Facial Plastic Surgery Questions and Answers: Part 02

Question: Look good from left side, wonky on right. What procedures can I get to fix this? 
Answer: A full set of facial photographs from all angles are required to make a determination about how best to proceed with a rhinoplasty procedure. The nose is a three dimensional structure, and surgery is performed in all three dimensions. A closed rhinoplasty approach can accomplish refinement of the nasal tip, shaving down the dorsal hump, and narrowing the bridge line. Releasing the depressor septi ligament will prevent the tip of the nose from drooping down dynamically when smiling.

Question: What can I do to correct my asymmetrical nose?
Answer: A closed rhinoplasty approach can accomplish improvement the symmetry of your nose, but it’s important to understand that there is no perfect nose. You have a very small dorsal hump which can be shaved down. There’s a small exaggerated depression at the supratip area of your bridge line which can be softened with a cartilage graft. The convexity of your nasal tip on the left side can be shaved down, and small cartilage grafts will probably be required on the right side which is concave. The nostrils are asymmetrical now and will continue to be so after the surgery.

Question: Is there a way to change the dorsal hump of my nose while maintaining my original nose tip size?
Answer: Is there a way to change the dorsal hump of my nose while maintaining my original nose tip size
It is possible to shave down the dorsal hump, but you will require osteotomies placed in the nasal bones to close the open roof created from hump removal itself. No tip work is necessary as long as your tip is within balance for the new bridge line without the hump. A closed rhinoplasty approach can accomplished your goals with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either.

Question: Would an ethnic rhinoplasty help me achieve my desired results?
Answer: Yes indeed, an ethnic rhinoplasty would improve your nose like the images posted. To narrow the bridge line would require osteotomies placed in the nasal bones which can narrow them and narrow the entire bridge line. An alar-plasty would be required to narrow wide nostrils.

Question: ge 32, what procedure would correct the puffiness and shadows under my eyes?
Answer: To make a determination about being a candidate for lower blepharoplasty will require pictures of both eyes looking straight into the camera. Looking upwards will make the fat bags worse. If you have bags at on forward gaze, then consider a trans-conjunctival lower blepharoplasty procedure to remove the fat bags creating the puffy look. The Incisions are completed located on the inside of the lower lids. This procedure is performed under brief general anesthesia as an outpatient procedure. 

Question: Can I do rhino, lip lift & lower blepharoplasty all in one?
Answer: Yes, it is certainly possible to do all 3 procedures under general anesthesia with one recovery period. I our practice, we do not perform the lip lift procedure due to extensive scarring we have seen from patients having had that procedure done elsewhere. Start by looking for a rhinoplasty specialist, since rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery. 

Question: Agnes RF for submental fat, do you recommend it for fat reduction & face sculpting?
Answer: Much more information is needed, such as your height, weight, and a full set of facial and neck photographs from all angles too make a determination about how best to proceed with the most appropriate procedure. It’s also important to understand that in the neck there are two compartments of fat, and they’re located both above and below the platysma muscle in the neck itself. 

Question: Would a sliding genioplasty & chin liposuction fix weak & double chin?
Answer: A sliding genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay, and is much more invasive. Placement of a chin implant and neck liposuction can both be done under local anesthesia as an outpatient procedure.

Question: Use of Prednisone after deep plane facelift – does it really make a lot of difference in recovery?
Answer: We use prednisone pills on select patients who have more extensive swelling, and it does seem to shorten the recovery process. Always check with your surgeon or a family physician to make sure you’re okay to go on the prednisone.

Question: Lower Facelift Options / Considerations?
Answer: From the photographs presented, you have the normal changes of aging for a woman at 58. In our practice, a lower face and neck lift procedure accomplishes tightening loose facial and neck skin, lifting the jowls, tightening loose facial and neck muscles, and removing the fat deposits in your neck which also includes a platysma plasty to significantly improve the jawline. Most of your improvement will be in the neck itself. Study your prospective surgeon’s before and after facelift photo Gallery to make sure that the results are very natural and the incisions are minimally detectable. 

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