions located underneath the chin and behind each ear. 

Question: I have a bit of a double chin from the side. Is this a skin laxity or fat problem? What’s the most effective treatment?
Answer: A full set of facial photographs from all angles in a chin neutral position without smiling or going to be required to make a determination about how best to proceed. Simple liposuction can accomplish removal of fat deposits in that area. At age 34, your skin tone is totally acceptable.

Question: Any recommendation for rhinoplasty to fix hump and narrow my tip?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line and refining the nasal tip with all the incisions placed on the inside of the nose. No external incisions are required. Digital computer imaging would also be helpful to understand what can be accomplished with your nose upon your facial features. 

Question: What approach should I take with rhinoplasty and what kind of nose would benefit my face?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, and straightening the nose with all the incisions placed on the inside of the nose it itself. No external incisions are required. No painful packing is required. To straighten the nose from the frontal profile requires osteotomy’s placed in the nasal bones, and a spreader graft composed of the patient’s own cartilage placed underneath the concave upper lateral cartilage on your right side. If there is a deviated septum present on the inside of the nose creating nasal obstruction, then a septoplasty will be required. Both procedures can be performed together under one general anesthesia with which allows one recovery. 

Question: How do I ask my ENT doctor about getting a rhinoplasty at the same time as my septoplasty?
Answer:  Rhinoplasty is the hardest operation to do properly in all of cosmetic surgery, so it is very important to make sure your ENT doctor has lots of experience producing natural results. Ask to look at his/her before and after rhinoplasty photo gallery to make sure that it is extensive with the results that you like. Look for a double board certified ENT /facial plastic surgeon with extensive experience. Digital computer imaging of your nose upon your facial features would also be helpful to understand what can be accomplished with the procedure.

Question: Do I need a neck lift or lipo?
Answer: Liposuction will only remove the fat deposits above the platysma muscle, while a neck lift removes fat above and below the muscle. A necklift also includes a platysma-plasty which will significantly improve your jawline. Also consider placement of a chin implant to augment the chin forward for better facial balance and proportions, since there’s a recessive chin present. 

Question: Advice on Rhinoplasty during COVID?
Answer: It is very difficult to predict the future regarding COVID 19. In our practice, patients who fly in for surgery are coming a few days early prior to the surgery and get tested.

Question: Detroit area: What kind of neck and face lift?
Answer: In our practice, we perform a high SMAS lower face and neck lift procedure. This accomplishes tightening loose facial and neck skin, lifting the jowls, tightening loose facial and neck muscles, and removing the fat deposits in the neck with liposuction. Best to lose 50 pounds first, since you will get a better result.

Question: Is one has LASIK surgery for near or far sightedness, can you still have an upper bleph?
Answer: Yes, it is certainly possible to undergo blepharoplasty procedure after LASIK surgery. Probably best wait at least three months to allow full healing between procedures.

Question: Nose bridge changing. Can anything be done to make it appear better?
Answer: Trauma to the nose can cause a variety of issues such as a displaced nasal fracture, dislocation of the upper lateral cartilages, and a deviated septum. A thorough internal and external examination of the nose going be required to make a determination about how best to proceed. A closed rhinoplasty can accomplish changing the external shape to the nose such as straightening it, and shaving down the dorsal hump, and narrowing the tip and the bridge line. 


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