Facial Plastic Surgery Questions and Answers: Part 03

Question: I’m 50 years old, would you recommend a facelift?
Answer: The photos demonstrate early jowls, fat deposits in the neck and platysma muscle cords in the neck. In our practice , we perform a high SMAS lower face/neck lift which accomplishes lifting the jowls, tightening loose facial and neck skin, tightening loose facial and neck muscles, and removing fat deposits in the neck above and below the platysma in addition to a platysma-plasty to improve the jawline. 

Question: Can I get similar results to the pictures attached?
Answer: A rhinoplasty can accomplish narrowing the nasal bones and refining the tip. Thick skin in the nasal tip will prevent refinement, so its important to have realistic expectations. An alar-plasty can accomplish narrowing wide nostrils. Digital imaging of your nose upon your face would be helpful in the communication process.

Question: What type of rhinoplasty operation can be done on my asymmetrical nose?
Answer: A closed rhinoplasty can accomplish straightening the crooked nose with osteotomies placed in the nasal bones and a cartilage spreader graft placed underneath the concave left upper lateral cartilage in the mid-portion of the nose. All of the incisions are placed on the inside of the nose. No external incisions required, and no painful packing is required either. Releasing the depressor septi ligament will prevent the nose from drooping dynamically when smiling. 

Question: Am I a good candidate for a sliding genioplasty / liposuction?
Answer: Consider placement of a chin implant to augment your chin forward along with liposuction of the fat deposits in the neck. Both procedures can be performed under local anesthesia thru the same incision. Expect 2 weeks of swelling and minimal bruising.

Question: Can I change the droopy nose when I smile?
Answer: Releasing the Depressor Septi ligament can accomplish preventing the tip of the nose from drooping when smiling.

Question: I had a rhinoplasty in 2010. Since my rhinoplasty, I’ve had a bump/bubble on the left side. How can I have this fixed?
Answer: There appears to be a concave nasal tip cartilage on the right and a convex nasal tip on the left. A revision closed rhinoplasty can accomplish improvement. All of the incisions are placed on the inside of the nose.

Question: Am I candidate for chin liposuction or would a neck lift be more appropriate?
Answer: The photos demonstrate a recessive chin and fat deposits located above AND below the platysma muscle in the neck. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. Neck liposuction will only remove fat deposits above the platysma muscle, while a neck lift will remove the fat above and below the muscle which also includes a platysma-plasty to significantly improve the jawline.

Question: Is it possible to get a mini neck lift when getting a chin implant removed?
Answer: Yes, both procedures can be performed at the same time. Consider removal of your existing chin implant and proper sizing and placement of a new chin implant. A neck lift removes fat above and below the platysma muscle and includes a platysma-plasty. There is No skin removal.

Question: How can I best improve my appearance while on a budget?
Answer: A closed rhinoplasty can accomplish narrowing your wide nasal bones and refine the nasal tip with all of the incisions placed on the inside of the nose. Thick skin in the tip of the nose will prevent refinement in that area, so its important to have realistic expectations. Digital computer imaging would be helpful in the communication process.

Question: What alarplasty technique would you use on my nose?
Answer: An alar-plasty can accomplish narrowing the nostrils statically thru a small incision at the base of the nostrils. To help with the dynamic widening when smiling requires release of the ligaments at the base of the ala. That release occurs thru the alar-plasty incision. A full rhinoplasty would be required to straighten the crooked nose. Digital imaging would be helpful to understand what your new nose would look like upon your facial features. 

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