Facial Plastic Surgery Questions and Answers: Part 2

Question: Non-invasive rhinoplasty – what options do I have to thin the bridge of my nose?
Answer: A Closed rhinoplasty is less invasive than open rhinoplasty and is required to narrow your nasal bones. Osteotomies placed in the nasal bones themselves accomplish narrowing the wide bridge line. An alar plasty is required to narrow wide nostrils.

Question: 18, female, should I consider a sliding genioplasty or v-shape surgery? Or other options?
Answer: The photographs demonstrate a dorsal hump on your nose and a recessive chin profile. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line and refining the nasal tip. Both procedures can be performed together under one anesthesia with one recovery period.

Question: How could rhinoplasty be done with minimal discomfort?
Answer: First of all, it’s imperative that your plastic surgeon does not shove painful packing on the inside your nose after the surgery. Some surgeons still do pack noses. In our practice, we do not. We also perform closed rhinoplasty which is less invasive than open rhinoplasty. Choose your surgeon wisely based on extensive experience producing natural results, since rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery.

Question: Facelift with upper / lower bleph? Or fat transfer?
Answer: Much more information is needed, such as a full set of facial photographs from all angles including your neck. In our practice, 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 in the neck located above and below the platysma muscle in addition to a platysma -plasty. Mini facelifts give mini results, and we rarely ever perform them. For a variety of reasons we also don’t perform fat injections and mid – facelift due to complications that can occur with these procedures.

Question: Does the age of a patient who undergoes rhinoplasty affect the success and healing of the procedure?
Answer: In our practice, we have performed rhinoplasty on patients from ages 17 through 85. You can perform rhinoplasty at any age, as long as you’re in excellent health. The procedure takes approximately an hour and a half under general anesthesia, monitored by a board certified physician anesthesiologist in our Medicare certified outpatient surgery Center. The procedure is also performed as a closed rhinoplasty approach with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. 

Question: I’d like to know if it is safe to get subcision after a whole facelift?
Answer: It’s probably best to wait at least 4 to 6 months after a facelift procedure before undergoing another procedure on your face involving the epidermis and dermis.

Question: Will a scarless bleph not address skin laxity?
Answer: More information is needed such as Pictures of your eyelids and your face from different angles. The primary goal of upper eyelid surgery is to remove extra skin and a little bit of fat at the inner corners on the upper eyelids. The Incision is placed directly in the upper eyelid crease. Regarding the lower lids, the primary goal is to get rid of the fat bags which are removed through trans- conjunctival approach on the lower lids on the inside of the lower lids. In our practice, we mark the upper and lower eyelids because of the asymmetry present in both upper and lower lids before undergoing surgery. We do not mark the patient for a facelift. For a variety of reasons we also do not do fat transfers in the face as well. Choose your surgeon wisely based on extensive experience. Study your prospective surgeon’s eyelid surgery and facelift photo Gallery to make sure that it is extensive with results that you like. 

Question: Best for jowls and under chin/neck procedures?
Answer: The photographs demonstrated recessive chin profile, jowls, sub mental fat deposits and significant laxity in your neck. Consider placement of a chin implant to augment your chin forward for better facial balance and proportions, which would also help with your pre-Jowl sulcus as well. A lower face and neck lift is going to be required to lift the jowls, remove the fat deposits in the neck, and tighten loose facial and neck skin in addition to tightening loose facial and Nick muscles which also includes a platysma plasty to significantly improve the jawline. Noninvasive procedures would be a waste of time, Since none of them can accomplish what’s a surgical facelift can.

Question: Sliding genioplasty to open airway & improve side profile? Or deep plane?
Answer: A sliding genioplasty is usually performed by an oral surgeon when your teeth are significantly out of alignment.This is done in hospital setting under general anesthesia with an overnight stay in the hospital and is much more invasive. A small chin implant can be placed through an incision underneath your chin under local anesthesia as an outpatient procedure which takes about 30 minutes. This is done for purely cosmetic purposes and has nothing to do with your airway or the way your teeth fit together. Regarding your neck, it appears to have fat deposits located below the platysma muscle in your neck that’s why you still have residual fat deposits. Liposuction can only remove the fat deposits above the muscle.A Surgical neck lift is required to remove the fat deposits below the muscle which also includes a platysma plasty to significantly improve the jawline. 

Question: Is it safe to get a facelift after Bellafill?
Answer: It’s always best check with your operative surgeon, but it should not be a problem having a facelift after filler injection.


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