Facial Plastic Surgery Questions and Answers: Part 4

Question: How long are internal dissolvable facelift sutures noticeable on your skin?
Answer: In our practice for over25 years, we have never used dissolvable sutures underneath the skin. We use permanent nylon sutures to tighten The SMAS, and the muscles in the neck. In our practice, we perform a high-SMAS lower face and neck lift which tightens loose facial and neck skin, tightens loose facial and neck muscles, lifts the SMAS which is the facial muscle structure, lift the jowls, and remove any fat deposits located both above and below the platysma muscle in the neck which also includes a platysma-plasty. Choose your plastic surgeon wisely based on extensive experience producing natural results. Study your prospective surgeon’s facelift photo Gallery and make sure that hair is pulled back behind the ears on the postoperative photos so that you can see are the incisions are. In our practice we don’t post photos to our photo Gallery for at least 4 to 6 months.

Question: Surgeon said he’ll remove nose filler during rhinoplasty – is this normal? Shouldn’t the filler be dissolved before?
Answer: Much more information is needed, such as type of filler have you had placed, exactly where was placed, and how long ago it was placed. If you think there’s a significant amount of H/A filler still present, then it’s probably best to have it reversed. More importantly is to choose your surgeon wisely based on extensive experience ,since rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery and you have artificially inflated the anatomy of your nose going into this procedure with placement of fillers for many years. 

Question: Would I be a good candidate for a Tip Plasty?
Answer: No, you are not a candidate for just a standalone tip – plasty for a variety of anatomical reasons. The nose is a three-dimensional structure in the nose must look good in all three dimensions. The nose has lots of sensory nerve endings in it, and it would be extremely painful to try to accomplish any type of nasal procedure under local anesthesia. In our practice, we use board-certified physician anesthesiologists who put patients completely asleep under general anesthesia for patient safety and comfort. 

Question: What should I do before my facelift for the best outcome? Nutrition, vitamins, lotions?
Answer: You should always communicate with your surgeon upon what their suggestions are. Most important is to make sure that year not take any blood thinners like aspirin, ibuprofen, herbal supplements and vitamins E. Make sure you’re in excellent height /weight proportion and don’t have any other health issues. Study your prospective surgeon’s facelift photo Gallery make sure it’s extensive with natural results that you like.

Question: Is it possible to have a septorhinoplasty done after turbinate reduction?
Answer: A septoplasty and turbinate reduction are performed when there is significant decreased airflow out of the nose. That can because by and large turbinates, or a deviated septum. They’re both are frequently performed together when necessary. Rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery, so choose your rhinoplasty surgeon wisely based on extensive experience. Both functional and cosmetic nasal surgery can be performed under one anesthesia with one Recovery period. 

Question: Do you prefer silicone or ePTFE for facial implants? 
Answer: For Chin and cheek implants, we prefer silicone. The tissue ingrowth is a real problem on ePTFE implants when they have to be removed due infection.

Question: Is it possible for me to go from the first two pictures to last two with plastic surgery?
Answer: A closed rhinoplasty procedure can accomplish shaving down the dorsal hump narrowing the bridge line and refinement of the nasal tip and reduction of the hanging columella with all the incisions placed on the inside of the nose. Your “after” side profile demonstrates too much upward rotation and A persistent hanging columella.

Question: Would chin liposuction or jaw surgery be more beneficial?
Answer: The limited photographs demonstrate a recessive chin and fat deposits in the neck. Consider placement of a chin implant to augment your chin forward, and liposuction under the jaw line to Remove some of the fat in that location. Both procedures can be performed together and actually complement each other.

Question: How far up can an osteotomy go to fix a nose fracture?
Answer: Medial and lateral osteotomy’s Are performed up into the frontal recess bone in order to manually reset the nasal fracture. When the upper lateral cartilages have been fractured off the nasal bones, a placement of a cartilage spreader graft is necessary on the concave side. Most significant nasal fractures also have a deviated septum component blocking airflow, so make sure you don’t need a septoplasty. Straightening the crooked nose is a very difficult endeavor, so choose your surgeon wisely based on extensive experience.

Question: Which type of chin implant would help me achieve my desired look?
Answer: In our practice for most women, we use size small pre-jowl chin implants with an excellent success rate for over 25 years. It’s important to remember that most of the augmentation occurs in the forward projection, but there’s a small amount of augmentation giving width and a small amount of vertical height as well. Your chin is three-dimensional, and the augmentation is three-dimensional. We also placed chin implants under local anesthesia as an outpatient procedure which takes approximately 30 minutes.

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    The Seattle Cosmetic Surgery Center

    Seattle, Wa. 98104


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