Facial Plastic Surgery Questions and Answers: Part 10

Question: Nose too big and excess nostril show, plus asymmetry – Options?
Answer: You do have a hanging columella which can be reduced by excision of extra skin and cartilage on the inside of the nose. It’s very important have realistic expectations moving forward with a revision rhinoplasty, since there is no perfect nose And your nostrils will never be symmetrical. Just like there is facial asymmetry, There’s also nasal asymmetry which is genetic. 

Question: Neck lift or thread lift? What do you think is my best option?
Answer: More information is needed, such as your age and a full set of facial photographs from all angles. From the limited photograph, you do have fat deposits in the neck located both above and below your platysma muscle. A surgical neck lift is required to remove both compartments of fat. There’s no skin removal with a neck lift. If you’re have inelastic skin in the neck, then you’re going to need a lower face and neck lift procedure which involves tightening loose facial and neck skin, tightening loose facial and neck and muscles, removal of both compartments fat in the neck which also includes a platysma plastic to significantly improve your jaw line. Thread lifts Will be ineffective.

Question: Does bromelain supplement taken before surgery help with swelling after rhinoplasty?
Answer: Bromelain taken before surgery probably does not help the swelling and bruising after rhinoplasty surgery. It doesn’t hurt to take it either. Probably little to no benefit. Always check with your operative surgeon. Much more important is to choose your surgeon based on extensive rhinoplasty experience.

Question: When can you wear contacts after a transconjuctival blepharoplasty? 
Answer: In our practice, as long as there’s not too much swelling present, most patients are able to go back to wearing soft contacts at 2 to 3 weeks after their surgery.

Question: Can drooping cartilage in right side of nasal tip be improved without taking apart left side of nasal tip?
Answer: When performing a revision rhinoplasty, there’s always risk versus reward versus complication risks. Revision rhinoplasty is more difficult than a primary rhinoplasty. From the very limited photographs presented, the only thing appears to be wrong with your nose is a hanging columella.

Question: Can a septoplasty be done without the need for a rhinoplasty when the nose is visually crooked?
Answer: To straighten the visually crooked nose requires a rhinoplasty. A septoplasty is only performed when there is a breathing difficulty, and the deviation is blocking airflow back inside the nose. A septoplasty will not change the shape of the nose. Both procedures can be done together or separately when needed.

Question: Lower facelift include double chin removal?
Answer: In our practice, a lower face and neck lift does include rejuvenation of the neck. It’s very important to ask that question with your prospective surgeon. You also have significant fat deposits located below the platysma muscle, so it’s you’re going to need Neck specialist to address that issue. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove fat deposits located both above and below the platysma muscle in your neck which also includes a platysma plasty to significantly improve the jawline. Liposuction alone in the neck will be ineffective, since the majority of your fat deposits are located below the platysma muscle which requires surgical removal. 

Question: What type of facelift is recommended?
Answer: A full set of facial photographs from all angles including your face and neck are required to make a determination about how best to proceed. In our practice, the goal of a facelift to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove fat deposits in the neck located above and below the platysma muscle in addition to a platysma-plasty to significantly improve the jawline. Marionette lines are not improved with a facelift, otherwise your face will look too stretched.

Question: My eyelids are beginning to droop and create hooded eyes. What are signs that it’s appropriate to have a blepharoplasty?
Answer: From the one very limited photograph, it appears that the eyebrow position is normal, and a brow lift is unnecessary. An upper blepharoplasty procedure can accomplish removal of the excess skin in your upper lids creating the hooded look. This can be performed under local or general anesthesia.

Question: Am I a candidate for lower eyelid surgery?
Answer: The primary goal for lower eyelid surgery is to remove the fat bags through trans conjunctival approach on the inside of the lower lids. At age 33 you do not have inelastic skin, and therefore no skin removal is required.


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