Facial Plastic Surgery Questions and Answers: Part 04

Question: My polly beak keeps returning. Will 5FU shots help, or is revision rhinoplasty the only way?
Answer: Poly beak can be caused by residual cartilage left behind, or thick skin. Revision rhinoplasty is required to remove residual cartilage, while Kenalog mixed with 5-FU can treat thick skin. Best to follow up with your operative surgeon for those shots.

Question: Loose skin and fat on chin, neck, jaw. How can this be treated?
Answer: Congratulations on your first 50 pounds of weight loss. You need to lose the additional 50 pounds before contemplating any type of lower face and neck lift procedure. Your BMI should be less than 32 for optimal results. You have significant fat deposits in the neck located both above and below the platysma muscle. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, remove diet resistant fat deposits in the neck, and lift the jowls. 

Question: What can be done/used during a revision rhinoplasty to fix missing bone on top of nose bridge?
Answer: You don’t have any missing bone, but you have an inverted upper lateral cartilage that is not in alignment with your left nasal bone. You will require an osteotomy placed in the left nasal bone and a cartilage spreader graft placed along that concave upper lateral cartilage in the midportion of your nose. It’s important to know how much cartilage is left over on the inside of the nose for grafting purposes, so it’s best to get a copy of the operative report. You’ll also have to remove the piercing for at least a few months after the procedure.

Question: How long should I wait after CO2 Laser to have a Deep Plane Facelift?
Answer: It’s probably best to wait at least 2 to 3 months between procedures to allow optimum healing. There are many different types of lasers and facelifts, so make sure you ask all the right questions to your prospective surgeon, and study their before and after photo Gallery for both procedures which should be expensive.

Question: What are my options to treat the bump on my nose?
Answer: There appears to be a relatively small bump and an inverted upper lateral cartilage on your right side maybe also related to that injury. It’s also important to know if there’s any breathing difficulties related to a deviated septum which also can be caused from the injury itself. A closed rhinoplasty procedure can accomplish improvement of your nose, but it won’t be perfect, and the amount of change looks like it might be rather minimal. 

Question: Can you go back to work in 4-5 days after MyEllevate?
Answer: More information is needed, such as a full set of facial and neck photographs from all angles to make a determination about the most appropriate procedure. The most likely reason that liposuction failed for you is because you probably have fat deposits located below the platysma muscle in the neck. If that’s the case, it take a surgical neck lift to remove those compartments of fat in addition to a platysma plasty to significantly improve the jawline. Most patients take at least a week off from work. 

Question: Why does my nose look like this on the left?
Answer: The residual convexity on your nasal bridge can be related to many different healing issues which include residual cartilage and bone left from the actual surgery itself. That convexity can also be related to hypertrophy of thick sebaceous skin. Thick skin is treated with steroid shots, while surgical intervention including a revision rhinoplasty is required to shave down residual cartilage and bone. 

Question: Tip only rhinoplasty possible for me?
Answer: You are not a candidate for a tip only rhinoplasty due to the fact that once you narrow the tip, your bridge line will be excessively wide and disproportionate from your nasal tip. In our practice, we perform all rhinoplasty procedures under general anesthesia for patient safety and comfort. Patients are monitored by a board-certified physician anesthesiologist in our outpatient surgery center. There are too many nerve endings in the nasal tip to be comfortable to even try to undergo this type of surgery under local Anesthesia.

Question: I’ve got a dent on the side of my nose after a rhinoplasty. What can I do to get rid of it?
Answer: From the one very limited photograph, you have significant asymmetry on your nasal bones, and cartilages within your nose. You’re going to need a revision rhinoplasty procedure. Choose your second surgeon wisely based on extensive experience producing natural results. Also remember there is no perfect nose, just improvements.

Question: Endoscopic (trichophytic) browlift, any advantage to having this done under general anesthesia?
Answer: In our practice, we perform all brow lift procedures under general anesthesia monitored by a board-certified physician anesthesiologist for patient safety and comfort. We also perform mostly coronal approach brow lift procedures which can not only raise the eyebrows, but a address asymmetries, and soften both of horizontal and vertical frown lines in addition to raising or lowering the hairline. 

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