Facial Plastic Surgery Questions and Answers: Part 10

Question: Will I need to see a doctor for check ups after getting a facelift? How will I be able to ask for my medical report? 
Answer: It is imperative to have follow ups with your plastic surgeon for the first 10 days after the surgery, not some other doctor. This is especially important, since you’re flying in from out of the country. If your surgeon is unavailable, reschedule with him/her when they is available to be in town for 10 days with you, or find another surgeon. In our practice, patients follow up with us and a minimum of four- five times in the first 10 days after the surgery.

Question: Will a rhinoplasty make my face more proportionate?
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, decreasing the overall projection of the nose, narrowing the bridge line, and refining the bulbous nasal tip with all incisions placed on the inside of the nose. No external incisions are required, no painful packing is required.To prevent the tip of the nose from drooping when smiling requires releasing of the depressor septi ligament. An alar-plasty accomplishes narrowing wide nostrils. Digital computer imaging would be helpful in the communication process as well. Choose your surgeon wisely based on extensive experience, since rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery.

Question: What would balance out my face in a natural and feminine way?
Answer: A closed rhinoplasty approach can accomplish decreasing the overall projection of the nose, shaving down the dorsal hump and refining the nasal tip. All of the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing as required either. Digital computer imaging would be helpful in the education process see what you’re new nose would look like upon your facial features. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience.

Question: Will a gliding brow lift work for me & will it affect my forehead?
Answer: Much more information is needed, such as a full set of facial photographs, especially of your forehead from all different directions. From the limited photograph, it appears that the height of your brows appears adequate And it does not appear that you even need a brow lift. You have significant asymmetry of your upper eyelids what can be addressed with an upper blepharoplasty under local anesthesia to make them more symmetrical.

Question: Septoplasty – will it help breathing and straighten my nose?
Answer: A septoplasty is performed in the back of the nose to improve air flow dynamics, and does not change the shape of the nose whatsoever from the outside. You’re going to require a cosmetic rhinoplasty procedure to change the outside of your nose. From the limited photograph it appears that you’re also going to need spreader graft composed of your own cartilage placed underneath the concave upper lateral cartilage in the mid portion of the nose to help straighten it. Choose your surgeon wisely based on extensive experience, since rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery. Both a septoplasty and a rhinoplasty are routinely performed together under one anesthesia with one recovery. 

Question: How long should I wait between Accutane and a facelift? 
Answer: One option would be to undergo the facelift first ,and then get on the Accutane later. If you’re going to go on the Accutane first, then it’s probably best to be off of it for 3 to 6 months before undergoing a facelift procedure. Study your surgeon’s before and after facelift photo Gallery, and make sure that it is expensive with lots of natural results that you like. 

Question: Chin implant options – Are there different types besides rounded?
Answer: Chin implants are manufactured in a large array of sizes, thicknesses, and shapes which is best determined that time of the consultation and examination. They can also be custom carved when necessary for patients unique asymmetric anatomy. X-rays are of no benefit. In our practice, we use Implantech brand of solid silicone implants for over 25 years with an excellent success rate. 

Question: Am I good candidate for upper eyelid surgery?
Answer: You can certainly do the more hooded upper eyelid surgery side with a conservative skin removal upper blepharoplasty to match the opposite side. This can be done under local anesthesia. A brow lift is not necessary, since the height of your eyebrows is acceptable.

Question: Can my dorsal hump be shaved down without breaking my nose?
Answer: From the limited photograph presented, you have a moderate hump composed of both bone and cartilage. Removal of the dorsal hump creates an Open roof, flat top nasal deformity. Osteotomy’s are going to be mandatory. You’ll probably also need bilateral spreader grafts to prevent collapse of the upper lateral cartilages in the mid portion of the nose.

Question: Would I benefit from a rhinoplasty? Concerned about asymmetrical nose bridge.
Answer: A closed rhinoplasty approach can accomplish shaving down the dorsal hump, and making your nose more symmetrical and straight. There is no perfect nose, just improvement. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience. Digital computer imaging would be helpful to understand what can and cannot be accomplished with your nose upon your facial features.


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