Facial Plastic Surgery Questions and Answers: Part 01

Question: Will rhinoplasty help to fix a long midface?
Answer: A closed rhinoplasty approach can accomplish shortening your nose give the appearance of a better midface balance. The dorsal hump can be shaved down, the hanging columella reduced and refinement of the nasal tip. All incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Also consider placement of a small chin implant for the recessive and short Chin projection that you have. Both procedures would improve your facial balance and proportions. Digital computer imaging would also be helpful understand what either one or both procedures would look like upon your facial features.

Question: Can I change my nose tip with surgery?
Answer: approach accomplish her goals. Consider a chin implant to augment a weak and recessive chin forward for better facial Balance and proportions.

Question: I am interested in minimum neck lift but confused about all the different options. Advice?
Answer: tighten loose facial and neck skin, tighten loose facial and neck muscles, remove any residual fatty deposits in the neck, lift the jowls, and perform a platysma- plasty to improve your jawline. 

Question: Can Dermal Fillers help straighten my nose without nose surgery?
Answer: Fillers placed in the nose are not going to straighten the nasal bones and cartilages. Your nose is significantly crooked, and you will most likely have a deviated nasal septum on the inside of your nose as well. A closed rhinoplasty and a closed septoplasty are probably going to be required in order straighten your nose and breathe better. All incisions are placed on the inside of the nose. 

Question: Would I benefit from a chin implant? I feel like my jaw is weak- are there other ways to make my jaw appear stronger?
Answer: A full set of facial photographs from all angles, especially the side profile going to require to make a determination about how best to proceed. Chin implants augment the chin forward for better facial balance and proportions, since this is a bony augmentation.

Question: Would I be a successful candidate for a lower facelift and neck lift?
Answer: The photos demonstrate normal changes of aging for which a lower face/neck lift can improve. In our practice, we perform a high-SMAS lower face/neck lift which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls and remomoving fatty deposits in the neck which also includes a platysma-plasty to significantly improve the jawline. 

Question: Seeking a 2nd opinion: Should I consider revision? (Closed rhinoplasty).
Answer: Consider following up with your previous surgeon for a revision to shave down the residual dorsal hump. This appears to be residual dorsal cartilage from the graft or leftover from the surgery itself. A closed revision rhinoplasty can certainly address this issue with all incisions placed on the inside of the nose. No external incisions are required. 

Question: Boney feeling bump 39 years later! Is there anything that can be done?
Answer: Revision Rhinoplasty is very difficult, therefore a full set of facial photos from all angles are required to make a determination about how best to proceed. Osteotomies placed lower on the nasal bones can accomplish improvement.

Question: Are SMAS facelifts worth it?
Answer: In our practice we perform a high-SMAS lower face and neck lift which safely accomplishes tightening loose facial and neck skin, tightens loose facial and neck muscles, lifts the jowls and removes fat above and below the platyma muscle and includes a platysma-plasty. The SMAS does not droop in 2 years, but pre- existing poor skin tone in the neck will be the limiting factor as to how long the facelift results will last. 

Question: Considering revision rhinoplasty 22 years after initial surgery. What is a realistic result? What does surgery entail?
Answer: A closed rhinoplasty approach can accomplish reducing the hanging columella and placement of a composite graft from the ear can help the alar retraction. Osteotomies can narrow the nasal bones and spreader grafts can widen the pinched upper lateral cartilages in the mid-vault of the nose, Wide nostrils can be reduced with an alar-plasty.

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